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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 2,460 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.

Desiree Hughes

Desiree Hughes

Psychologist

Virtual • California


I am a clinical psychologist with specialized training in trauma and relational modalities. We may be a good fit if you: • Value insight and depth. • Are curious about yourself and want to understand the "why". • Intuitively know that lasting change requires real work—and are ready for it. Reach out to me for a free 15 min. consultation today.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Direct, Open-minded
Accepts 1 insurance carrier
Nathan Thephavongsa

Nathan Thephavongsa

Therapist

Virtual • California


“My approach is warm, open-minded, and collaborative. I believe therapy is a space for exploration and growth...”
LGBTQIA+, Anxiety, Depression, PTSD, Relationship issues
Direct, Open-minded, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Sam Zia

Sam Zia

Therapist

Virtual • California


“I am an AASECT-trained Sex Therapist. I have an MA in Clinical Psychology, and am a PhD Candidate in Human Sexuality.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Humorous, Open-minded, Warm
Accepts 6 insurance carriers
Valerie Vasquez

Valerie Vasquez

Psychiatric Mental Health NP

Virtual • California


“I believe the best care comes from building a genuine partnership and creating a treatment plan that fits your unique goals and lifestyle.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Solution-oriented, Warm
Accepts 7 insurance carriers
Tunisia Nelson

Tunisia Nelson

Therapist

Virtual • California


I am a Licensed Clinical Social Worker. I have a MSW in social work and a BA in Psyhcology with a minor in African American studies. My educational background and career include extensive work with transitional age youth, teens, children and families and other disenfranchised populations.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Depression
Affirming, Inquisitive, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Mallory Nesberg

Mallory Nesberg

Therapist

Virtual • California


“I offer a warm, down-to-earth approach where clients can leave sessions feeling calm, empowered, and optimistic.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Empowering, Holistic, Warm
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Oladunni Amiri

Oladunni Amiri

Psychiatric Mental Health NP

Virtual • California


“I believe every person's story is unique, and my approach focuses on uncovering the root causes of mental health struggles like anxiety, ADHD, trauma, & depression.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Dr. Sayeh Ghazi

Dr. Sayeh Ghazi

Psychologist

Virtual • California


“I believe therapy should be a space where you feel safe to be yourself—no masking, no judgment—just real conversations about what you want to change and how we can get there.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Holistic, Solution-oriented
Accepts 8 insurance carriers
Rebecca Moreno

Rebecca Moreno

Therapist

Virtual • California


“I strive to help you feel empowered and hopeful, while providing you the tools you need to navigate through your hardships.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Empowering, Open-minded, Warm
Accepts 11 insurance carriers
Dr. Roberto Luna

Dr. Roberto Luna

Psychologist

Virtual • California


“I specialize in supporting high-achieving individuals as they navigate complex cultural identities, demanding professional environments, and the unique pressures of excelling in spaces where they may feel like outsiders.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Direct, Inquisitive
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Clint Nacar

Clint Nacar

Psychiatric Mental Health NP

Virtual • California


“I strive to provide a supportive, respectful space where you feel heard, understood, and actively involved in your care.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Warm
Accepts 8 insurance carriers
Penelope Rayas

Penelope Rayas

Therapist

Virtual • California


“I am trained in psychodynamic theory and use a variety of body oriented, insight oriented, holistic and interpersonal approaches.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Eating disorders
Affirming, Open-minded, Warm
Accepts 6 insurance carriers
Carla Hammond

Carla Hammond

Psychiatrist

Virtual • California


“I am a practicing MD with extensive experience in treating a diverse range of psychiatric diagnoses.”
LGBTQIA+, Anger management, Anxiety, Depression, Grief or loss
Empowering, Open-minded, Warm
Accepts 7 insurance carriers
Maureen McGlynn

Maureen McGlynn

Therapist

Virtual & in-person • Long Beach, CA


“I specialize in working with professionals who are burned out, questioning their path, or feeling alone in leadership.”
LGBTQIA+, Anger management, Anxiety, Depression, Family issues
Affirming, Empowering, Warm
Accepts 5 insurance carriers
Sheida Kalantari

Sheida Kalantari

Therapist

Virtual • California


“I'm warm, direct, and empowering. I help you spot patterns holding you back and support you in shifting them.”
LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Direct, Empowering, Warm
Accepts 5 insurance carriers
Lidia Escobar

Lidia Escobar

Therapist

Virtual • California


Feeling overwhelmed, stuck or needing to focus? I enjoy partnering with my clients on their journeys to improved wellness. In our time together, we will celebrate your strengths and develop goals to maximize your wellness, together. While we can't change our past, we can work together to process our story’s strengths and struggles. We can talk through your current challenges and quiet the noise around you. We can explore the barriers that may get in the way of enjoying life to the fullest. We can identify ways to find joy again. I look forward to meeting with you to plan how to achieve your goals.

LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Kayla Hunter

Kayla Hunter

Therapist

Virtual • California


“I am passionate about guiding you through these challenges and empowering you on your journey to self-awareness and understanding.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Warm
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Dean Wright

Dean Wright

Therapist

Virtual • California


“I come with an existentialist approach to the therapeutic room which means I am trying to help my clients find meaning in the change they seek.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Challenging, Humorous, Solution-oriented
Accepts 10 insurance carriers
Kyra Shapiro Gutierrez

Kyra Shapiro Gutierrez

Therapist

Virtual • California


“My philosophy is "make it functional." Together, we identify what is interrupting your day or creating dysfunction, and take realistic, step-by-step approaches to improve your ability to manage and move through daily life more effectively.”
LGBTQIA+, ADD/ADHD, Anger management, Bipolar disorder, Depression
Affirming, Challenging, Open-minded
Accepts 7 insurance carriers
Dr. Brandon Brawner

Dr. Brandon Brawner

Psychologist

Virtual • Oakland, CA


“Attentive listening, open dialogue, compassionate inquiry and a strong sense of adventure are my therapeutic guidelines.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Open-minded, Participatory
Accepts 4 insurance carriers
Crystal Germanetti

Crystal Germanetti

Therapist

Virtual • California


“I take a warm, collaborative approach and believe a strong therapeutic relationship is the foundation for meaningful change.”
LGBTQIA+, Anxiety, Depression, Family issues, Grief or loss
Empowering, Open-minded, Warm
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Ashley Rafal

Ashley Rafal

Therapist

Virtual • California


“I believe in creating a safe, collaborative space where growth is possible and progress is meaningful.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Humorous, Open-minded, Warm
Accepts 5 insurance carriers
Dr. Serge' Nelson

Dr. Serge' Nelson

Psychiatric Mental Health NP

Virtual • California


“I am committed to delivering personalized, high-quality care in a respectful, non-judgmental, and supportive environment where clients feel heard, understood, and empowered in their treatment.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Inquisitive, Solution-oriented, Warm
Accepts 8 insurance carriers
Jocelyn Martinez

Jocelyn Martinez

Therapist

Virtual • California


“I believe therapy should be a space where you can show up as you are—without judgment, pressure, or the expectation that you have everything figured out.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Cultural & ethnic issues
Affirming, Empowering, Humorous
Accepts 8 insurance carriers
Nadia Seray-wurie

Nadia Seray-wurie

Psychiatric Mental Health NP

Virtual • Los Angeles, CA


“I specialize in diagnosing and treating a wide range of mental health disorders and medical conditions.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Participatory, Solution-oriented
Accepts 4 insurance carriers

Offers free consultationsView profile and book
Bart Liles

Bart Liles

Therapist

Virtual • California


I believe everyone needs help from time to time.

I specialize in evening and weekend appointments. Later appointments are available, please request your needs.

I am a friendly goal-oriented therapist who believes strongly in positive self-reinforcement. I have a Master's degree from La Tech University with a background in private practice for over 20 years. I am Licensed in Louisiana and Texas as a professional counselor. I am also Licensed as a marriage and family therapist in Louisiana.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Humorous, Solution-oriented
Accepts 13 insurance carriers
Dr. Terence Ford

Dr. Terence Ford

Therapist

Virtual & in-person • Los Angeles, CA


“My work is grounded in psychoanalytic theory and technique, which means we'll look beyond surface symptoms to understand what's shaping your inner experience and patterns in relationships.”
LGBTQIA+, Anxiety, Bipolar disorder, Depression, Family issues
Direct, Empowering, Open-minded
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Allison Whitehead

Allison Whitehead

Psychiatric Mental Health NP

Virtual • California


“I take a holistic, whole-person approach to care, recognizing how closely mental and physical health are connected.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Inquisitive, Open-minded, Warm
Accepts 6 insurance carriers
Candy Taylor-Ceballos

Candy Taylor-Ceballos

Therapist

Virtual • California


“I am a Bilingual/Bicultural Latiné LCSW with over 12 years of experience working with adolescents, adults and families.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Empowering, Participatory, Warm
Accepts 6 insurance carriers
Tanya Fernandez

Tanya Fernandez

Therapist

Virtual • California


“I believe deep down we all have the wisdom we need—sometimes we just need a safe, compassionate space to reconnect with it.”
LGBTQIA+, Anxiety, Family issues, Grief or loss, Identity issues
Affirming, Empowering, Warm
Accepts 8 insurance carriers
Maida Ferraes

Maida Ferraes

Therapist

Virtual • California


“I am enthusiastic, energetic, self-motivated, compassionate, and patient. We carry many judgments from the world and ourselves, we do not need any additional pressure.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Humorous, Open-minded
Accepts 12 insurance carriers
Maty Wenham

Maty Wenham

Therapist

Virtual • California


“I bring a very human, down-to-earth presence to therapy and value curiosity, humor, and authenticity in the work we do together.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Grief or loss
Affirming, Holistic, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Jiaxi (Jessie) Shao

Jiaxi (Jessie) Shao

Therapist

Virtual • California


Welcome and thank you for taking the time to learn more about me. As a licensed therapist practicing in both California and New York, I believe deeply in the inherent resilience and transformative potential within every individual. I earned my Master’s Degree in Mental Health Counseling from Teachers College, Columbia University. Throughout my clinical practice, I have supported clients across all life stages in navigating complex emotional challenges, including trauma, anxiety, and depression, while empowering them to cultivate healthy, fulfilling interpersonal relationships.

LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Empowering, Open-minded, Warm
Accepts 9 insurance carriers
Dr. Tierra Gregory

Dr. Tierra Gregory

Therapist

Virtual • California


“I strive to create a supportive, nonjudgmental space where clients feel heard, understood, and empowered to move toward meaningful change.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Depression
Challenging, Holistic, Open-minded
Accepts 5 insurance carriers
Najwa Azizi

Najwa Azizi

Psychiatric Mental Health NP

Virtual • California


Hello! I’m Najwa Azizi, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) dedicated to helping individuals navigate life’s challenges with compassion and support. I specialize in treating anxiety, depression, ADHD, trauma, mood disorders, stress, and burnout through a personalized and collaborative approach to care. With a background in both behavioral health and critical care nursing, I understand the importance of treating the whole person — emotionally, mentally, and physically. My goal is to create a welcoming, judgment-free space where clients feel safe, heard, and empowered to grow, heal, and reach their full potential.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Empowering, Holistic
Accepts 6 insurance carriers
Maya Peters

Maya Peters

Therapist

Virtual • California


“My treatment methodology builds on each individual's strengths. I see treatment as a collaborative endeavor that requires empathy, transparency, and client-centered goals.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Open-minded, Warm
Accepts 8 insurance carriers
Maranda Garnett

Maranda Garnett

Therapist

Virtual • California


“I provide a gender affirming, person centered, and trauma informed approach to create a safe space for you to be vulnerable...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Humorous, Open-minded, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Carmon Williams

Carmon Williams

Therapist

Virtual • California


Hi, and welcome! Life’s challenges can feel overwhelming, whether you’re dealing with anxiety, depression, or grief. You may feel stuck, stressed, or unsure how to move forward. My goal is to provide a supportive, non-judgmental space where you can explore your concerns, feel understood, and start building the tools to regain control and find peace.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Warm
Accepts 9 insurance carriers
Susan Choe

Susan Choe

Therapist

Virtual • California


“My approach is eclectic, psychodynamic, humanistic, and integrative. I would describe my communication style as open, attuned, and collaborative.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Affirming, Creative, Holistic
Accepts 5 insurance carriers
Brian Gleason

Brian Gleason

Therapist

Virtual & in-person • Los Angeles, CA


I bring 20 years of experience in many areas of therapy including LGBT specializations, drug/alcohol issues specialization, and a client centered approach

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Depression
Affirming, Open-minded, Solution-oriented
Accepts 4 insurance carriers

Offers free consultationsView profile and book

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.