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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.

Steven Cospewicz

Steven Cospewicz

Therapist

Virtual • Santa Clara, CA


“I believe that active listening and a warm, inquisitive, and non judgmental approach allows you to feel safe and heard.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Inquisitive, Open-minded
Accepts 6 insurance carriers
Ebie Okonkwo-Anwasi PhD

Ebie Okonkwo-Anwasi PhD

Psychologist

Virtual • California


“I am goal-oriented, and together, we will map out a plan tailored to get you the best result possible.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Warm
Accepts 6 insurance carriers
Chartia Byrdsong-Flowers

Chartia Byrdsong-Flowers

Therapist

Virtual • California


Welcome, and thank you for considering me as a partner in your wellness journey! My therapeutic style is warm, gentle, and supportive, while also being direct and accountability focused. I believe meaningful change happens when compassion and honesty work together. In our time together, we will explore what’s getting in the way of your well-being and identify practical, sustainable ways to improve your daily functioning and overall quality of life.

With over a decade of experience in the mental health field, I bring a grounded, steady presence to the therapeutic space. I support clients through life transitions, emotional challenges, and periods of feeling stuck, always meeting you where you are while helping you move toward where you want to be. Therapy with me is collaborative, intentional, and centered on your goals, your values, and your lived experience. Together, we’ll work toward clarity, resilience, and growth at a pace that feels both supportive and empowering.

LGBTQIA+, Anxiety, Bipolar disorder, Depression, PTSD
Affirming, Direct, Inquisitive
Accepts 9 insurance carriers
Cristina Vigil

Cristina Vigil

Therapist

Virtual • California


“My speciality in the last ten years has been working with gender expansive and LGBTQ+ children, adolescents and their families/caregivers.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Family issues, Identity issues
Affirming, Empowering, Warm
Accepts 7 insurance carriers
Dr. Jack Sample

Dr. Jack Sample

Psychologist

Virtual & in-person • Los Angeles, CA


I'm Dr. Jack Sample, a licensed clinical psychologist in Los Angeles offering psychodynamic, depth-oriented therapy at my office in Hollywood. My practice is informed by training and education in psychology, cultural anthropology, and nonfiction storytelling. I believe therapy is an opportunity to address the roots of suffering and support enduring change. My approach aims to cultivate capacities for thinking, feeling, and creativity to foster a greater sense of agency and aliveness.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Open-minded, Warm
Accepts 2 insurance carriers

Offers free consultationsView profile and book
Ashley Martinez

Ashley Martinez

Therapist

Virtual • California


“I have over 15 years experience working with culturally diverse backgrounds, people in the entertainment industry, and the LGBTQIA community in SF.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Creative, Open-minded, Warm
Accepts 4 insurance carriers
Thomas Moore

Thomas Moore

Therapist

Virtual • California


I’m Thomas Moore, LPCC, a licensed professional clinical counselor providing therapy for individuals navigating anxiety, trauma, emotional overwhelm, identity development, and complex relational patterns. Many of the people I work with feel stuck in repeating cycles such as overthinking, people pleasing, emotional shutdown, intense reactions, or difficulty maintaining stable relationships even when they logically understand what they should do. My goal is to help you translate insight into real change.

My approach is structured and compassionate. I integrate evidence based methods including cognitive restructuring, emotional regulation training, interpersonal effectiveness skills, and trauma informed therapy. Sessions focus on understanding why your brain reacts the way it does and building practical tools you can actually use outside the therapy room. This is not only about talking through problems but learning how to respond differently when they show up in real life.

I work well with clients who want more than passive support and are ready to build skills, increase self awareness, and interrupt patterns that no longer serve them.

What clients should know before starting

Therapy with me is collaborative and active and you will learn strategies rather than only venting. We will work on understanding both the emotional and neurological side of your reactions. Sessions focus on present day functioning while also addressing past experiences that still affect you. I may gently challenge patterns when it supports growth while maintaining a supportive and respectful space. Progress often comes from small repeated changes rather than sudden breakthroughs.

If you are looking for therapy that combines validation with practical change, we will likely work well together.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Open-minded, Warm
Accepts 4 insurance carriers
Shayne Kelley

Shayne Kelley

Therapist

Virtual • California


“I help clients manage anxiety, depression, trauma, and more by working collaboratively to challenge negative thought patterns and build healthier habits.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Solution-oriented
Accepts 8 insurance carriers
Jolene Jensen

Jolene Jensen

Therapist

Virtual • California


“I see life challenges as tools to learn, grow, evolve and find new purpose, empathy, depth and meaning.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Open-minded, Solution-oriented, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Jennifer Pritchard

Jennifer Pritchard

Therapist

Virtual • California


“I believe therapy is a collaborative, dynamic process... so that they can live a full, authentic, and fulfilling life.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Open-minded, Solution-oriented, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Yesenia Benitez

Yesenia Benitez

Therapist

Virtual • California


“My approach to therapy is nurturing, compassionate, and strength based. I believe every person has inner strengths and resilence that can support healing and growth.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 7 insurance carriers
Ana Del Nogal

Ana Del Nogal

Therapist

Virtual • California


Hi my name is Ana, I'm a dedicated mental health professional specializing in comprehensive biopsychosocial assessment, strategic treatment planning, and collaborative care. Life can feel overwhelming at times, especially when you are navigating anxiety, depression, trauma, grief, relationship challenges, or major life transitions. You may be feeling emotionally exhausted, disconnected, stuck in unhealthy patterns, or simply wanting a safe space to process what you’ve been carrying. My goal is to provide a supportive and nonjudgmental environment where you feel heard, understood, and empowered to create meaningful change. Together, we can work toward helping you build resilience, improve emotional well-being, strengthen relationships, and reconnect with yourself.

LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Dr. Hannah Karolewicz

Dr. Hannah Karolewicz

Therapist

Virtual • California


“My approach is direct, warm, and curious. I believe good sex therapy should feel like a conversation with someone who's genuinely on your side, not an interrogation or a lecture.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Empowering, Open-minded, Warm
Accepts 9 insurance carriers

Offers free consultationsView profile and book
Ray Nguyen

Ray Nguyen

Psychiatric Mental Health NP

Virtual • California


“I believe clients should not only receive treatment, but also understand their mental health and feel empowered in their care.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Depression
Empowering, Humorous, Open-minded
Accepts 6 insurance carriers
Tammie Makely

Tammie Makely

Therapist

Virtual • California


“My role isn't to fix you -- it's to work alongside you to quiet the noise, get curious about what's underneath, and help you reconnect with yourself and the people who matter most to YOU.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Empowering, Humorous, Open-minded
Accepts 6 insurance carriers
Dr. Cristal Lopez

Dr. Cristal Lopez

Psychologist

Virtual • California


“I specialize and publish work in: coping with chronic illnesses, career-related issues (burnout, work-life balance), trauma, adverse childhood experiences, and stress related to first-responder families.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 2 insurance carriers

Offers free consultationsView profile and book
Gema Martir

Gema Martir

Therapist

Virtual & in-person • San Diego, CA


“Direct, Warm, Inquisitive and Critical questions that are focused on identity development in the family individual or couple system.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Inquisitive, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Nadine Mejia

Nadine Mejia

Therapist

Virtual • California


My goal with therapy is to provide a safe and open space to process and prioritize a growth mindset. I tailor my therapeutic approach to best match the needs of the client and truly believe in promoting acceptance. Some modalities I have experience with and may incorporate into therapy are Acceptance Compassion Therapy, Motivational Interviewing, Solution Focused, Client-Centered, Cognitive Behavioral Therapy, Here-and-now Counseling, Trauma-Informed, and Holistic. I have a passion for working with individuals who are looking to unpack complex emotions and experiences that have shaped their understanding of the world.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Empowering, Open-minded, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Jennifer Burgin

Jennifer Burgin

Therapist

Virtual • California


“I strive to be different than other therapists and will go above and beyond to customize therapy just for you...”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Creative, Empowering, Open-minded
Accepts 6 insurance carriers
Avi Levin

Avi Levin

Therapist

Virtual • California


“It's within the potential space of the therapeutic experience that we can grow beyond our prior limitations.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, End of life care
Empowering, Open-minded, Warm
Accepts 12 insurance carriers
Emily McKillip

Emily McKillip

Therapist

Virtual • California


“I am known for creating a warm, safe, and collaborative therapeutic space where clients feel seen, heard, and empowered to heal.”
LGBTQIA+, Anxiety, Depression, Relationship issues, Substance use / addiction
Holistic, Open-minded, Solution-oriented
Accepts 10 insurance carriers
Leigh Johnson

Leigh Johnson

Therapist

Virtual & in-person • Sacramento, CA


You may be seeking support in moving toward a more preferred version of yourself, your life, and your relationships. You may be questioning important facets of your identity, or wondering how to locate and uproot the seeds of painful and complicated emotions. Perhaps you are curious about navigating a different type of relational structure with your loved ones, or you may be feeling stuck with a particular challenge in the way you connect to others. My role as a therapist is to provide support and facilitate insight that will allow you to work toward your personal goals.

LGBTQIA+, Anxiety, Depression, Grief or loss, Relationship issues
Affirming, Humorous, Inquisitive
Accepts 1 insurance carrier
Dr. Tracy Griffith

Dr. Tracy Griffith

Therapist

Virtual • California


Seeking help can be the first step to acquire greater understanding and insight into our lives and relationships.

LGBTQIA+, Anger management, Chronic conditions, Depression, End of life care
Empowering, Open-minded, Warm
Accepts 4 insurance carriers

Offers free consultationsView profile and book
Dr. Cristina Antonucci

Dr. Cristina Antonucci

Psychologist

Virtual & in-person • San Diego, CA


“I offer a trauma-informed, attachment centered approach, grounded in curiosity, authenticity and genuine human connection.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Depression
Empowering, Holistic, Warm
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Elaine Dern

Elaine Dern

Therapist

Virtual • California


“I believe therapy offers an individual the power and insight to begin the process towards empowering one's life.”
LGBTQIA+, Anxiety, Bipolar disorder, Chronic conditions, Cultural & ethnic issues
Affirming, Participatory, Solution-oriented
Accepts 9 insurance carriers

Offers free consultationsView profile and book
Nadra Rachell

Nadra Rachell

Therapist

Virtual • California


“I believe therapy can be a powerful space to slow down, feel seen, and reconnect with yourself during life's most challenging moments.”
LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Affirming, Creative, Open-minded
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Tene Rodgers

Tene Rodgers

Therapist

Virtual • Pasadena, CA


I'm Tene Rodgers, a Licensed Marriage and Family Therapist with over 20 years of experience in mental health and social services. I made the decision to become fully licensed five years ago because I wanted to go deeper in the work I've always cared about, and I haven't looked back since. I'm a Black woman, and that lived perspective shapes how I show up in the room. I offer culturally affirming care to adults, teens, and families, with a particular focus on trauma, grief, women's issues, relationship dynamics, and substance use.

LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Open-minded, Solution-oriented, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Desiree De Leon

Desiree De Leon

Therapist

Virtual • California


“I specialize in working with individuals navigating anxiety, depression, trauma, life transitions, and identity exploration, with a deep commitment to supporting women's experiences, including infertility, pregnancy, and postpartum.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Empowering, Holistic, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Natalie Demus

Natalie Demus

Therapist

Virtual • California


If you have been carrying stress, anxiety, or the weight of life's challenges for a long time, you may have wondered whether things can actually change. I believe they can.

I am a licensed clinical social worker in California with over 30 years of clinical experience working with adults, families, and communities. I am bilingual in English and Spanish, and I welcome clients from all cultural backgrounds. My work spans a wide range of concerns, including anxiety, depression, grief, life transitions, trauma, and substance use recovery.

LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Holistic, Inquisitive, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Destinee Stewart

Destinee Stewart

Therapist

Virtual • California


“My approach to therapy is warm, collaborative, and solution-oriented. I strive to create a safe, supportive space where clients feel heard, respected, and empowered to explore challenges and move toward meaningful change.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Dr. Hanh Truong

Dr. Hanh Truong

Therapist

Virtual • California


“As a Vietnamese refugee who has faced profound hardship, I bring a deep understanding of resilience, trauma, and healing to my work.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Affirming, Solution-oriented, Warm
Accepts 7 insurance carriers
Dr. Diana Ukpong

Dr. Diana Ukpong

Psychiatric Mental Health NP

Virtual • California


“My mission is to provide a holistic and personalized approach to mental health care, ensuring that every client has a unique and meaningful experience...”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Affirming, Open-minded, Warm
Accepts 9 insurance carriers
Natalie Rahe

Natalie Rahe

Therapist

Virtual • California


“I believe therapy should be a partnership—where your goals guide the process, and we build tools that fit your real life, not some cookie-cutter model.”
LGBTQIA+, Anger management, Anxiety, Depression, Family issues
Empowering, Holistic, Inquisitive
Accepts 8 insurance carriers
Jennifer Eastman

Jennifer Eastman

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“I invest time in truly hearing your story, what brought you here, what challenges you are working through, and which goals carry the most weight for you.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Warm
Accepts 9 insurance carriers
Regina Perlmutter

Regina Perlmutter

Therapist

Virtual • California


“I determine what is most suitable for my client and my work varies from traditional methods to holistic/ New Age methods that I have developed after many years in this field.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Solution-oriented
Accepts 5 insurance carriers
Patrick Ollar

Patrick Ollar

Psychiatric Mental Health NP

Virtual • California


“I believe in fostering a supportive and nonjudgmental environment where individuals feel heard and empowered in their treatment journey.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Affirming, Open-minded, Solution-oriented
Accepts 11 insurance carriers
Diana Pena

Diana Pena

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“I've dedicated my practice to supporting those who may have struggled to find providers comfortable with their complexity.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Holistic, Open-minded, Warm
Accepts 9 insurance carriers
Amanda Long

Amanda Long

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“I see our relationship as a true partnership. While I bring clinical knowledge and evidence-based treatment approaches, you bring the most important element—intimate knowledge of your own experience, strengths, and goals.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Chronic conditions
Open-minded, Solution-oriented, Warm
Accepts 9 insurance carriers
William Hernandez

William Hernandez

Psychiatric Mental Health NP

Virtual • California


“Working together is a reflective and collaborative process that attends to both symptoms and the deeper patterns that shape your emotional life.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Affirming, Creative, Holistic
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Yu-Ning Lin

Yu-Ning Lin

Psychiatric Mental Health NP

Virtual • California


“I'm an empathetic listener who believes in fully understanding my client in order to customize effective strategies individually.”
LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Affirming, Empowering, Holistic
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.