Dr. Vance specializes in providing a holistic multicultural care to children, adolescents, adults, and families. His clinical practice uses evidence-based therapies and techniques appropriately modified for working cross-culturally with socially, economically and politically disadvantaged patients. Dr. Vance is sensitive to and trained in exploring the ways in which cross-cultural and transcultural experiences impact mental health, physical wellness and recovery. In addition to Dr. Vance's multicultural training in topics related to race and ethnicity, he has breadth of experiences in working with individuals and couples with gender and sexuality. He offers gender evaluation and affirmation therapy while providing support and care to children, adolescents, and adults who identify as transgender, gender non-conforming, or gender exploring.