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 1–12 of 306 providers

Kerry L. Ketchale

Just Breathe Connecticut LLC

LCSW

Licensed In:
Connecticut, Maine, Massachusetts, Vermont
“Keep calm and just breathe. You are where you need to be. Wherever you are on your personal journey, I am here to assist and empower you. I am a licensed clinical social worker and trained mediator with 25+ years experience. I am a Connecticut guardian-ad-litem. I am a National Emergency Responder and Public Safety Center (NERPSC) certified clinician, as well as a National Volunteer Fire Council (NVFC) approved clinician. I am a qualified expert in animal assisted therapy and EMDR trained. I am Postpartum Support International (PSI) trained. I serve individuals, couples, and families. ”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Addiction · Aging · Anger Management · Anxiety · Attachment · Behavioral Issues · Bipolar Disorder · Burnout · Cancer · Career Counseling · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Divorce · Domestic Abuse · Gender Identity · Grief · Highly Sensitive People (HSP) · Infertility & Reproductive Mental Health · Life Transitions · Menopause & Perimenopause · Panic · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Substance Use · Trauma & PTSD · Women’s Mental Health
Jessica Thomas, LMHC, LPC

MyMindset NYC Counseling Services

LMHC, LPC

Licensed In:
Florida, New York, Washington, DC
“You built this life by being the reliable one. Now you wake up tired, annoyed, and wondering who you are underneath the grind. I'm a burnout and trauma therapist in Brooklyn, NYC, working online with first-generation adults, children of immigrants, and BIPOC, LGBTQIA+, and neurodivergent professionals who are burned out from over-functioning. Clients usually arrive saying "Why am I so exhausted when my life looks fine?" or "I'm the one who takes care of it. Nobody asks who takes care of me." If you've said that, you probably felt it in your body first.”
Services:
Individual Therapy
Specialties:
Addiction · ADHD · Aging · Anxiety · Attachment · Autism · Burnout · Caregiver Support · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Gender Identity · Highly Sensitive People (HSP) · Immigrant & Refugee Mental Health · Infertility & Reproductive Mental Health · Infidelity / Affair Recovery · Life Transitions · Men’s Mental Health · Menopause & Perimenopause · Perfectionism · Relationship Issues · Self Esteem · Spirituality · Trauma & PTSD · Women’s Mental Health
Ashley Silvera, PsyD

Dr. Ashley Silvera

PSYD

Licensed In:
California, New York
“Some days you hold it all together. Other days, the weight is harder to hide, restless nights, a tightness in your chest, a feeling of being untethered. You may also see it in your teen: the spark dimming, smiles fading, or unexplained aches and tension. What you want is simple, but feels far away, ease, connection, a sense of safety in your own skin. Therapy can be a place to gently untangle what’s been carried too long, helping you or your child feel lighter, more grounded, and more connected to yourself and others.”
Services:
Individual Therapy, Teen Therapy
Specialties:
Anxiety · Attachment · Cancer · Chronic Pain and Illness · Depression · Gender Identity · Grief · Menopause & Perimenopause · Mood Disorders · Panic · Perfectionism · Relationship Issues · Self Esteem · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Michelle F. Moseley, LCMHC

Michelle F. Moseley Counseling, PLLC

LCMHC

Licensed In:
North Carolina
“I work with adults (18+) in NC who have been told they are "too much", yet also struggle with feeling like they are never enough. I commonly support folks who are reevaluating their beliefs and values, learning how to be fully present in their body, and/or navigating late-identfied neurodivergence.”
Services:
Group Therapy, Individual Therapy
Specialties:
ADHD · Autism · Body Dysmorphia · Burnout · Grief · Highly Sensitive People (HSP) · Life Transitions · Perfectionism · Personality Disorders · Religious Trauma & Spiritual Abuse · Spiritual Abuse · Trauma & PTSD · Women’s Mental Health
Shana Smith

1st Degree of Change

LCSW, LICSW

Licensed In:
Arizona, Florida, Indiana, Massachusetts
“I provide online therapy for teens and adults in Arizona, Florida, Indiana, and Massachusetts who are dealing with anxiety, trauma, PTSD/CPTSD, complex trauma, dissociation, ADHD, Autism, and neurodivergence. If you are experiencing anxiety or have experienced trauma, I may be your therapist. I work with clients whose trauma ranges from a car accident or a single painful event to complex trauma, PTSD, CPTSD, and dissociation. I also work with people whose anxiety shows up in different ways, from feeling overwhelmed by a new stage of life to struggling to leave the house because anxiety feels too loud and too heavy. I meet clients where they are, but I also help them move forward. Therapy with me is not stiff, robotic, or one-size-fits-all. My clients often appreciate that they can jump topics, use sarcasm, laugh, cry, or say the messy thing out loud, and I can still help bring us back to what matters. Whether you are neurodivergent or not, if you want a therapist who is warm, direct, and able to hold both humor and hard things, we may be a good fit.”
Services:
Individual Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Autism · Life Transitions · 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
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
Debra Payne

Kaymi Mental Health

PhD, LCSW

Licensed In:
Oklahoma, Utah
“My clients want to face what is getting in the way of their living happier, more fulfilled lives. They want to talk about their struggles and then create a plan to move on so they can be at peace with themselves and others.”
Services:
Individual Therapy
Specialties:
ADHD · Anxiety · Codependency · Depression · Life Transitions · Perfectionism
Mara Czegel

Ember Psychotherapy Collective

PhD

Licensed In:
Arizona, Colorado, Massachusetts
“Life can be tough, and our minds often create barriers that make it hard to move forward. Whether you're seeking clarity on what drives you, or navigating the everyday challenges that life brings, my goal is to support you in a way that feels safe and validating. I offer a warm, welcoming, and non-judgmental space where clients can feel truly heard and understood. Through therapy, my aim is to help you work through the complexities of being human - helping you better understand yourself and find ways to cope with the unique challenges of living in today’s world. I specialize in ADHD, anxiety, trauma, relationship issues, depression, and self-esteem, including couples therapy. I use Internal Family Systems (IFS), Dialectical Behavior Therapy (DBT), Cognitive Behavioral Therapy (CBT), Psychodynamic Therapy, EMDR, and other eclectic, related modalities. I also work with Schema therapy.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Teen Therapy
Specialties:
Anxiety · Codependency · Depression · Divorce · Infertility & Reproductive Mental Health · Infidelity / Affair Recovery · Insomnia & Sleep Disorders · Life Transitions · Men’s Mental Health · Mood Disorders · Relationship Issues · Self Esteem · Women’s Mental Health
Kelsey Mammen

Waterhorse Counseling, LLC

LPC

Licensed In:
Colorado, Tennessee, Wyoming
“People often come to therapy feeling exhausted from carrying too much for too long. You may feel stuck in survival mode, disconnected from yourself, overwhelmed in relationships, struggling with trauma, grief, anxiety, dissociation, burnout, or painful patterns that keep repeating despite your insight and effort. I work with adults navigating complex trauma, attachment wounds, relational struggles, life transitions, and loss. Many of my clients are thoughtful, capable people who have spent years “holding it together” while feeling emotionally overwhelmed underneath. I work with adults, teens, and kids as young as age 5.”
Services:
Child Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anxiety · Attachment · Autism · Burnout · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Dissociative Disorders · Divorce · Domestic Abuse · Grief · Highly Sensitive People (HSP) · Insomnia & Sleep Disorders · Life Transitions · Menopause & Perimenopause · Panic · Parent-Child Bonding & Attachment · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Spiritual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Lauren Messina

Work In Progress Therapy and Wellness LLC

LPC, LPAT, ATR-BC

Licensed In:
New Jersey, Pennsylvania
“I specialize in art and trauma therapy with adults who want to connect their healing journey to breaking cycles of oppression. I help motivated adults who are struggling with their self-worth, have pattern of overriding their own needs and avoid feeling their feelings all while trying to break generational cycles. You want to make intentional changes that bring more joy, ease, and meaning but don't know where to start. Maybe you've learned to disconnect from your feelings and disregard your own needs filling everyone's cup but your own. Let's integrate your healing journey with anti-oppressive practices. Whether you're seeking support for depression, anxiety, grief, traumas, or just the everyday overwhelm of life, there's a vital role in connecting how oppressive systems impact you as an individual and as a part of the collective. Unlearning allows for healing, connection, & re-imaging.”
Services:
Individual Therapy
Specialties:
Anxiety · Bipolar Disorder · Burnout · Depression · Grief · Psychosis · Relationship Issues · Self Esteem · Sexual Abuse · Suicidal Ideation · 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

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.