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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 2,638 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.
I’m a Licensed Clinical Social Worker with experience supporting adults, teens, and families in medical, community mental health, and addiction treatment settings. I’ve worked with a wide range of concerns, including anxiety, depression, trauma, and substance use. I bring a calm, supportive, and down‐to‐earth style to therapy so clients feel safe and understood. I also teach social work and sociology at the university level, which keeps me grounded in current research and best practices. Most importantly, I care about meeting you where you are and helping you move toward meaningful change.
I am a multi-state licensed therapist across California, Colorado, Iowa, Nebraska, and Texas, specializing in helping adults navigate deep-seated mental health challenges alongside intense personal and professional transitions.
With vast clinical experience, I have served as a university career counselor, a specialist for healthcare professionals, and a dedicated clinician within both the US Navy Family Advocacy Program and the Department of Veterans Affairs.
My practice provides a highly supportive, practical space for college students, working adults at all career stages, healthcare workers, service members, Veterans, and the LGBTQIA+ community.
I blend empathetic listening with deep clinical insight to help you manage and heal from:
Core Mental Health & Neurodivergence:
Anxiety, depression, ADHD, autism, and identity exploration.
Trauma & Life Impact:
Complex trauma, PTSD, grief, loss, and managing chronic medical conditions.
Daily Survival:
Severe career burnout, relationship problems, and navigating life's overlapping pressures.
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’m April Madden, a Licensed Marriage and Family Therapist and the owner of Twisted Oaks Family Therapy.
If you are interested in services, please reach out to clerical at (805)721-6112 or visit our website at twisitedoakstherapy.com
As the owner of Twisted Oaks Family Therapy, I’ve also built a team of clinicians with diverse specialties so that clients can be matched with a therapist who best fits their individual needs. Our goal is to provide a welcoming, nonjudgmental environment where clients can feel comfortable doing difficult work while knowing they do not have to navigate it alone.
I hold a master’s degree in clinical psychology and have more than 20 years of experience in the helping profession, working with individuals and families facing a wide range of emotional, behavioral, relational, and life challenges.
My approach to therapy is compassionate, trauma-informed, and direct. I believe therapy should be a space where you feel heard and supported, but also a place where meaningful growth happens. I work collaboratively with my clients to identify patterns, build healthier coping skills, strengthen relationships, and create lasting change.
I have experience working with adolescents, adults, couples, and families, with particular focus on trauma and PTSD, anxiety, depression, relationship and family concerns, life transitions, addiction and recovery, communication difficulties, self-esteem, and rebuilding trust and connection. I am also a Certified Substance Use Disorder Counselor IV (SUDCC-IV), which provides me with specialized experience in substance use, addiction, and recovery.
Whether you are seeking support for yourself, your relationship, or your family, our goal is to meet you where you are and help you move toward greater understanding, healing, and meaningful change.
I'm John, a licensed psychologist practicing in Utah and California. I started out in information technology because I loved computers and making sense of data, but over time I found I enjoyed working with people more than working with machines, so I went back to school and earned my doctorate in clinical psychology (PsyD). Since then I have worked in counseling centers, outpatient clinics, hospitals, and schools, and I have really enjoyed applying the science of psychology to help people understand themselves and navigate the challenges of everyday life. I see teens, young adults, adults, and older adults for concerns including depression, anxiety, grief and loss, trauma, life transitions, relationships, men's mental health, and questions of religion and spirituality.
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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