LICENSED CLINICAL SOCIAL WORKER
Orion Block
Therapist for Queer, Trans & Polyamorous Communities, Trauma & Life Beyond Survival
Pronouns: Hir/Ze
Licensure: LCSW
Location: Rhode Island & Nevada
Languages: English
Accepting New Clients: Yes
Sliding Scale: Yes
Insurance: Aetna, BCBS, Medicaid, NHP, Tufts, UHC, United Student Health Resources
About Orion
Orion Block has been working as a therapist for 4 years and has over 15 years of community organizing and educating with an intersectional lens on race, women's, and LGBTQIA+ community issues.
Hir therapy style is client focused, with the idea that YOU are the expert of your own life experience and ze is here to assist you to become independent. Ze believes in treating all with respect, sensitivity, compassion, and honesty. Ze is a therapist that will utilize your strengths, beliefs, and abilities to help guide the focus of therapy to reinforce self healing.
Orion enjoys working with a wide variety of people and issues that include PTSD/trauma, anxiety, borderline, disability, depression, abandonment, suicidality, self harm, hoarding and family issues. Hir specialty is gender and sexuality which encompasses transgender and gender non-conforming folx and those having challenges in their sexual identity or relationship issues that include asexuality, kink, poly etc.
Ze’s clinical approaches include: Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, Solution-Focused Therapy, Standpoint theory.
Specialties
ADHD, Anxiety, Bipolar & PTSD
Adolescents, Anger & Highly Sensitive People
Cultural Identity, Systemic Oppression & Holistic Coaching
Grief, Trauma & Life Transitions
LGBTQIA+, Gender Identity & Gender-Affirming Care
Relationships: Couples, Polyamory & Non-Monogamy
Areas of Focus
BDSM/ Kink/ Poly-Positive
Disability Justice
Free Gender-Affirming Care Letter Provider for Transgender People (fully pro-bono process)
Gender-Affirming Care Access Advocate (TGNB), Gender-Affirming Care Knowledgable (TGNB)
HIV Ally
Sex Positive
Sex Worker Ally
Transgender Justice,
Modalities
Acceptance and Commitment Therapy (ACT)
Cognitive Behavioral Therapy (CBT)
Compassion Focused
Culturally Responsive/Affirming
Family Systems Feminist Therapy
Group Therapy
Motivational Interviewing
Narrative Therapy
Person-Centered Therapy
Strength-Based
Lived Identity
and Experience
Agender
Aromantic
Disabled Person/Person with Disability or Living with Chronic Pain/Illness
Gender Nonbinary
Non-Conforming
Queer
Expansive
Jewish Diaspora
LGBQ+ Sexuality
Transgender
Why I Do This Work
“I do this work because I’ve witnessed what becomes possible when people are trusted as the experts of their own stories. My path has always been about building space for those pushed to the margins, where survival deserves to be honored, and truth is met with respect. Therapy, for me, is one way we reclaim voice, agency, and community.”
- Orion Block
My Approach in Practice
In our sessions, I aim to support you in becoming more grounded, present, and in charge of your own process. I might invite you to pause and notice what is happening in your body or emotions, without judgment. From there, we may explore what surfaces using practices like Internal Family Systems, narrative work, or mindfulness.
Depending on your needs, we might use art-making or writing as ways to express things that feel hard to say out loud. On other days, grounding techniques or somatic tools can help you feel safe and steady before moving into deeper reflection. I believe therapy should honor your wisdom and your pace. My goal is to co-create a space where you feel affirmed, supported, and able to explore both the tender and strong parts of yourself.
What Clients Often Come to Me For
Clients often reach out when they are:
Exploring gender, sexuality, or relationship structures
That may not align with dominant norms and want space to be seen without explanation.
Living with the impact of trauma, abandonment, or identity-based harm
Seeking ways to reconnect with their inner knowing.
Struggling with self-harm, suicidal thoughts, or intense emotional overwhelm
Want support that doesn’t pathologize their experience.
Feeling misunderstood or isolated
Hoping to build connections rooted in care, consent, and self-determination.
Carrying shame or silence around parts of themselves
Ready to move toward expression, agency, and self-trust.
No matter what brings you in, my focus is on co-creating a space that centers your voice, honours your history, and respects your pace.

