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LGBT therapists in San Francisco, CA

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Top LGBT-friendly therapists and psychiatrists in San Francisco, CA

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.

Airy Ramirez

Airy Ramirez

Therapist

Virtual • California


“Through our collaborative work, clients can expect to gain valuable self-insights, develop practical coping strategies, and build emotional resilience.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Challenging, Empowering, Open-minded
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Emily Arai

Emily Arai

Therapist

Virtual • California


“I believe therapy should feel like a collaborative and grounded space where you can show up as you are without pressure to have everything figured out.”
LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Energetic, Open-minded, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Lisa Paulson

Lisa Paulson

Therapist

Virtual • California


“I offer a supportive non-judgmental space where we can work together to move towards healing and growth.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Open-minded, Warm
Accepts 10 insurance carriers
Tone Va'i

Tone Va'i

Therapist

Virtual • California


“I'm direct, relational, and reflective in how I work. I started in early childhood mental health, which shaped how I understand people.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Affirming, Direct, Open-minded
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Oscar Droege-Sanchez

Oscar Droege-Sanchez

Therapist

Virtual • California


“My approach is practical and collaborative, using tools like CBT and motivational interviewing to help you better understand patterns and build real-life coping skills.”
LGBTQIA+, Anger management, Anxiety, Depression, Men's issues
Affirming, Empowering, Open-minded
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Richard Houseal

Richard Houseal

Therapist

Virtual • Sacramento, CA


“My care approach is solution-oriented and short-term, but the results are aimed to be long-term through processing, reframing, and utilizing helpful and productive interventions.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Direct, Empowering, Solution-oriented
Accepts 9 insurance carriers
Amanda Long

Amanda Long

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“My deepest goal is supporting you not merely in reducing symptoms, but in restoring hope, establishing balance, and moving toward the life you truly deserve.”
LGBTQIA+, Bipolar disorder, Chronic conditions, Depression, Family issues
Open-minded, Solution-oriented, Warm
Accepts 8 insurance carriers
Jose Carranza

Jose Carranza

Therapist

Virtual • California


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Holistic, Open-minded, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Saby Kirpal

Saby Kirpal

Psychiatric Mental Health NP

Virtual • San Francisco, CA


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.

LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Depression
Holistic, Open-minded, Warm
Accepts 5 insurance carriers
Ava Martinez

Ava Martinez

Therapist

Virtual • California


“My goal, as your therapist, is to work with you to create the roadmap to achieving a better quality of life.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Eating disorders
Empowering, Holistic, Humorous
Accepts 8 insurance carriers
James Witmer

James Witmer

Therapist

Virtual • Los Angeles, CA


“I approach our time together with openness, humility, acceptance, and free of pre-conceived judgement.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Empowering, Holistic, Solution-oriented
Accepts 7 insurance carriers
Dr. Peter Cabrera-Nguyen

Dr. Peter Cabrera-Nguyen

Therapist

Virtual • California


“I aim to create a warm, collaborative space where you feel supported, understood, and empowered to make meaningful change.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Open-minded, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Edward Garren

Edward Garren

Therapist

Virtual • Los Angeles, CA


“The purpose of therapy is to remove blocks to truth; to help you abandon any patterns of belief that no longer serve you in a productive way; to implement self-forgiveness.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Direct, Humorous, Participatory
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Yadira Nieto

Yadira Nieto

Therapist

Virtual • California


“My approach is collaborative, strengths-based, and supportive. I see therapy as a partnership where you can show up as yourself and feel truly heard.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Open-minded, Participatory
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Dr. Darlington Igbokwe

Dr. Darlington Igbokwe

Psychiatric Mental Health NP

Virtual • California


“My approach to mental health care is centered on building trust and understanding, ensuring that each client feels heard and respected.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Participatory, Solution-oriented
Accepts 10 insurance carriers
Talia Guppy

Talia Guppy

Therapist

Virtual • California


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Energetic, Solution-oriented
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Martha Cervantes

Martha Cervantes

Therapist

Virtual • California


“My approach is affirming and empowering, while also being direct. I'll help you feel heard and understood, and I'll also gently challenge patterns that may be keeping you stuck.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Evelyn Coyoy

Evelyn Coyoy

Therapist

Virtual • California


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Open-minded, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Lindsay Fisher

Lindsay Fisher

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“I've made it my mission to change that experience. When we work together, you'll never wonder why I'm recommending a particular medication or what to expect from your treatment plan.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Open-minded, Solution-oriented, Warm
Accepts 10 insurance carriers
Patricia Gutierrez

Patricia Gutierrez

Therapist

Virtual • California


“My practice centers on trauma and PTSD, identity and gender affirming care, and the lived experiences of women and LGBTQIA+ individuals.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Direct, Open-minded, Solution-oriented
Accepts 7 insurance carriers
Adam Wiswell

Adam Wiswell

Psychologist

Virtual • California


“My approach to counseling is strengths based and empowerment focused. I use a collaborative and egalitarian style with people who I works with in counseling.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Empowering, Humorous, Solution-oriented
Accepts 8 insurance carriers
Tawny Weir

Tawny Weir

Therapist

Virtual • California


“I am a therapist who often will use reflective, empathic listening. I am client-centered and work to ensure clients feel safe in the therapy environment I create.”
LGBTQIA+, Anxiety, Depression, Family issues, Grief or loss
Affirming, Empowering, Solution-oriented
Accepts 8 insurance carriers
Renee EB-Walton

Renee EB-Walton

Therapist

Virtual • California


“My training enables me to facilitate personal growth and self-discovery, helping individuals access their inner resources to overcome challenges and reduce suffering.”
LGBTQIA+, Anger management, Anxiety, Depression, Family issues
Inquisitive, Solution-oriented, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Oliver Drakeford

Oliver Drakeford

Therapist

Virtual & in-person • West Hollywood, CA


“I believe that life is most satisfying when the relationships we have with our 'Self,' with 'Others,' and with our 'Family' are healthy and balanced.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Creative, Direct
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Bentley Oliver

Bentley Oliver

Therapist

Virtual • California


“I consider myself a very direct therapist, I will not ask "how does that make you feel" for years as then I would need therapy!”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Direct, Open-minded, Solution-oriented
Accepts 4 insurance carriers
Renee Demirdjian

Renee Demirdjian

Therapist

Virtual • California


“My approach to therapy is an integrative blend of modalities tailored to each individual, drawing from attachment-based therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Internal Family Systems (IFS), and Jungian...”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Inquisitive, Open-minded, Warm
Accepts 6 insurance carriers
Maria Herrera

Maria Herrera

Therapist

Virtual • California


“I see therapy as a collaboration between the therapist and the client. You are the expert in your life.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Humorous, Open-minded, Warm
Accepts 10 insurance carriers
Eleanor Raymond

Eleanor Raymond

Therapist

Virtual • California


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.

LGBTQIA+, Anxiety, Chronic conditions, Depression, Family issues
Affirming, Empowering, Open-minded
Accepts 7 insurance carriers
Yanira Chavez

Yanira Chavez

Therapist

Virtual • California


“As a first-generation Latina living with chronic illnesses, I understand the unique hardships, cultural expectations, and barriers that can impact mental health and well-being.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Empowering, Open-minded, Warm
Accepts 8 insurance carriers
Victoria Leon

Victoria Leon

Therapist

Virtual • California


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.

LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Creative, Empowering, Warm
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Vickie Medina

Vickie Medina

Therapist

Virtual • Ventura, CA


“I believe therapy should feel safe, collaborative, and empowering. Supporting emotional healing and identity development is deeply meaningful to me.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Empowering, Holistic, Open-minded
Accepts 5 insurance carriers

Offers free consultationsView profile and book
George Naves

George Naves

Therapist

Virtual • Glendale, CA


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.

LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Affirming, Inquisitive, Open-minded
Accepts 5 insurance carriers
Lonnie Ferguson

Lonnie Ferguson

Therapist

Virtual • California


“Therapy is a courageous act of self love and it requires a collaborative approach to establish a sense of trust and safety.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, End of life care
Affirming, Inquisitive, Warm
Accepts 7 insurance carriers
Lacresha Collins

Lacresha Collins

Therapist

Virtual • 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.

LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Depression
Empowering, Holistic, Warm
Accepts 7 insurance carriers
Jasmine McDonald

Jasmine McDonald

Therapist

Virtual • California


“My approach to therapy is compassionate, collaborative, and trauma-informed, with a focus on creating a safe and supportive space where clients feel comfortable being themselves.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Open-minded, Solution-oriented
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Veronika Solomon

Veronika Solomon

Psychiatric Mental Health NP

Virtual • Pasadena, CA


“I understand what it feels like to move through the world with multiple marginalized identities, and I bring that lived perspective into my clinical practice.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 4 insurance carriers
Stacy Heiser

Stacy Heiser

Therapist

Virtual • California


“I specialize in working with individuals navigating ADHD, shame, stigma, and transgenerational trauma.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Identity issues
Humorous, Solution-oriented, Warm
Accepts 9 insurance carriers

Offers free consultationsView profile and book
Christine Roberts

Christine Roberts

Therapist

Virtual • California


“I believe strongly in each person's potential for growth and healing, and I'm passionate about creating a space where clients feel understood, supported, and capable of progress.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Open-minded, Solution-oriented
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Dr. Carmen Cuevas

Dr. Carmen Cuevas

Therapist

Virtual • San Diego, CA


“My goal is to provide a supportive, culturally responsive space where clients feel heard, understood, and empowered to build on their strengths and create meaningful, lasting change.”
LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Affirming, Empowering, Solution-oriented
Accepts 7 insurance carriers
Mitchell Coutu

Mitchell Coutu

Psychiatric Mental Health NP

Virtual • California


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Empowering, Open-minded
Accepts 6 insurance carriers

Frequently asked questions

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Find the right LGBTQ-friendly therapy provider for 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.

Factors to Consider When Choosing an LGBTQIA Therapist in San Francisco, CA

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.

Find a provider - your way

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1 Cost may vary based on your location, age, and insurance coverage.