Book LGBT-friendly therapy, covered by insurance
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.
Before earning my Masters in Counseling, I earned a PhD in social and personality psychology. This background deeply informs how I show up as a therapist. I help clients address unresolved trauma and grief, anxiety and OCD, address relationship issues, as well as "problems of everyday living." My style is active, engaged, and practical.
I'm Josiah — a licensed marriage and family therapist (LMFT) practicing via telehealth across California. My work centers on three communities I care deeply about: veterans navigating the often-invisible work of coming home, LGBTQ+ individuals and couples looking for a therapist who genuinely gets it, and parents who are doing their best while carrying more than they show. I'm Transgender Allied, trained in trauma-informed and multicultural frameworks, and I work with individuals, couples, and families. Before anything else, I work hard to make sure you feel like yourself in the session — not a diagnosis, not a file.
I specialize in helping clients navigating trauma, anxiety, panic disorder, depression, LGBTQ+ issues, grief, & much more. I earned my MSW from New York University in 2011 and have worked as a forensic social worker in NYC at The Legal Aid Society & have also worked with Gay Men's Health Crisis, Services for the Underserved, Footsteps & Office of the Appellate Defender. I moved to Los Angeles in 2017 and have been in private practice since 2018.
It takes real courage to take this first step toward prioritizing your mental health, and I want to honor that. Beginning therapy can feel vulnerable, unfamiliar, or even intimidating, and I understand that. Maybe you’ve spent a long time in survival mode, developing ways of coping that helped you get through hard experiences but may no longer serve you. That can show up as disconnecting from yourself or others, struggling with boundaries, or carrying a story about yourself shaped by cultural or relational expectations. Wherever you are, we can start exactly where you are.
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.
Hi, I'm Evelyn! As a seasoned psychiatric nurse practitioner with over four years of experience, I'm passionate about helping children, teens, and adults navigate their mental health journeys with compassion and understanding.
I believe everyone deserves to feel heard and empowered in their healing process. Through my work with diverse populations—from children as young as six to adults with complex mental health challenges—I've learned the importance of meeting patients exactly where they are, without judgment and with genuine care.
I specialize in ADHD assessment, medication management, and coaching across all ages. Having witnessed how ADHD impacts every aspect of life, I take a comprehensive approach beyond medication. I help families understand ADHD systems, develop coping strategies, and create academic accommodations for success.
My experience includes managing complex psychiatric conditions and treatment-refractory illnesses requiring specialized medications like lithium and dual-antipsychotic treatments. I believe in holistic care, emphasizing how nutrition, physical activity, mindful practices, and sleep hygiene support mental wellness alongside medication.
What sets my practice apart is collaborative care. I work closely with patients and families to create individualized, achievable treatment goals. Whether addressing anxiety, depression, ADHD, or other conditions, I prioritize building therapeutic relationships where you feel safe sharing your experiences.
I maintain high standards with comprehensive malpractice insurance, current California licensure, and DEA certification. My approach includes medication monitoring and regular prescription checks for your safety.
My practice is built on the foundation that everyone deserves compassionate, personalized mental health care. I look forward to partnering with you to achieve the balance and peace you're seeking.
I work with individuals and families across the spectrum, as well as professionals navigating major life transitions. As a Psychology Professor and Senior Lecturer, I provide a high-level clinical space for those who feel "stuck" in their current narrative. Whether you are exploring your identity, navigating a career shift, or seeking LGBTQ+ affirming care, my ideal clients are those ready to build a life that feels authentic, sustainable, and truly yours.
I am a California-licensed Marriage and Family Therapist actively working in the field since 2019. I have a Bachelor of Arts in Psychology from San Jose State University and a Master of Arts in Counseling from Palo Alto University. I work with a wide range of Clients and diagnoses dealing with topics around coping with life changes, anxiety/stress, depression, mood, relationships, sex, trauma, anger, and harm (to name a few).
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.
Browse by specialty
Find someone who works with what you’re going through.Browse by city
Explore the cities patients search for most.- Oakland, CA
- Berkeley, CA
- San Rafael, CA
- Vallejo, CA
- Palo Alto, CA
- Fremont, CA
- Mountain View, CA
- Santa Clara, CA
- San Jose, CA
- Santa Rosa, CA
- Stockton, CA
- Modesto, CA
- Folsom, CA
- Chico, CA
- Fresno, CA
- Atascadero, CA
- Redding, CA
- Arcata, CA
- Bakersfield, CA
- Simi Valley, CA
- Palmdale, CA
- Beverly Hills, CA
- Glendale, CA
- Pasadena, CA
- Los Angeles, CA
- South Pasadena, CA
- Arcadia, CA
- Victorville, CA
- Long Beach, CA
- Claremont, CA
- Fullerton, CA
- Apple Valley, CA
- Anaheim, CA
- Fontana, CA
- Irvine, CA
- San Bernardino, CA
- Newport Beach, CA
- Riverside, CA
- Moreno Valley, CA
- Menifee, CA
- Temecula, CA
- Yucca Valley, CA
- Oceanside, CA
- Palm Springs, CA
- La Jolla, CA
- San Diego, CA
- Chula Vista, CA
Browse by state
Explore mental health care in another state.- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Mississippi
- Missouri
- Montana
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Texas
- Utah
- Vermont
- Washington
- Wisconsin
- Wyoming





AAAA.jpg)






























