Book LGBT-friendly therapy, covered by insurance
LGBT therapists in Austin, TX


Top LGBT-friendly therapists and psychiatrists in Austin, TX
Austin's vibrant LGBTQIA+ community deserves affirming mental healthcare. Headway offers flexible sessions across neighborhoods like Downtown, South Congress, and East Austin, with 2,745 providers ready to support your wellness journey.
I am a Licensed Professional Counselor (LPC) with nearly 30 years of experience supporting individuals across a wide range of mental health needs. I hold a Master’s degree in Counseling Psychology from Mississippi College, graduating with Special Distinction. My background includes on‐site work in psychiatric hospitals providing diagnostic assessments and collaborating with multidisciplinary teams, as well as extensive outpatient experience addressing concerns such as depression, anxiety, bipolar disorder, psychotic disorders, eating disorders, substance use, trauma, adjustment disorders, and crisis intervention.
My clinical work also includes serving as a crisis counselor with the American Red Cross in Dallas during Hurricane Katrina, supporting displaced individuals and families through acute stress, grief, and major life disruption. In addition to my direct clinical roles, I spent nearly 25 years in managed care conducting nationwide clinical reviews for psychiatric and substance‐use facilities, strengthening my ability to assess complex cases, understand treatment systems, and advocate for appropriate levels of care.
While I have experience providing marital and family therapy, my primary focus is working with individuals who are seeking clarity, stability, emotional healing, and long‐term growth. I currently offer outpatient therapy and facilitate recovery‐focused groups in the Plano area, providing virtual care to clients throughout Texas.
My therapeutic approach integrates person‐centered interventions, motivational interviewing, reality‐based strategies, and—when desired—Christ‐centered counseling. I welcome clients from all backgrounds and belief systems, offering faith‐integrated care only when it aligns with the client’s preferences. My goal is to provide a supportive, grounded, and collaborative space where individuals can heal, grow, and build lasting change.
Hi, I’m Kayla Silguero, a Licensed Professional Counselor with a Master’s degree in Clinical Mental Health Counseling. I work with children, adolescents, adults, and families facing anxiety, depression, stress, self-esteem concerns, grief, life transitions, relationship and family concerns, and emotional or behavioral challenges. I know reaching out can feel overwhelming, so I strive to create a welcoming space where you feel heard, supported, and comfortable being yourself.
I believe healing begins with feeling heard, understood, and supported without judgment. As a Licensed Professional Counselor (LPC), I have over a decade of experience working with children, adolescents, adults, and families across outpatient, community mental health, crisis intervention, emergency departments, and behavioral health settings.
Throughout my career, I have helped individuals navigate anxiety, depression, trauma, grief, life transitions, relationship challenges, ADHD, mood disorders, and crisis situations. My background also includes leadership roles within behavioral health, allowing me to advocate for clients while providing compassionate, evidence-based care.
My goal is to create a safe, supportive environment where clients feel empowered to build resilience, gain insight, and create meaningful, lasting change.
Looking for someone who will truly listen? I believe everyone needs support, and I strive to be that steady presence in therapy. Clients often describe me as warm, open-minded, and easy to talk to. My goal is to create a space where you feel heard, respected, and comfortable being yourself.
Hi! I'm Amy. From my background in early childhood education, to my master's in counseling from the University of North Texas, from an internship with an addiction-focused residential site to EMDR training to clinical leadership in a partial hospitalization program, I use my wide breadth of experience to inform my practice.
I’m Layne Smith, an LPC-S licensed in Texas with an MA in Clinical Mental Health Counseling from the University of Texas at Tyler & 8 years of clinical experience. I offer a person-centered, goal-oriented approach tailored to each client’s strengths & goals. I provide both in-person and telehealth sessions.
Hi, I’m Melissa! Thanks for visiting! My ideal client is someone who’s ready to take accountability and implement change. I believe accountability is one of the strongest foundations for growth. When you can own your choices and patterns, you can shift them and move toward your highest self. With 20 years of experience as a social worker, I support individuals who are navigating depression, anxiety, stress, anger, and self-esteem challenges. I also have experience working with people who have been impacted by foster care, domestic violence, court system, family conflict and traumatic events.
Hello! I am retired law enforcement and have over 35 years experience working with citizens and first responders in behavioral health crisis. I provide individual therapy for adults and specialize in crisis intervention. I believe people have the ability to guide their own path - they just need a map.
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.
I'm a compassionate mental health provider who believes healing is possible for everyone. I specialize in supporting individuals navigating anxiety, chronic illness and pain, and substance use and addiction. My work is rooted in the belief that you are the expert on your own life — and my role is to walk alongside you with evidence-based tools and unwavering support. I bring warmth and authenticity to every session, creating a space where you feel truly seen, heard, and valued. Whatever you're carrying, I'm here to help.
About our LGBTQIA+ affirming therapists located within 20 miles of Austin, TX



- 100%LGBTQIA+
- 98%Anxiety
- 96%Depression
- 91%Stress management
- 86%Relationship issues

- 100%Aetna
- 66%Cigna
- 61%Carelon Behavioral Health
- 52%Blue Cross and Blue Shield of Texas
- 45%Oxford

- 98%English
- 11%Spanish
- 2%German
- 2%Romanian

- 98%In-person or online
- 2%In-person only

- 66%Woman
- 34%Man

- 52%Licensed Professional Counselor
- 25%Licensed Clinical Social Worker
- 9%Licensed Marriage/Family Therapist
- 9%Psychologist
- 2%Advanced Practice Nurse

- 98%Individual therapy
- 29%Family therapy
- 18%Couples therapy
- 16%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 a LGBTQIA Therapist in Austin
Finding LGBTQIA+ therapists in Austin starts with looking for identity-affirming care. The right therapist should have experience supporting LGBTQIA+ people and concerns such as identity exploration, coming out, family or relationship stress, anxiety, depression, and trauma. As you compare options, look for therapists who mention affirmative therapy, WPATH training, gender-diverse experience, or LGBTQIA+-affirming counseling in their profiles. These details can help you find support that matches your needs beyond basic clinical training.
Austin has many therapists across areas like Downtown, East Austin, South Congress, and North Austin, but more options can make it harder to narrow your search. Virtual appointments can also expand access to LGBTQIA+ therapy in Austin, especially if you want a therapist with specific experience in inclusive counseling, LGBTQIA+ couples counseling, or gender-affirming support. Before booking, review each therapist’s bio for details about their approach, availability, identity-affirming experience, and whether they offer a free phone consultation.
Therapy in Austin can be a significant cost without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and understand what you may pay before care begins. Headway helps you find Austin therapists who are accepting new patients and match your preferences. You can enter your insurance details to confirm coverage for your specific plan, see estimated costs upfront, review therapist bios, 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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