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Finding & Choosing an LGBTQIA+ Therapist

Published: May 18, 2020 Updated: February 17, 2023
Published: 05/18/2020 Updated: 02/17/2023
Written by:

Matthew Witter

Psy.D.
Dena Westphalen, PharmD
Reviewed by:

Dena Westphalen

PharmD
  • Why Finding a LGBTIA+ Therapist Is So ImportantWhy It's Important
  • Where to Find a List of LGBTQIA+ TherapistsWhere to Find
  • Weighing Your Options for LGBTQ+-Friendly TherapistsOptions
  • Questions to Ask Potential LGBTQ+-Friendly TherapistsWhat to Ask
  • Finding a Great LGBTQIA+ Therapist Is Worth ItIt's Worth It
  • Additional ResourcesResources
  • Infographics About Finding an LGBTQ+ TherapistInfographics
Written by:

Matthew Witter

Psy.D.
Dena Westphalen, PharmD
Reviewed by:

Dena Westphalen

PharmD

Lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) people struggle with mental health issues at higher rates than their heterosexual peers.1 They face multiple stressors such as homophobia and discrimination, issues around coming out, communicating with family, and finding a peer group. Finding a therapist that is openly LGBTQ, LGBTQ friendly, or specializes in LGBTQ issues can help validate a clients experience and make them feel heard.

Connect with a licensed therapist who is dedicated to serving the LGBTQ+ community. Complete Pride Counseling’s brief questionnaire to be matched with a supportive therapist. Experience online therapy for as little as $60 per week.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Pride Counseling

Visit Pride Counseling

Why Finding a LGBTIA+ Therapist Is So Important

Mental health disorders are much more prevalent for LGBTQ+ individuals due to multiple factors including discrimination in society, social stigma, lack of support, and internalized homophobia. In a 2017 Harvard School of Public Health survey of 489 LGBTQ+ members across the US it was found that 57% of all LGBTQ+ people have experienced slurs, 57% of those surveyed had they themselves or had family members that were threatened or non-sexually harassed, and 51% have experienced violence because of their sexuality or gender identity.3 Alarming as these statistics may be, they show that LGBTQ+ people are more likely to face experiences and traumas that lead to a greater likelihood of developing a mental health disorder.

In terms of the prevalence of mental health issues research has shown that LGBTQ+ individuals are more likely to suffer from a mental health disorder compared to their heterosexual counterparts.3 LGBTQ+ individuals are at higher risk of suicide, especially for those members who identify as transgender. According to a 2015 UCLA Transgender survey,  which is the largest survey of transgender people in the U.S, 81% of transgender adults reported thoughts of suicide and 48.3 % had tried to kill themselves in the past year. Also alarming was 40.3 % reported attempting suicide at some point in their lifetimes.3

A 2003 Cochran study looked at prevalence rates of specific mental health disorders in 2,917 heterosexual and gay and lesbian adults in the US, and found that the rates of depression and anxiety were at least two times greater or more for LGBTQ+ individuals.4

The study found that of 37 gay and bisexual men, compared to 1,239 heterosexual men, one-year prevalence rates were reported for the following disorders:

Gay/Bisexual Men                  Heterosexual Men
Major Depression   31% 10.2%
Generalized Anxiety Disorder   2.9% 1.8%
Panic Disorder          17.9% 3.8%
Alcohol Dependency 8.9% 5.6%
Drug Dependency 9.7% 2.7%
Two or more disorders 19.6% 5.0%

The 2003 Cochran study also looked at 37 lesbian and bisexual women compared to 1,604 heterosexual women for the same disorders:

Lesbian/Bisexual Women                  Heterosexual Women
Major Depression    33.5% 16.8%
Generalized Anxiety Disorder 14.7% 3.8%
Panic Disorder 17.1% 8.6%
Alcohol Dependency  11.8% 3.4%
Drug Dependency       6.5% 1.5%
Two or more disorders 23.5% 7.7%

Additionally, research has shown that people with minority identities may prefer a therapist who understands the LGBTQ+ experience, like what it’s like to come out as gay, lesbian or bisexual to family and loved ones.2 According to the American Psychological Association (APA) Practice Guidelines for Working with LGBTQ+ Clients, therapists must understand the social stigma, discrimination, and antigay victimization that can plague LGBTQ+ clients. Some guidelines state that psychologists must understand how stigma can affect LGBTQ+ clients, recognize one’s own biases as they relate to the therapeutic work, and recognize there may be difficulties outside of being a member of the LGBTQ+ community.2

Where to Find a List of LGBTQIA+ Therapists

LGBTQ+-friendly therapists can be found using online directories and specific apps as well as through traditional referral sources, like trusted family members, friends, or primary care physicians. Additionally, many national, state- and city-wide non-profit agencies that serve the LGBTQ+ community have therapist referral networks. A college or university’s student health center or LGBTQ+ student association can also be a great place for students to find a list of therapists. In most cases, accessing these directories is free.

National Queer and Trans Therapists of Color Network

The National Queer and Trans Therapists of Color Network is s network of Queer and Transgender identified therapists of color transforming mental health for Queer and Transgender People of Color (QTPoC). They have a directory where you can search on a Google Map, or search by featured therapists in a certain area. Most therapists are primarily in larger gay friendly cities on the East and West Coast, and splattered through the Midwest and South. When you click on a potential therapist you will be able to view their contact information, fees, practice website, specialties, etc.

PrideCounseling

PrideCounseling is an online therapy platform that’s operated by BetterHelp. It connects you with licensed therapists (Licensed Professional Counselors, Marriage and Family Therapists, Social Workers, and Psychologists) in your state and can connect international clients with US licensed therapists. Therapists on PrideCounseling specialize in working with the LGBTQ+ community. Therapy sessions are done online and are completely confidential and HIPPA compliant.

You provide your information regarding what kind of therapist you are looking for and they connect you with someone that meets your needs. Sessions are provided via video chat, phone, or live chat (like a chatroom). You can also message your therapist during the week when needing support. Pride Counseling costs $50 – $80 per week and is billed monthly. No insurance is accepted.

Get 20% Off Your First Month With Pride Counseling

Your City’s LGBTQ+ Center

LGBTcenters.org is a comprehensive list of LGBTQ+ centers in the US. This helps you easily locate the nearest center near you. Many LGBTQ+ centers have licensed therapists that you can see or know of resources in your area.

Lighthouse

Lighthouse connects you with LGBTQ+ friendly healthcare and wellness providers in your area. These can be therapists, psychologists, psychiatrists, doctors, dentists, etc. When clicking on a potential therapist profile, the therapist will provide their identifier (Gay Cis Man), address and contact info, specialties, experiences, fees, if they accept insurance, and a short bio about them.

Other Places to Find a List of LGBTQ+ Therapists

While online therapist directories and non-profit organizations are a great place to find LGBTQ+ therapists, they aren’t the only options. Those employed by medium to large size companies should look into the options provided in their Employee Assistance Program (EAP). Students currently enrolled in college or university should check in with their campus health department or their student center. Another good option is to request a referral from your primary care physician or another trusted medical provider. And it’s worth considering tapping into your network of friends, colleagues, and family members if you have reason to believe they’ve dealt with a similar search before.

Connect with a licensed therapist who is dedicated to serving the LGBTQ+ community. Complete Pride Counseling’s brief questionnaire to be matched with a supportive therapist. Experience online therapy for as little as $60 per week.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Pride Counseling

Visit Pride Counseling

Weighing Your Options for LGBTQ+-Friendly Therapists

Now that you have decided to take that leap to find a LGBTQ+-friendly therapist, it’s time to consider logistics. If you have insurance it may be cost effective to find a therapist that accepts that insurance, if possible. It’s also important to look at the license and education of the therapist to make sure you believe they have the qualifications to meet your needs as a client. In addition, you need to see if the therapist can accommodate your schedule.

Lastly, reading their website can give you an idea of what kind of personality they have and if you think you would vibe well with them. Research has shown that the most important indicator that a client will improve is the therapeutic relationship. Regardless of the therapeutic style, when there is a strong alliance between a client and therapist the client will be much more likely to see a reduction in mental health symptoms. This makes the importance of finding a therapist that you relate to the best factor for treatment.9 Reading their biography, specialties, and education with a critical eye will be beneficial when making the decision to move forward.

Licensing, Certification, and Education

Finding an LGBTQ+ friendly therapist is the first step in making sure you have a great match. The next thing to look at is the therapist’s license and education. Depending on the severity of your needs you may want someone with more education, training, or specialization in addition to being LGBTQ+-friendly.

  • Licensed Professional Counselors (LPC), also known as licensed clinical professional counselors (LCPC) or licensed mental health counselors (LMHC). These therapists work with family, individuals, couples, and group therapy. They complete around two years of education to obtain a Masters in Mental Health Counseling and complete 3,000 hours of supervised clinical experience under a licensed counselor. Lastly, they must pass the National Counselor Examination (NCE).5
  • Social Workers receive a Master of Social Work (MSW) after completing around two years of coursework. Similar to LPCs they do an internship in different clinical settings while taking classes. After receiving an MSW they must have two years of full-time clinical social work experience  (a minimum of 1,920 supervised hours of face-to-face client contact). Lastly, candidates must pass the Association of Social Work Boards (ASWB).6
  • Psychologists primarily receive a Ph.D. (Doctorate of Philosophy) or Psy.D. (Doctorate of Psychology) in Clinical or Counseling Psychology. The doctorate degrees take an average of 4-7 years to complete. A PsyD is focused more on working in the clinical field with clients, while a PhD devotes more time to research. Most states require one year of supervised experience (under a licensed psychologist) before graduation and an additional year of postdoctoral experience (under a licensed psychologist). Lastly, psychologists must pass the Examination for Professional Practice in Psychology (EPPP).7

There is much debate about which mental health professional is “better.” Every professional goes through rigorous hours of training to hone their craft. Social Workers have been known to be more social justice and advocacy focused and the degree opens possibilities for administrative and nonprofit work, in addition to being a therapist. On the other hand, Psychologists many times have more research experience and may have greater specializations. Licensed Professional Counselors are primarily specialized in therapy (compared to the other two specialties discussed).

Costs and Insurance

The cost per therapy session will vary depending on the education, experience level, and specialty area of the therapist. Certain geographic areas can also impact the cost of therapy. For example, in New York City therapists may charge anywhere between $65-$350 per session and the average in most cities is between $100-$200.8

If a therapist you are interested in accepts your insurance then your out-of-pocket costs will be significantly lower. Your insurance will cover most of the session and you will; be responsible for just the copay, usually between $10-$40 a session depending on your insurance benefits. If your insurance has “out of network” benefits, then you would pay the full fee of the therapy session and your insurance would reimburse a percentage of that fee after. It is important to call your insurance ahead of time to see how much they cover for in network and out of network therapy.13

If you don’t have insurance or your preferred therapist isn’t in network, you may be able to find more affordable rates by looking for therapists that offer a sliding scale fee where your session fee amount is based on your income. If you see an intern or trainee (a future therapist completing their coursework and working under supervision of a licensed therapist) the costs will be much lower. Another option is to seek therapy through a community mental health center which often offers reduced costs.

If you have a particular issue you would like to work on that may require a more experienced and trained therapist, then you will most likely need to pay more. As you can see, finding a therapist who is LGBTQ+ friendly is just one part of the puzzle. Finding someone who takes your insurance, has training in your particular difficulty, and who is available and affordable is just as vital.

Scheduling

It’s important to find a therapist that has open availability during your preferred time. Oftentimes the clinician’s general hours of operation are listed on their website, but you will typically not know their current availability. To get that information, you’ll need to give them a call or inquire via email.

When making your first phone call or email inquiry to the potential therapist to discuss briefly what you are struggling with, your goal of finding an LGBTQ+ friendly therapist and your time and date availability.

Example Email Enquiry to a Therapist 

“Hi my name is _________ , I am looking for a therapist to help with issues of sadness and who has experience with LGBTQ+ populations. I am available for therapy _____________(Days of Week) between _____________ (Time of Day). The best phone number to reach me at is _____________ and the best email address to reach me at is _____________.”

This gives the therapist a good idea of what you are looking for and your availability from the start so they can see if their schedule can accommodate you.

The importance of choosing a session during a time that you have the least commitments is key. When choosing a therapist to work with you never want to bend your schedule to the therapist’s availability. This will create problems in the future if you have to continue juggling commitments and can’t give proper time to your treatment. A good rule of thumb when scheduling a session is make sure you have plenty of time to get to your appointment and make sure you have some time to reflect afterwards. The less likely you are to miss a session the better your treatment will be. If you continually need to cancel then this will affect your outcomes. Your time is valuable and you must treat it as such.

Finding the RIGHT Therapist

Finding a good therapist can be like finding a good partner. You might go on a lot of first “dates” to see which one you vibe with the most, and which person you connect with. This is your opportunity to see if the therapist has the right skills, personality, and therapeutic style that you will find helpful. Everyone is unique and not all therapists will be your cup of tea, and that’s ok!

When you are able to schedule an in person or phone consultation you can use a more critical lens to see if you think this therapist is a good fit. You may prefer an active therapist who challenges you or a therapist who listens and reflects.

A good rule of thumb is to arrange meetings with multiple therapists. Usually the first phone call and consultation are free. When meeting for the first time don’t be afraid to ask more about their experiences working with the LGBTQ+ population. Whether they self-disclose or identify as an ally, you should get a good feel what their experience has been, if they have taken any specialized training or certifications in working with the LGBTQ+ community, and their approach to working with this community. If they have the right life experience it will be evident in their mindset and approach to counseling LGBTQ+ individuals.

Questions to Ask Potential LGBTQ+-Friendly Therapists

Don’t be afraid to ask the hard questions because this will be someone you may be working with over time and you want to gather as much pertinent information as you can.

Here are ten questions that can might elicit useful insights into your potential patient-therapist fit:

  1. What experience do you have with the LGBTQ+ community?
  2. Do you have any specific training or certifications that correspond to working with LGBTQ+ clients?
  3. What is your therapeutic orientation and how does this inform your practice?
  4. What are your specialities?
  5. Do you feel confident in working with me?
  6. What is your availability and do you provide evenings or weekend appointments?
  7. What is your cancellation policy if I cannot make a session?
  8. How long do you think therapy will take?
  9. Do you allow client feedback throughout therapy, and what does that look like?
  10. How will we know when therapy is finished?

Finding a Great LGBTQIA+ Therapist Is Worth It

Although the process of finding the right therapist can seem daunting, it ultimately will benefit you in the long run. Taking the time to find a therapist that understands what you are going through and can help you with your most pressing mental health concerns will ensure long term success. Think of this as investing in your future, because you deserve it.

We all deserve help, especially during this hard time. As a gay identified therapist who also sees a gay therapist, I can tell you that finding him was the best thing that could have ever happened to me. I have someone who understands my feelings towards my sexuality, understands my struggles as a gay person, and can help me feel whole again.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Online Therapy 

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Online Psychiatry

Hims / Hers – If you’re living with anxiety or depression, finding the right medication match may make all the difference. Get FDA approved medication prescribed by your dedicated Hims / Hers Healthcare Provider and delivered right to your door. Plans start at $25 per month (first month). Get Started

Medication + Therapy  

Brightside Health – Together, medication and therapy can help you feel like yourself, faster. Brightside Health treatment plans start at $95 per month. United Healthcare, Anthem, Cigna, and Aetna accepted. Following a free online evaluation and receiving a prescription, you can get FDA approved medications delivered to your door. Free Assessment

Choosing Therapy Directory 

You can search for therapists by specialty, experience, insurance, or price, and location. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp, Hims / Hers, and Brightside.

For Further Reading

  • Best Online Therapy Options
  • Mental Health America
  • NAMI
  • MentalHealth.gov

Infographics About Finding an LGBTQ+ Therapist

Finding & Choosing an LGBTQ+ Therapist Stressors Faced by LGBTQ+ Members and How the Right Therapist Can Help Why Finding a LGBTQ+ Therapist is Important

Where to Find a List of LGBTQ+ Therapists Questions to Ask Potential LGBTQ-Friendly Therapists How Finding the Right LGBTQ+ Therapist Can Ensure Long-Term Success

9 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Cohran, Mays, and Sullivan (2003) Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 17 (1) 53-61. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/12602425

  • American Psychological Association (2011). Practice Guidelines for LGB Clients.Retrieved from: https://www.apa.org/pi/lgbt/resources/guidelines

  • Semlyen J, et al. (2016) Sexual Orientation and Symptoms Of Common Mental Disorder or Low Wellbeing: Combined Meta-Analysis Of 12 UK Population Health Surveys. BMC Psychiatry. 24;16: Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4806482/

  • UCLA School of Law (2015) Suicide Thoughts and Attempts Among Transgender Adults: Findings from the 2015 U.S. Transgender Survey. Retrieved from: https://williamsinstitute.law.ucla.edu/publications/suicidality-transgender-adults/

  • American Counseling Association (2020, May 7th) Who are Licensed Professional Counselors. Retrieved from: https://www.counseling.org/PublicPolicy/WhoAreLPCs.pdf

  • Association of Social Work Boards (2020, May 7th). Retrieved from: https://www.aswb.org/

  • Association of State and Psychology Provincial Boards (2020, May 7th). Retrieved from: https://www.asppb.net/default.aspx

  • Good Therapy (2020, May 7th) How Much Does Therapy Cost? Retrieved from: https://www.goodtherapy.org/blog/faq/how-much-does-therapy-cost

  • Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice, Training, 38(4), 357–361. https://doi.org/10.1037/0033-3204.38.4.357

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Written by:

Matthew Witter

Psy.D.
Dena Westphalen, PharmD
Reviewed by:

Dena Westphalen

PharmD
  • Why Finding a LGBTIA+ Therapist Is So ImportantWhy It's Important
  • Where to Find a List of LGBTQIA+ TherapistsWhere to Find
  • Weighing Your Options for LGBTQ+-Friendly TherapistsOptions
  • Questions to Ask Potential LGBTQ+-Friendly TherapistsWhat to Ask
  • Finding a Great LGBTQIA+ Therapist Is Worth ItIt's Worth It
  • Additional ResourcesResources
  • Infographics About Finding an LGBTQ+ TherapistInfographics
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