Sex therapist and social worker Stefani Goerlich sits in her office in Detroit. Goerlich says her hard-won relationships with clients are upended when they move away from Michigan, because most states bar social workers from providing telehealth services across state lines. An increasing number of states are trying to address the problem by empowering social workers to practice in multiple states. (Photo: Amy Feick, courtesy of Stefani Goerlich)Stefani Goerlich, a certified sex therapist and social worker with a private practice in Detroit, sees several dozen clients a month, most of them from underserved and minority backgrounds. She speaks to them about sensitive matters such as gender-aff
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