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LGBT therapists in San Antonio, TX

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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.

Anna Marie Somera

Anna Marie Somera

Therapist

Virtual & in-person • 1.2 mi away • San Antonio, TX


“I have a holistic approach to therapy based on body/mind integration. I work with clients to develop skills to regulate your nervous system, utilize non-judgment tools such as self-compassion and self-appreciation, and explore core values.”
LGBTQIA+, Anxiety, Depression, Eating disorders, Family issues
Affirming, Empowering, Holistic
Accepts 13 insurance carriers

Offers free consultationsView profile and book
Misty Thompson

Misty Thompson

Therapist

Virtual & in-person • <1 mi away • San Antonio, TX


“I believe that while adversity shapes us, it does not define us. My goal is to empower individuals to gain insight, develop coping strategies, and move forward with renewed confidence and purpose.”
LGBTQIA+, Anger management, Anxiety, Depression, End of life care
Open-minded, Solution-oriented, Warm
Accepts 10 insurance carriers
Peggy Winn

Peggy Winn

Therapist

Virtual & in-person • <1 mi away • San Antonio, TX


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.

LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Empowering, Humorous, Solution-oriented
Accepts 14 insurance carriers

Offers free consultationsView profile and book
Karen Rudd

Karen Rudd

Therapist

Virtual & in-person • 3.2 mi away • San Antonio, TX


“I offer a nonjudgmental, safe space so you can become comfortable enough to explore and examine whatever is troubling you.”
LGBTQIA+, Anxiety, Bipolar disorder, Cultural & ethnic issues, Depression
Empowering, Open-minded, Warm
Accepts 9 insurance carriers
Juan Ortiz

Juan Ortiz

Therapist

Virtual & in-person • 3.9 mi away • San Antonio, TX


“I truly believe in the power of the 'here and now' and believe that you can consciously make efforts to reach happiness, whatever that happiness may look like for you.”
LGBTQIA+, Anxiety, Depression, Grief or loss, Identity issues
Affirming, Empowering, Warm
Accepts 11 insurance carriers
J. Andrew Sanderson

J. Andrew Sanderson

Therapist

Virtual & in-person • 6.4 mi away • San Antonio, TX


“I approach therapy with a multi-faceted and trauma informed perspective. I utilize CBT to help my patients find ways to cope with life's stressors and triggers.”
LGBTQIA+, Anxiety, Depression, Grief or loss, Men's issues
Challenging, Humorous, Open-minded
Accepts 14 insurance carriers

Offers free consultationsView profile and book
Ebenezer Serda

Ebenezer Serda

Therapist

Virtual & in-person • 7.5 mi away • San Antonio, TX


“My style is conversational, compassionate, and direct. I take time to understand your experiences, relationships, culture, and goals.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Participatory, Solution-oriented, Warm
Accepts 15 insurance carriers
Mayra Cabello

Mayra Cabello

Therapist

Virtual & in-person • 6.4 mi away • San Antonio, TX


“I believe in forming genuine, trusting connections to create a welcoming space where you can feel safe to explore your emotions and experiences without fear of judgement.”
LGBTQIA+, Anxiety, Bipolar disorder, Depression, Family issues
Holistic, Humorous, Warm
Accepts 9 insurance carriers
Esmeralda Barraza

Esmeralda Barraza

Therapist

Virtual & in-person • 2.2 mi away • San Antonio, TX


“My style of therapy is direct and to the point. There will be a mix of counseling approaches as CBT, Solution Focused, Behavioral Therapy, and others.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Open-minded, Solution-oriented
Accepts 13 insurance carriers
Tina Skinner

Tina Skinner

Psychiatric Mental Health NP

Virtual & in-person • 8.1 mi away • San Antonio, TX


“As a dual certified psychiatric and family nurse practitioner, I believe in a holistic approach to mental health.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Warm
Accepts 10 insurance carriers
Dr. Tharwah Alzoubi

Dr. Tharwah Alzoubi

Therapist

Virtual & in-person • 8.2 mi away • San Antonio, TX


“Dr. Alzoubi is professionally trained in trauma-informed care from Anxiety, Depression, Personality Disorder, PTSD/Trauma.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Solution-oriented
Accepts 14 insurance carriers
Isaiah Rodriguez

Isaiah Rodriguez

Therapist

Virtual & in-person • 7 mi away • San Antonio, TX


“I provide a safe and affirming environment where you can be comfortable being yourself as you work on your goals.”
LGBTQIA+, Anger management, Anxiety, Cultural & ethnic issues, Depression
Affirming, Open-minded, Solution-oriented
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Amanda Sheehan-Crisp

Amanda Sheehan-Crisp

Therapist

Virtual & in-person • 7.1 mi away • San Antonio, TX


“I believe that you are the expert in your own life. My role is to provide a warm, supportive space where together, we'll explore the connections between your past experiences, relationships, thoughts, and emotions to help you better understand...”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Empowering, Warm
Accepts 9 insurance carriers
Jessica Lopez

Jessica Lopez

Therapist

Virtual & in-person • 7.4 mi away • San Antonio, TX


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Empowering, Open-minded, Warm
Accepts 8 insurance carriers
Karen Kiser

Karen Kiser

Therapist

Virtual & in-person • 7.8 mi away • San Antonio, TX


“I believe in joining my clients on their journeys, utilizing mindfulness techniques, cognitive behavior therapy, solution-focused techniques, or play therapy, depending on the individual.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Affirming, Empowering, Open-minded
Accepts 12 insurance carriers

Offers free consultationsView profile and book
Emily Dunn

Emily Dunn

Therapist

Virtual & in-person • 7.8 mi away • San Antonio, TX


“My goal as your therapist is to help you feel more at peace with your mind and body, understand why our current world can feel difficult to live in, and find ways to survive and thrive while being compassionate with yourself when it's hard.”
LGBTQIA+, ADD/ADHD, Anxiety, Chronic conditions, Cultural & ethnic issues
Affirming, Empowering, Warm
Accepts 12 insurance carriers
Elizabeth Walter

Elizabeth Walter

Therapist

Virtual & in-person • 9.2 mi away • San Antonio, TX


“My outlook on working with clients' who have experienced trauma is focusing around the question of "What has happened to you".”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Creative, Empowering, Inquisitive
Accepts 12 insurance carriers
Lauren Garcia

Lauren Garcia

Therapist

Virtual & in-person • 8.2 mi away • San Antonio, TX


“I feel that all problems are the problem and not the person themselves—regardless of neuro-alignment, gender, sexuality, race or age.”
LGBTQIA+, ADD/ADHD, Anxiety, Depression, Family issues
Direct, Humorous, Open-minded
Accepts 17 insurance carriers
Crystal Sperber

Crystal Sperber

Therapist

Virtual & in-person • 8.3 mi away • San Antonio, TX


“Often times it can be difficult to see the forest for the trees, to see the big picture. This is where therapy can step in...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Humorous, Open-minded, Warm
Accepts 11 insurance carriers
Ivelisse Gereda

Ivelisse Gereda

Therapist

In-person • 8.7 mi away • Windcrest, TX


“She sees the client as the master of their own life and sees herself as a catalyst to initiate action and achieve change.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Creative, Open-minded, Warm
Accepts 5 insurance carriers

Offers free consultationsView profile and book
Jennifer Van Ness

Jennifer Van Ness

Therapist

Virtual & in-person • 8.8 mi away • San Antonio, TX


“I practice from a grounded, calm space. I believe counseling can change people's lives for the better and can even saves lives.”
LGBTQIA+, Anxiety, Bipolar disorder, Depression, Family issues
Affirming, Holistic, Open-minded
Accepts 13 insurance carriers

Offers free consultationsView profile and book
Jade Glover

Jade Glover

Therapist

Virtual & in-person • 10 mi away • San Antonio, TX


“I understand intergenerational trauma, Bipolar depression, CPTSD, PTSD, anxiety, and the quiet battle with self-worth—not just from textbooks, but from lived experience.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Cultural & ethnic issues
Direct, Empowering, Warm
Accepts 11 insurance carriers
Miguel Torres

Miguel Torres

Therapist

Virtual & in-person • 8.8 mi away • San Antonio, TX


“I offer a compassionate, supportive space where you can feel heard, understood, and empowered to grow.”
LGBTQIA+, Anger management, Anxiety, Family issues, Grief or loss
Empowering, Open-minded, Warm
Accepts 10 insurance carriers
Rachel Daley

Rachel Daley

Therapist

Virtual & in-person • 6.5 mi away • San Antonio, TX


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Solution-oriented
Accepts 14 insurance carriers
Elizabeth Milvo

Elizabeth Milvo

Therapist

Virtual & in-person • 9.2 mi away • San Antonio, TX


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Humorous, Solution-oriented
Accepts 8 insurance carriers
Nuala Martinez

Nuala Martinez

Therapist

Virtual & in-person • 9.9 mi away • San Antonio, TX


“I believe the client/counselor relationship is a collaborative partnership that facilitates for the client, a journey of self-discovery and wellness.”
LGBTQIA+, Anger management, Anxiety, Bipolar disorder, Cultural & ethnic issues
Empowering, Solution-oriented, Warm
Accepts 16 insurance carriers
Kedrick St Floyd

Kedrick St Floyd

Psychiatric Mental Health NP

Virtual & in-person • 10 mi away • San Antonio, TX


“I believe real healing starts with real connection, which is why I focus on building honest, respectful, and supportive relationships with every client.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Holistic, Open-minded
Accepts 4 insurance carriers
Dawn Gutierrez

Dawn Gutierrez

Psychiatric Mental Health NP

Virtual & in-person • 10 mi away • San Antonio, TX


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Warm
Accepts 5 insurance carriers
Haziel Williams

Haziel Williams

Therapist

Virtual & in-person • 10 mi away • San Antonio, TX


“I meet my clients with warmth and understanding. I create a safe and comfortable environment that encourages open communication and goal setting.”
LGBTQIA+, ADD/ADHD, Anxiety, Bipolar disorder, Cultural & ethnic issues
Affirming, Creative, Solution-oriented
Accepts 13 insurance carriers

Offers free consultationsView profile and book
Jacob Rincon

Jacob Rincon

Therapist

Virtual & in-person • 8.4 mi away • San Antonio, TX


“I believe that everyone has the ability to overcome any adversity they face, they just need a little help or guidance along the way.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Depression
Challenging, Open-minded, Solution-oriented
Accepts 20 insurance carriers
Sonia Tamez Coutee

Sonia Tamez Coutee

Therapist

Virtual & in-person • 9.9 mi away • San Antonio, TX


“My goal is to provide support to effectively address personal, relational life challenges that keep people from the life that they have envisioned.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Open-minded, Participatory, Warm
Accepts 11 insurance carriers

Offers free consultationsView profile and book
Juazzelyn Barrera

Juazzelyn Barrera

Therapist

Virtual & in-person • 12 mi away • San Antonio, TX


“My goal is to create a warm, inviting, open, non-judgmental space for clients to share their voices, own their emotions, grow and become who they want to be.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Cultural & ethnic issues
Empowering, Humorous, Warm
Accepts 6 insurance carriers
Yocelyn Aguilar

Yocelyn Aguilar

Therapist

Virtual & in-person • 7.8 mi away • San Antonio, TX


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!

LGBTQIA+, Anxiety, Depression, Family issues, PTSD
Empowering, Open-minded, Warm
Accepts 10 insurance carriers
Dr. Michelle Saunders

Dr. Michelle Saunders

Therapist

Virtual & in-person • 13 mi away • San Antonio, TX


“My background as a PhD Developmental Psychologist, LMFT... my experience with bipolar disorder, addiction, and abuse allow me to provide compassionate, evidence-based care tailored to your needs.”
LGBTQIA+, Anxiety, Depression, End of life care, Family issues
Creative, Open-minded, Solution-oriented
Accepts 7 insurance carriers
Dr. Mariana Markella-Lunati

Dr. Mariana Markella-Lunati

Psychiatrist

Virtual & in-person • 13 mi away • San Antonio, TX


“I believe that every individual has a unique story, and that effective treatment begins with taking the time to understand each person's experiences, challenges, strengths, goals, values, and preferences.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Open-minded, Warm
Accepts 8 insurance carriers
Stella Ihesiaba

Stella Ihesiaba

Psychiatric Mental Health NP

Virtual & in-person • 14 mi away • San Antonio, TX


“I'm a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing holistic, person-centered care for children, adolescents, and adults.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Holistic, Open-minded, Solution-oriented
Accepts 8 insurance carriers
Krystal Kalt

Krystal Kalt

Psychiatric Mental Health NP

Virtual & in-person • 13 mi away • San Antonio, TX


“I believe mental health treatment should feel clear, respectful, and empowering — not rushed or transactional.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Empowering, Solution-oriented, Warm
Accepts 8 insurance carriers
Fatima Keys

Fatima Keys

Therapist

Virtual & in-person • 13 mi away • Universal City, TX


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.

LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Affirming, Open-minded, Solution-oriented
Accepts 15 insurance carriers
Sandra Villarreal

Sandra Villarreal

Therapist

Virtual & in-person • 14 mi away • Universal City, TX


“I have over 20 years of experience working with youth, family issues and members of the LGBTQ community.”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Bipolar disorder
Direct, Empowering, Solution-oriented
Accepts 18 insurance carriers
Denise Flores Turton

Denise Flores Turton

Therapist

Virtual & in-person • 14 mi away • San Antonio, TX


“I warmly support emotional well-being throughout every stage of life. Inspired by the unwavering consistency of a sunset, I offer a steady presence...”
LGBTQIA+, ADD/ADHD, Anger management, Anxiety, Chronic conditions
Affirming, Challenging, Open-minded
Accepts 15 insurance carriers

Offers free consultationsView profile and book

About our LGBTQIA+ affirming therapists located within 20 miles of San Antonio, TX

Number of therapists within 20 miles of San Antonio, TX
There are over 49 therapists in San Antonio, TX accepting new patients.
49+
Average years in practice
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8 years
Top specialties offered
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  • 100%LGBTQIA+
  • 100%Anxiety
  • 98%Depression
  • 94%Trauma
  • 92%Stress management
Insurances accepted
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  • 98%Aetna
  • 96%Cigna
  • 96%Blue Cross and Blue Shield of Texas
  • 96%Carelon Behavioral Health
  • 84%Ascension
Languages spoken
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  • 98%English
  • 22%Spanish
  • 2%Arabic
  • 2%Japanese
How they see their clients
Watercolor illustration of therapy session
  • 98%In-person or online
  • 2%In-person only
Provider gender
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  • 84%Woman
  • 16%Man
License types
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  • 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
Treatment approaches
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  • 98%Individual therapy
  • 49%Family therapy
  • 31%Couples therapy
  • 29%Child or adolescent therapy

Frequently asked questions

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Find the right LGBTQ-friendly therapy provider for you

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1 Cost may vary based on your location, age, and insurance coverage.