

Find affirming mental health support in San Francisco with 2,459 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.
Hi there, my name is Jose Carranza, LFMT, maneuvering through life and work with thoughtful intention and an open heart. I have approximately a decade of experience working in the mental health field and about 5 years practicing as a therapist. I'm certified in Trauma-Focused CBT and have lengthy experience working with mood, behavioral, and developmental disorders.
I'm Saby Kirpal, a Psychiatric Mental Health Nurse Practitioner dedicated to providing comprehensive mental health care. I hold Master's degrees from Chamberlain University and Walden University, graduating with Presidential Honors, reflecting my commitment to clinical excellence. My diverse professional background spans inpatient psychiatric hospitals, residential treatment centers, and outpatient clinics, giving me insight into mental health treatment at every level of care. I specialize in treating depression, anxiety, autism spectrum disorders, eating disorders, and substance use disorders across age groups. My experience includes working with children as young as eight through adults in crisis stabilization, residential treatment, and ongoing medication management.
What makes my practice unique is the integration of my nursing background with psychiatric expertise. I understand how physical health, medications, lifestyle factors, and mental health interconnect. Being trilingual in English, Hindi, and Punjabi, with conversational Spanish, allows me to serve diverse communities and appreciate how culture shapes mental health experiences.
I've worked from UCSF Health to community clinics, teaching me that excellent care isn't about the setting—it's about the relationship. Whether you're seeking help for the first time, between providers, or managing ongoing conditions, I'm here to partner with you. My approach centers on listening first, explaining clearly, and making decisions together. Mental health treatment should never feel like something done to you, but rather something we navigate together. I'm committed to creating a space where you feel respected, understood, and genuinely supported.
Welcome! I am currently accepting client and I specialize in working with LGBTQ+ adolescents and young adults, providing affirming care through a solution‐focused and client‐centered approach. I utilize Cognitive Behavioral Therapy (CBT) to help clients identify and challenge unhelpful thought patterns, supporting effective and meaningful change. I also incorporate Narrative Therapy and Trauma‐Focused Cognitive Behavioral Therapy to address trauma and promote healing when appropriate.
Reaching out for support can feel overwhelming, especially when you are navigating the challenges you are facing. Many of my clients come to therapy wanting a space where they feel safe, accepted, and truly understood. I strive to provide this so we can work collaboratively to move toward greater clarity, resilience, and well‐being.
I'm glad you're here. I provide an environment where you can share your experiences and current stressors while shedding what no longer serves you to become your best self. I work with individuals impacted by trauma, anxiety, depression, and life transitions.
Hi I'm Eleanor! I am a Licensed Clinical Social Worker in California and New Mexico. I am passionate about empowering people to build self-trust and self-acceptance. Most of my clients come to therapy because they want to make a change or cope with a change that they did not choose.
As a lived-experience therapist, I specialize in neurodiversity-affirming therapy for individuals navigating eating disorders, religious trauma, chronic illness, and identity exploration. My goal is to provide a brave, non-judgmental space where you can reflect on your experiences, reclaim agency over your life, and develop strategies that align with your unique strengths and values. I believe that you are the expert on your own story, and in our work together, I will encourage you to trust yourself more deeply and move toward healing in a way that feels right for you.
I offer online individual therapy for adults and teens across California and Colorado, providing accessible and affirming care that meets you where you are. Whether you're exploring your relationship with food and body, healing from religious trauma, or navigating life as a neurodivergent person, I’m here to support you with a therapy experience that prioritizes collaboration and consent.
Hi, I’m George. I am a Licensed Marriage and Family Therapist with over 17 years of experience working with individuals, couples, groups, and families. I bring a diverse background and wide range of interests to my work as a mental health therapist. I have experience working with groups, couples, families, and individuals of all ages. Some of my major areas of focus include grief and loss, anxiety, depression, posttraumatic stress disorder, gender identity concerns, and LGBTQ issues. Other areas include panic disorders, anger management, divorce, and blended families.
I received a Bachelor of Arts degree in Psychology from California State University Northridge and a Master of Science degree from California Lutheran University in Thousand Oaks, California.
Life can feel overwhelming when you’re dealing with trauma, anxiety, depression, or relationship challenges. You may feel stuck in patterns that are hard to break or unsure how to move forward. Therapy can be a space where you begin to understand what’s been holding you back and start creating meaningful change.
I’m a licensed marriage and family therapist with experience supporting individuals, couples, and families through a wide range of emotional and relational challenges. My work focuses on helping you build emotional awareness, improve communication, and develop healthier patterns so you can feel more balanced and fulfilled in your life. Clients should expect to feel heard and supported throughout our time together. I want my clients to feel safe and empowered during their time with me, and I feel privileged to help my clients achieve their goals and improve their lives.
Hi, I'm Mitch — a psychiatric mental health nurse practitioner with a Doctor of Nursing Practice from Vanderbilt University. San Diego has been home since 2020, when the Navy first brought me here.
My background includes pediatrics at Children’s Hospital in St. Paul, inpatient psychiatry in Nashville and San Diego, crisis stabilization, and outpatient mental health care. I’ve worked with veterans, college students, LGBTQ+ individuals, people experiencing homelessness, and patients navigating anxiety, depression, bipolar disorder, ADHD, trauma, substance use, and severe mental illness.
I primarily provide psychiatric evaluation and medication management while integrating supportive therapy, psychoeducation, and practical coping strategies into visits. My approach is collaborative, direct, and grounded in helping people improve day-to-day functioning and quality of life.
I look forward to getting to know you.


Headway makes it easier to connect with affirming therapists who understand your identity — from finding the right therapist, to understanding costs, to scheduling with ease.
Looking for LGBTQIA therapists in San Francisco starts with finding care that is identity-affirming and aligned with your needs. Many people search for support related to identity, relationships, family conflict, anxiety, depression, or life changes. As you compare therapists, look for profiles that mention LGBTQIA+ affirming therapy, affirmative therapy, gender-diverse experience, or World Professional Association for Transgender Health training. This can help you find someone with relevant experience, not just general familiarity.
San Francisco has many therapists across neighborhoods like the Castro, Mission, SoMa, and the Richmond, which can make it harder to narrow your options. In-person care may work well if you want an office near work, home, or public transit. Virtual sessions can expand your search across California, especially if you want a therapist with specific experience in bisexual therapy, lesbian therapy, LGBTQIA+ couples therapy, or gender-affirming support. Read therapist bios before booking to see how they describe their approach, who they work with, and whether they offer a free phone consultation.
Therapy in San Francisco can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and make ongoing care easier to plan for. Headway helps you search for LGBTQIA+ therapists who are accepting new patients, compare availability, review detailed profiles, and see your estimated out-of-pocket cost before booking. You can browse therapists, check fit, and book directly when you’re ready.
If you're experiencing or worried about violence, threats, or coercion in your relationship, couples therapy isn't usually the right starting point — individual support is safer. The National Domestic Violence Hotline (1-800-799-7233, or text START to 88788\) can help you think through next steps.
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