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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.

Karissa Lentz-Klepacki

Karissa Lentz-Klepacki

Psychologist

Virtual • California


My name is Dr. Lentz and I have been practicing in the mental health field for over 10 years. I strive to help those acquire skills to overcome challenging situations that are tailored to a person's specific need. I am a goal oriented therapist that works diligently to achieve goals that are identified by the individual and myself. Life is full of situations that do not always have clear and definitive answers, which is a process the therapeutic approach I utilize can assist with.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Empowering, Open-minded
Accepts 12 insurance carriers
Tiffany Shah

Tiffany Shah

Therapist

Virtual • California


My passion for helping others and giving back led me to a career that feels both meaningful and purposeful. My own personal experiences with trauma, anxiety, and depression give me a unique insight as a clinician — allowing me to show up for my clients with genuine empathy and understanding.

LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Affirming, Empowering, Warm
Accepts 8 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
Ana Del Nogal

Ana Del Nogal

Therapist

Virtual • California


Hi my name is Ana, I'm a dedicated mental health professional specializing in comprehensive biopsychosocial assessment, strategic treatment planning, and collaborative care. Life can feel overwhelming at times, especially when you are navigating anxiety, depression, trauma, grief, relationship challenges, or major life transitions. You may be feeling emotionally exhausted, disconnected, stuck in unhealthy patterns, or simply wanting a safe space to process what you’ve been carrying. My goal is to provide a supportive and nonjudgmental environment where you feel heard, understood, and empowered to create meaningful change. Together, we can work toward helping you build resilience, improve emotional well-being, strengthen relationships, and reconnect with yourself.

LGBTQIA+, Anger management, Anxiety, Chronic conditions, Cultural & ethnic issues
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Lucia Olson

Lucia Olson

Therapist

Virtual • California


“In the first session, I may ask more questions than in a typical session, but I will provide an open, supportive and calm presence where you take the lead in what you would like to focus on in sessions.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Chronic conditions
Affirming, Open-minded, Warm
Accepts 4 insurance carriers
Dr. Hannah Karolewicz

Dr. Hannah Karolewicz

Therapist

Virtual • California


“My approach is direct, warm, and curious. I believe good sex therapy should feel like a conversation with someone who's genuinely on your side, not an interrogation or a lecture.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Empowering, Open-minded, Warm
Accepts 9 insurance carriers
Dr. Nicko Jaeger

Dr. Nicko Jaeger

Psychiatric Mental Health NP

Virtual • California


Hello,

I am Dr. Jaeger and I welcome you to my practice. I look forward to sitting with you, hearing your story, and developing a plan to help you with your concerns and needs.

LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Depression
Affirming, Open-minded, Warm
Accepts 7 insurance carriers
Beradin Jezeh

Beradin Jezeh

Therapist

Virtual • California


“I believe emotions carry important information, and the goal isn't to get rid of them. It's to learn how to sit with them and respond in a new way.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Challenging, Direct, Warm
Accepts 6 insurance carriers
Rebecca Hardt

Rebecca Hardt

Therapist

Virtual • California


“I wholeheartedly believe it's my role as a therapist to assist you in realizing, cultivating, and accessing the internal and external resources that you already possess.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Direct, Empowering
Accepts 10 insurance carriers
Jocelynn Jones

Jocelynn Jones

Therapist

Virtual • California


“I strive to create a safe, supportive, and nonjudgmental space where clients feel comfortable being themselves.”
LGBTQIA+, ADD/ADHD, Family issues, Grief or loss, Identity issues
Creative, Open-minded, Solution-oriented
Accepts 6 insurance carriers
Nadia Seray-wurie

Nadia Seray-wurie

Psychiatric Mental Health NP

Virtual • Los Angeles, CA


Welcome! Taking the step to prioritize your mental health is powerful, and I’m honored to welcome you to our practice.

I’m Nadia Seray-Wurie, a Psychiatric Mental Health Nurse Practitioner devoted to delivering compassionate, top-tier psychiatric and medical care to individuals and families across our communities. We bring flexible, high-quality care directly to you—offering both in-person appointments and seamless telepsychiatry services. Together, we’ll build a personalized approach to your health so you can thrive.You don’t have to do this alone—we're here to walk alongside you on your journey to wellness.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Participatory, Solution-oriented
Accepts 4 insurance carriers

Offers free consultationsView profile and book
Ronnae Beech

Ronnae Beech

Therapist

Virtual • California


“I work with a lot of people on the spectrum, with depression, with anxiety, with OCD— as I'm able to relate and guide from my own experiences.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Inquisitive, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Christina Billings

Christina Billings

Therapist

Virtual • California


“I work from the belief that healing occurs when clients feel safe, understood, and empowered, especially those navigating complex or high-acuity mental health concerns.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Empowering, Energetic
Accepts 5 insurance carriers
Natalie Trzeciak-Hardwick

Natalie Trzeciak-Hardwick

Therapist

Virtual • California


“I believe the beauty of the therapeutic space is that there is safety to explore and own the story that has shaped who you are.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Solution-oriented, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Diana Fajardo

Diana Fajardo

Therapist

Virtual • California


“My philosophy is: we are shaped by our thoughts, emotions and behaviors therefore with time and effort change is always possible.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Affirming, Open-minded, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Katy Waldorf

Katy Waldorf

Psychiatric Mental Health NP

Virtual • California


“I specialize in treating ADHD, PTSD, anxiety, and depression with a focus on individualized medication management and holistic well-being.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Leonardo Garcia

Leonardo Garcia

Therapist

Virtual & in-person • Visalia, CA


“Additionally, for longer-term treatment, utilize sand tray, expressive arts, mindfulness, Trauma-Focused Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy, and other treatment modalities tailored to each client.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Holistic, Open-minded, Solution-oriented
Accepts 13 insurance carriers

Offers free consultationsView profile and book
Olivia Miller

Olivia Miller

Therapist

Virtual • California


Hi! I'm Olivia. I've been in therapy practice for six years, and am grateful for the opportunity to get to know you! As a queer and neurodivergent person, my career as a therapist has always moved in tandem with my commitment to social and economic justice. My work has taken me to settings with folks experiencing homelessness in South Los Angeles; with justice-involved adults in treatment court diversion programs in San Francisco's Tenderloin neighborhood; in young adult shelters for art therapy groups; with low-income immigrant parents of young children; and with teens and young adults with significant trauma histories.

Through all my roles I always commit to centering community and individual strengths that help arm my clients with the tools necessary to repel various types of systemic violence and oppression. I believe that therapy is inherently political because being human is political.

LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Direct, Warm
Accepts 2 insurance carriers

Offers free consultationsView profile and book
Audrey Karitani

Audrey Karitani

Therapist

Virtual • California


“I'm here to learn what is important to you and help guide you through any challenges you may have that are preventing you from living authentically and without fear.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Grief or loss
Humorous, Participatory, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Delia Daughtry

Delia Daughtry

Psychiatric Mental Health NP

Virtual • California


“I believe mental health care should feel like a conversation with a trusted friend, not a clinical transaction.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Warm
Accepts 9 insurance carriers
Shannon Doty

Shannon Doty

Therapist

Virtual • California


“I approach therapy as a partnership. I use an integrated approach in my practice to find strategies that best meet your needs including Mindfulness, Polyvagal informed work and neurologically informed CBT.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Diabetes
Creative, Open-minded, Warm
Accepts 9 insurance carriers
Cindy Nguman

Cindy Nguman

Therapist

Virtual • California


“I believe therapy works best when it feels like a warm, supportive conversation rather than a rigid clinical interrogation.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Empowering, Humorous
Accepts 4 insurance carriers
Elia Saint Karene

Elia Saint Karene

Therapist

Virtual • California


“My work focuses on helping you reconnect with your inner motivation, expand your capacity for joy, and create a life that feels deeply fulfilling.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Open-minded, Solution-oriented
Accepts 6 insurance carriers
Amanda Smith

Amanda Smith

Therapist

Virtual • California


“There are times when a person feels emotionally "stuck" and feel there is no way to undo it. I know this view well myself!”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Empowering, Open-minded, Warm
Accepts 12 insurance carriers

Offers free consultationsView profile and book
Zachary Arnold

Zachary Arnold

Therapist

Virtual • California


“I use a person-centered lens, meaning I see you as the expert of your life and view our therapeutic relationship as a key part of the healing process.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Holistic, Warm
Accepts 10 insurance carriers
Kesha Saucier

Kesha Saucier

Psychiatric Mental Health NP

Virtual & in-person • Los Angeles, CA


“I 'am a double board-certified Nurse Practitioner who specializes in Child, Adolescent, and Adult Psychiatry and Primary Care...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Solution-oriented, Warm
Accepts 11 insurance carriers
Dr. Lisette Montanez

Dr. Lisette Montanez

Psychologist

Virtual • California


“I'm a direct therapist, which means I'll share what I'm noticing and offer interpretations, but always in a way that feels collaborative, not overwhelming.”
LGBTQIA+, ADD/ADHD, Anxiety, Cultural & ethnic issues, Depression
Direct, Participatory, Warm
Accepts 6 insurance carriers
Sarai Velasquez

Sarai Velasquez

Therapist

Virtual • California


“I strive to create a supportive, collaborative space where you can feel heard and empowered to make meaningful changes.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Family issues
Holistic, Open-minded, Warm
Accepts 5 insurance carriers
Ashley Steineckert

Ashley Steineckert

Therapist

Virtual • California


“I believe meaningful change happens when people feel safe enough to be honest about what's hard, confusing, or painful — and also when they feel challenged in thoughtful and compassionate ways.”
LGBTQIA+, Anxiety, Depression, Family issues, Grief or loss
Energetic, Open-minded, Warm
Accepts 8 insurance carriers

Offers free consultationsView profile and book
Dr. Terence Ford

Dr. Terence Ford

Therapist

Virtual & in-person • Los Angeles, CA


“My work is grounded in psychoanalytic theory and technique, which means we'll look beyond surface symptoms to understand what's shaping your inner experience and patterns in relationships.”
LGBTQIA+, Anxiety, Bipolar disorder, Depression, Family issues
Direct, Empowering, Open-minded
Accepts 1 insurance carrier

Offers free consultationsView profile and book
Kirsty Kenny

Kirsty Kenny

Therapist

Virtual • California


I have vast experience with a wide variety of clients. My professional history includes children living in abusive environments, teenagers who are struggling to access their education due to mental health concerns, families navigating dysfunction and adults dealing with a variety of life difficulties.

I currently work, primarily, in corrections with inmates struggling to adjust to the custody environment. I offer crisis intervention in addition to ongoing support.

I approach the therapeutic space with compassion and openness. I meet my clients right where they are emotionally and in their healing journey.

LGBTQIA+, Anger management, Anxiety, End of life care, Grief or loss
Humorous, Solution-oriented, Warm
Accepts 6 insurance carriers

Offers free consultationsView profile and book
Chirag Bharati

Chirag Bharati

Therapist

Virtual • Cerritos, CA


“An integrative therapy approach that encompasses all aspects of your individual experience is a great starting point.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Direct, Empowering, Participatory
Accepts 7 insurance carriers

Offers free consultationsView profile and book
Emily C. Keehn

Emily C. Keehn

Therapist

Virtual • Sacramento, CA


“My approach is direct, calm, and collaborative. I prioritize building strong therapeutic relationships while helping clients address challenges in meaning, practical, and compassionate ways.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Humorous, Warm
Accepts 10 insurance carriers
Amanda Yates

Amanda Yates

Therapist

Virtual • California


Hello! My approach is centered in the belief that authentic connection with ourselves and others heals. Therapy is an opportunity to dive deep, to develop greater self knowledge, to come into wholeness, accepting and integrating all of our parts and aligning our lives with our Truth and the fullness of who we are. I look forward to the opportunity to support you.

LGBTQIA+, ADD/ADHD, Anxiety, Depression, End of life care
Empowering, Open-minded, Warm
Accepts 10 insurance carriers

Offers free consultationsView profile and book
Steven Cospewicz

Steven Cospewicz

Therapist

Virtual • Santa Clara, CA


“I believe that active listening and a warm, inquisitive, and non judgmental approach allows you to feel safe and heard.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Inquisitive, Open-minded
Accepts 6 insurance carriers
Tanya Fernandez

Tanya Fernandez

Therapist

Virtual • Redlands, CA


“I believe deep down we all have the wisdom we need—sometimes we just need a safe, compassionate space to reconnect with it.”
LGBTQIA+, Anxiety, Family issues, Grief or loss, Identity issues
Affirming, Empowering, Warm
Accepts 8 insurance carriers
Cheyenne Lofthouse-Wolf

Cheyenne Lofthouse-Wolf

Therapist

Virtual • California


Hi, I am Cheyenne, an LCSW who believes therapy doesn't have to feel stiff or clinical to be effective. With several years of experience supporting youth, parents and families, I help clients navigate trauma, maternal mental health challenges, ADHD, anxiety and the often overwhelming stress of everyday life. If you're in the thick of parenting, navigating your teen years or simply feeling stretched too thin, you don't have to figure it out alone.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Dr. Richard Lautenbacher

Dr. Richard Lautenbacher

Psychologist

Virtual • Los Angeles, CA


“Dr. Lautenbacher focuses on compassionately building rapport and adapting to your unique needs and goals.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Inquisitive, Warm
Accepts 10 insurance carriers
Carmon Williams

Carmon Williams

Therapist

Virtual • California


Hi, and welcome! Life’s challenges can feel overwhelming, whether you’re dealing with anxiety, depression, or grief. You may feel stuck, stressed, or unsure how to move forward. My goal is to provide a supportive, non-judgmental space where you can explore your concerns, feel understood, and start building the tools to regain control and find peace.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Empowering, Warm
Accepts 9 insurance carriers
Lee Lynch

Lee Lynch

Therapist

Virtual • Pasadena, CA


“I have worked in LGBTQ+ communities for over 10 years and I love supporting people who live outside of the norm.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Depression
Creative, Inquisitive, Open-minded
Accepts 3 insurance carriers

Frequently asked questions

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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.