Avi-Rose helped me tremendously starting with how they approached our work. They emphasized that any suggestions they made were optional and negotiable, and encouraged me to share my reservations and concerns. For example, many migraines are triggered by food allergies. One way to identify those allergies is keeping a diary of foods consumed leading up to a migraine. Avi-Rose was completely compassionate and understanding when I explained my fear that keeping a food diary would trigger body dysphoria. Together, we found a workaround that would increase my awareness of possible allergens without causing further harm or suffering. They are clear, compassionate, and communicative about their capacities and boundaries, open, and friendly- an excellent recipe for trust and collaboration. I felt seen and supported in our time together.