Browse Online Therapists offering LGBTQ+ Affirming Care
Find licensed, affirming mental health providers who offer online care for LGBTQ+ clients and compare options by state, insurance, service, and fit.
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Showing 169–180 of 344 providers
“You thought sex was supposed to bring you closer, but lately, it feels like a source of tension, not connection. You’ve tried to talk about it, fix it (podcasts, books, blogs etc), even ignore it; but nothing seems to help. Maybe desire has faded, or you never really felt comfortable talking about sex to begin with. Trauma, your own or what was passed down, lives in your body, your relationships, your responses. You're tired of feeling broken, disconnected, or “too much.” You want to feel safe in your skin, express your needs, and connect without fear. You don’t want to give up. Something has to change, and you're ready!”
“I offer therapy in English and Spanish and can incorporate faith if you would like it to be part of our work. You don’t need to have everything figured out to begin. Reach out to share what’s bringing you to therapy and what you hope might change.”
“I integrate somatic modalities into all my sessions. I work with nontraditional therapy hours which start at 90 minutes and can go up to 10 hours or more to really get into the deep nervous system healing. I believe that every client needs a different approach to access and create safety for their nervous system so no cookie cutter approaches here, just attunement and meeting you where you are.”
“In sessions I use EMDR, expressive therapies like sand tray and art, and inner child work to help you process what words alone can't always reach. Sessions are creative and active, not just talk. I'll gently challenge you to face what you've been avoiding, and we'll work through it together using whatever combination of approaches fits where you are.”
“I explain the plan, the rationale, and what we’ll track. We will set goals together and adjust based on results and what matters to you. A whole-person focus will be maintained where we focus on medical, psychiatric, and practical lifestyle factors. I serve individuals and families across the lifespan, drawing on experience in primary care, geriatrics, mental health, hospice, and palliative care.”
“I utilize Internal Family Systems (IFS) to really emphasize that all parts of you are welcome. I help my clients to get to know all of these parts, even the ones that bring up the most shame and judgment, and to see these parts as good, protective, and adaptive.”
“I pull from psychodynamic, Cognitive behavioral therapy, and client-centered theories, as well as others. In session, our first focus is how to make daily life easier with tool and skill building, followed by a deeper exploration of how that distress began and working towards long term flexible stability.”
“After nearly two decades working in the psychology of adult learning, Amy McIntosh followed her life's calling to create a safe, therapeutic space for adults navigating a variety of life's challenges, identity shifts, and the desire for meaningful transformation. With a trauma-informed approach, she partners with clients to explore new ways of relating to themselves and others, fostering self-trust, healing, and authentic expression. Amy combines her professional training with her lived experience to bring both depth and compassion to her work. Amy believes growth is not just about change, but about becoming more fully who we are meant to be. Amy is a trauma-informed, somatic therapist utilizing attachment theory, CBT, DBT & much more.”
“1. Discover the Origin • Unpack your upbringing. See exactly how your childhood shapes the way you relate to yourself, your work, and your relationships today. 2. Recognize Survival Patterns • Honor your past adaptations. Acknowledge the ways you learned to protect yourself as a child. • Cultivate deep internal safety. Build the internal security you need to break destructive cycles and prove to yourself that it is safe to do things differently. 3. Mourn the Past • Grieve what was missing. Give yourself permission to mourn the unconditional love, attunement, validation, and support you deserved but didn’t receive. • Connect with your inner child. Learn how to show up for that younger part of yourself so you can navigate life as your most mature, healed self—instead of letting your past wounds run the show. 4. Break the Habits • Evolve past survival mode. Shift away from behaviors that keep you trapped in old, undesirable patterns. • Reconnect with your authentic self, reclaim your inherent self-worth, and make value-aligned choices to build a life you love.”
“My approach is collaborative, compassionate, and body-centered. I integrate talk therapy with somatic (body-based) approaches”
“I believe therapy should feel collaborative, personalized, and grounded in genuine connection. My style is warm, approachable, and flexible, balancing empathy, thoughtful challenge, and humor. I tailor therapy to each client's unique goals and experiences. When working with couples, I begin with a joint intake followed by an individual session with each partner to understand their histories and relationship dynamics. We then strengthen communication and emotional connection before tackling more vulnerable topics. From there, therapy adapts to your goals, whether that's healing after infidelity, navigating mismatched sex drives, or rebuilding intimacy after a life transition. With individual clients, I spend the first few sessions exploring your personal history and current life to understand the roots of your concerns while also building coping skills so you feel supported from the start. As therapy progresses, I adapt my approach to your needs, blending insight with practical strategies for lasting change.”
About LGBTQ+ Affirming
This page helps you find licensed mental health providers who offer online care for LGBTQ+ clients. Whether you are looking for affirming therapy, support around identity, relationships, family stress, trauma, anxiety, depression, or medication management, telehealth can expand your options beyond the nearest zip code. Online care depends on where a provider is licensed and where you are physically located during sessions, so start by selecting the state or states where you will be during appointments. Then narrow your results with filters like service type, therapy modality, language, age group, and insurance.
Before you book
- Ask about the provider’s experience with your concerns and goals.
- Confirm availability, session fees, and your insurance coverage directly.
- Check that the provider can work with you in each state where you will attend sessions.
Need a different starting point?
Explore providers by specialty, location, and type of care. If you travel or live in more than one state, review your options for continuing care across locations.
Frequently Asked Questions About Online Therapy for LGBTQ+ Support
How do I use this page to find an online provider for LGBTQ+ support?
Start by choosing the state or states where you will be physically located during sessions. Then use filters to narrow the list by service type, therapy modality, language, age group, insurance, and more. Read provider profiles to see whether they mention LGBTQ+ affirming care, experience with your concerns, and the kinds of virtual services they offer. That makes it easier to compare options and choose a good fit.
What should I ask before booking?
Ask whether the provider has experience working with LGBTQ+ clients and whether they support the issues you want help with, such as identity exploration, coming out, relationships, family conflict, trauma, anxiety, depression, or gender-affirming support. You can also ask about scheduling, fees, insurance, session format, and what first appointments are like. A short consultation can help you decide whether the provider feels affirming, practical, and easy to talk to.
Does my online therapist have to live in my state, and what happens if I travel out of state?
Your therapist does not usually need to live in your state, but they generally need to be licensed for the state where you are physically located during the appointment. That is why your location during each session matters. If you travel or split time between states, check whether the provider can legally continue care. You can also look for providers who are licensed in more than one state here: https://therapyexpanded.com/find-a-therapist-licensed-in-multiple-states.
Does insurance cover online therapy for LGBTQ+ support, and how does payment usually work?
Many providers accept insurance for online therapy, but coverage depends on your plan, the provider, and the service you receive. Some providers are in-network, while others provide superbills for possible out-of-network reimbursement. Before booking, check the provider’s profile for insurance details, session fees, and payment policies. It is also smart to confirm telehealth mental health benefits directly with your insurance company so you know what to expect.
What technology or privacy setup do I need for virtual sessions?
Most online therapy appointments work best in a private place with a reliable internet connection. A computer or laptop is often ideal, though a phone or tablet may also work depending on the provider and platform. Many sessions happen by video, but some providers may also use phone calls, secure messaging, texting, or email depending on the service. Providers may have their own policies about session location and privacy, so check ahead if that may be an issue.
What types of telehealth services are available for LGBTQ+ support?
Available services may include individual therapy for one-on-one support, couples counseling for relationship concerns, family therapy for family conflict or communication, group therapy for shared support, child or teen therapy for younger clients, and medication management when medication is part of care. Use the service filters to find providers who offer the format you want.
When is online therapy for LGBTQ+ support not the right choice?
Online therapy may not be the best fit during an immediate crisis, when emergency support is needed, when a higher level of care is required, or when you do not have a private space or reliable internet connection. It may also be harder if you need in-person services or frequent hands-on support. If you are in immediate danger or need urgent help, contact local emergency services or call or text 988 right away.
Need urgent support? Therapy Expanded is not a crisis service. If you are in immediate danger, call 911 or go to the nearest emergency room. If you need urgent mental health, suicide, domestic violence, substance use, or LGBTQIA+ support, visit our crisis and mental health resources page.