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.
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.
You don't have to keep carrying everything on your own. Reaching out for therapy takes courage, especially when you've spent so much time putting everyone else's needs before your own. Whether you're feeling overwhelmed by anxiety, depression, relationship challenges, grief, or the emotional ups and downs of a mood disorder, you deserve a space where your story matters. My ideal clients seek personal growth and healing, often while facing life transitions or emotional challenges. I offer a safe environment, personalized therapy, and evidence-based strategies to support clients who are looking for clarity and lasting change. I offer virtual therapy for adults (18+) in Texas, specializing in mood disorders, older adults, and caregivers. I also support those facing life transitions, bipolar disorder, pregnancy and postpartum issues, LGBTQ+ and gender identity, racial identity, spirituality, self-esteem, and relationship concerns. Therapy isn't about having a perfect life—it's about finding healthier ways to navigate life's challenges, strengthening your relationships, and reconnecting with the parts of yourself that may have been taken a backseat to life's demands. Real change can happen, and you don’t have to go through it by yourself. Call for a FREE 15-minute consultation to explore what we may be able to accomplish together.
Hi, I'm Michelle, a psychiatric nurse practitioner passionate about supporting individuals on their mental health journey. I believe in creating safe, compassionate space where you feel heard, understood, and empowered. Whether you're facing a new challenge or managing a long-standing condition, I'm here to walk alongside you with care and expertise.
I believe therapy is a space where you don’t have to hold everything together on your own. Many of the women I work with come to therapy feeling overwhelmed, disconnected from themselves, or unsure of who they are becoming after life transitions, relational wounds, or long-standing expectations placed on them. You may be functioning on the outside, yet internally feel anxious, emotionally exhausted, or stuck in patterns that no longer serve you.
I specialize in working with women navigating anxiety, depression, low self-esteem, and the emotional impact of trauma—both big, defining moments and the quieter, cumulative experiences that shape how we see ourselves and others. A core focus of my work is supporting minority women and those experiencing identity rupture—the feeling of losing, questioning, or redefining who you are due to cultural pressures, relational conflict, motherhood, systemic stress, or major life transitions.
You may be feeling anxious, low, overwhelmed, or emotionally stuck - functioning on the outside while struggling internally. I work with children, adolescents, and adults dealing with depression, anxiety, PTSD, day to day stressors or the effects of past or ongoing stress and trauma. Many clients are thoughtful and capable but feel on edge, emotionally shut down, reactive, or unsure why things feel so hard. Parents often seek support when their child is struggling with big emotions, anxiety, mood changes, or behavior that feels confusing or concerning. Clients want relief, clarity, and to feel more steady and in control again.
I have over 12 years working with children, teens, and adults in the mental healthcare space. I have worked in numerous areas including community clinics, foster care, court systems, residential facilities, and more. I am licensed in both CA and TX and hold many certifications for therapy models.
My wide scope of practice supports children, adolescents, and adults with trauma and PTSD, anxiety, depression, and stress-related concerns. I also help clients manage everyday overwhelm, emotional reactivity, and burnout—not just major diagnoses. I work with individuals, couples, and families navigating grief, anger, relationship conflict, life transitions, and behavioral or emotional challenges.
I am a family and marriage counselor currently licensed in Texas. I have over 40 years of experience working as a psychotherapists and life coach. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, career challenges, sexual issues, substance abuse issues and general life conflicts. I also helped many people who have experienced combinations of areas of concerns and who faced existential conflicts within their lives.
Hello! I have a Masters of Education in Counseling and Human Development and have been a Licensed Professional Counselor since 2002, with Supervisory status (2020). I am also a Certified Therapeutic Recreation Specialist (CTRS) and have been since 1993. I am dedicated to fostering peace, respect, and healing within individuals and families. I am nurturing, patient and non-judgmental to help create a supportive environment where challenges can be addressed. I am a vocal advocate for children, teenagers, and adults. I have worked in psychiatric hospitals, RTC's, with TYC, private practice (all ages for individuals and families) and MHMR (focus on crisis counseling for children and teenagers). Trauma, depression, anxiety, crisis, and grief are some of my speciality areas.
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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