

Richmond's LGBTQIA+ community deserves mental health support from providers who truly understand. Headway offers sessions with warm, affirming therapists across the city, with many patients saving up to 75% on care through insurance coverage and free initial consultations available.
I hope to help you transform those painful, self-limiting beliefs and old patterns into realistic and affirming ones. The process I most often use incorporates bilateral stimulation of the brain. This is a simple technique that often has profound results. It has been shown to move clients very quickly towards the core healing, which is central to lasting results. One of the key benefits of this therapy is the ability to approach new situations /people with creativity, clarity, and new problem-solving techniques. This often occurs spontaneously as part of the process.
I work with individual adults and certain families who are feeling stuck, overwhelmed, sad, lonely, sensitive, anxious, or defeated. If you're feeling heavy by everything going on, or feeling frantic, or having conflict in your relationships or are just feeling lost in any way, I would love to see if I can help! I also work with family units going through transition or strain, such as conflict between a parent and their adult child, or supporting parents who are experiencing difficult things with their child or teen.
I have a lot of experience helping people through loss, whether it's a breakup, losing a job, or a loved one - including loss of a pet, which is a specialty of mine. I have special interest in supporting other therapists, and also community organizers and activists who are engaged in social justice work. Many of my clients are trans or NB, and others are gay, lesbian, or queer. Poly and kink affirming.
I offer telehealth services to clients in California, Idaho, Washington, or Virginia.
Hi! I'm Patricia (Patsy). I have thirty years of psychotherapy experience. I have worked in the public and private sectors. I have a Master's and a PhD in Counselor Education. My experience includes working with individuals who have experienced: substance abuse, depression, anxiety, stress, ADD/ADHD, chronic pain, adjustment issues, grief, PTSD, and childhood trauma/abuse, I enjoy working with clients who are looking for personal growth.
VIRTUAL APPOINTMENTS ONLY-www.axxiums.com
Great to meet you! My name is Umu (She/Her), and I’m a board-certified psychiatric nurse practitioner specializing in integrative, functional, metabolic, and nutritional psychiatry, as well as comprehensive psychological evaluations for adolescents and adults. I support individuals experiencing cognitive and executive functioning challenges such as ADHD, anxiety, sexual health concerns—including premature ejaculation, delayed ejaculation, erectile dysfunction, painful sex, dyspareunia, and vaginismus—and hormonal changes that may impact mental health, including testosterone support and hormone replacement therapy (HRT) when clinically appropriate.
Many of the young people I work with come to me feeling trapped. It's as if the weight of what they're carrying is too heavy to put into words, and they're not sure anyone will understand. Anxiety and depression can make the world feel impossibly small, and for some, those feelings have led to self-harm or thoughts of suicide. I specialize in working with teens and young people, though I welcome clients of all ages — because feeling stuck doesn't come with an age limit.
As your therapist, I create a space where you can slow down and reconnect with yourself. My style is warm, collaborative, and grounded in belief that meaningful change begins within. Whether you’re managing anxiety, relationship challenges, identity shifts, or past experiences that still affect you, we move at your pace with practical tools and honest conversation.


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.
Finding an LGBTQIA+-affirming therapist in Richmond starts with identifying what you want to work on. Many LGBTQIA+ individuals seek support for anxiety, depression, relationship concerns, identity exploration, coming out, gender identity, or the effects of minority stress. A provider with specific training or experience in LGBTQIA+-affirming care can offer a space where you can talk openly about these topics without having to explain the basics of your identity or experiences.
Richmond has a range of licensed providers — including licensed professional counselors (LPCs), licensed clinical social workers (LCSWs), psychologists, and psychiatrists — with experience supporting LGBTQIA+ clients. When evaluating a provider, consider reading their bio to learn about their approach, areas of focus, and background. A free phone consultation can also help you gauge whether a provider feels like the right match before you commit to a session.
Therapy in Richmond can be expensive without coverage, but using your in-network insurance benefits is one of the most reliable ways to reduce your out-of-pocket costs. On Headway, you can enter your insurance details to see estimated session costs upfront, and many patients pay as low as $0 per visit. Nationally, Headway partners with over 100 insurance plans, making it easier to find an affirming provider who fits both your needs and your budget.
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