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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 2,727 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.
Hello! I am a Licensed Practicing Counselor and Art Therapist here to help you navigate emotional hardships and invest in your mental health and well-being.
I have experience in working with children, adolescents, adults, groups, and couples. My techniques range from a variety of modalities including a person-centered approach, cognitive behavioral therapy, and solution-focused therapy. While working alongside my clients, I provide individualized treatment for a wide range of concerns.
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.
I am a Licensed Clinical Social Worker. I specialize in providing therapeutic services to adults (18+) in individual, group, and couples formats. My foundational background with mental health services comes from my experience working in inpatient psychiatric settings with severe mental disorders and substance use/addiction. I am also fluently bilingual in Spanish.
Ofrezco terapia en español
Hi, I’m Sharol Mejia. I’m a Licensed Professional Counselor in Texas, and I primarily work with teen girls and adult women navigating anxiety, depression, life transitions, and relationship challenges. I’m currently pursuing my PhD in Counselor Education and Supervision, and I bring both clinical training and genuine compassion into my work.
My approach is grounded in warmth, authenticity, and the belief that healing begins when you feel truly seen, supported, and understood. I believe meaningful change often happens in the small “glimmers”—the moments of courage, softness, and growth you allow yourself to experience, even when things feel heavy or uncertain.
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.
Now taking in office clients Tuesday nights in San Antonio! Virtual clients Monday nights. I seek to help individuals heal on the threefold path: mind, body, and spirit. 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. I am of service to 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.
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
- 96%Trauma
- 94%Stress management

- 98%Aetna
- 98%Carelon Behavioral Health
- 96%Cigna
- 96%Blue Cross and Blue Shield of Texas
- 83%Ascension

- 98%English
- 26%Spanish
- 2%Arabic
- 2%Japanese

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

- 87%Woman
- 13%Man

- 68%Licensed Professional Counselor
- 15%Licensed Clinical Social Worker
- 13%Advanced Practice Registered Nurse - Certified Nurse Practitioner
- 4%Licensed Marriage/Family Therapist

- 98%Individual therapy
- 45%Family therapy
- 26%Child or adolescent therapy
- 21%Couples 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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