LGBT therapists in Vancouver, WA

I’m a Licensed Couples & Family Therapist and the founder of a virtual private practice serving clients in Washington and Idaho. My background is rooted in systems theory, which means I consider how family, cultural, and social dynamics shape your experiences and well-being. I specialize in supporting individuals navigating life transitions, relationship challenges, identity exploration, and stress or anxiety. My work is grounded in creating a space where you feel seen, heard, and supported as you move toward meaningful change.

I've had the privilege of exploring three distinct careers—first as an opera singer, then in marketing—but it was discovering Social Work that truly aligned with my passion and purpose. After earning my Master’s in Social Work from NYU, I worked in psychiatric emergency rooms before launching my therapy practice in 2020. I specialize in blending Mindfulness-Based Stress Reduction with Cognitive Behavioral Therapy to help clients uncover internal blocks and move toward lives filled with meaning, vitality, and self-compassion.

Please fill out the intake form prior to our appointment: https://intakeq.com/new/d0rpoq

Hey! You’re seeking help because it is needed. That’s huge! Many people don’t seek treatment or therapy but you’re already on this path. Some folks don’t find the path. You’ve got some idea of what you need and are ready for someone to be along with you on this journey. We both know humans succeed in a team not so much when we are alone. First, give yourself credit because it takes a lot of courage to not do things alone and to be willing to open up to someone you do not know. Your courage is where our journey together starts. It would be an honor to be a part of your team in life, for life!

I am a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) offering telehealth psychiatric care across Oregon and Washington.

With 12 years of nursing experience laying the foundation for my deep love of patient care, I bring warmth, clinical expertise, and heartfelt dedication to individuals navigating life's most complex mental health conditions.

Specialized Sensitivity

Expertise in hormone-related mood changes, pregnancy and postpartum care, attention-deficit hyperactivity disorder (ADHD), and menopause. I'm committed to providing a safe, supportive space .

Integrative Wellness

I weave together evidence-based psychiatry with somatic and mindfulness techniques to help clients reconnect with themselves.

Whatever mental health concerns you are navigating, my approach is always trauma-informed and heart-centered.

As a late diagnosed ADHD woman, I understand the struggles of perfectionism, anxiety and disordered eating and strive to provide neuro-affirming care. You deserve to feel good about yourself and I am confident we can get you there.

Welcome! and thank you for taking the time to do this step for yourself. As a psychiatric provider, I am committed to working with you and your family on your journey to healing and discovering your best self throughout this process. I am a board certified Adult Psychiatric-Mental Health Nurse Practitioner (PMHNP), currently licensed in Washington State and Massachusetts. I have been working in the healthcare industry for over two decades, treating adults age 18+ with chronic severe anxiety disorders, mood disorders, psychotic disorders, trauma, personality disorders, substance abuse disorders, and co-occurring disorders.

I provide warm, empathetic, neurodiversity affirming, and trauma-informed care focused in supporting women, queer, and non-binary individuals to heal the root cause of nervous system dysregulation.

This may be a good fit if you are someone who...

• has done years of personal growth work but still feels emotionally reactive in certain moments
• understands your patterns intellectually, but your nervous system hasn’t fully caught up
• values spirituality, mindfulness, or meditation, but still feels emotionally stuck
• longs for deeper authenticity in relationships
• wants therapy to be experiential, not just analytical
• is functioning well externally while privately carrying old emotional burdens

Please note: I am not accepting cis-male clients at this time.

I have over 15 years experience supporting people seeking to be their best selves. I work best with people that are looking to end self-defeating behaviors, adopt new ones and sustain them.

I'm a Licensed Mental Health Counselor with more than 20 years of experience — and I've spent much of that time working with women navigating anxiety, ADHD, trauma, grief, and the weight of carrying everything at once. I also work as a clinical supervisor, which means I'm constantly learning, staying sharp, and bringing the best of current practice into my work with clients.

I believe therapy works best when it doesn't feel like a performance. My sessions have room for real talk, a little laughter when it's called for, and honesty about what's hard. I take my own wellbeing seriously — time with my dogs, getting outside — because I know showing up fully requires taking care of myself too.

Lindsey Payton has been working in mental health since 2012. During her work in the therapeutic field, she has found her passion for helping those heal from traumatic events that impact how they view themselves or show up in their relationships. She enjoys working with those on a deeper personal level, as well as couples working through finding their connection.