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


Top LGBT-friendly therapists and psychiatrists in Boerne, TX
Boerne's LGBTQIA+ community deserves affirming mental health support that honors your journey. Headway offers warm, empowering providers experienced in gender identity, sexual orientation, and related mental health concerns, with sessions available virtually or in-person and covered by most major insurance plans.
I believe therapy works best when you feel genuinely safe, heard, and understood. My goal is to create a supportive, nonjudgmental space where you can openly process your thoughts, emotions, relationships, and life experiences without feeling rushed or criticized. I understand that starting therapy can feel vulnerable, so I approach each client with compassion, curiosity, and respect for their unique story and lived experience.
My style is warm, relational, and conversational while still grounded in evidence-based practices. I work collaboratively with clients to help them better understand emotional patterns, increase self-awareness, strengthen communication, and develop practical tools they can use outside of sessions. I value creating a therapeutic relationship that feels authentic and empowering, where clients can feel comfortable being honest, asking questions, and moving at a pace that feels manageable for them.
I work with individuals navigating stress, anxiety, depression, life transitions, relationship challenges, self-esteem concerns, emotional overwhelm, and patterns that may leave them feeling stuck or disconnected from themselves. Together, we focus on creating meaningful and sustainable change while also making space for reflection, healing, and personal growth.
Sandy Crisp, MS, LPC, CRC, LCDC, CCTS-II
When surviving isn't enough anymore.
Life can get complicated, painful, and downright exhausting. Sometimes the things you've survived become the very things keeping you stuck. You may be functioning, showing up for everyone else, and doing what needs to be done, but somewhere along the way, you've lost sight of yourself.
I'm Sandy Crisp, a Licensed Professional Counselor, Licensed Chemical Dependency Counselor, Certified Rehabilitation Counselor, and nationally certified trauma specialist. I bring more than 20 years of professional experience helping people navigate trauma, PTSD, anxiety, depression, addiction, chronic illness, disability, grief, and major life changes.
I work with people who are tired of feeling stuck, overwhelmed, or disconnected from themselves. Whether you're struggling with something that happened years ago or trying to make sense of what's happening right now, we'll work on understanding the patterns, emotions, and experiences affecting your life.
You don't need to have a diagnosis or know exactly what's wrong. We can figure that out together.
I am CBT based with Solution Focused and Gestalt main ones I use.
Hey there, my name is Cynthia Leeann Mickel. I am a licensed therapist in TX, OR, AZ, and WA. I graduated with my Master's from Texas Tech University in Lubbock, TX. I have worked with a variety of treatment areas and populations. I have work at: CPS, a psychiatric hospital, Clinical Supervisor at an inpatient drug and alcohol rehabilitation center, Clinical Director at an out patient program with 4 locations, online therapy working with issues ranging from trauma, depression, anxiety, to grief, adhd, and many others. I have served most populations including: men, women, children 12+, people with legal troubles, relationship concerns, and more.
PMHNP | Anxiety, Depression, Bipolar Disorder, ADHD | Medication Management | Virtual Texas
Providing virtual psychiatric medication management for adults across Texas with convenient telehealth appointments.
Hi, I’m Delia Patino, a board-certified Psychiatric Mental Health Nurse Practitioner with over 6 years of experience providing mental health care and more than 15 years of nursing experience. I believe mental health is an essential part of overall wellness, stability, and quality of life.
Seeking support can be a difficult first step, and I strive to provide a compassionate, respectful, and judgment-free environment where patients feel heard, understood, and actively involved in their care. I specialize in treating anxiety, depression, bipolar disorder, PTSD, mood disorders, ADHD, and psychotic disorders through personalized medication management and evidence-based treatment approaches.
You should know that I truly care about who you are, not just the symptoms you’re experiencing. I understand that reaching out for mental health support can feel intimidating, especially if you’ve ever felt judged, misunderstood, or dismissed in the past. My goal is to create a space where you feel safe, heard, and respected from the very first conversation.
I approach every person with compassion, patience, and curiosity. I take the time to understand your story, your stressors, and what matters most to you, so your care is never one-size-fits-all. I believe healing happens best when you feel supported and involved in your treatment, and I see our work as a true partnership.
I am committed to using evidence-based practices while also honoring your lived experience. Whether we are focusing on medication, coping strategies, or long-term growth, I will always be honest, supportive, and collaborative.
Above all, you should know that you are not alone here, and your well-being is my priority.
Therapy isn’t what it used to be. It doesn’t have to be stuffy or scary. I want you to feel comfortable, safe, and enjoy the process! This is your journey, your time, and your money, so I want to make sure the experience is tailored to you and your needs.
If you've spent your life providing, surviving, and holding things together for everyone else, therapy can feel like one more thing to manage. I work with men and working people who are tired of feeling anxious, isolated, or stuck, and who want to feel like themselves again. As a bilingual therapist raised in San Antonio, I understand the pressures of low wages, generational trauma, and the expectation to keep pushing no matter what. Whether you're navigating relationships, identity, or stress that never fully turns off, you don't have to figure it out alone. Sessions can be held in Spanish or English. Si prefieres hablar en español, aquí estamos.
About our LGBTQIA+ affirming therapists in Boerne, TX



- 100%LGBTQIA+
- 98%Anxiety
- 96%Depression
- 91%Stress management
- 87%Trauma

- 99%Aetna
- 92%Cigna
- 87%Carelon Behavioral Health
- 81%Blue Cross and Blue Shield of Texas
- 71%Ascension

- 99%English
- 13%Spanish
- 1%Assamese
- 1%Hindi
- 1%French

- 81%Online only
- 19%In-person or online

- 80%Woman
- 19%Man
- 1%Non-binary

- 57%Licensed Professional Counselor
- 23%Licensed Clinical Social Worker
- 5%Advanced Practice Registered Nurse - Certified Nurse Practitioner
- 5%Licensed Marriage/Family Therapist
- 4%Psychologist

- 100%Individual therapy
- 37%Family therapy
- 30%Couples therapy
- 17%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.
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