Compassionate Advocacy. Clinically Grounded. Ethically Delivered.

At Leticia Osei Psychotherapy, we recognize that mental health challenges can impact many areas of life, from your ability to function at work or school to securing safe housing or accessing healthcare. In such times, a Psychological Support Letters can serve as a bridge, helping you obtain the accommodations, services, or support you need.

What Is a Psychological Support Letter?

A licensed psychotherapist writes a Psychological Support Letters, a formal clinical document that attests to your mental health needs and recommends accommodations or actions to support your psychological well-being. You can use these letters in applications, requests, or advocacy processes with institutions such as:

• Employers
• Educational institutions
• Government services
• Housing providers
• Immigration and legal systems
• Health care providers and insurance companies

We tailor each letter individually based on a thorough understanding of your needs and create it according to professional standards of care.

Common Types of Support Letters Offered

We provide letters for a variety of legitimate mental health–related requests, including:

1. Workplace Accommodations

For employees who require modified duties, work-from-home options, mental health leave, or flexible scheduling due to psychological challenges such as anxiety, depression, trauma, or burnout, a support letter can make all the difference. In these situations, clear clinical documentation helps ensure that your employer acknowledges and respects your needs..

2. Academic Accommodations

For students experiencing mental health concerns that interfere with their ability to meet academic demands, a support letter can be essential. It may assist in securing accommodations such as extended deadlines, deferred exams, reduced course loads, or additional learning supports, ensuring the student’s well-being remains a priority while they pursue their education..

3. Emotional Support Animal (ESA) Letters

For clients whose mental health would significantly benefit from an emotional support animal. This letter may help with housing or travel accommodations (where legally applicable).

4. Housing and Shelter Support

For individuals needing access to supportive housing or priority housing placement due to mental health conditions or unsafe living conditions.

5. Gender-Affirming Care Letters

For individuals seeking letters of support to access hormone therapy or gender-affirming surgeries, by WPATH-informed practices and inclusive, affirming care.

6. Medical Exemptions or Procedure Delays

For clients who are unable to undergo medical procedures or vaccinations due to a psychological condition (e.g., medical trauma, phobia, PTSD).

7. Legal or Immigration Support

For individuals involved in immigration claims, custody cases, or other legal matters, where the mental health context is relevant and may support their case.

What to Expect from the Psychological Support Letter Process

We take great care in issuing these letters responsibly. Here’s what the process typically involves:

Step 1: Clinical Assessment

You will begin with an initial intake session where we explore your psychological history, current mental health, and the specific need for a letter. This helps us assess the appropriateness of issuing one.

Step 2: Therapeutic Relationship

To advocate for you ethically and accurately, we typically require a minimum of 2–4 therapy sessions—unless you’re already an existing client. These sessions help us develop a meaningful understanding of your situation before we write the letter.

Step 3: Letter Development

Once appropriate, we will carefully write a letter that clearly outlines the relevant diagnosis (if applicable), clinical observations, and specific recommendations aligned with your request.

Step 4: Delivery

With your written consent, the letter can be shared directly with the relevant third party or given to you for submission.

Ethical Standards and Professional Responsibility

As a CRPO-registered practitioner, Leticia Osei Psychotherapy is committed to high standards of clinical ethics and integrity. We do not provide “template” or “instant” letters. Every document we issue is grounded in clinical truth, therapeutic insight, and evidence-based assessment.

We also reserve the right to decline writing a letter if:

• The request is outside our scope of practice.
• The clinical justification is not supported.
• Or if issuing the letter may lead to ethical conflict or harm.

This approach ensures our letters are credible, taken seriously by institutions, and genuinely support your well-being.

Psychological Support Letter Fees and Timelines

Fees:
The cost for a Psychological Support Letter typically ranges from $500- $1500, depending on the complexity and purpose. This will be discussed in advance and billed separately from your therapy sessions.

Timelines:
We generally prepare letters within 7–10 business days after the final consultation session. We may also accommodate urgent requests when clinically appropriate (rush fees may apply).

How to Get Started

If you believe you may need a Psychological Support Letters, we encourage you to:

1. Book an Intake Appointment
   Let’s talk about your needs, experiences, and how we can best support your request.
2. Attend a Minimum of Two Sessions
   This helps us establish the clinical basis for the letter and ensures we write it with accuracy and care.
3. Receive Your Letter with Confidence
   Your therapist fully supports your request and is deeply invested in your mental health and advocacy.

We’re Here to Help

Therefore, if you believe you may benefit from a Psychological Support Letter, we invite you to book an intake consultation. We’re here to support you with compassion, clinical insight, and a strong ethical foundation.