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LGBT therapists in Las Vegas, NV


Top LGBT-friendly therapists and psychiatrists in Las Vegas, NV
Mental health support in Las Vegas goes beyond one-size-fits-all approaches. Headway's network of 309 empowering providers offers flexible, in-person and virtual sessions designed to meet you where you are with warmth, acceptance, and genuine understanding.
Sometimes the hardest thing to lose isn't your way—it's your trust in yourself.
Maybe you're exhausted from overthinking every decision, carrying everyone else's expectations, or feeling like you should be able to handle everything on your own. Maybe anxiety, past experiences, or difficult seasons have left you feeling disconnected from yourself and unsure of what comes next.
Therapy with me is a place to bring the messy, complicated parts of life, feel genuinely supported, and work toward finding your footing. We'll have honest conversations, laugh when we can, sit with the hard moments, and work together toward meaningful change.
I'm Arianna Killebrew, a Licensed Clinical Social Worker (LCSW) trained in EMDR and Dialectical Behavior Therapy (DBT). I use an integrative approach because I don't believe one treatment works for everyone. People are too unique for that. Together, we'll figure out what fits you—not just what looks good on paper.
My background includes work in domestic violence shelters, schools, outpatient mental health, and legal and child welfare systems. Across these settings, I've worked alongside people navigating trauma, anxiety, relationship challenges, major life transitions, and experiences that left them feeling overwhelmed or disconnected from themselves.
I don't just sit back and listen. We'll make sense of what you're carrying, understand what's keeping you stuck, and build practical tools that fit your life—not someone else's. My goal isn't just to help you understand why you're hurting. It's to help you trust yourself more, respond differently when life gets hard, and create meaningful change that carries beyond our sessions.
You don't have to walk into therapy knowing what to say or having everything figured out. You just have to be willing to start somewhere. We'll figure out the rest together.
Nikki Day, LCSW, is a licensed clinical social worker and therapist with experience providing mental health services since 2019 through community mental health agencies, group practices, and private practice settings. She earned her Master of Social Work from the University of Denver in 2020 and completed her clinical licensure requirements in 2025. Nikki is the founder of Vivant Counseling, LLC, where she works primarily with individuals navigating depression, anxiety, trauma, and life transitions. While maintaining a generalist approach, she has developed specialized experience supporting members of the LGBTQIA+ community, and survivors of domestic and sexual violence. In 2026, she expanded her professional licensure to include both Utah and Nevada, allowing her to broaden access to mental health care across multiple states.
My ideal client is someone who is ready to make a change even if they aren’t sure how. I work with many clients who struggle with all types of trauma, mood disorders, neurodivergence and often a combination of these traits. I often work with my clients to help them set attainable goals and break down complex situations piece by piece. I also strive to make a safe space for LGBTQ+ and encourage expressions of all gender identities and sexualities. Vulnerability is key to healing and I welcome anyone who is ready to begin and honest conversation about their goals.
I am an EMDR trained therapist. I have specialized training in parts and memory, and substance abuse. I have over 9 years experience in the mental health field. I have experience treating issues related to both mental health and addiction. I have experience working with anxiety, depression, trauma, as well as, grief & loss among many other mental health issues. Si gusta recibir servicios de terapia en Español por favor pongase en contacto conmigo. Tengo entrenamiento especializado en trauma, ansiedad, depresion, perdida, y abuso de sustancias.
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 a LGBTQIA+ Therapist in Las Vegas, NV
Finding LGBTQIA+ therapists in Las Vegas starts with looking for identity-affirming care. The right therapist should have experience supporting LGBTQIA+ people with concerns such as identity exploration, relationship stress, family conflict, anxiety, depression, or trauma. Look for therapists who list affirmative therapy, gender-diverse experience, WPATH training, or LGBTQIA+-affirming care in their profiles. These details can help you find someone whose training and specialties match what you want to address in therapy.
Las Vegas has many therapists across neighborhoods and surrounding areas, which can make it harder to narrow your options. Virtual therapy can also expand your search if you want more choice in LGBTQIA+-affirming care or need a schedule that fits around work, school, caregiving, or commute time. As you compare therapists, look at appointment availability, whether they offer a free phone consultation, and how they describe their approach. Reading bios can help you see whether a therapist works with LGBTQIA+ individuals, couples, or families, including people searching for lesbian therapy, LGBTQIA+ couples therapy, or gay marriage counseling.
Therapy in Las Vegas can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs, and seeing your estimated out-of-pocket cost before booking can make the process clearer. Headway helps you find therapists who accept a wide range of insurance plans, with many accepting new patients and offering in-person or virtual appointments, so you can compare bios, review availability, 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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