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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 2,632 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.
I was born and raised in Montana and have a genuine passion for nature and the outdoors. I received my Bachelors in Psychology at Montana State University in 2001. I then pursued my Masters of Social Work degree and graduated in 2008 from the University of Montana. This graduate program had a focus on providing a social justice and integrated practitioner perspective. I have an eclectic style that can be tailored to each unique individual. My primary therapeutic methods include Mindfulness Based, Holistic, Exposure, Narrative, Cognitive and Behavioral, Strengths Based & Solution Focused Therapies. I provide a non-judgmental and compassionate environment that often helps people feel comfortable. A true passion of mine is structuring therapeutic activities for clients to express, process, increase self-awareness, and de-stress from life’s challenging and developmental experiences.
After working 15+ years as an RN I am so excited to be making a difference as a provider of mental healthcare. Working from home allows me to offer better calendar flexibility to accommodate different schedules and to take care of my aging dogs at home!
I am compassionate and empathetic and here to help you reach your goals and become the best version of yourself.
During my training I worked primarily in community behavioral health. It is my goal to beneficially serve the community and provide support to those who need it while hoping to reduce barriers and stigmas that prevent people from getting the care they really need and deserve. Access is for everyone and I want to be a beacon of that message.
I have a certificate in Spanish for Healthcare Providers and as soon as I become a little more fluent I will be able to extend my services, accurately, into a second language.
Ready to feel more connected, confident, and in control of your life? Whether you’re facing relationship struggles, overwhelming emotions, or challenges around identity, you deserve a space where you feel truly seen and supported.
I’m Rocio Vaca, a Licensed Clinical Social Worker with 17+ years of experience helping couples, individuals, children, and teens create meaningful, lasting change.
For couples, I help turn conflict and disconnection into stronger communication, deeper friendship, and emotional intimacy.
I provide an affirming, judgment-free space for those exploring identity, preparing to come out, building self-acceptance, or navigating gender-affirming care. Together, we can strengthen resilience and address anxiety, depression, and stress.
My expertise is in child and adolescent anxiety reduction, OCD, autism and ADHD. My goal is to provide education to kids and their parents about anxiety and related and co-occurring conditions. I also frequently treat phobias, separation anxiety, emotion regulation issues, school refusal, learning disabilities, trauma, giftedness and 2e.
I am also experienced in helping adults and children navigate issues related to divorce including coparenting, custody planning, divorce navigation from considering separation (discernment) through divorce mediation/proceedings to post judgment. I also have expertise in helping adults navigate post separation abuse, domestic violence and coercive control.
Dr. Clancy Cavnar is a licensed psychologist with specializations in addictions and psychedelic therapy. She has worked with a wide variety of people and with a broad range of diagnoses and life situations that therapy can help with. She offers a comprehensive assessment and treatment focused on a client’s individual needs. Dr. Cavnar is empathic and compassionate, and therapy with her is an exchange of ideas, with deep listening and non-judgmental acceptance.
If you’re carrying trauma, anxiety, or depression, you’ve found a warm and steady place to start. I’m a seasoned Licensed Clinical Social Worker, and mindfulness has been a deeply important part of my own life and my work for nearly 30 years. Over the years, I’ve completed intensive meditation training in India, Nepal, Sri Lanka, and the United States, experiences that have profoundly shaped how I understand healing, presence, and the connection between mind and body. I’d be honored to bring all of that to you.
I am a Licensed Clinical Social Worker with over twenty years experience. I have a Master's Degree in Social Work with focus on Children and Families, a Master's Degree in Sociology with a Certificate in Criminology and Corrections, and a PhD in Social Work (all but dissertation) with focus on trauma, sexual abuse and assault, and domestic violence. I was the Director of a private, non-profit Foster Care and Adoption Agency, I worked in a women's shelter for domestic violence and sexual assault. I worked in a Level 4 men's prison, and I worked as a Supervisor for mental health therapists serving school systems. I have always had a private practice as well. I have worked in teletherapy for approximately 8 years.
My patients can expect me to be warm, empathetic, and genuinely interested in their story. I take time to understand not just current struggles, but also personal history and experiences that have shaped who they are. I believe that mental health is deeply connected to overall health, and treating psychiatric conditions can positively impact all areas of life. I work with all patients and conditions, and I always meet people where they are. If someone isn’t ready for medications, I fully support their choice and will be there to provide guidance, education, and care until the time feels right for them. Above all, I listen, I value each person’s perspective, and I aim to create a safe space where patients feel truly heard.
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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