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LGBT therapists in San Francisco, CA


Top LGBT-friendly therapists and psychiatrists in San Francisco, CA
Find affirming mental health support in San Francisco with 2,625 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.
Dr. Cristina LaFarre
Psychiatric Mental Health NP
Virtual & in-person • 1.5 mi away • San Francisco, CA
I’m a Licensed Clinical Social Worker (NY & CA) with an MSW from NYU and a BA in Communications from Northwestern. With 14 years as a professional actor and teaching artist, I incorporate creativity into my eclectic therapeutic approach, which includes CBT, mindfulness, expressive arts, and psychodynamics. I specialize in supporting clients with anxiety, depression, identity exploration, relational challenges, and personal growth.
Anxiety and perfectionism have turned your mind into a battleground. Your inner critic nitpicks every interaction, leaving you exhausted by thoughts of “Damnit, why can’t I just be better!” Painful memories get louder, no matter how hard you try to ignore them. Daily invalidations of your Latina, queer, or immigrant identity sting, and you feel isolated as you keep your suffering to yourself. You’ve tried everything: doom scrolling, drinking, and self-help books, but nothing has worked. You're left feeling hopeless and weighed down.
For the past 20 years, I've worked across private practices, youth development centers, schools, and mental health clinics. My passion is to work with adults navigating major life transitions. Whether you are a college student or approaching retirement, my hope is to walk alongside you during this time of change and uncertainty; to help create the conditions for you to reconnect with your authentic self and remember what lights you up. We can explore ways to recognize and acknowledge your anxiety that moves beyond words. Incorporating expressive arts, guided imagery, and embodied exercises to help you strengthen your awareness with your emotions and rewrite old narratives.
I'm an interactive bi-cultural somatic expressive arts therapist who brings a lot of joy to the work she does, creating safety to address challenges people face. I offer a unique blend of person-centered, humanistic, transpersonal-oriented somatic-based Expressive Arts therapy and energy practices in German and English. I welcome a variety of clients across cultures, ages, lifestyles, and sexual/gender orientations.
I have had over ten years of training in a variety of somatic therapy approaches. I received my BA in Anthropology at the University of Georgia, and a MA in Counseling Psychotherapy from California Institute of Integral Studies. I've published and presented internationally on themes of embodiment, culture, ancestral memory, and gender. My research on embodiment and culture was published in in the volume Moveable Gardens: Itineraries and Sanctuaries of Remembrance in 2021.
I enjoy bringing humor and kindness to my sessions I want to know what you need and will do my best with helping you get there
Struggling with depression & identity through childhood, diagnosed with ADHD as an adult— I know about "not reaching [your] potential," and feeling like everything is a struggle.
Beginning in middle school as a volunteer, I gained over 20 years of experience with a range of developmental and other issues before beginning grad school.
Since earning my license, my work has focused primarily on adults and teens with ADHD & ASD, chronic depression, LGBTQIA+ & identity issues.
I help Gen Zers and Millennials to manage the overwhelming anxiety and stress that the fast-paced world of today causes. Whether the ever-evolving world is making it difficult for you to navigate the challenges of anxiety, depression, parenthood, work pressures, romantic partnerships, emotional trauma, or interpersonal relationships, I am prepared to aid in rebuilding your confidence and developing a powerful toolkit for combatting mental health blocks.
As a proud Mexican woman, it’s important to me to provide a space for marginalized groups to feel understood and validated. I am LGBTQIA+ affirming and deeply passionate about supporting the queer community with compassion and empathy. I am also sex-positive and have helped many of my clients overcome barriers and concerns regarding sex and physical intimacy.
I graduated from California State University Dominguez Hills with a Master’s Degree in Marital and Family Therapy in 2016. I began seeing clients in 2014, and in the years since, I have worked in substance abuse programs, behavioral health hospitals, intensive outpatient programs, and numerous group practices. Today, I enjoy managing my own practice and seeing my clients thrive as they tackle treatment goals. I am located in Los Angeles and am exclusively offering virtual therapy at this time, making it convenient for you to meet for your sessions in the comfort of your chosen space.
My name is Gerardo Salinas. I have been a Licensed Clinical Social worker and therapist for more than 13 years. I have worked with adults, youth, and families from varied life experiences. I enjoy working with clients from diverse backgrounds.
My goal is to provide a space that feels warm, non-judgmental and more importantly helpful. I work with adults, adolescents and adults who are experiencing trauma, depression, anxiety, grief and many of the other effects and challenges.
About our LGBTQIA+ affirming therapists located within 20 miles of San Francisco, CA



- 100%LGBTQIA+
- 100%Anxiety
- 96%Stress management
- 92%Relationship issues
- 92%Depression

- 96%Aetna
- 67%Anthem Blue Cross California
- 54%Providence Health Plan
- 38%Carelon Behavioral Health
- 33%United Healthcare

- 96%English
- 8%French
- 8%Spanish
- 4%German
- 4%Romanian

- 88%In-person or online
- 13%In-person only

- 88%Woman
- 8%Non-binary
- 4%Man

- 63%Licensed Marriage/Family Therapist
- 17%Clinical Psychologist
- 13%Licensed Clinical Social Worker
- 4%Licensed Professional Clinical Counselor
- 4%Nurse Practitioner

- 100%Individual therapy
- 46%Child or adolescent therapy
- 29%Family therapy
- 21%Couples therapy
Frequently asked questions


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
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.
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