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Online LGBTQ+ Issues therapists in San Francisco, CA

We are proud to feature top rated online LGBTQ+ Issues therapists in San Francisco. We encourage you to review each profile to find your best match.
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Yorba Linda, California therapist: Dr. Lois Nightingale, psychologist
LGBTQ+

Dr. Lois Nightingale

Psychologist, MA, Ph.D.
I work with a variety of LGBTQ+ issues. I counsel same sex couples, provide therapy for those going through transition, and work with extended family members who may be struggling after someone they love comes out. I have written children's book for kids of same sex parents who are facing divorce. amazon.com/author/loisnightingale  
43 Years Experience
Online in San Francisco, CA
Encino, California therapist: Sam Naimi, licensed clinical social worker
LGBTQ+

Sam Naimi

Licensed Clinical Social Worker, Psychotherapist & Psychoanalyst
As a fellow queer person, I offer a space where identity can be explored slowly and honestly in the therapy room. Our work will pay attention to the unconscious ways your history, culture, and lived experiences shape how you understand yourself in the world. Therapy becomes a place to make meaning of what has been carried quietly, soften internal conflict, and move toward a way of living that feels more authentic.  
8 Years Experience
Online in San Francisco, CA
Mississauga, Ontario therapist: Dr. Angel Enrique Pacheco, Ph.D., C.Psych., psychologist
LGBTQ+

Dr. Angel Enrique Pacheco, Ph.D., C.Psych.

Psychologist, Registered Clinical Psychologist
I have been working with all groups of reference and of all ages to help improve their lives and those of their partners.  
50 Years Experience
Online in San Francisco, CA (Online Only)
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Carlsbad, California therapist: Diaspora Therapy Group, marriage and family therapist
LGBTQ+

Diaspora Therapy Group

Marriage and Family Therapist, DSW, LMFT
We provide affirming, culturally responsive care for LGBTQ+ individuals across the lifespan. We support clients navigating identity exploration, relationships, family dynamics, discrimination, and minority stress. Our approach prioritizes safety, affirmation, and self-determination.  
7 Years Experience
Online in San Francisco, CA
Studio City, California therapist: Dr. Mazmanyan and Associates, psychologist
LGBTQ+

Dr. Mazmanyan and Associates

Psychologist, Ph.D
Come as you are. We will be a safe and non-judgmental space for you to show up authentically. Whatever issue or hard time you are going through, we will be your support. We will help you learn to use your voice in whatever capacity you need it. Whether it is with family, romantic partners, or yourself, let's look at how these relationships are the cause of both pain and joy.  
11 Years Experience
Online in San Francisco, CA
Burlingame, California therapist: Jeremi R McManus, marriage and family therapist
LGBTQ+

Jeremi R McManus

Marriage and Family Therapist, MFT
I have supported hundreds of couples over the past 15+ years who are LGBT or navigating a partner coming out, and look forward to helping you get your relationship where you want it to be. Poor communication? Broken trust? Endless arguments? I look forward to hearing from you.  
21 Years Experience
Online in San Francisco, CA
Los Angeles, California therapist: Lucy Cotter, marriage and family therapist
LGBTQ+

Lucy Cotter

Marriage and Family Therapist, MFT
I have many years of counseling experience in the LGBTQ community.  
21 Years Experience
Online in San Francisco, CA
San Diego, California therapist: Maren Jorgensen, marriage and family therapist
LGBTQ+

Maren Jorgensen

Marriage and Family Therapist, LMFT, CST
I am a lesbian and polyamorous therapist. I work with folks struggling to figure out their orientation in sexual preference as well as relationship preference. I welcome any and all LGBTQIA+ related issues and offer an inclusive space.  
9 Years Experience
Online in San Francisco, CA (Online Only)
San Ramon, California therapist: Ever After Individual and Family Therapy, marriage and family therapist
LGBTQ+

Ever After Individual and Family Therapy

Marriage and Family Therapist, MS, LMFT
We provide an affirming and supportive space for individuals exploring identity, relationships, and the unique challenges faced by the LGBTQIA+ community. Whether navigating coming out, family dynamics, discrimination, or mental health concerns, we help clients build self-acceptance, resilience, and fulfilling connections.  
17 Years Experience
Online in San Francisco, CA (Online Only)
Pasadena, California therapist: Leila Tabatabaee, psychologist
LGBTQ+

Leila Tabatabaee

Psychologist, PhD
I have been a part of and worked with the LGBTQIA community for decades. Each of our stories is unique. While sexuality and gender identity can be an important part of our journeys, they are also not the beginning and the end of them. I am confident in supporting you wherever you are in your journey.  
19 Years Experience
Online in San Francisco, CA
Chino, California therapist: Stuart Kaplowitz / Serene Pathways Counseling, counselor/therapist
LGBTQ+

Stuart Kaplowitz / Serene Pathways Counseling

Counselor/Therapist, MFT
Listening and learning as well being a role model for kindness and inclusion are tenets of our work.  
33 Years Experience
Online in San Francisco, CA
Los Gatos, California therapist: Hailey Williford, licensed clinical social worker
LGBTQ+

Hailey Williford

Licensed Clinical Social Worker, LCSW
As a queer person myself, I seek to support my LQBTQ+ clients through a variety of topics including but not limited to: religious trauma, exploring gender/sexuality, queer relationship dynamics, chosen family/community building, communication (or ending communication) with family, etc  
3 Years Experience
Online in San Francisco, CA (Online Only)
Sacramento, California therapist: Sandy Kong, marriage and family therapist
LGBTQ+

Sandy Kong

Marriage and Family Therapist, LMFT 119380
As a strong active ally of the community, therapy with me involves, affirmative, knowledgeable, and non-judgmental approach that centers on creating a safe environment. I do my best to stay educated and aware of the systemic, social, and political influences on this community, while also fostering collaborative therapeutic relationships with clients who identify as members of the LGBTQ+ community. Key practices include using inclusive, gender-neutral language, respecting self-identified pronouns, validating experiences of stigma, and avoiding assumptions that problems are inherently linked to sexual orientation or gender identity - all with compassionate care.  
11 Years Experience
Online in San Francisco, CA
Berkeley, California therapist: Kim Christine Stevens, marriage and family therapist
LGBTQ+

Kim Christine Stevens

Marriage and Family Therapist, LMFT, MA
Specialize in working with the LGBTQ and trans populations  
11 Years Experience
Online in San Francisco, CA
 therapist: Elizabeth Vahdatpour, marriage and family therapist
LGBTQ+

Elizabeth Vahdatpour

Marriage and Family Therapist, LMFT
I am an LGBTQ+ affirmative therapist. Wherever you are within your experience, I will offer support, resources, and guidance.  
9 Years Experience
Online in San Francisco, CA (Online Only)
Fair Oaks, California therapist: Danielle Greenspan, LMFT, LPCC, marriage and family therapist
LGBTQ+

Danielle Greenspan, LMFT, LPCC

Marriage and Family Therapist, LMFT 104395, LPCC 4889
As a queer person myself, I center my entire practice on working with and centering the queer experience. I bring my authentic queer self to each and every session I have with a client which allows me to be fully present in my clients' experiences.  
11 Years Experience
Online in San Francisco, CA
Oceanside, California therapist: Jeanette Abney, marriage and family therapist
LGBTQ+

Jeanette Abney

Marriage and Family Therapist, LMFT, SAP
I have many years of working with LGBT as is relates to the issues and concerns. I also have access to resources and services within the LGBT Community.  
27 Years Experience
Online in San Francisco, CA
West Hollywood, California therapist: Dr. Ingrid Solano, psychologist
LGBTQ+

Dr. Ingrid Solano

Psychologist, PhD
I am a member of, and advocate for, the LGBTQIA+ community. I am proud to provide affirming therapy and I have expertise in working with the experiences of sexual and gender minority individuals, and couples using CBT, DBT, and the Unified Protocol for emotional disorders. Together we can explore the impacts of coming out, internalized stigma, minority stress, intersectionality, discriminations, difficult family-of-origin relationships, giving and receiving support, families of choice, intimacy, sex, gender/sexual fluidity, identity, transitioning, and so much more. Together we can navigate the challenges of living in an oppressingly heteronormative world in order to form a healthy and affirming queer identity. Or, we don’t explore it at all - but we remain aware that they are out there and remain mindful. I am also proud to consider and provide capacity evaluations and letters of support for my transgender clients seeking gender affirming surgery. I practice from an affirming, feminist, and anti-racist philosophy. This means that I unconditionally accept and value my clients’ gender, sexual, racial, cultural, and other identities. My practice takes into account each person’s unique experiences within contexts of social and systemic oppression, and the impact on your relationships. I practice from a place off cultural humility and allyship to black, indigenous, and other people of colour. I have expertise in treating relationships and individuals navigating the impact of minority stress and discrimination. I practice affirming therapy that explores greater awareness and understanding of the ways in which emotional experiences and responses to experiences contribute to what is going on for you and your relationships. Navigating these challenges in your life has promoted strength and resilience in coping, paving the way for creative and successful approaches for managing future challenges. I help clients see these strengths in themselves, and create harmony and balance in their lives. I bring a stance of genuine curiosity and cultural competence that includes your different identities and their intersectionality.  
15 Years Experience
Online in San Francisco, CA
Oakland, California therapist: Charis Khoury, marriage and family therapist
LGBTQ+

Charis Khoury

Marriage and Family Therapist, MA, LMFT
Whatever your sexual orientation/identity, I'm here to support your most authentic and satisfying life.  
16 Years Experience
Online in San Francisco, CA
Monterey Park, California therapist: Anthony Canapi - Your Queer Relationship Therapist, marriage and family therapist
LGBTQ+

Anthony Canapi - Your Queer Relationship Therapist

Marriage and Family Therapist, MA, AMFT
Being LGBTQPIA2S+ in a world that often misunderstands or marginalizes your identity can shape how you move through relationships, family systems, work, dating, and self-worth. You might be navigating coming out, cultural expectations, faith conflicts, chosen family, gender exploration, or simply the exhaustion of explaining yourself. My work is grounded in LGBTQ+ affirmative psychology and lived experience. Therapy with me is not about defending your identity- it’s about deepening into it. Together, we’ll create space to unpack internalized messages, strengthen self-trust, explore authenticity, and build relationships that honor who you truly are. You deserve spaces where you are celebrated, not tolerated.  
2 Years Experience
Online in San Francisco, CA
San Francisco's extreme housing costs and the psychological toll of the tech industry — characterized by intense performance pressure, rapid layoff cycles, and boom-bust uncertainty — have made burnout, anxiety, and economic grief among the most common presenting concerns. The city has a historically significant LGBTQ+ community, and affirming therapists specializing in gender identity, queer relationships, and HIV-related concerns remain an important part of the local therapy landscape. UCSF Health provides world-class institutional mental health resources, while the city's dense network of independent practitioners reflects a culture that has long embraced therapy as a normal and valued part of life. Telehealth has expanded access significantly for Bay Area residents commuting from Oakland, the East Bay, and the Peninsula.

LGBTQ+ Issues therapists in San Francisco, California Statistics

LGBTQ+ Issues therapists in San Francisco, California average 15 years of experience and charge around $212 per session. 100% offer online sessions. The most commonly treated issues are LGBTQ+ Issues (100%), Anxiety or Fears (79%), and Trauma and PTSD (74%).

Average years in practice

15 Years Experience

Average cost per session

$212

Gender ID

56% Female
34% Male
5% Non-Binary
5% Gender Fluid

Session Type

68% In Person and Online
32% Online Only

Top Specialties

100% LGBTQ+ Issues
79% Anxiety or Fears
74% Trauma and PTSD
72% Depression
56% Relationship and Marriage Counseling
55% Loss or Grief
55% Stress

More therapy options for San Francisco