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

Emily Pieper

The Bellevue Trauma Recovery Center

LMHC, SUDP

Licensed In:
California, Colorado, Minnesota, Washington
“I work with a wide range of clients. I primarily work with couples, adolescents and adults. I am compassionate however, can be direct at times after rapport has been established. I work individuals challenged with symptoms of trauma/PTSD, betrayal trauma and addictions including alcohol and drug addiction and sex addiction. I am a certified sexual addiction therapist. I work with those challenged with adverse religious experiences/trauma as well.”
Services:
Couples Therapy, Family Therapy, Individual Therapy
Specialties:
Addiction · Anxiety · Relationship Issues · Substance Use · Trauma & PTSD
Sarah Sustaita

Inner Archive Therapy, PLLC

MS, LPC-Associate, LPCC

Licensed In:
Colorado, Texas
“I work with adolescents (16+) and adults navigating chronic pain, medical and institutional betrayal trauma, religious trauma, dissociation, identity concerns, and spirituality. Many of the clients I work with understand on a logical level that they are safe enough, yet their nervous system continues to respond as though danger is present. In many ways, I work with danger that has overstayed its welcome.”
Services:
Individual Therapy, Teen Therapy
Specialties:
ADHD · Attachment · Autism · Chronic Pain and Illness · Disability · Dissociative Disorders · Gender Identity · Grief · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spiritual Abuse · Spirituality · Trauma & PTSD
Natalie Thomson

Natalie Thomson, PLLC

LCPC

Licensed In:
Illinois, Virginia
“Adults and teens 13-64 years of age. LGBTQIA+ individuals, polyamory, anxiety, depression, OCD, and Neurodivergent-affirming.”
Services:
Individual Therapy
Specialties:
Anxiety · Autism · Bipolar Disorder · Consensual Non-Monogamy · Depression · Gender Identity · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Self Esteem · Women’s Mental Health
Brittney Ward

Holistic Journey Counseling and Consulting

LCSW

Licensed In:
Arizona, Idaho, Utah
“I am a trauma-informed therapist with specialized training in working with individuals impacted by domestic violence, sexual assault, abuse, trafficking, first responder experiences, and complex trauma. While I have experience supporting a wide range of concerns, my primary focus is helping clients process and heal from deeply impactful life events. I work with individuals across the lifespan, from childhood through adulthood, and tailor my approach to meet each client’s unique developmental and emotional needs. I am LGBTQ+ affirming and committed to providing ethical, compassionate, culturally responsive care. If you’ve ever felt overwhelmed by what you’ve been through, stuck in patterns that don’t make sense, or unsure how to move forward, you are not alone. Together, we can create a space where your experiences are understood, your voice is valued, and healing feels possible.”
Services:
Child Therapy, Family Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Attachment · Autism · Chronic Pain and Illness · Consensual Non-Monogamy · Domestic Abuse · Gender Identity · Grief · Parent-Child Bonding & Attachment · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spiritual Abuse · Trauma & PTSD · Women’s Mental Health
Emily Ann Peterson

Jupiter Pines Counseling

MBA, MS-CMHC, LMHCA

Licensed In:
Washington
“Folks I work with: individuals, couples, groups & families who are located in WA state (more locations soon!), all genders, ages 13+ (Note: I'll happily consider younger clients, too, just send me an email.) Communities I enjoy working with: LGBTQIA+ & BIPOC, neurodivergent folks, veterans, first responders, & healthcare workers, artists, musicians, & creatives, survivors of trauma & high-control systems (religious or otherwise), kink, polyamorous, and non-traditional relationships, caregivers and helping professionals, entrepreneurs and small business owners. Issues I enjoy working with: anxiety & depression, trauma & (C)PTSD, grief & loss, burnout, business & entrepreneurship, neurodivergence, identity shifts & life transitions, relationship stress, conflict, change, or growth.”
Services:
Couples Therapy, Group Therapy, Individual Therapy, Sex Therapy, Teen Therapy
Specialties:
ADHD · Anger Management · Anxiety · Attachment · Autism · Behavioral Issues · Burnout · Cancer · Career Counseling · Chronic Pain and Illness · Consensual Non-Monogamy · Depression · Disability · Divorce · Domestic Abuse · Gender Identity · Grief · Life Transitions · Men’s Mental Health · Panic · Perfectionism · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spirituality · Suicidal Ideation · Trauma & PTSD · Traumatic Brain Injury (TBI) · Weight Loss · Women’s Mental Health
Shai’s Coaching and Counseling LLC

Shai's Coaching and Counseling LLC

LMSW, LPC, LISW, LPCA

Licensed In:
South Carolina
“Shai's Coaching and Counseling provides counseling to clients struggling with emotional dysregulation, trauma/stress, forming and maintaining healthy relationships, anxious distress, etc. Our clients' age is limited to 14 years of age and older due to virtual sessions being heavily dependent on client's being able to process in a tele-health format. Clients experiencing psychosis, severe substance use, or neurodevelopmental/intellectual symptoms are referred to a higher-level or more appropriate level of care.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anger Management · Anxiety · Attachment · Behavioral Issues · Bipolar Disorder · Burnout · Career Counseling · Codependency · Depression · Divorce · Domestic Abuse · Gender Identity · Grief · Infertility & Reproductive Mental Health · Panic · Perfectionism · Personality Disorders · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Self-Harming · Sexual Abuse · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Lisa Marie Persaud

Earthrise Counseling

LPC- 24703

Licensed In:
Arizona
“I’m an existential-integrative therapist trained in providing trauma-informed care and work with individuals experiencing anxiety, depression, adjustment-related challenges to life transitions, grief, chronic pain, and PTSD. I am also passionate about working with individuals navigating Holotropic States, non-ordinary experiences, spiritual emergencies and existential distress. My training includes, but is not limited to, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR), Mindfulness Based Stress Reduction (MBSR), Skills Training in Affective and Interpersonal Training Narrative Therapy (STAIR), and Psychedelic- Integration Therapy.”
Services:
Individual Therapy
Specialties:
Anxiety · Burnout · Career Counseling · Depression · Executive Coaching · Grief · Highly Sensitive People (HSP) · Life Transitions · Perfectionism · Spirituality · Trauma & PTSD · Women’s Mental Health
Amy McIntosh

Amy McIntosh Counseling

LPC

Licensed In:
Minnesota, North Dakota
“Do you find yourself asking, why can't I stop worrying what others think? Why can't I turn my thoughts off at night? Why do relationships feel disappointing? Why can’t I make decisions? Why am I always tired? I'm here to assure you, you are not a problem; you are the solution! If you are ready to address the cycles you find yourself repeating, imbalanced relationships, toxic families/work environments, struggles with dieting and body image, loss of a sense of self, people-pleasing and perfectionism: I work with adults seeking relief from anxiety and/or stress from life transitions (relationships, grief/loss, career, self-worth/identity). You will experience a non-judgmental and very down to earth (laughing, crying, and swearing freely) approach in sessions. Many of my clients report feeling better after their first session, or in the first month!”
Services:
Individual Therapy
Specialties:
Aging · Anxiety · Divorce · Grief · Perfectionism · Relationship Issues
Sonica Sharma

Sharma Mental Health Counseling

LCSW

Licensed In:
Arizona, Florida
“Teens (13 and older), young adults/college-age, adults, LGBTQIA+ clients, children of immigrants, individuals navigating identity development, people-pleasing and codependency, low self-confidence, difficulty setting boundaries, relationship patterns and attachment wounds, people who intellectually understand their patterns but still feel stuck emotionally, people trying to reconnect with their authentic identity after years of pleasing others.”
Services:
Family Therapy, Individual Therapy, Teen Therapy
Specialties:
Immigrant & Refugee Mental Health · Life Transitions · Perfectionism · Self Esteem · Trauma & PTSD
Alexxa Fucito

Masha Sorkin & Associates

LMHC

Licensed In:
Massachusetts
“Anxious about… everything? Find yourself feeling more insecure or down than usual? Fighting with a friend, family member, partner or all the above? Having difficulty managing ADHD symptoms and how they all seem to affect any of the previous issues listed? Let’s figure it out together!”
Services:
Individual Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Depression · Life Transitions · Mood Disorders · Panic · Perfectionism · Relationship Issues · Self Esteem · Trauma & PTSD · Women’s Mental Health
Rachel Hughes

Connect Counseling and Consulting

LMFT

Licensed In:
Washington
“I specialize in working with neurodivergent (ADHD, Autism) and LGBTQ+ youth and their families. My approach isn’t about compliance; it’s about connection. Whether we are navigating identity development or shifting difficult family patterns, my goal is to create a safe, inclusive space where your child feels celebrated and you feel empowered as a parent.”
Services:
Child Therapy, Family Therapy, Group Therapy, Individual Therapy, Teen Therapy
Specialties:
ADHD · Autism · Behavioral Issues · Burnout · Chronic Pain and Illness · Gender Identity · Relationship Issues · Self-Harming · Suicidal Ideation
Joseph Fincher

Hopes for Healing Counseling and Consulting, PLLC

LPC-Associate

Licensed In:
Texas
“I work with individuals and couples from age 15 to end-of-life.”
Services:
Couples Therapy, Individual Therapy, Teen Therapy
Specialties:
Anger Management · Anxiety · Cancer · Caregiver Support · Chronic Pain and Illness · Consensual Non-Monogamy · Depression · End-of-Life · Gender Identity · Grief · Life Transitions · Men’s Mental Health · Older Adults & Aging · Relationship Issues · 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.