Book LGBT-friendly therapy, covered by insurance
LGBT therapists in Richmond, VA


Top LGBT-friendly therapists and psychiatrists in Richmond, VA
Richmond's LGBTQIA+ community deserves mental health support from providers who truly understand. Headway offers sessions with warm, affirming therapists across the city, with many patients saving up to 75% on care through insurance coverage and free initial consultations available.
Hey! I'm Brendan (he/they), a licensed professional counselor, living and working in Richmond, Virginia. I will be offering in person appointments starting in August. My goal, in every session, is to help you reach a point of empowerment and acceptance with yourself through compassionate and playful work together. You are the expert on you, I will follow and walk along this path with you. I want to help you better understand yourself and how you wish to be. Through understanding there is compassion, through compassion there is liberation. Tsi-Ya (ᏥᏯ) means "otter" in the Cherokee Language. In life we may feel our emotions and stress in such profound ways we struggle to tread water and may find ourselves drowning and overwhelmed. Like otters, we must learn to float.
I am a dual-certified Nurse Practitioner (PMHNP-BC, AGACNP-BC) providing integrative psychiatric care for adolescents and adults in Virginia. I work with concerns such as anxiety, depression, ADHD, trauma, burnout, mood disorders, and life transitions. My work centers on understanding the whole person, not just symptoms.
Hello, and welcome! I'm Sakura Pate, a trauma-informed therapist dedicated to creating a safe, supportive, and nonjudgmental space where clients feel seen, heard, and empowered. I became a social worker in 2013, supporting individuals through a wide range of life challenges across community and behavioral health settings. After earning my Master of Social Work in 2023, I expanded my practice to provide individual and couples counseling, combining years of social work experience with evidence-based, client-centered, and trauma-informed care.
I work with adults and couples experiencing a variety of emotional, relational, and life challenges. Whether you're feeling overwhelmed, navigating a major life transition, struggling in your relationships, processing past experiences, or simply looking to better understand yourself, I provide a collaborative space to explore what matters most to you. My approach is tailored to each individual, recognizing that every person's experiences, strengths, and goals are unique. I also provide LGBTQIA+ affirming care and am committed to creating an inclusive environment where every client feels respected, valued, and safe to show up as their authentic self.
I believe healing happens through connection, self-awareness, and compassion. Whether you're seeking support for a specific concern, personal growth, or greater fulfillment in your relationships, I'm honored to walk alongside you as you build resilience, strengthen meaningful connections, and create lasting, positive change.
I work mainly with college-aged individuals, and specialize in working with individuals from adolescence to early adulthood who struggle with feeling that they are too much or not enough, who have been affected by trauma, and around issues relating to identity, attachment, grief, dysregulated emotions, self-esteem, and relational conflicts.
I am a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to providing compassionate, evidence-based care for individuals across the lifespan. I specialize in treating conditions such as anxiety, depression, mood disorders, ADHD, and stress-related concerns through a combination of medication management and supportive psychotherapy.
My approach is holistic, collaborative, and patient-centered. I believe in creating a safe, nonjudgmental space where clients feel heard and respected. Together, we will explore your concerns, identify treatment goals, and develop a personalized plan that aligns with your needs and lifestyle.
I incorporate evidence-based practices such as cognitive behavioral techniques, supportive therapy, and psychoeducation to help clients build coping skills and improve overall well-being. Whether you are starting treatment for the first time or continuing your mental health journey, I strive to provide care that is thoughtful, empowering, and results-oriented.
I offer convenient telehealth services, making it easier to access care from the comfort of your home. My goal is to support you in achieving stability, balance, and improved quality of life.
I welcome clients from diverse backgrounds and am committed to culturally sensitive care.
I believe therapy works best when clients feel safe, heard, and genuinely supported. I strive to create a warm, nonjudgmental, and collaborative environment where clients can show up as their authentic selves. My approach is compassionate, direct when needed, and focused on helping clients build practical tools for everyday life while also exploring deeper emotional patterns and experiences.
I enjoy working with individuals navigating anxiety, life transitions, relationship concerns, self-esteem challenges, stress, identity exploration, and emotional overwhelm. I am passionate about supporting LGBTQIA+ and BIPOC clients and creating an affirming therapeutic space where clients feel respected and understood.
I understand that starting therapy can feel vulnerable, and my goal is to meet clients where they are while helping them move toward healing, clarity, and meaningful growth.
I have been a counselor for more than 30 years. I remain passionate about making a difference in the lives of others and believe that genuine caring is an essential element to an effective counseling relationship. Over the years I have worked with clients with significant trauma and loss. I consider it a privilege to stand with another individual as he or she resolves great pain. I specialize in treating clients with trauma, relationship issues, and borderline personality disorder.
I am a Licensed Clinical Social Worker with 15 years of experience in mental health and substance use services, and have a postgraduate Certificate in Psychedelic-Assisted Therapy. I work with adults, with a particular passion for supporting women, LGBTQIA+, and BIPOC individuals, as well as those navigating post-psychedelic integration.
Our therapeutic partnership begins with the understanding that you are a whole person — not a diagnosis, a symptom, or a set of circumstances. Together, we will explore how the intersections of identity, lived experience, trauma, mental health, and substance use shape your inner world and outer life across biological, psychological, social, and spiritual dimensions.
Hi there! I'm Courtney Goolsby, an LPC in the state of Virginia. I have been working in the mental health field for over 10 years and truly love assisting in the creation of change. I specialize in working with individuals experiencing anxiety, depression, stress, burnout, and communication challenges.
About our LGBTQIA+ affirming therapists in Richmond, VA



- 100%LGBTQIA+
- 98%Anxiety
- 94%Depression
- 91%Stress management
- 84%Trauma

- 98%Aetna
- 85%Carelon Behavioral Health
- 84%Cigna
- 46%United Healthcare

- 99%English
- 6%Spanish
- 1%French
- 1%Portuguese
- 1%Mandarin

- 91%Online only
- 9%In-person or online

- 79%Woman
- 19%Man
- 2%Non-binary

- 40%Licensed Professional Counselor
- 39%Licensed Clinical Social Worker
- 9%Nurse Practitioner
- 6%Psychologist
- 5%Licensed Marriage/Family Therapist

- 100%Individual therapy
- 37%Family therapy
- 25%Couples therapy
- 16%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 Richmond, VA
Finding LGBTQIA+ therapists in Richmond starts with care that affirms your identity and matches your needs. Look for therapists who name experience with LGBTQIA+ people, gender-diverse clients, affirmative therapy, WPATH training, or related care in their profiles. You may also want support for concerns such as anxiety, depression, relationship stress, trauma, identity exploration, or family conflict. A therapist’s listed specialties, training, and approach can help you decide whether their experience fits what you want from care.
Richmond has a range of therapists, but LGBTQIA+-affirming care may vary by neighborhood, schedule, and specialty. Virtual appointments can expand your options if you want to consider therapists beyond nearby offices or need more flexible availability. As you compare therapists, look at whether they are accepting new clients, offer free phone consultations, and list experience with LGBTQIA+ populations. Reading bios can also show how a therapist describes their style, communication, and work with clients who share parts of your identity or lived experience.
Therapy in Richmond can be a significant expense without insurance. Using in-network insurance is one of the most reliable ways to reduce session costs and make ongoing care more affordable. Headway helps you find LGBTQIA+-affirming therapists, review estimated out-of-pocket costs before you book, and use your insurance details on Headway to confirm coverage for your specific plan and location. This makes it easier to compare fit, cost, and availability in one place.
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