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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 2,636 licensed providers who understand LGBTQIA+ experiences. Access therapy virtually or in-person, with many sessions covered by insurance at reduced costs.
I have been a psychologist for 44 years and worn many hats: schools, private practice, clinics and agencies. Experience counts for a lot! I am dedicated to my patients reducing their suffering.
I have two graduate degrees in the field (Behavioral Medicine/Health Psychology and Professional Counseling) and am a licensed behavioral health clinician in both Texas & California. My experience includes working with individuals and groups with a wide range of mental health, substance use, and basic counseling issues. I believe we all need help at points of our life and, if we are willing to ask for it, the support and guidance can be invaluable.
From the outside, it looks like you've got it handled: the job, the responsibilities, the reputation for being reliable. Underneath, your mind rarely slows down: replaying conversations, second-guessing decisions you've already made, feeling guilty when you try to rest.
I work with young adults with anxiety, perfectionism, and self-imposed pressure. A lot of my clients are exhausted by overthinking and frustrated that doing everything "right" hasn't actually brought them any peace.
Together, we'll figure out what's keeping that cycle going and build real tools for managing anxiety and pressure Not just insight, but things you can actually use. My style is direct, down-to-earth, and LGBTQ+ affirming.
Most people start out feeling like they're carrying more than they can hold. Over time, that tends to get lighter, more confidence in your own decisions, less dread before hard conversations, and a life that feels as good on the inside as it looks from the outside.
If you're ready to stop carrying this alone, I'd be glad to connect.
After working 15+ years as an RN I am so excited to be making a difference as a provider of mental healthcare. Working from home allows me to offer better calendar flexibility to accommodate different schedules and to take care of my aging dogs at home!
I am compassionate and empathetic and here to help you reach your goals and become the best version of yourself.
During my training I worked primarily in community behavioral health. It is my goal to beneficially serve the community and provide support to those who need it while hoping to reduce barriers and stigmas that prevent people from getting the care they really need and deserve. Access is for everyone and I want to be a beacon of that message.
I have a certificate in Spanish for Healthcare Providers and as soon as I become a little more fluent I will be able to extend my services, accurately, into a second language.
Hi there, my name is Jose Carranza, LFMT, maneuvering through life and work with thoughtful intention and an open heart. I have approximately a decade of experience working in the mental health field and about 5 years practicing as a therapist. I'm certified in Trauma-Focused CBT and have lengthy experience working with mood, behavioral, and developmental disorders.
I am a Licensed Clinical Social Worker with over twenty years experience. I have a Master's Degree in Social Work with focus on Children and Families, a Master's Degree in Sociology with a Certificate in Criminology and Corrections, and a PhD in Social Work (all but dissertation) with focus on trauma, sexual abuse and assault, and domestic violence. I was the Director of a private, non-profit Foster Care and Adoption Agency, I worked in a women's shelter for domestic violence and sexual assault. I worked in a Level 4 men's prison, and I worked as a Supervisor for mental health therapists serving school systems. I have always had a private practice as well. I have worked in teletherapy for approximately 8 years.
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.
My expertise is in child and adolescent anxiety reduction, OCD, autism and ADHD. My goal is to provide education to kids and their parents about anxiety and related and co-occurring conditions. I also frequently treat phobias, separation anxiety, emotion regulation issues, school refusal, learning disabilities, trauma, giftedness and 2e.
I am also experienced in helping adults and children navigate issues related to divorce including coparenting, custody planning, divorce navigation from considering separation (discernment) through divorce mediation/proceedings to post judgment. I also have expertise in helping adults navigate post separation abuse, domestic violence and coercive control.
I am a Licensed Marriage and Family Therapist located in Marin County, California. My education and training have been centered on being trauma-informed and working with individuals, couples, and families.
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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