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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.
The focus is to help individuals heal, energize, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, and customizing a treatment plan. I help individuals focus on the Solution.
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 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.
My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)
I specialize in working with adolescents, young adults, and high performers—including Division I athletes, professionals, and anyone striving to meet high expectations. In my work, I’ve learned that growth happens at the edge of comfort—where support and challenge meet. My clients often tell me they appreciate my ability to be both direct and deeply compassionate, creating a space where they feel seen, understood, and encouraged to move forward.
Born in Taiwan, raised in Southern California, and trained in San Francisco and New Mexico, I bring a blend of cultural humility, life experience, and professional training into every session. As an Asian American therapist, I value identity, culture, and lived experience as essential pieces of healing. I aim to create a space where you can show up as your real self—without judgment, without masks.
As a Psychiatric Mental Health Nurse Practitioner, I am dedicated to helping people feel like themselves again. I provide compassionate, evidence based care for anxiety and depression, ADHD, PTSD, bipolar disorder and other mental health conditions.My goal is to create a judgement free space where patients feel heard and receive personalized treatment that fits their lives
I have been working in private practice for a few years and before that I worked in non-profits with a variety of individuals and groups. I am the parent of two adult sons and have three grandchildren that I thoroughly enjoy spending time with. I have an educational background in the study of philosophy, spirituality and counseling psychology. I have experience with helping people with histories of trauma, severe mental illness, as well as, symptoms of anxiety and depression. I also have experience and some expertise with clients struggling with substance use.
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.
Hello, my name is Tamra Smith. I am a licensed clinical social worker (LCSW) in Sacramento, CA. I have over 20 years of experience in the field of Mental Health Services, especially providing therapy and consultation. My practice name is Path to Wellbeing Therapy Services, and I truly lead each person on a path to their own emotional health and wellbeing.
I specialize in supporting women and queer folk heal from complex trauma, anxiety, and depression. I believe meaningful healing involves more than understanding our experiences intellectually—it also involves reconnecting with the body and helping the nervous system develop a greater sense of safety. In our work together, I can help you move beyond insight alone and develop practical tools and embodied practices to better understand and respond to the patterns underlying your struggles.
I am trained in Somatic Experiencing, EMDR and Brainspotting, evidence-informed somatic approaches that can support healing from trauma and C-PTSD. I am currently completing my training in EMDR. I love helping people reconnect with their bodies, access and integrate the full range of their emotions, and develop a deeper sense of aliveness, authenticity, and connection with themselves and others.
I have experience working with neurodivergent individuals, highly sensitive people, members of the LGBTQIA+ community, and people who embrace alternative relationship and lifestyle structures, including consensual non-monogamy. I strive to create a space where you can show up as your whole self—without judgment—and feel genuinely seen, understood, and supported.
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.
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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