Book LGBT-friendly therapy, covered by insurance
LGBT therapists in Tacoma, WA


Top LGBT-friendly therapists and psychiatrists in Tacoma, WA
Finding an open-minded therapist who celebrates your authentic self matters. Headway's Tacoma network includes warm, inquisitive providers experienced in supporting LGBTQIA mental health journeys, with flexible scheduling and insurance coverage helping you save up to 75% on sessions.
The therapeutic process is enhanced through safety and relationship. I work to build a rapport with my clients that is grounded in safety, security, and trust.
I am a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) offering telehealth psychiatric care across Oregon and Washington.
With 12 years of nursing experience laying the foundation for my deep love of patient care, I bring warmth, clinical expertise, and heartfelt dedication to individuals navigating life's most complex mental health conditions.
Specialized Sensitivity
Expertise in hormone-related mood changes, pregnancy and postpartum care, attention-deficit hyperactivity disorder (ADHD), and menopause. I'm committed to providing a safe, supportive space .
Integrative Wellness
I weave together evidence-based psychiatry with somatic and mindfulness techniques to help clients reconnect with themselves.
Whatever mental health concerns you are navigating, my approach is always trauma-informed and heart-centered.
Greetings. I am a private practice therapist in Washington State. I am an Independent Clinical Social Worker and I am focused on people's empowerment and connection. I specialize in:
- Inferenced-Based Cognitive Behavior Therapy for OCD.
- Alcohol and other substance use disorders.
- Social anxiety
- Depression and anxiety
- Compulsive sexual behaviors including pornography use.
- (For compulsive sexual behaviors, I have a Sexual Compulsivity Informed Professional Certification from the Modern Sex Therapy Institutes.)
Hello! I'm Lauren Salerno (she/her), a licensed mental health therapist in Washington! I am also trained in art therapy, and love to incorporate creativity into my work with people. My typical client is neurodivergent, creative, and looking for healthy coping skills to learn when to adapt and when to advocate for themselves. I work with adults 18+ and sometimes with groups. Nice to meet you!
I have worked in the mental health field for 15+ years and love working with people from all backgrounds. I graduated from the University of Washington School of Social Work where I earned my Masters in Social Work. I have spent time working in outpatient mental health clinics, local hospitals and various non-profits in King County. My passions include providing gender-affirming care, support for members of the LGBTQ+ community and adolescents.
Depression, anxiety, and trauma don't always respond to standard treatments and if you're here, there's a good chance you've tried an approach that hasn't worked. I'm a Board-Certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over 14 years of clinical experience, and my practice is built specifically around patients who need more than a first-line approach. I trained at UCLA & UCSF, and before specializing in psychiatry, I spent years working in critical care which taught me to read the body's systems as interconnected, not siloed. I bring that same lens to psychiatric care with emphasis on the mind/body as one.
Stimulants, Suboxone and Benzodiazepines are prescribed in this practice with DEA guidelines. Dr. Padilla is a Doctor of Nursing Practice from the New York tri-state area and has over 30 years of experience in healthcare. He treats children from 6 years old through adulthood, focusing on psychiatric medication management. He specializes in mental health and has extensive experience in the field of psychiatry. Dr. Padilla takes a “start low and go slow” approach to prescribing, paying special attention to medication potency and potential interactions with other medications prescribed by other providers. Dr. Padilla earned his Doctorate in Clinical Practice Nursing from Rutgers University–New Brunswick. He also holds bachelor’s degrees from Rutgers, The State University of New Jersey, and the University of Miami, as well as an associate’s degree from Bergen Community College.
I have been working as a therapist to help clients find healing and gain understanding in themselves since 2016.
I hold a Body Acceptance Group for Women where clients work towards overcoming body shame, learn to nourish and heal their relationship with their body, and start living an empowered life.
Other areas of focus in my work are on adult family relationships, trauma, healing from sexual assault or abuse, and anxiety.
About our LGBTQIA+ affirming therapists in Tacoma, WA



- 100%LGBTQIA+
- 98%Anxiety
- 96%Depression
- 88%Stress management
- 87%Trauma

- 98%Aetna
- 88%Regence BlueShield of Washington
- 83%Carelon Behavioral Health
- 83%Cigna
- 51%Providence Health Plan

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

- 87%Online only
- 13%In-person or online

- 76%Woman
- 21%Man
- 3%Non-binary

- 38%Licensed Mental Health Counselor
- 28%Licensed Independent Clinical Social Worker
- 23%Advanced Registered Nurse Practitioner
- 7%Licensed Marriage/Family Therapist
- 4%Psychologist

- 99%Individual therapy
- 31%Family therapy
- 21%Couples 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 Tacoma
Finding LGBTQIA+ therapists in Tacoma starts with choosing care that is identity-affirming, not just clinically relevant. An affirming therapist may support concerns related to identity, relationships, gender exploration, family dynamics, anxiety, depression, or trauma. As you compare options, look for therapists who mention affirmative therapy, WPATH training, gender-diverse experience, or work with LGBTQIA+ communities in their listed specialties and bios.
Tacoma has a steady network of mental health therapists, but the number of therapists with explicit LGBTQIA+ experience may vary by availability, specialty, and neighborhood. Virtual therapy can expand your options if you want a therapist outside your immediate area or need more scheduling flexibility. In addition to specialty, consider appointment times, whether the therapist is accepting new clients, and whether their profile gives a clear sense of their communication style, approach, and experience with LGBTQIA+ clients, couples, and families.
Therapy in Tacoma can be a significant investment without insurance. Using in-network insurance is one of the most reliable ways to lower session costs and make ongoing care easier to plan for. Headway helps you search for LGBTQIA+ therapists in Tacoma who are accepting new clients, review detailed bios, check your estimated out-of-pocket cost before booking, and schedule directly when you’re ready.
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