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

Cassidy Cartwright

Flourishing Future Wellness

LLPC

Licensed In:
Michigan
“I work with adolescents and adults who are navigating grief, trauma or interpersonal violence. I bring curiosity, compassion and humor to sessions. Throughout our time together we will practice skills or tools that can be used throughout your week to build awareness of your emotions and needs. My goal is that you feel empowered to become who you want to be in connection with your values.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Anxiety · Burnout · Domestic Abuse · Gender Identity · Grief · Obsessive-Compulsive Disorder (OCD) · Perfectionism · Relationship Issues · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Miranda Denison

Denison Psychological Services

PhD

Licensed In:
Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, DC, West Virginia, Wisconsin, Wyoming
“Feeling overwhelmed, anxious, and stretched thin are common experiences for the folks I work with. Many of my clients struggle with burnout, perfectionism, self-criticism, insomnia, relationship stress, or the sense that they're not quite "doing enough." Sometimes big transitions, like early parenthood, career shifts, or divorce are contributing to this, and sometimes it's just due to patterns folks have learned that were once helpful for surviving day to day, but aren't serving them anymore. The clients I work with often want to find relief from anxiety, depression, or OCD, but also improve their sense of balance in their lives, working toward creating sustainable change.”
Services:
Couples Therapy, Individual Therapy
Specialties:
Anxiety · Burnout · Consensual Non-Monogamy · Depression · Divorce · Life Transitions · Men’s Mental Health · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Phobias · Relationship Issues · Self Esteem · Women’s Mental Health
Debra Utpadel

Zenses Health and Wellness, LLC

DNP, PMHNP-BC

Licensed In:
Texas
“I work with adults 18 and older throughout Texas who are seeking psychiatric evaluation, medication management, or adult autism evaluation. My patients include adults experiencing depression, anxiety, mood concerns, trauma-related symptoms, and other psychiatric concerns. I also work with neurodivergent adults, including autistic adults and individuals exploring whether autism may help explain lifelong patterns or challenges. LGBTQIA+ adults are welcome. I especially value working with patients who want to understand their symptoms and treatment options and participate actively in decisions about their care. Services are provided through telehealth, allowing adults across Texas to access care from their own environment.”
Services:
Medication Management, Testing and Evaluations
Specialties:
Anxiety · Autism · Bipolar Disorder · Burnout · Depression · Mood Disorders
Moss Herberholz

The Radical Well-Being Center

LCSW

Licensed In:
Colorado, Michigan
“Speciality areas include: consensual non-monogamy in all of its forms, substance use (harm reduction), queer identity and gender identity, kink, psychedelic integration, anxiety, depression, neurodivergence, somatic awareness, bereavement-grief, PTSD”
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 · Men’s Mental Health · Relationship Issues · Self Esteem · Self-Harming · Sexual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD
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
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
Stephanie Levin Sandoz, Psy.D.

Psy.D., Psychologist

Licensed In:
California
“Feeling down or anxious? Navigating a life transition? Struggling in your relationships or with parenting issues? These are just a few of the common concerns I see in my practice. I work with individuals of all ages, couples, families, teens, and children. Come join me in a safe, compassionate space where together we can explore what’s going on beneath the surface. I can help you face life’s challenges, deepen your self-understanding, and guide you towards more satisfying ways of living and relating.”
Services:
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anxiety · Attachment · Burnout · Depression · Gender Identity · Grief · Infertility & Reproductive Mental Health · Life Transitions · Relationship Issues · Self Esteem · Women’s Mental Health
Cassie Cutting

Ember Psychotherapy Collective

LICSW

Licensed In:
Massachusetts
“If you are struggling to make sense of your emotions, connect with others in a meaningful way, feel stuck in old patterns, process traumatic experiences, or navigate a life transition, I might be a good fit as a therapist for you. In my work, I bring curiosity and non-judgment to the therapeutic space and support clients in moving toward greater self-understanding, acceptance, and compassion. Together, we work to better understand your brain and experiences, develop strategies that align with how you function best, and celebrate strengths that may have been overlooked or misunderstood. I work with adults who are dealing with anxiety, depression, caregiver burnout, PTSD, neurodivergence, and/or ADHD. I am trained in Acceptance and Commitment Therapy (ACT), Internal Family Systems (IFS), and Cognitive Processing Therapy (CPT). I integrate all these approaches into my therapeutic style to best meet individuals’ needs.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy
Specialties:
Anxiety · Cancer · Career Counseling · Dementia · Depression · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Trauma & PTSD · Women’s Mental Health
Lori Henry

Forward Momentum Thearpy

LMFT

Licensed In:
Oregon, Washington
“I am a Licensed Marriage and Family Therapist in OR & WA & AAMFT Supervisor who specializes in working with Relationships, couples, families, LGBTQ+ folks, poly, kink, and individuals starting at age 18.”
Services:
Couples Therapy, Family Therapy, Individual Therapy
Specialties:
ADHD · Anxiety · Consensual Non-Monogamy · Gender Identity · Grief · Life Transitions · Relationship Issues
Licensed In:
California
“Have you ever felt that life is stuck on hard mode, or that you’re trying to drive through life without a map? I can help you learn real coping skills, effective ways of managing stress, and new ways of looking at a problem. I work with and help individuals navigate trauma, anxiety, depression, eating disorders, body dysmorphia, neurodivergence, gender identity, sexual identity, and major life transitions. ​​”
Services:
Individual Therapy, Teen Therapy
Specialties:
Anxiety · Behavioral Issues · Bipolar Disorder · Burnout · Depression · Dissociative Disorders · Eating Disorders · Gender Identity · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Personality Disorders · Phobias · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Suicidal Ideation · Trauma & PTSD · Weight Loss · Women’s Mental Health
Sarah O’Shea

KaleidoSpark Co.

PhD, LP, HS-P

Licensed In:
Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, DC, West Virginia, Wisconsin, Wyoming
“You or your child may be bright and capable, yet struggling in ways that are difficult to understand or explain. I provide comprehensive psychological and psychoeducational evaluations for children, teens, and adults seeking clarity around ADHD, autism, learning differences, giftedness and twice-exceptionality (2e), executive functioning, and emotional concerns such as anxiety, mood, or trauma that may intersect with neurodivergence. My evaluations look beyond a diagnosis to understand the whole person—bringing together cognitive strengths, learning, attention, emotional functioning, developmental history, and lived experience to make sense of complex or overlapping patterns. I also provide neurodiversity-affirming therapy for children, teens, and adults seeking greater self-understanding, practical support, and more sustainable ways of navigating everyday life.”
Services:
Child Therapy, Clinical Supervision, Individual Therapy, Parenting Therapy, Teen Therapy, Testing and Evaluations
Specialties:
ADHD · Anxiety · Autism · Depression · Educational and Learning Disabilities · Life Transitions · Mood Disorders · Obsessive-Compulsive Disorder (OCD) · Perfectionism · Phobias · Relationship Issues · Self Esteem · 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

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.