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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 2,466 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.

Julie Hall-Sweaza

Julie Hall-Sweaza

Therapist

Virtual • California


Hi, I’m Julie. I have been a therapist for almost 20 years. I have experience with individuals and families who are living with mental health issues, and I also have extensive experience helping those with substance use problems. If you’re feeling anxious, overwhelmed, or unsure how to move forward, therapy can offer a supportive place to feel understood, begin to recover, and reconnect with yourself.

LGBTQIA+, Anxiety, Depression, Family issues, Grief or loss
Empowering, Solution-oriented, Warm
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Erika Sanchez

Erika Sanchez

Therapist

Virtual • California


“My approach is flexible and down-to-earth, drawing from different styles depending on what works best for you.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Holistic, Open-minded
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Maria Vargas

Maria Vargas

Therapist

Virtual • California


“I will work with you and empower you to know that your voice is heard; you are seen; and that you matter.”
LGBTQIA+, ADD/ADHD, Anxiety, Cultural & ethnic issues, Depression
Affirming, Empowering, Open-minded
Accepts 5 insurance carriers
Julissa Miro Quesada

Julissa Miro Quesada

Therapist

Virtual & in-person • Los Angeles, CA


“I deeply value cultural context and our innate need for human connection, authenticity, and belonging.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Creative, Inquisitive, Warm
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Blair Bishop

Blair Bishop

Therapist

Virtual • California


“My approach is warm and collaborative. I think that humor can be incredibly healing and I incorporate it when appropriate.”
LGBTQIA+, Anxiety, Depression, Family issues, Grief or loss
Creative, Empowering, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Diana (Didi) Orozco

Diana (Didi) Orozco

Therapist

Virtual • California


“My style is warm, down-to-earth, and collaborative. I believe therapy works best when it feels like a safe enough space where you can show up exactly as you are—tears, laughter, uncertainty, and all.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Identity issues
Empowering, Open-minded, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Arezoo Masjedi Esfahani

Arezoo Masjedi Esfahani

Psychologist

Virtual • California


“I value the complexity of people's unique backgrounds and goals, and use these to develope individulized treatment.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Solution-oriented
Accepts 8 insurance carriers
Rebecca Schack

Rebecca Schack

Therapist

Virtual • California


“Many people I work with appear capable and composed on the outside while their bodies remain in a constant state of stress, anxiety, or emotional shutdown.”
LGBTQIA+, Anxiety, Depression, Eating disorders, End of life care
Holistic, Inquisitive, Warm
Accepts 9 insurance carriers

Offers free consultationsView profile and book
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
Michelle Bahy

Michelle Bahy

Therapist

Virtual • California


“Our relationship will be a process in which you will learn to identify patterns and gently redirect your behavior and attitudes to make healthy choices conducive to a happy life journey.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Eating disorders
Empowering, Humorous, Solution-oriented
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Jasmine Maniti

Jasmine Maniti

Psychiatric Mental Health NP

Virtual • San Francisco, CA


“My approach emphasizes collaboration—I believe the best outcomes happen when we work together as partners in your care.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Holistic, Open-minded, Warm
Accepts 5 insurance carriers
Ole Von Frausing-Borch

Ole Von Frausing-Borch

Therapist

Virtual • Santa Maria, CA


“I was trained in Humanistic-Existential Psychotherapy, but over the years have become quite eclectic utilizing whatever approach best serves my client.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Challenging, Empowering, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Nhat Ngo

Nhat Ngo

Therapist

Virtual • California


“I believe a therapist's role is not to "fix" someone's problem(s) but rather to empower the individual to make changes that are best for him/her...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Open-minded, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Thomas Moore

Thomas Moore

Therapist

Virtual • California


I’m Thomas Moore, LPCC, a licensed professional clinical counselor providing therapy for individuals navigating anxiety, trauma, emotional overwhelm, identity development, and complex relational patterns. Many of the people I work with feel stuck in repeating cycles such as overthinking, people pleasing, emotional shutdown, intense reactions, or difficulty maintaining stable relationships even when they logically understand what they should do. My goal is to help you translate insight into real change.

My approach is structured and compassionate. I integrate evidence based methods including cognitive restructuring, emotional regulation training, interpersonal effectiveness skills, and trauma informed therapy. Sessions focus on understanding why your brain reacts the way it does and building practical tools you can actually use outside the therapy room. This is not only about talking through problems but learning how to respond differently when they show up in real life.

I work well with clients who want more than passive support and are ready to build skills, increase self awareness, and interrupt patterns that no longer serve them.

What clients should know before starting

Therapy with me is collaborative and active and you will learn strategies rather than only venting. We will work on understanding both the emotional and neurological side of your reactions. Sessions focus on present day functioning while also addressing past experiences that still affect you. I may gently challenge patterns when it supports growth while maintaining a supportive and respectful space. Progress often comes from small repeated changes rather than sudden breakthroughs.

If you are looking for therapy that combines validation with practical change, we will likely work well together.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Open-minded, Warm
Accepts 4 insurance carriers
Carla Guillaume

Carla Guillaume

Therapist

Virtual • California


There is something different about talking to someone who actually understands your world. I work with adults navigating anxiety, depression, grief, trauma, life transitions, and challenges with identity and how they see themselves, and I offer sessions in both English and Haitian Creole. I bring particular care to clients from Haitian and Caribbean backgrounds and to women navigating the emotional weight of motherhood, loss, and everything in between. With more than 15 years of experience, I have seen what becomes possible when people feel genuinely seen and free to show up exactly as they are.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Solution-oriented, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Destinee Stewart

Destinee Stewart

Therapist

Virtual • California


“My approach to therapy is warm, collaborative, and solution-oriented. I strive to create a safe, supportive space where clients feel heard, respected, and empowered to explore challenges and move toward meaningful change.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Kimberly Rios Lopez

Kimberly Rios Lopez

Therapist

Virtual • California


“My goal is to create a supportive environment where you feel heard, respected, and empowered to move forward in ways that honor your identity and values.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Inquisitive
Accepts 5 insurance carriers
Elham Sumner

Elham Sumner

Psychiatric Mental Health NP

Virtual • Los Angeles, CA


“I believe in taking the time to fully understand your unique situation. I will collaborate with you to create a treatment plan that best aligns with your values.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Solution-oriented, Warm
Accepts 10 insurance carriers
Dr. Sheida Francis

Dr. Sheida Francis

Therapist

Virtual & in-person • Los Angeles, CA


“I view therapy as an adventure into our inner world. Understanding the inner forces that drive our feelings is vital.”
LGBTQIA+, Anxiety, Chronic conditions, Cultural & ethnic issues, Depression
Holistic, Open-minded, Participatory
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Cameron Virjee

Cameron Virjee

Therapist

Virtual • Petaluma, CA


“I focus on listening, asking thoughtful questions, and paying attention to what's actually going on in their world.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Direct, Holistic, Warm
Accepts 6 insurance carriers
Yvonne Miller

Yvonne Miller

Psychologist

Virtual • California


“As a solution-focused therapist, my goal is to help you uncover your true potential and live a life worth celebrating.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Cultural & ethnic issues
Affirming, Empowering, Open-minded
Accepts 4 insurance carriers

Offers free consultationsView profile and book
Cynthia Fullwood-fleck

Cynthia Fullwood-fleck

Therapist

Virtual • California


“I believe that therapy is a collaborative journey—one where you show up as your authentic self and know that you'll be supported every step of the way.”
LGBTQIA+, Anxiety, Cultural & ethnic issues, Depression, Family issues
Affirming, Open-minded, Solution-oriented
Accepts 5 insurance carriers
Tony Gunn

Tony Gunn

Therapist

Virtual • California


I am Tony Gunn, a Licensed Independent Clinical Social Worker and Licensed Clinical Social Worker. I am also a Substance Abuse Professional and a board certified transgender care therapist. I value connection, trust, and respect.

I work with adults, teens, families, and couples. My focus areas include LGBTQIA+ clients, gender nonconforming clients, transgender care, sexual health concerns, trauma, grief, mood concerns, and major life transitions.

You receive care grounded in empathy, cultural awareness, and collaboration. Sessions center on clear goals, practical skills, and meaningful insight. I create a space where you feel heard, supported, and understood without judgment.

I provide services through in-person and telehealth settings. My approach blends evidence-based practice with care shaped around your needs, values, and lived experience. My goal centers on supporting clarity, stability, and long-term well-being through an affirming therapeutic relationship.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Identity issues
Affirming, Empowering, Open-minded
Accepts 6 insurance carriers
Nicholas Seibel

Nicholas Seibel

Therapist

Virtual • California


“I believe the most transformative healing happens in relationship through empathy, attunement, and having the space to be fully yourself, without the need for code-switching, masking, or minimizing any part of your experience.”
LGBTQIA+, ADD/ADHD, Men's issues, Substance use / addiction, Trauma
Affirming, Humorous, Solution-oriented
Accepts 3 insurance carriers

Offers free consultationsView profile and book
Yesenia Benitez

Yesenia Benitez

Therapist

Virtual • California


“My approach to therapy is nurturing, compassionate, and strength based. I believe every person has inner strengths and resilence that can support healing and growth.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 7 insurance carriers
Heather Cobbs

Heather Cobbs

Therapist

Virtual • Woodland Hills, CA


“Heather is a firm believer in the power of positive self talk and the importance of befriending our inner critic.”
LGBTQIA+, Anxiety, Depression, End of life care, Grief or loss
Empowering, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Christyn Delgadillo

Christyn Delgadillo

Therapist

Virtual • California


Thank you for considering me. I am a Licensed Clinical Social Worker in California. I have a Masters in Social Work from the University of Southern California where I studied Adult Mental Health an Wellness and Military Social Work. I specialize in the Veteran and First Responder populations.

LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Humorous, Open-minded, Warm
Accepts 6 insurance carriers
Allan Sadac

Allan Sadac

Therapist

Virtual & in-person • Los Alamitos, CA


“From our work, I hope you leave every session with more clarity and direction about the changes you can influence and bring you closer to the life you are wanting.”
LGBTQIA+, Cultural & ethnic issues, Men's issues, Relationship issues
Open-minded, Solution-oriented, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Nolanda Bush Msw, Lcsw

Nolanda Bush Msw, Lcsw

Therapist

Virtual • California


Hello and welcome to therapy. You are one step closer on your journey to achieving your goals, passions, and intentions. You and I will develop a therapeutic relationship as you work through trauma, anxiety, depression, and other areas that you would like growth in. You will utilize the strengths that you already have, and keep expanding on those. It is my job to create a safe, open, and person-centered environment. I look forward to working with you on your healing journey! Keep going and growing.

LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Open-minded, Solution-oriented
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Dr. Louise B Agyemang

Dr. Louise B Agyemang

Psychiatric Mental Health NP

Virtual • California


“She has extensive experience in psychiatric mental health both in pediatric, teenagers and geriatric population and effective management of Depression, Anxiety, ADHD, Substance abuse, OCD, Bipolar disorder, Eating disorders, Schizophrenia and Mood...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Open-minded
Accepts 4 insurance carriers
Anjana Kathuria

Anjana Kathuria

Therapist

Virtual • California


I am a Licensed Clinical Social Worker (LCSW) in California since 2008. My work is grounded in compassion, collaboration, and respect for each client’s unique life story.

I support clients navigating anxiety, depression, stress, health issues, and interpersonal relationship challenges, trauma, grief, aging, and end-of-life concerns. I strive to create a safe, nonjudgmental space where clients can explore challenges, build resilience, and reconnect with their strengths while moving toward greater clarity, healing, and emotional balance.

LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Open-minded, Warm
Accepts 10 insurance carriers
Maria Delia Fortunato

Maria Delia Fortunato

Psychiatric Mental Health NP

Virtual • Los Angeles, CA


“My passion is to empower you to achieve your goals towards better quality of life through collaborative patient-provider partnership...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Warm
Accepts 6 insurance carriers
Skylar Valles

Skylar Valles

Therapist

Virtual • California


“I'm especially passionate about helping people recognize and work through intergenerational patterns of trauma.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Empowering, Solution-oriented, Warm
Accepts 10 insurance carriers
Kristen Nurkowski

Kristen Nurkowski

Therapist

Virtual • California


“My goal is to honor each individual's unique journey, empowering them to reconnect with their inner wisdom and guidance developing a more balanced, fulfilling, and joyful life.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Brandy Walker

Brandy Walker

Therapist

Virtual • California


“I am a firm believer that there are solutions to all of life's problems, and I believe therapy is a gateway to change.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Open-minded, Solution-oriented, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Kelly Van Amberg

Kelly Van Amberg

Therapist

Virtual & in-person • Los Angeles, CA


“Kelly utilizes a directive and interactive approach in therapy. She believes the you are the expert in you own experiences...”
LGBTQIA+, Anxiety, Family issues, Relationship issues, Stress management
Direct, Empowering, Open-minded
Accepts 2 insurance carriers

Offers free consultationsView profile and book
Joe Arias

Joe Arias

Therapist

Virtual • Riverside, CA


“Joe Arias is a Latinx and Queer Therapist eager to provide a judgment-free space where you can build self-compassion and feel that your voice is heard.”
LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Direct, Empowering, Solution-oriented
Accepts 7 insurance carriers
J Carlin Dawgert

J Carlin Dawgert

Therapist

Virtual • California


Hi, I'm J! I'm a licensed Marriage and Family Therapist with over 25 years of experience working with individuals and relationships across a range of settings, from community mental health to private practice. My approach is interactive, dynamic, and deeply engaged, because I believe real progress happens when therapy feels like a genuine partnership. Whether you're navigating long-standing challenges or facing something new, I'm here to help you move forward. I currently see clients via Telehealth and can't wait to connect with you!

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Direct, Warm
Accepts 7 insurance carriers
Joshua Villagomez

Joshua Villagomez

Therapist

Virtual • California


“Clients can expect a non-biased approach where they can be their honest selves while being gently challenged to increase insight and awareness into unhealthy patterns that may no longer serve them.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Cultural & ethnic issues
Empowering, Humorous, Open-minded
Accepts 7 insurance carriers
Melissa Fletcher

Melissa Fletcher

Therapist

Virtual • California


“I have a lot of energy! I love helping while providing you the support you need help managing stress anxiety/panic attacks, anger, motivation, self-esteem, improving confidence, past substance use, and/or depressive symptoms.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Empowering, Energetic
Accepts 7 insurance carriers

Frequently asked questions

Therapy Chair

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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.