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

Rachel Rosales

Padera Therapy & Wellness

LPC, EMDR, MA

Licensed In:
Illinois, Wyoming
“I enjoy working with trauma and complex trauma survivors, neurodiverse clients, and clients with psychotic disorders. I am committed to providing person-centered, diversity-affirming care where clients feel safe, supported, and empowered to explore their experiences. My passion lies in helping individuals heal from trauma, complex trauma, and intergenerational trauma, reclaiming their voice and building the life they want to live.”
Services:
Child Therapy, Individual Therapy, Teen Therapy
Specialties:
Addiction · ADHD · Autism · Bipolar Disorder · Chronic Pain and Illness · Depression · Divorce · Immigrant & Refugee Mental Health · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Personality Disorders · Phobias · Psychosis · Self Esteem · Self-Harming · Substance Use · Suicidal Ideation · Trauma & PTSD
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
Sonya S. Carter

Carter Counseling & Coaching, PLLC

LCSW, LICSW, BCTP-II, CCM

Licensed In:
Florida, North Carolina, Texas, Virginia, Washington, DC
“I provide individual and family psychotherapy for adults (18 years old+). As a perinatal mental health therapist, I provide compassionate, evidence-based therapy for mothers and their partners during pregnancy, postpartum, and the transition into parenthood. I also support mothers experiencing perinatal anxiety and depression, birth trauma, infertility, pregnancy and infant loss, and the many emotional adjustments that come with growing a family. As a trauma therapist, My role is to create a safe, supportive, and nonjudgmental space where you can move at your own pace. Together, we work to understand the impact of trauma, develop healthy coping strategies, process difficult experiences, and reconnect with your strengths.”
Services:
Clinical Supervision, Family Therapy, Individual Therapy
Specialties:
Grief · Infertility & Reproductive Mental Health · Pregnancy, Postpartum & Perinatal Mental Health · Trauma & PTSD · Women’s Mental Health
Ashley Molin

Trailhead Counseling, Inc

PsyD

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
“My practice focuses on individuals who feel they fall outside of traditional narratives of what our lives "should" look like. This may show up in your relationships, sexuality, gender, or general approach to life. Through our work together, I can help you identify what works for you and what is better left behind.”
Services:
Clinical Supervision, Individual Therapy
Specialties:
Anxiety · Burnout · Consensual Non-Monogamy · Depression · Gender Identity · Life Transitions · Perfectionism · Self Esteem · Women’s Mental Health
Martha Linan

Crystal Clear Mental Health

PMHNP

Licensed In:
Florida, Iowa, New Mexico, Washington
“I help adults manage anxiety, depression, ADHD, and stress while providing judgment-free care for kink, BDSM, and alternative lifestyles. I provide supportive, psychiatric care for adults in the BDSM, kink, ENM, and alternative lifestyle communities who want a provider that understands nuance, consent culture, communication dynamics, and nontraditional relationships. I specialize in medication management and supportive therapy for anxiety, depression, ADHD, mood concerns, stress, and emotional regulation. My approach is collaborative, modern, and stigma-free. You won’t need to educate me about your lifestyle before getting help. This includes: Relationship Issues, Stress, Open Relationships/ Non-Monogamy, Sex Positive / Kink Allied, LGBTQ+ Allied.”
Services:
Medication Management
Specialties:
ADHD · Anxiety · Consensual Non-Monogamy · Depression
Kirsten Emery

Padera Therapy & Wellness

LMFT, CADC, CCTP-II, MS

Licensed In:
Illinois, Wisconsin
“As a family and systems therapist, I’m passionate about helping people uncover how past experiences may be shaping their present. Together, we’ll connect the dots between where you’ve been and where you want to go, so you can move toward the life you envision for yourself. Watching clients use these insights to create real, positive change is one of the most meaningful parts of my work. I specialize in working with people navigating substance use, eating disorders, body image concerns, depression, and anxiety. I also support individuals living with personality disorders, as well as those impacted by loved ones who struggle with them. As a systemic therapist, I have a special interest in supporting clients exploring polyamorous and alternative relationships, BDSM, and kink, with a focus on sex positivity, consent, and healing from attachment trauma.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Sex Therapy
Specialties:
Addiction · Anger Management · Attachment · Bipolar Disorder · Codependency · Consensual Non-Monogamy · Depression · Personality Disorders · Relationship Issues · Self Esteem · Self-Harming · Substance Use
Kelly VanMoen

The Unfiltered Couch Counseling

MS, LPC, CAADC

Licensed In:
Michigan, South Carolina
“Burnt out adolescents and adults who understand and recognize their patterns but have trouble changing. I work with clients who have tried talk therapy and still feel stuck. I specialize in somatic therapy including brainspotting, EMDR, and deep brain reorienting. I work with trauma, burnout, anxiety, depression, stress, life transitions, overstressed and overworked moms, substance use, and high functioning adults.”
Services:
Group Therapy, Individual Therapy
Specialties:
Addiction · Anxiety · Burnout · Chronic Pain and Illness · Depression · Gender Identity · Life Transitions · Self Esteem · Sexual Abuse · Substance Use · Trauma & PTSD · Women’s Mental Health
Edwin Rivera Jr

Clear Connection Counseling

LPC

Licensed In:
Georgia
“I work with neurodivergent individuals, adolescents, teens, young adults, and adults who are feeling stuck and are ready to move toward meaningful, lasting growth. Whether you are navigating the unique challenges of a neurodivergent brain, managing the transition into young adulthood, or working through the stresses of adulthood, I am here to help. You might be struggling to regulate overwhelming emotions, navigating life transitions, or repeating patterns that no longer serve you. My practice is a safe space for those who want to do the work of challenging unhelpful thought patterns and building a life that feels authentic. No matter your stage of life, we will work together to navigate your barriers with clarity and confidence.”
Services:
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Autism · Behavioral Issues · Caregiver Support · Depression · Executive Coaching · Life Transitions · Mood Disorders · Obsessive-Compulsive Disorder (OCD) · Relationship Issues · Self Esteem · Self-Harming
Ashley Hamm

Hamm Counseling

LPC

Licensed In:
Texas
“I specialize in helping people disentangle from religious beliefs that no longer serve them, find ways to navigate climate distress, and overcome the paralysis of anxiety. Many of my clients are deeply feeling people who care a lot about the world and the people around them, but struggle to find inner calm and to know their inner values and goals. We'll work together to peel off the layers of the expectations of others, and allow your own inner voice to shine through. Often the people I work with experience a harsh inner voice that judges them for many of their choices, so our work is also about rebuilding your relationship with yourself into one based on kindness and care.”
Services:
Individual Therapy
Specialties:
Anxiety · Burnout · Perfectionism · Religious Trauma & Spiritual Abuse · Self Esteem
Corinne Novella

Novella Consultations LCSW PC

LCSW

Licensed In:
New York
“I work with adults, teens, couples, and families. I provide a safe space for business partners to work out conflicts and find paths forward in their partnerships.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Teen Therapy
Specialties:
Addiction · Anxiety · Attachment · Bipolar Disorder · Burnout · Codependency · Consensual Non-Monogamy · Depression · Gender Identity · Grief · Life Transitions · Relationship Issues · Self Esteem · Spirituality · Substance Use · Trauma & PTSD · Women’s Mental Health
Dr. Melissa Lavin

Lavin Psychology Services, PLLC

PsyD

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
“I work with children, adolescents, adults, and families (ages 10 to 90) from all walks of life facing a variety of psychological concerns. My specialty is childhood trauma and its adult manifestations (anxiety, depression, grief/loss, self-doubt/esteem, identity issues, stress, relationship difficulties, & parenting). I'm certified in advance nutritional integrative medicine for mental health (holistic plans of supplements, vitamins, and food). I provide sports psychology therapy for pro-athletics, as well as consultation services for other leading professionals. I enjoy providing unconditional support and skills tailored to each individual's needs.”
Services:
Child Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Teen Therapy
Specialties:
Anxiety · Bipolar Disorder · Chronic Pain and Illness · Depression · Divorce · Domestic Abuse · Eating Disorders · Gender Identity · Grief · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Older Adults & Aging · Panic · Personality Disorders · Phobias · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Self-Harming · Sexual Abuse · Suicidal Ideation · Trauma & PTSD · Traumatic Brain Injury (TBI) · Women’s Mental Health
Courtney Kirschten

Surviving to Thriving Services PLLC

LPC, NCC

Licensed In:
Colorado
“I work with adults navigating anxiety, depression, trauma, burnout, relationship challenges, people-pleasing, emotional overwhelm, and low self-esteem. Many of my clients are highly sensitive, self-aware, and deeply caring people who feel exhausted from carrying so much for others. Together, we focus on building confidence, emotional resilience, healthier boundaries, self-understanding, and lasting change in both internal experiences and daily life.”
Services:
Couples Therapy, Family Therapy, Individual Therapy
Specialties:
Anxiety · Behavioral Issues · Body Dysmorphia · Codependency · Depression · Divorce · Domestic Abuse · Eating Disorders · Executive Coaching · Faith-Based Care · Gender Identity · Men’s Mental Health · Older Adults & Aging · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Spiritual Abuse · Spirituality · Trauma & PTSD · Weight Loss · 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.