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


Top LGBT-friendly therapists and psychiatrists in Pasadena, TX
Headway connects LGBTQIA+ individuals in Pasadena with 2,727 licensed providers who bring affirming, open-minded care to support your mental health journey. Our network offers virtual and in-person sessions with flexible scheduling, often available within days, and accepts 70+ insurance plans to make therapy accessible.
As your therapist, my goal is to create a warm and welcoming environment to help you heal. I am a Licensed Clinical Social Worker with 13 years of experience in treating depression, anxiety, bipolar disorder, stress, trauma, personality disorders and other mental health issues. I currently provide services to clients 18 years and older. I have experience in working with individuals, couples and families. I serve the LBGTQ+ community, young adults, college students, and older adults.
Relationships can change over time but feeling disconnected doesn't have to be the end of the story.
I work with adults who want to better understand themselves and create healthier, more connected relationships. I have a particular interest in supporting people in long-term relationships who are navigating communication challenges, recurring conflict, emotional disconnection, changes in intimacy, or the feeling that they’ve become more like roommates than partners.
Therapy can be a space to slow down and understand what is happening beneath the surface. Together, we'll explore self-worth, communication, emotional and physical intimacy, boundaries, conflict patterns, emotional regulation, and coping skills. We’ll also look at how past experiences and beliefs about yourself may influence the way you communicate, connect, set boundaries, or respond when you feel hurt or misunderstood.
My approach is compassionate, collaborative, and practical. I integrate CBT, mindfulness, acceptance-based approaches, and trauma-informed therapy to help you develop greater self-awareness and the tools to create meaningful change.
You don't have to wait until your relationship is falling apart to seek support. Therapy can help you reconnect with yourself, with your partner, and with the kind of relationship you want to create.
Getting here was the first step—now let's focus on where you want to go.
I’m a Licensed Professional Counselor (LPC) who is passionate about helping individuals navigate life's emotional and psychological challenges.
Whether you're experiencing anxiety, depression, stress, grief, trauma, relationship difficulties, irritability, sleep problems, or feeling overwhelmed by life's demands, I provide a supportive, nonjudgmental space where you can explore your experiences and work toward meaningful change.
I provide therapy in both English and Spanish and have experience working with adolescents, adults, couples, and families from diverse cultural backgrounds.
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 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.
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.
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.
About our LGBTQIA+ affirming therapists located within 20 miles of Pasadena, TX



- 100%LGBTQIA+
- 98%Anxiety
- 96%Depression
- 93%Relationship issues
- 89%Stress management

- 100%Aetna
- 91%Cigna
- 81%Carelon Behavioral Health
- 77%Blue Cross and Blue Shield of Texas
- 68%Ascension

- 95%English
- 14%Spanish
- 2%Hindi
- 2%Mandarin
- 2%Punjabi

- 96%In-person or online
- 4%In-person only

- 84%Woman
- 14%Man
- 2%Non-binary

- 72%Licensed Professional Counselor
- 11%Licensed Clinical Social Worker
- 11%Licensed Marriage/Family Therapist
- 5%Licensed Clinical Social Worker - Supervisor
- 2%Advanced Practice Nurse

- 100%Individual therapy
- 39%Couples therapy
- 32%Family therapy
- 11%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 Pasadena
Finding LGBTQIA+ therapists in Pasadena starts with looking for identity-affirming care. An affirming therapist may support concerns related to identity, relationships, family stress, anxiety, depression, or trauma. As you compare therapists, look for bios that mention affirmative therapy, experience with gender-diverse people, WPATH training, or LGBTQIA+-affirming care. Finding a therapist who fits your needs matters beyond credentials, and a detailed profile can help you understand how they approach care.
In a smaller city like Pasadena, the number of local LGBTQIA+-affirming therapists may be more limited than in larger metro areas. Virtual appointments can expand your options while still helping you find someone licensed in Texas. You may also want to compare appointment availability, therapy approach, therapist background, and whether a free phone consultation is offered. Reading each therapist’s profile can help you see whether they clearly work with LGBTQIA+ people and how they describe their communication style.
Therapy in Pasadena can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs. Headway helps you find therapists who match your preferences, accept a wide range of insurance plans, and offer upfront cost estimates before you book. You can browse profiles, compare availability, and book directly when you’re ready.
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