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LGBT therapists in Fayetteville, NC


Top LGBT-friendly therapists and psychiatrists in Fayetteville, NC
Headway's Fayetteville community includes 755 licensed providers ready to support LGBTQIA individuals with compassionate, evidence-based care. Sessions available as soon as next day, with free consultations and transparent pricing—some patients pay as little as $0 per session with insurance.
I'm a Licensed Social Worker with over 20 years of experience working with adults, children, adolescents, and families across North Carolina and South Carolina. Helping people heal has been my life's work — and that passion extends beyond the therapy room. I'm also the co-author of Your Feelings Matter: A Story for Children Who Have Witnessed Domestic Violence, a children's book close to my heart. When I'm not working, you'll likely find me traveling and soaking in new cultures.
I believe therapy should be a place where you don’t have to have it all together. Many of my clients are high-achieving professionals who are used to being the “strong one” for everyone else, but privately struggle with relationships, boundaries, confidence, or life transitions. I strive to create a warm, collaborative space where you can show up authentically, gain insight into patterns that no longer serve you, and build healthier relationships with yourself and others. I especially enjoy working with Black women and LGBTQ+ adults and strive to create an affirming, culturally responsive space where clients can show up fully as themselves.
I, Ifeoma Okani, is a board-certified psychiatric mental health nurse practitioner (PMHNP). I specialize in working with individuals who feel overwhelmed by anxiety, depression, bipolar disorder, ADHD, trauma, PTSD, insomnia, adjustment disorders, OCD, schizophrenia, eating disorders, and addiction. Many of my clients are juggling multiple roles and seek a safe, culturally sensitive space where they feel truly heard and understood. Their goal isn’t just to feel better but to reconnect with themselves, heal from past pain, and thrive emotionally. They want personalized, compassionate care that supports meaningful growth, not just symptom relief. I help by providing a safe, culturally sensitive space where you’ll feel heard and supported. Using compassionate, evidence-based care, I offer psychiatric evaluations, medication management, and supportive therapy tailored to your needs. In our early sessions, we’ll build trust, explore your concerns, and create a personalized plan to support your healing. My practice is unique because I focus not only on symptom relief but on helping clients reconnect with themselves, heal deeply, and thrive long-term. I’m passionate about supporting others so they never feel alone in their struggles. I am committed to providing the support, insight, and clinical expertise you need to restore your peace and well-being.
I approach sessions as an experienced professional and a real person. My goal is to create a space where you can show up as your full, uncensored self—say the hard things, the messy things, even the things you’re not sure how to put into words—and still feel accepted, heard, and supported. Many people reach out to me feeling overwhelmed by everyday stress, big world events, or the sense that things keep changing without much warning. It can feel like there’s no escape from stress, and it’s easy to feel overwhelmed. Therapy can be a place to slow down, breathe, share humor, & talk things through with someone who’s really listening. My career spans 20+ years in mental health, addiction treatment, and disability services.
I'm Lucy Maina, a Board Certified, Licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) at Therapeutic Alliance Behavioral Health. I provide compassionate, evidence-based psychiatric care and psychotherapy for people of all ages — children, adolescents, and adults — in a safe, nonjudgmental space where your experience is always validated.
I specialize in treating anxiety, ADHD, depression, chronic fatigue, irritability, and emotional numbness, including the unique stress that comes with caregiving. I also have experience supporting neurodiverse individuals and those living with autism spectrum disorder or schizophrenia, offering sensory-considerate evaluations, communication accommodations, and relapse prevention planning tailored to your needs.
Life can leave us carrying experiences that feel too heavy to hold alone. Whether you’re facing the impact of trauma, struggling in relationships, navigating grief and loss, managing anger, or working through challenges related to substance use, therapy can offer a space to pause, reflect, and begin again. The healing is not a "one-size-fits-all" process; my goal is to utilize an evidence-based intervention that you feel really "clicks" with how you view life and approach problem-solving. Common interventions I utilize include: EMDR, CBT, DBT, Motivational Interviewing, Solution-focused Brief Therapy, and Psychodynamic Therapy.
Whether this is your first time looking for a therapist or a "last ditch effort" to get help, I believe I can support you. When you are working with me, and yes, therapy is work, it is my hope that you will feel warmth, genuineness, and judgment-free compassion from me. Just the concept of feeling heard can be quite powerful in itself. I am trained in a number of therapeutic approaches but I do not believe in a cookie-cutter approach to clients, and will tailor my interventions to your needs.
I believe therapy works best when clients feel safe, heard, and genuinely supported. I strive to create a warm, nonjudgmental, and collaborative environment where clients can show up as their authentic selves. My approach is compassionate, direct when needed, and focused on helping clients build practical tools for everyday life while also exploring deeper emotional patterns and experiences.
I enjoy working with individuals navigating anxiety, life transitions, relationship concerns, self-esteem challenges, stress, identity exploration, and emotional overwhelm. I am passionate about supporting LGBTQIA+ and BIPOC clients and creating an affirming therapeutic space where clients feel respected and understood.
I understand that starting therapy can feel vulnerable, and my goal is to meet clients where they are while helping them move toward healing, clarity, and meaningful growth.
About our LGBTQIA+ affirming therapists in Fayetteville, NC



- 100%LGBTQIA+
- 97%Anxiety
- 96%Depression
- 91%Stress management
- 86%Relationship issues

- 99%Aetna
- 93%Cigna
- 86%Carelon Behavioral Health
- 63%Blue Cross and Blue Shield of North Carolina
- 47%Horizon Blue Cross and Blue Shield of New Jersey

- 99%English
- 5%Spanish
- 1%Hindi
- 1%American Sign Language
- 1%French

- 86%Online only
- 14%In-person or online

- 83%Woman
- 16%Man
- 2%Non-binary

- 43%Licensed Clinical Social Worker
- 37%Licensed Clinical Mental Health Counselor
- 7%Nurse Practitioner
- 6%Licensed Marriage/Family Therapist
- 3%Licensed Psychologist

- 100%Individual therapy
- 35%Family therapy
- 24%Couples therapy
- 14%Child or adolescent 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 Fayetteville, NC
Finding LGBTQIA+ therapists in Fayetteville starts with identity-affirming care. This can mean looking for a therapist with experience in affirmative therapy, gender-diverse care, WPATH-informed training, or work with LGBTQIA+ communities. You may also want support with anxiety, depression, trauma, relationship concerns, identity, or family dynamics. Reading a therapist’s listed specialties and approach can help you find someone whose training matches what you want to address.
Fayetteville has a meaningful mental health care community, though affirming therapists may be more limited than in larger North Carolina cities. Virtual appointments can expand your options while still helping you find care that fits your schedule, preferences, and insurance. As you compare therapists, look at appointment availability, whether they are accepting new patients, and whether they explicitly mention LGBTQIA+ populations in their bio. A bio can also show how a therapist describes their communication style, session structure, and approach to care.
Therapy in Fayetteville can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before booking. Headway helps you find therapists who match your needs, accept a wide range of insurance plans, and offer upfront cost estimates after your coverage is verified. You can browse therapists, review bios, and book directly when you’re ready.
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