Miles Ruttinger
Email Address
maveryellisroot@milesruttinger.com
First Name
Miles
Last Name
Ruttinger
Pronouns
He/They
Identities
Trans Masculine/White Ally
Company
Nor Cal Rural Therapy, An LPCC Corp.
Office Address
Online
Work Phone
707-278-6658
Experience
Familiar with trans culture and information but not an expert, Significant personal experience , Specializing in working with gender expansive/transgender people, significant professional training, write letters of recommendation for surgery, can help guide a person through social and medical transition
Population served
Individuals, Couples
Biographical Info
Miles Ruttinger is a trauma-informed therapist who creates a safe space where clients don't need to educate their therapist about sexuality, open relationships, polyamory, BDSM, body size, disability, chronic health issues, experiences of oppression, or racism. As a queer, transgender, and nonbinary individual with personal trauma experience, he collaborates with clients on gender identity/transition, self-esteem, domestic violence, trauma, coping with the neurotypical world, depression, anxiety, and spiritual exploration. They have specialized training in EMDR and the Neuro-Affective Relational Model to support trauma processing, bringing a non-judgmental, humorous approach to therapy. He also utilizes Emotionally Focused Therapy, Somatic Mindfulness therapy, and Spiritually-Focused Therapy to provide comprehensive support to clients.
Miles does take insurance and also offers private pay therapy services with sliding scale options. Full fees are $200 for 50-60 minute sessions and $300 for 90-minute sessions (recommended for couples or polycules). Specialized services include Autism and ADHD formal assessment with full report ($1800), diagnostic consultation ($900), work accommodation letters ($450), and gender-affirming medical care letters (free or included in regular therapy fees
Insurance Accepted
Other (see bio)
Languages Spoken
English
Mobility Accessible Office
No
Therapy Location
Telehealth
Sliding Scale Fees
Yes
Website
Interview Process 1st round: A.Please include in an email Resume 3 Professional References 2 Letters of Recommendation (These can be from your Professional references). B. Read Below, answer the questions and attach it to an email 2nd Round: Will be an interview which will explore further your clinical presentation once we have reviewed your initial application. Nor Cal Rural Therapy: Therapy for Rural Queers and Neurodivergents We support adults in rural areas who feel like outsiders and have difficulty finding therapists with experience and understanding of their lives. Rural living can be isolating, especially when you feel different from your neighbors. A therapist with experience with non-normative cultures and realities can make the difference between surviving and thriving. We hope to be that therapist for you. All bodies, minds, and lifestyles welcome. You may not be seeking therapy for support related to your gender, sexuality, open relationships, BDSM, size, radical politics, invisible disability, chronic pain, experience of oppression, or neurodivergence, but you will not have to waste your precious time educating us about these realities or convincing us of their validity. ———————————- Please respond to each area to the best of your ability. If you do not have learning in an area being asked about then please say so. We understand not everyone is educated about all areas of oppression and may not have done a deep dive into their own positionality in relationship with certain populations. Take your time, look up words for definitions and maybe this is the first time you have thought about…we are taking applicants that are willing to do this internal reflection. About you as a therapist: (questions taken from: inclusivetherapists.com) On Identity & Praxis: We invite you to share your identity/positionality, and ways that your practice uplifts QTBIPOC communities and disrupts systems of oppression. (Positionality refers to how your identity intersects with power and social structures.) In your response, please describe how you integrate social justice or liberatory praxis into your work. (Paulo Freire defines praxis as: "reflection and action directed at the structures to be transformed".) On Racial Justice: How do you integrate racial justice values in your work and communities? Feel free to share your reflections on areas such as: tending to racialized/intergenerational trauma, addressing internalized anti-Blackness/colorism, solidarity building, etc. If you have white body/skin privilege, please also share with us your developmental work on your relationship with “whiteness”, and actions you take towards dismantling white supremacist ideology personally and professionally. Please be specific about who your teachers are. On Gender and Sexuality Justice: How do you integrate gender and sexuality justice values in your work and communities? Feel free to share your reflections on areas such as: cis-heterosexism, intersectionality, culture, spirituality, etc. If you have cisgender and/or non-queer privilege, please also share with us ways that your practice offers 2SLGBTQIA+ affirming care. Please provide specific examples. On Disability, Fat, and Neurodivergence Justice: How do you integrate disability justice values in your work and communities? Feel free to share your reflections on areas such as: anti-carceral care, class and ableism, tending to internalized ableism, etc. If you currently have non-disabled, thin-body, and/or neurotypical privilege, please also share with us ways that your practice is designed to uplift the needs of Disabled, Fat, and Neurodivergent people. Please provide specific examples. Please use a maximum of 3 pages per scenario to answer these questions about how you would navigate the following situations in a clinical setting: A. Relevant information on how to support the client. What are things to consider? What are the areas of concern? B. Please discuss potential diagnoses why you are considering these diagnoses and/or what questions you might ask to narrow it down. C. Treatment plan - Theories and practices you might apply and how you’d apply them to this client. Client comes in for a first session: He is 37, Cuban/ Black American first generation gay male who grew up in New York but lives in a rural area in northern california and has experienced being houseless off and on for the last ten years. He has been hospitalized for SI in the past and currently deals with a lot of depression and hopelessness due to his situation. He reports a previous diagnosis of DID and wants to attend therapy but has concerns about emotional safety and having to do emotional labor for the therapist. Your new client in the intake session reports, at times, struggling with inattentiveness and hyperactivity, racing thoughts, impulsive decisions making. She reports drinking large amounts of alcohol during the weekends when she is out with her friends. She struggles with depression around perceived social rejection. She is 26 years old and struggles with concentration in her college courses. Even though she presents with having a lot of energy and friendliness in the intake session she reports struggling to make friends.