psychologist &

sexologist

Elisa Modica

( About )

I am Elisa Modica, a psychologist and sexologist working online with young adults, adults, couples, and polycules. My work is grounded in a clear political stance: I am not neutral, and I cannot be, because care is always a political act.

I am an agender person, I use all pronouns, I believe in the power of self-diagnosis, I am NeuroQueer, fat, and terronə.

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Years of Experience

( My beliefs )

I work toward a model of mental health that is not neutral, but rooted in bodies, territories, and relationships. I believe in care as a collective practice.

I founded a political and support project by trans people for trans people, accompanying marginalized subjectivities in their paths of self-determination, called Hubsoleto. Hubsoleto, And when the spaces I inhabit stop being coherent with the values they were born from, I choose to leave

Today, I continue to build elsewhere. My commitment is political and militant: I reject the false neutrality of mainstream psychology, fully aware that social, cultural, political, and normative contexts profoundly shape mental health and well-being.

I clearly position myself as anticapitalist, antiracist, antifascist, fat-inclusive, and transfeminist, with a practice that seeks to dismantle oppression and inequality rather than reproduce them.

( What I do )

I work in the field of psychological well-being with particular attention to queer experiences and subjectivities, consensual non-monogamies, non-normative sexualities, and people navigating gender affirmation paths.

I support those who wish to explore their identity, orientation, relationships, and bodies through a weight-inclusive, health-at-every-size–informed approach (HAES®), within a space that aims to be as safe as possible inside this social box.

( What I do )

My work is affirmative, trauma-informed and non-pathologizing, with particular attention to LGBTQIA+ identities, gender diversity, non-normative relationships, neurodivergency, and body diversity.

Sessions in English follow the same ethical and political framework as my work in Italian: the therapeutic space is not neutral, but it is respectful, non-judgmental, political and centered on your lived experience.

While I don't do therapeutic work in English, I am available to write clinical letters and psychological reports in English and Italian for non-Italian speakers online for:

access to gender-affirming hormone therapy

legal name and gender marker change procedures (court documentation)

other contexts where an affirming psychological assessment or report is required.

( Clinical letters )

My clinical letters have already been used in Italy and in several European countries to access gender-affirming hormone therapy, update legal documents, achieve chirurgical procedures, and support international travel.

Furthermore, my clinical documentation is written in accordance with the latest version of the Standards of Care developed by the World Professional Association for Transgender Health (WPATH).

( my approach )

My approach to clinical documentation is affirmative, queer and political: I do not pathologize gender identity, do not impose rigid narratives, and do not require you to perform any “acceptable” or stereotypical version of being trans, non-binary or queer.

Prerequisites

I will never ask for prerequisites. No required background story, no “right” way to dress, present yourselves, or explain who you are. There’s no such thing as “being trans™️” the right way. You don’t need to “explain everything,” or make yourselves legible to me through someone else’s lens.

The thing required

The only thing required is that you exist. That you breathe. That, as much as possible in this world, you feel ready to try. I will do everything I can to meet you there, and to care for you, with you, in the context we share.
And we’ll do this by also questioning me. My practices might fall short, might miss something. That’s why I’ll always ask you to tell me if something doesn’t feel right. If I mess up. If we can do better.

This is your path. And care is something we build through connection and accountability. The process is collaborative, transparent and paced according to your needs.

( Testimonials )

Therapy is not neutral, and neither are its traces. On this page you will find some testimonies written by those who haveshared with me a space of radical care, made of bodies, identities, relationships, and margins. No single experience can speak for all the others, but each one is real. And every word here is an act of trust.

Absolutely. It’s thanks to you that today I’m in the hospital after my mastectomy. Without you, I would never have made it here, nor reached all the milestones of my transition. Thank you

Grey, he/they, 24yo

I felt very comfortable with Elisa. I’m truly satisfied with how the sessions went and I have no regrets. Elisa has a very “gentle” approach to difficult topics and knows how to make you feel at ease.

Maya, she/her, 19yo

With Dr. Modica, I immediately felt at ease, and even though the few online sessions were solely for the purpose of obtaining a gender-affirming letter, I felt I could trust and rely on them. The postures used, the language, but above all the way they deeply understood me, reflected in the letter they wrote, made me realize what a skilled and highly competent professional they are

Nate, they/he, 24yo

I was lucky to begin a journey with an extraordinary psychologist who supported me throughout my transition. From the very first session, they were incredibly kind, respectful, and welcoming. They showed deep empathy toward me, and, being part of the community themselves, I immediately felt a genuine connection. We share similar experiences, lived in slightly different ways, making every session a safe and authentic space. They are a knowledgeable, available, empathetic, and wonderfully charming professional! ❤️ I felt truly heard, welcomed, and understood. I highly recommend them to anyone looking for a queer-friendly psychologist who is attentive, respectful, and capable of creating a truly inclusive space.”

Juno, she/her, 22yo

I had doubts about my gender, and we were able to find a way for me to truly express who I am. Everything went perfectly, no beating around the bush, we got straight to the point. I’m writing this because I’ve had bad experiences with other services for this reason (see: professionals who gatekeep, don’t actively participate in the session, don’t ask questions, or only take personal notes).

Celeste, she/her, 31yo

I honestly felt very comfortable; Eli is a welcoming, brilliant person, knowledgeable on various intersectional topics such as gender identity and the autism spectrum, approachable as a professional, with objectively accessible fees for everyone. They can address sensitive and personal topics without being intrusive, but very understanding, explaining step by step what they will do. I highly recommend them!!

Ele, they/them, 25yo

Let’s start this journey together./ Let’s start this journey together./

Contact me

( To read my ramblings on Instagram )

@smoodi