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 37–48 of 344 providers

Sarah Marcus

White Horse Healing

LCSW

“I offer a very holistic approach with a blend of modalities from Adlerian, Inner Child, IFS, Gottman, Esther Perel, EMDR and attachment theory among others.”
Licensed in
Idaho
Services
Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties
Anxiety · Attachment · Burnout · Divorce · Grief · Life Transitions · Parent-Child Bonding & Attachment · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Women’s Mental Health
Michelle Sprouffske,LCSW

Steps to Change LLC

LCSW

“A Little About My Approach: I come from an Anti-Racist/abolitionist foundation and believe in calling out how systems of racism and oppression affect mental health. As a Queer disabled therapist, both invisible and visible disabilities, I am aware of the importance of a judgment free environment and the way that systems do not often provide this. I use various approaches when working, such as feminist theory, systems, acceptance and commitment therapy, solution-focused therapy, relaxation/guided imagery and others. Each session is unique to the person, and I am always in consideration of client's values in regard to cultural identity as well as the client's strengths.”
Licensed in
Oregon
Services
Individual Therapy
Specialties
ADHD · Autism · Burnout · Caregiver Support · Chronic Pain and Illness · Consensual Non-Monogamy · Disability · Domestic Abuse · Gender Identity · Grief · Highly Sensitive People (HSP) · Life Transitions · Older Adults & Aging · Relationship Issues · Religious Trauma & Spiritual Abuse · Spiritual Abuse · Spirituality · Trauma & PTSD · Women’s Mental Health
“My approach is grounded, relational, and trauma informed. Sessions with me feel warm, collaborative, and paced around your nervous system. We move gently while still creating meaningful change. I use EMDR, parts work, and attachment focused care to help you process painful experiences, release what your body has been holding, and build safety within yourself and your relationships. Together we will explore patterns shaped by childhood trauma, religious harm, and survival responses with compassion rather than judgment. I create a non judgmental, LGBTQ+ affirming, neurodivergent affirming space where you can show up fully as you are. Therapy with me is not about fixing you. It is about helping you feel safer in your body, more connected to your needs, and more trusting of yourself.”
Licensed in
California
Services
Individual Therapy
Specialties
ADHD · Anxiety · Attachment · Burnout · Codependency · Depression · Divorce · Grief · Life Transitions · Panic · Perfectionism · Relationship Issues · Self Esteem · Sexual Abuse · Spirituality · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Amber Teubert

Serenity Therapy, LLC

LMHC, LPC, LCPC, LPCC

“Therapy with me is mostly conversation. I'll listen carefully, ask questions that help you see yourself more clearly, and gently challenge the patterns and beliefs that are keeping you stuck. I bring humor into sessions when it fits, because healing doesn't have to be heavy all the time. My approach draws on several evidence-based methods, weaving together tools that help you understand where you came from, shift unhelpful thought patterns, and build a more flexible relationship with your inner world. I pay close attention to how past experiences shape present struggles, and I tailor my approach to what you actually need rather than following a rigid formula. At the core of everything is the relationship between us. You'll never feel like a checklist to me. I want you to feel seen, respected, and like this is a space where you can be honest without fear of judgment.”
Licensed in
Illinois, Iowa, Minnesota, Wisconsin
Services
Individual Therapy
Specialties
Anxiety · Domestic Abuse · Life Transitions · Perfectionism · Self Esteem · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Moss Herberholz

JoyUs Therapy PLLC

LMSW - MI; LCSW - CO

“I provide a non-judgmental environment where every part of your identity is honored and where you can feel safe to be your full self. I hope to support you in exploring the parts of yourself in need of healing or strengthening. I believe in the power of storytelling, and I am here to listen to your story. You are the expert on your life, and I approach the therapeutic process with humility and an open ear. I want to help you find workable solutions and helpful strategies for addressing your challenges.”
Licensed in
Colorado, Michigan
Services
Couples Therapy, Individual Therapy, Sex Therapy
Specialties
Addiction · ADHD · Anxiety · Attachment · Behavioral Issues · Career Counseling · Codependency · Consensual Non-Monogamy · Depression · Divorce · Eating Disorders · Gender Identity · Grief · Life Transitions · Relationship Issues · Self Esteem · Self-Harming · Sexual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD
Micaela Knudsen

Landmark Family Counseling

CSW

“With children, I take child-centered play therapy approach. With adults, I take an acceptance and commitment therapy focus. I am also trauma-informed and trained in ART (Accelerated Resolution Therapy), and TF-CBT (Trauma Focused Cognitive Behavioral Therapy).”
Licensed in
Utah
Services
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties
Anxiety · Autism · Divorce · Faith-Based Care · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Dr. Esther Lapite-Garrett | Alafiora

Alafiora

Licensed Psychologist

“A client might arrive having spent the previous week texting someone who has not responded in days, recount walking out of a board meeting because the pull toward a sexual encounter felt impossible to override, or admit they have not spoken to another person in months because nothing outside their fantasy relationship feels worth the risk. Many carry shame about what they have done or consented to, and some have spent so long feeling that choice was never truly available to them. Dr. Lapite-Garrett builds choice into every part of the work. Clients decide the pace, whether a session moves toward the presenting behavior, the emotional pattern underneath it, or the original wound driving both. Regulation comes first, for the body and for the mind, so that deeper processing has a solid foundation to land. Coping skills, psychoeducation, harm reduction, urge surfing, moderation support, and exposure work are woven in throughout, always matched to what is actually effective for that specific person rather than applied from a standard protocol.”
Licensed in
Indiana, New Mexico
Services
Individual Therapy, Sex Therapy, Teen Therapy, Testing and Evaluations
Specialties
Addiction · Anxiety · Attachment · Behavioral Issues · Codependency · Depression · Highly Sensitive People (HSP) · Infidelity / Affair Recovery · Men’s Mental Health · Obsessive-Compulsive Disorder (OCD) · Out-of-Control Sexual Behavior · Personality Disorders · Phobias · Self Esteem · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Rebekah Cotner

Qualls Footnotes Counseling

LCSW

“My approach is compassionate, collaborative, and trauma-responsive. I believe therapy works best when clients feel safe, respected, and understood. I tailor treatment to each person’s needs, goals, and stage of life, using a holistic and strengths-based lens. Depending on the client, I may integrate adoption focused skills, DBT-informed skills, CBT strategies, mindfulness, psychoeducation, attachment-based work, trauma-informed care, and expressive or play-based interventions. My goal is to help clients better understand themselves, build practical coping tools, strengthen relationships, and move toward healing and growth at a pace that feels supportive and manageable.”
Licensed in
Idaho, Washington
Services
Child Therapy, Family Therapy, Individual Therapy, Teen Therapy
Specialties
ADHD · Adoption · Anxiety · Attachment · Depression · Grief · Parent-Child Bonding & Attachment · Trauma & PTSD
Amber Kovach

Counseling with Amber PLLC

LMHC, LCPC, LCPP

“My approach is compassionate, collaborative, neurodiversity-affirming, trauma-informed, and strengths-based. I draw from CBT, mindfulness-based CBT, TF-CBT, ACT, motivational interviewing, narrative therapy, person-centered therapy, and solution-focused strategies. I tailor treatment to each client’s needs, values, communication style, and pace rather than expecting every client to fit the same method.”
Licensed in
Florida, Maryland, Ohio
Services
Group Therapy, Individual Therapy
Specialties
ADHD · Anxiety · Autism · Burnout · Career Counseling · Chronic Pain and Illness · Depression · Disability · Executive Coaching · Faith-Based Care · Gender Identity · Grief · Life Transitions · Perfectionism · Religious Trauma & Spiritual Abuse · Self Esteem · Spirituality · Trauma & PTSD · Traumatic Brain Injury (TBI) · Women’s Mental Health
Sarah Benitez-Zandi

Trauma Wise Healing

LCSW

“My approach is active, compassionate, trauma-informed, and direct. I balance warmth with challenge, helping clients feel deeply seen while also supporting real movement toward change. Sessions often include EMDR, ART (Accelerated Resolution Therapy), somatic therapy, nervous system regulation, attachment work, parts-informed work, CBT, DBT, ACT, and relational therapy. I believe deeper trauma work often needs more time than the standard 50-minute model, so I primarily offer extended sessions, usually 90 minutes or longer. My work focuses on helping clients move beyond insight and into embodied change, at a pace that respects their nervous system.”
Licensed in
Colorado, Florida, Illinois, Indiana, Iowa, Minnesota, North Carolina, Ohio, Pennsylvania, South Carolina, Virginia, Wisconsin
Services
Couples Therapy, Family Therapy, Individual Therapy, Ketamine Assisted Psychotherapy (KAP), Parenting Therapy, Teen Therapy
Specialties
Adoption · Anxiety · Attachment · Burnout · Caregiver Support · Codependency · Consensual Non-Monogamy · Divorce · Infertility & Reproductive Mental Health · Life Transitions · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Spiritual Abuse · Trauma & PTSD · Weight Loss · Women’s Mental Health
Christopher Rutt, PhD

Commonwealth Center for Behavioral Medicine

PhD

“Individualized treatment for anxiety, OCD, depression, trauma-related concerns, emotion dysregulation, and other psychological difficulties. Psychological and behavioral interventions addressing health-related concerns that affect daily functioning and quality of life. Applied psychological strategies to help individuals function more effectively and perform at their best across academic, athletic, professional, and everyday settings. Individualized care for complex presentations that require a nuanced, comprehensive, or specialized approach. Areas of care may include treatment-resistant conditions, complex comorbidity, developmental transitions, failure-to-launch concerns, and other presentations that do not fit neatly within a single diagnostic category. Specialized services include Ketamine-Assisted Psychotherapy (KAP), where clinically appropriate.”
Licensed in
Massachusetts
Services
Family Therapy, Group Therapy, Individual Therapy, Ketamine Assisted Psychotherapy (KAP), Parenting Therapy, Teen Therapy
Specialties
ADHD · Anger Management · Anxiety · Behavioral Issues · Body Dysmorphia · Body-Focused Repetitive Behaviors (BFRBs) · Burnout · Career Counseling · Caregiver Support · Chronic Pain and Illness · Depression · Executive Coaching · Grief · Insomnia & Sleep Disorders · Men’s Mental Health · Mood Disorders · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Phobias · Relationship Issues · Self Esteem · Self-Harming · Serious Mental Illness · Suicidal Ideation · Trauma & PTSD
Jade Rice

Blooming Clematis Therapy & Consulting

LMFT

“My work is grounded in the belief that therapy should be intentional, structured, and goal-oriented. From the beginning of treatment, I collaborate with clients to clarify what meaningful change would look like and develops a focused plan on how each session will works towards achieving these goals. While every client’s timeline is different, I do not approach therapy as a “forever” process, I believes significant growth can occur quickly when work is clear, collaborative, and purpose-driven.”
Licensed in
Arizona
Services
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties
Attachment · Gender Identity · Immigrant & Refugee Mental Health · Life Transitions · Older Adults & Aging · Relationship Issues · Sexual Abuse · Trauma & PTSD

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.

Verify a provider’s license

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.

Find a therapist licensed in multiple states

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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.