LGBT therapists in Saint Augustine, FL

As a DNP-prepared, board-certified Mental Health Nurse Practitioner, I firmly believe everyone has the right to quality mental health care. With many years of experience in mental health and a diverse nursing background, I am committed to providing a safe, supportive, and judgment-free environment. This is a space where you can feel secure, understood, and empowered to achieve your optimal mental health. Congratulations on taking the first step toward living a fulfilling life.

I am a licensed clinical social worker with 28 years of experience partnering with adolescents, adults of all ages and families. I am bilingual so I offer therapy in english and spanish.

Welcome. Seeking support can feel difficult, especially when you're managing overwhelming emotions, relationship stress, painful experiences, or simply feeling disconnected from the life you want to live. I work with children, adolescents, and adults experiencing anxiety, depression, stress, trauma, grief and loss, bipolar disorder, PTSD, women's issues, and challenges related to self-esteem, life transitions, and relationships. I understand that healing looks different for everyone, and I believe therapy should provide a space where you feel safe, respected, and genuinely understood. Whether you're struggling with day-to-day stress, navigating the impact of past experiences, or trying to make sense of difficult emotions, my goal is to help you gain insight, strengthen coping skills, and build a life that feels more balanced and fulfilling. Together, we can create meaningful change while honoring your unique experiences, strengths, and goals.

I’ve worked with adults, teens, and children for over 20 years, helping them heal, grow, and build the skills needed to become their strongest selves. I specialize in treating depression, anxiety, substance use disorders, and trauma. I focus on getting to the root of challenges while also identifying and strengthening your unique abilities. I believe lasting change happens when you feel truly seen, heard, and supported. I strive to create a safe, compassionate space where you can grow at your own pace.

Figuring out who you are, and where you fit, can feel overwhelming, especially when you're carrying anxiety, family stress, relationship challenges, or feeling disconnected from yourself. Therapy can be a space where you don't have to have everything figured out.

As a Licensed Clinical Social Worker, I work with children, adolescents, adults, and families to create a supportive, affirming environment where people feel safe showing up exactly as they are. Many of the clients I work with are navigating anxiety, identity exploration, family conflict, relationship concerns, stress, or major life transitions. My goal is to help you better understand yourself, build on your strengths, and develop practical tools that support confidence, resilience, and meaningful growth.

Hi :) I'm Tiffany, a Licensed Marriage and Family Therapist in Florida. Although I specialize in working with children and teenagers, I’ve found that some of the most meaningful work happens when I work with mothers. Supporting a child’s well-being often begins with supporting you as you carry so much of your family’s emotional and mental load. Therapy offers a protected hour to focus on you- not because your family isn’t important, but because -you are-.

As a Marriage and Family Therapist, I help men clarify the kind of father and/or partner they want to be, better understand the emotional needs of the people around them, identify patterns that are getting in the way, and take intentional, practical steps toward building better relationships. I especially enjoy helping fathers and their teenage and young adult children repair strained relationships, navigate conflict, and develop healthier ways of communicating.

If you're struggling with addiction, carrying the weight of complex trauma, or trying to cope while managing a chronic health condition, I want you to know there's a way forward — and you don't have to walk it alone. I'm a Certified Drug and Alcohol Counselor (CADC) with over 16 years of experience across private practice, residential substance abuse treatment, medical social work, and the non-profit world. I've sat with people in their hardest, most overwhelming moments, and I bring that same steady, non-judgmental presence to every session.

Much of my work centers on substance use and recovery, complex trauma, and the emotional toll of chronic medical conditions. Whether you're in the thick of a crisis or finally ready to address something you've carried for years, I'll meet you exactly where you are — with compassion, real tools, and zero judgment.

Hi, I’m Casey. As a board-certified Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) and the founder of Nexus Psychiatric Services, I built this practice for people seeking exceptional clinical care from an approachable, down-to-earth provider.

My professional foundation comes from my years of experience in the acute inpatient psychiatric setting. Navigating these high-intensity settings taught me to bring calming stability to those who are struggling, and I carry that into every outpatient telehealth visit. Today, my practice supports adults, adolescents, and children ages 6 and up through the everyday challenges that arrive when living with diagnoses such as anxiety, depression, and mood disorders. Beyond general psychiatric care, I offer a deep clinical commitment to neurodivergent individuals and those suffering from identity issues. Whether you are feeling exhausted by life, exploring your identity, or trying to help your child thrive, you are welcome to show up to our sessions exactly as you are.

I’m a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to making high-quality mental health care accessible to everyone, especially individuals in underserved and rural communities. Throughout my career, I’ve had the privilege of caring for children, adolescents, adults, and older adults in homes, assisted living facilities, group homes, and through telehealth.

I believe mental health care should be compassionate, collaborative, and free of judgment. My goal is to create a space where you feel heard, respected, and comfortable being yourself. Whether you’re struggling with anxiety, depression, ADHD, bipolar disorder, trauma, grief, or another mental health concern, we’ll work together to build a treatment plan that fits your life, not someone else’s.

I combine evidence-based medicine with a whole-person approach, recognizing that sleep, stress, relationships, physical health, and daily habits all play an important role in emotional well-being. My priority is helping you feel better while empowering you with the tools to thrive long after our appointments.

Do you feel alone or misunderstood, or are you looking for an unbiased person to listen? You’re not alone. My name is Karie Talkington. I am a Licensed Professional Counselor-Supervisor, and I have been working with children, teens, and adults for the past 24 years in various capacities. I help clients and families navigate anxiety, depression, grief, and life changes with compassion. I specialize in autism, ADHD, and trauma. My goal is to help you feel more secure, confident, and connected—to help you live your best life!