LGBT therapists in Nacogdoches, TX

Hi, I’m Macheda, a Licensed Clinical Social Worker (LCSW). I work with adults navigating anxiety, stress, grief, relationship challenges, and life transitions that can leave you feeling overwhelmed, emotionally exhausted, or uncertain about what comes next. Many of my clients are used to being strong for others but privately feel stretched thin, disconnected from themselves, or unsure how to keep carrying everything they’ve been holding. Therapy can be a space to pause, make sense of what you’re experiencing, and begin moving forward with greater clarity and self-understanding.

Through my experience in healthcare and individual settings, I’ve supported people and families during some of life’s most challenging and vulnerable moments. As an immigrant, I also understand how culture, identity, family expectations, and lived experiences can shape the way we see ourselves, relate to others, and navigate change. I recognize that emotional struggles do not happen in isolation, and I take care to understand the full context of your experiences rather than focusing only on symptoms.

You might look like you're holding it all together on the outside while feeling exhausted, anxious, disconnected, or overwhelmed on the inside. Maybe you've spent so much time taking care of everyone else that you've stopped checking in with yourself. Or maybe life changed unexpectedly, and you're trying to figure out who you are now.

If that sounds familiar, you're not alone.

I work with children, teens, adults, couples, families, veterans, first responders, and LGBTQ+ individuals who are navigating anxiety, depression, trauma, grief, relationship struggles, major life transitions, and the stress that comes from simply trying to keep up. My goal isn't to tell you how to live your life. It's to help you understand yourself more deeply, quiet the constant mental noise, and feel more confident in the choices you make.

Clients often tell me they appreciate that I'm easy to talk to, calm, honest, and genuine. Therapy with me is a place where you don't have to have it all figured out. You can show up exactly as you are, and we'll take it one step at a time.

Hello! I'm a queer therapist with a particular focus on serving the LGBTQIA community. I work with adults who are ready to explore their identity, navigate life changes, and feel more at home in themselves. Many of my clients are discovering new layers of their sexuality and gender identity, exploring polyamory or ethical non-monogamy, or unpacking the effects of religious trauma. I also work with couples, sex workers, and individuals navigating depression, anxiety, and neurodivergence. My style is relaxed, collaborative, and affirming.

I received my MS in Clinical Mental Health Counseling at Texas A&M University - Central Texas. I have experience working with adults struggling with life transitions, relationship issues, identity, rejection, low self-esteem, and anxiety/stress management. I utilize a person-centered, strength-based approach that incorporates methods from Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Ecotherapy.

Hi! My name is Sara (they/them) and I have a trauma-informed art therapy background. I primarily work with neurodiverse and LGBTQIA+ clients in practice.