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 112 of 306 providers

Destinee Barker, LCSW, PMH-C

Bloom Within Counseling PLLC

LCSW

Licensed In:
Tennessee, Texas
“I work with individuals across Tennessee navigating pregnancy, postpartum, and early parenthood, including anxiety, depression, mood changes, identity shifts, and adjustment to new roles. I also work with couples seeking support with communication, connection, and life transitions, as well as teens who need a safe, affirming space to explore emotions, stress, and relationships. I provide virtual, evidence-based, compassionate perinatal mental health care. I accept Cigna, Aetna, and CHAMPVA, with BCBS and Tricare pending, and I am currently accepting new clients.”
Services:
Couples Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anxiety · Attachment · Chronic Pain and Illness · Codependency · Depression · Divorce · Gender Identity · Grief · Infertility & Reproductive Mental Health · Men’s Mental Health · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Trauma & PTSD · Women’s Mental Health
Nicola Irving

Licensed Professional Counselor

LPC

Licensed In:
Oregon, Virginia, Washington
“You may deeply care for your partner, but your relationship no longer feels the same. You’re ready to move beyond surface-level solutions and create a relationship built on emotional security, intimacy, and lasting satisfaction.”
Services:
Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Codependency · Divorce · Infidelity / Affair Recovery · Insomnia & Sleep Disorders · Relationship Issues · Women’s Mental Health
Anya Greany

ThriveWestPsychotherapy

LCSW

Licensed In:
Arizona, California
“I work with adolescents, young adults, older adults, people experiencing domestic violence, the LGBTQIA+ community, grieving populations, substance abuse populations, couples, families, and complex trauma. Most of my work focuses on complex trauma, OCD and queer populations. As a queer provider, I'm passionate about supporting my community.”
Services:
Individual Therapy, Teen Therapy
Specialties:
Addiction · Anger Management · Anxiety · Attachment · Behavioral Issues · Bipolar Disorder · Burnout · Codependency · Consensual Non-Monogamy · Depression · Domestic Abuse · Gender Identity · Hoarding · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Personality Disorders · Phobias · Relationship Issues · Self Esteem · Substance Use · Trauma & PTSD · Women’s Mental Health
Angela Dube

Breaking Cycles Therapy LLC

LMFT

Licensed In:
California, Oregon
“Moms carry so much burden that’s unspoken, unseen. We are the emotional caretakers of the whole family while also trying to uphold expectations around homelife, work, physical appearance, relationships, and on and on. We carry the pressure of making sure everyone gets what they need, that nothing is forgotten, without getting what we need. We manage the impossible task of shielding our families from the harms of the world while also preparing them for it. All while trying to keep our own sanity. Then something big happens: job loss, family illness, mental health challenges, divorce or relationship issues, death of a loved one, a traumatic event. Yet we still keep going. Doing it all. We feel like we HAVE to do all these things or everything will fall apart. Something bad will happen. Our kids will suffer. It's time to put down the load. When moms feel lighter, families thrive.”
Services:
Child Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Autism · Depression · Gender Identity · Highly Sensitive People (HSP) · Perfectionism · Trauma & PTSD · Women’s Mental Health
Michelle Sprouffske,LCSW

Steps to Change LLC

LCSW

Licensed In:
Oregon
“I frequently work with people around life transitions, neurodivergence, anxiety, depression, gender and sexuality, acute and chronic trauma issues, self empowerment, parenting, chronic illness (invisible and visible) as well as grief and loss. I also provide support to those still practicing Covid precautions. I have specialized training with domestic violence/intimate partner violence and sexual assault.”
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
EJ Millstone

Move Toward Good

LPC

Licensed In:
Arizona, Minnesota
“It’s our passion to create healing, safe space that is fat positive, sex positive, nerdy, queer affirming, poly and kink aware. We’re here to help you soothe anxiety, lift depression, really like yourself, manage strong emotions and handle conflict with loved ones like a pro.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Anxiety · Eating Disorders
Michelle Rosenbalm

Kaleidoscope Counseling & Wellness

LPC

Licensed In:
Arizona, Colorado
“I work primarily with older adolescents, young adults, college students, and adults. I am committed to supporting and affirming members of the LGBTQ+ community.”
Services:
Individual Therapy
Specialties:
Anxiety · Depression · Relationship Issues · Trauma & PTSD · Women’s Mental Health
Shannon Ricks

Modern Eve

LMFT

Licensed In:
Utah
“My practice and I specialize in peoples relationships with food and body. We address the compelx PTSD that underlies our complicated relationships with others and ourselves.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Anxiety · Attachment · Body Dysmorphia · Chronic Pain and Illness · Consensual Non-Monogamy · Depression · Eating Disorders · Life Transitions · Perfectionism · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Trauma & PTSD · Women’s Mental Health
Catherine Sikelianos-Carter

V.C. Art Therapy

LCAT, ATR-BC, LCMHC

Licensed In:
New York, Vermont
“If you're looking for a queer/gender affirming therapist to work with as you explore living authentically, minority stress, gender dysphoria, imposter syndrome, or need support with social/medical transitions you've landed in the right place. Welcome! Let me pause to remind clients that the above noted challenges are not problems or shortcomings of any individual. Rather they are symptoms of living in a culture and society steeped in oppressive and binary focused views. As a trans competent and trauma informed therapist we will work together to find the tools that best serve you in living your most joyful and authentic life!”
Services:
Child Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Behavioral Issues · Chronic Pain and Illness · Disability · Gender Identity · Grief · Life Transitions · Pregnancy, Postpartum & Perinatal Mental Health · Trauma & PTSD
April Johnson

Compass Collective

M.S. LPC-Associate

Licensed In:
Texas
“The clients who work well with me are those who may be self aware, or knowledgeable about therapy techniques, but do not have the tools to make the improvements they already know they need to make. I also help my clients see things from different perspectives in order to fully understand the situations they've experienced and why they react the way they do. Clients who come to me often struggle with family dynamics, perhaps they are the scape goat, or the helper/fixer of their family. Often my clients have experienced abuse of some sort, be it childhood, adulthood, religious, or sexual. The clients I most enjoy helping are those who struggle to feel seen, to understand why they are constantly treated poorly, and why no one seems to understand what they are feeling. These clients also often struggle with behaviors they can't seem to stop or prevent.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Sex Therapy, Teen Therapy
Specialties:
ADHD · Anger Management · Anxiety · Attachment · Behavioral Issues · Codependency · Consensual Non-Monogamy · Depression · Disability · Divorce · Domestic Abuse · Gender Identity · Life Transitions · Men’s Mental Health · Menopause & Perimenopause · Older Adults & Aging · Panic · Parent-Child Bonding & Attachment · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spiritual Abuse · Trauma & PTSD · Women’s Mental Health
Freesia Therapy Collective

Freesia Therapy Collective

LMFTA, LSWAIC, LMHCA

Licensed In:
Washington
“At Freesia Therapy Collective, we provide compassionate online therapy for individuals, couples, families, teens and young adults throughout Washington State. We support people facing a wide range of life challenges — including anxiety, depression, trauma, grief, anger, neurodivergence, substance use, relational stress, identity concerns, and more — with tailored, culturally responsive care. Our affirming practice welcomes clients of all sexual orientations, gender identities, races, cultures, faiths, and relationship structures, including LGBTQIA+ and neurodivergent individuals. We meet you where you are, honoring your unique story, strengths, and goals to foster healing, resilience, and meaningful personal growth.”
Services:
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Sex Therapy, Teen Therapy
Specialties:
Addiction · ADHD · Aging · Anger Management · Anxiety · Autism · Behavioral Issues · Bipolar Disorder · Burnout · Career Counseling · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Disability · Dissociative Disorders · Divorce · Domestic Abuse · Educational and Learning Disabilities · Gender Identity · Grief · Immigrant & Refugee Mental Health · Infertility & Reproductive Mental Health · Insomnia & Sleep Disorders · Life Transitions · Men’s Mental Health · Panic · Parent-Child Bonding & Attachment · Perfectionism · Personality Disorders · Phobias · Pregnancy, Postpartum & Perinatal Mental Health · Psychosis · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Annelise Miller

Therapy with Annelise

LMFT

Licensed In:
California, Oregon
“You keep having the same argument, or you've been told you shut down, check out, or aren't there emotionally. Maybe you're carrying something you haven't said out loud — an affair, a secret, thoughts you're ashamed of. That doesn't make you a bad person. It makes you someone who needs space to be honest, without judgment. Chronic disconnection has real consequences: crossing lines you never thought you would, or wondering if you want to keep going. Struggling with substance use, infidelity, disordered eating, or thoughts of suicide doesn't mean you're broken. It means the pain has become unbearable. I also work with grief that doesn't look the way people expect: a relationship that ended badly, a loss involving addiction or suicide, or relief, anger, or numbness instead of sadness. Healing means being honest about your reality without worrying about others' comfort.”
Services:
Individual Therapy
Specialties:
Addiction · Anxiety · Depression · Eating Disorders · Grief · Infidelity / Affair Recovery · Life Transitions · Men’s Mental Health · Older Adults & Aging · Perfectionism · Relationship Issues · Substance Use · Women’s Mental Health

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.