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


Top LGBT-friendly therapists and psychiatrists in San Antonio, TX
Navigating identity and belonging is easier with the right support. Headway connects San Antonio residents with 2,597 affirming providers who specialize in LGBTQIA mental health. Choose from flexible virtual or in-person sessions, with most consultations offered free to get started.
I’ve been where you are. As someone in long-term recovery, I understand the challenges firsthand and bring both empathy and 11 years of professional counseling experience to support you in finding your own path and developing your strengths. I work with adolescents, people struggling with substance use, and those facing anxiety, depression, grief, or trauma.
I specialize in working with individuals in recovery and LGBTQ+ clients, helping you build resilience, explore your goals, and discover practical strategies that fit your life.
My approach is collaborative and empowering—you set the pace, and I walk alongside you with understanding, guidance, and support as you create meaningful change and uncover the strengths you already have within.
I have been a therapist for over 25 years providing individual, couple, family, and group therapy. I am very passionate about helping others see their individual strengths and unique gifts to help guide them and navigate challenges in life. The most valuable experience I enjoy seeing is the transformation of a person healing and growing to their desired outcome. I believe every person has the ability to achieve their highest potential.
Anxious? Depressed? Stressed?!?
I can help you gain tools to feel better and live the life you want! I work with clients with a variety of issues: addictions, anxiety disorders, trauma/PTSD, sexuality issues, mental wellness for management of depression, bipolar disorder, borderline personality disorder, and adjustment to major life transitions and decisions. Proud to serve the LGBTQIAA+ community, Kink/fet ENM, poly, non religious, all walks of life off the beaten path are welcome here.
Please note when booking Tuesday evenings are live in person sessions and all other days are virtual.
Hello and welcome. I am a Licensed Professional Counselor in Texas and have been in practice for 29 years. I have worked in diverse settings with adults, children and adolescents, individually, with families, and in groups, both inpatient and outpatient. I am focused on the client and solutions in a practical and straightforward manner. Accepting all clients age 2yrs through Adulthood.
Hi! My name is Dawn Gutierrez. I am a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 20 years of experience in healthcare.
My clinical experience spans across Family Health, Women's Health, Behavioral Health, Emergency and Trauma comprehensive care at the Military Hospital for over 15 years. I then specialized in gender-affirming services such as hormone therapy and ongoing care for transgender and gender-diverse individuals. While providing care for the LGBQTIA community, I was drawn to continuing my education in Mental Health Care to provide Psychiatric services to this community as well.
I approach each patient with respect for their lived experience, identity, and goals, emphasizing collaborative decision-making and individualized treatment plans. My work is grounded in trauma-informed care, clinical excellence, and a strong belief that affirming, accessible healthcare is essential to both mental and physical well-being.
I have extensive experience delivering care through both telehealth and in-clinic settings, allowing me to meet patients where they are and reduce barriers to access. I am deeply committed to providing compassionate, evidence-based, and patient-centered care in a safe, respectful, and affirming environment.
Outside of work I enjoy spending quality time with my family, which brings balance to the work I love. Caring for others—both at home and in my practice—is at the heart of who I am.
I’m passionate about creating a space where you can truly be yourself — seen, heard, and understood. My goal is to offer a warm, supportive environment where you don’t have to hold it all together, and where healing can begin through genuine connection.
I specialize in working with individuals and couples, particularly within the BIPOC and LGBTQIA+ communities. I understand how identity, culture, and systemic challenges can shape our experiences and relationships. My work is grounded in empathy, curiosity, and respect for your story.
Cuéntame tu historia!
Feeling stressed, anxious, ADHD, trauma, or stuck in your relationship—traditional, ENM, or anything in between? Struggling with sexual concerns, confidence, or major life changes? You’re in the right place. With 12+ years of experience, I offer a real, safe, judgment-free space to heal and grow. I’m down-to-earth, person-centered, and fully affirming of neurodivergent , BIPOC, LGBTQIA+, and ENM clients. I listen, I show up, and I help you transform. Ready for change? Let’s work together.
About our LGBTQIA+ affirming therapists located within 20 miles of San Antonio, TX



- 100%LGBTQIA+
- 100%Anxiety
- 98%Depression
- 94%Trauma
- 92%Stress management

- 98%Aetna
- 96%Cigna
- 96%Blue Cross and Blue Shield of Texas
- 96%Carelon Behavioral Health
- 84%Ascension

- 98%English
- 22%Spanish
- 2%Arabic
- 2%Japanese

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

- 84%Woman
- 16%Man

- 67%Licensed Professional Counselor
- 12%Advanced Practice Registered Nurse - Certified Nurse Practitioner
- 10%Licensed Clinical Social Worker
- 8%Licensed Marriage/Family Therapist
- 2%Medical Doctor

- 98%Individual therapy
- 49%Family therapy
- 31%Couples therapy
- 29%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.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.





































