Hi @FreeFlowin Sorry about such a late response, I've been trying to remember to check in on this forum every couple weeks to a month. I'll begin by responding to your post itself, and then answer your question directly.
We offer complete incontinence (Incontinence whether you are wearing a diaper or not) with a letter of recommendation for two reasons. The first is legal protection, and the second is your health, and they go hand in hand. A medical professional signing off on it ensures that any liability for the change is out of our hands, and that the change is documented in your chart, so that issues like UTIs which do need more care in those who are incontinent are properly addressed be it directly or by referral. We do understand the frustration with it and that it is something that takes time and you being more open with your medical professional to procure.
That is why we offer triggered incontinence without a medical professional, simply put the difference is that this is not permanent incontinence that needs to have a medical record for it. Triggered incontinence means when "x" happens/is happening "I am incontinent" and most of the time "x" is "I'm wearing a diaper". Or once put together "When I am wearing a diaper, I am incontinent".
When it comes to a therapist, there are many different options aside from an in person session, etc. Many of our clients that have received a letter have worked with tele-health organizations. If you would like to discuss your personal case directly, you (and anyone else looking for information regarding this) are always welcome to email our Lead Hypnotherapist, Jayson, at any time. We take a very personal approach to each client, their needs, and their goals. We would also recommend, if in the search for a provider that is kink-aware, checking out the Kink-Aware Provider directory, which has lists of many different types of providers from doctors to therapists, and beyond, who specialize in the kink community. You can find more information about them at https://www.kapprofessionals.org/
To email us directly, just send an email to jayson@alittlehypnosis.com
Now onto your question regarding a client not being able to procure a letter. So far, we have not yet had a client that spoke with their provider, be denied this referral. Though, we have had others that have not felt comfortable reaching out just yet. In those cases, we are happy to work with someone on triggered incontinence while they are learning about their goals and their comfort level with this side of themselves, and we are always willing to help the process through requests for referrals directly if needed.