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Online LGBTQ+ therapists in San Antonio, TX

We are proud to feature top rated online LGBTQ+ therapists in San Antonio. We encourage you to review each profile to find your best match.
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Alamogordo, New Mexico therapist: Marylouise Kuti with MKB Therapy, licensed clinical social worker
Serving LGBTQ+

Marylouise Kuti with MKB Therapy

Licensed Clinical Social Worker, LCSW
Therapy that is inclusive, affirming, and grounded in your lived experiences and identity. Together, we explore how relationships, stigma, and systemic experiences shape the way you navigate stress, connection, and your relationship with yourself and others. Through identity-affirming and sex-positive therapy, psychoeducation, and advocacy, you are supported in reconnecting with your strengths, values, and capacity for lasting growth.  
4 Years Experience
Online in San Antonio, TX (Online Only)
Tyler, Texas therapist: Melinda Switzer - Beauty for Ashes Trauma Therapy and Treatment, counselor/therapist
Serving LGBTQ+

Melinda Switzer - Beauty for Ashes Trauma Therapy and Treatment

Counselor/Therapist, Melinda Switzer, MA, LPC, NCC
My practice online consists of trauma treatment and therapy. Eye Movement Reprocessing and Desensitization (EMDR) is my preferred modality, but I also use Trauma Focused Cognitive Behavioral Therapy (TF-CBT), as well as Dialectical Behavior Therapy (DBT), Sandtray and Art therapy.  
5 Years Experience
Online in San Antonio, TX
McKinney, Texas therapist: Underwood Counseling & Consultation, PLLC / Lucy F. Underwood, licensed professional counselor
Serving LGBTQ+

Underwood Counseling & Consultation, PLLC / Lucy F. Underwood

Licensed Professional Counselor, PhD, LPC-S, NCC, ACS, BC-TMH, EMDRIA Certified, Qualified ART
Underwood Counseling & Consultation, PLLC desires to make therapy services accessible for all. In office and telehealth sessions are available. Telehealth is ideal for those who work nontraditional hours; live in rural areas; have long commutes; are homebound; or are traveling. Dr. Underwood and Associates work with tweens, adolescents, adults, and elders. Individual, group, family, and couples therapies are available. Let us share our expertise in trauma resolution and emotional wellness with you. For more information, please contact us at 469-712-9134.  
31 Years Experience
Online in San Antonio, TX
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Aubrey, Texas therapist: Ebony Jones, Licensed Marriage and Family Therapist, marriage and family therapist
Serving LGBTQ+

Ebony Jones, Licensed Marriage and Family Therapist

Marriage and Family Therapist, LMFT
I have immediate virtual availability, providing services for clients in California and Texas. I offer a complimentary 30-minute video consultation. Contact me directly at (562) 528-0606, ext. 702, or via email at Ebony@bridgestohealing.net.  
20 Years Experience
Online in San Antonio, TX
Washington, Washington, D.C. therapist: Dr. Nadia Alsamadi, psychologist
Serving LGBTQ+

Dr. Nadia Alsamadi

Psychologist, PsyD
I offer virtual services in any Psypact state  
3 Years Experience
Online in San Antonio, TX (Online Only)
Atlanta, Georgia therapist: Rabia Subhani, psychologist
Serving LGBTQ+

Rabia Subhani

Psychologist, Psy.D.
Neurodivergent neuropsychologist offering online neurodivergent-affirming adult assessments for autism/ADHD (with focus on women, gender diverse, and trans individuals), as well as immigration evals in Urdu/Hindi/Punjabi (U-Visa, N-648). I also do organizational consultations for neuro-affirming and mindfulness practices, as well as spiritually-based life coaching.  
17 Years Experience
Online in San Antonio, TX (Online Only)
Kissimmee, Florida therapist: Enma Cordero Rodriguez, psychiatric nurse practitioner
Serving LGBTQ+

Enma Cordero Rodriguez

Psychiatric Nurse Practitioner, PMHNP
"Quality mental health care shouldn't be limited by your zip code or a busy schedule. I provide secure, HIPAA-compliant telepsychiatry that fits into your life, whether you're at home in Florida or on a break in Texas. My virtual practice is designed for those seeking professional, medical-grade psychiatric care without the commute. We’ll work together through a user-friendly platform to ensure your treatment is consistent, private, and effective  
1 Years Experience
Online in San Antonio, TX
Los Angeles, California therapist: Sara Fraser, psychologist
Serving LGBTQ+

Sara Fraser

Psychologist, PhD
Like many of you, the pandemic profoundly impacted the way I live and work. I moved my practice completely online in the face of COVID restrictions and have not returned to in person work. I was impressed with the way that online therapy offered clients many more options for their work with me and I found clients able to keep up with their sessions consistently and reliably with more connection options open to them. Via safe and secure telehealth sessions, I offer parent consultation for kiddos under 10, online therapy with older kids, teens and families and individual therapy for adults, specializing in trauma and trauma focused therapies.  
26 Years Experience
Online in San Antonio, TX (Online Only)
Houston, Texas therapist: Live Consciously, licensed clinical social worker
Serving LGBTQ+

Live Consciously

Licensed Clinical Social Worker, LCSW
At Live Consciously, we provide accessible and compassionate virtual therapy with a trauma-informed focus. Our sessions are tailored to your unique needs, offering a safe space where you can feel understood and supported from the comfort of your home. We integrate mind–body methods that move beyond traditional talk therapy, guiding you toward deep healing and helping you reconnect with your authentic self.  
4 Years Experience
Online in San Antonio, TX (Online Only)
Dallas, Texas therapist: Greg Rico, counselor/therapist
Serving LGBTQ+

Greg Rico

Counselor/Therapist, MA, LPC
Online therapy makes it so I can provide therapy to clients throughout Texas. If you're looking for a therapist who is LGBTQ affirming, but can't find one in your area, contact me today.  
20 Years Experience
Online in San Antonio, TX
Hurst, Texas therapist: Kasey Scharnett King, marriage and family therapist
Serving LGBTQ+

Kasey Scharnett King

Marriage and Family Therapist, LMFT-S, CST
Relationships don’t usually fall apart all at once. They unravel slowly through miscommunication, unmet needs, broken trust, and intimacy that quietly fades. Many couples come to therapy not because they want to leave, but because they don’t know how to reconnect without causing more harm.  
5 Years Experience
Online in San Antonio, TX
Austin, Texas therapist: Karina Baltazar-Durán LMFT, marriage and family therapist
Serving LGBTQ+

Karina Baltazar-Durán LMFT

Marriage and Family Therapist, LMFT
I offer both online, in person, and hybrid availability to meet the demands of our ever changing schedules because #life.  
17 Years Experience
Online in San Antonio, TX
Dallas, Texas therapist: Michael J. Salas, counselor/therapist
Serving LGBTQ+

Michael J. Salas

Counselor/Therapist, PsyD, LPC-S, LCDC, CSAT, CST
You don’t have to live in the DFW area to access high-quality, affirming therapy. Whether you're looking for sex-positive counseling, specialized trauma treatment, or LGBTQ+ affirming support, I offer secure online therapy for clients across Texas. Many people choose telehealth because it provides greater flexibility, privacy, and ease. Whether you have a busy schedule, live in a more remote area, or simply feel more comfortable meeting from home, online therapy can be an accessible and effective option. My virtual sessions are held through a secure, HIPAA-compliant platform to protect your confidentiality. You can get the same depth of care and specialized support as in-person sessions, all from a space that feels safe and convenient for you.  
18 Years Experience
Online in San Antonio, TX
Houston, Texas therapist: Sara Pesic, licensed professional counselor
Serving LGBTQ+

Sara Pesic

Licensed Professional Counselor, LPC, NCC, CCTP
Join me for therapy session from the cozy corner of your couch, coffee or tea mug in hand, of course! Online therapy offers a convenient, flexible, confidential and effective way to access mental health support tailored to your individual needs. Ready to dive into online therapy? Grab your laptop, or a phone, find a comfy spot and let's work together.  
13 Years Experience
Online in San Antonio, TX (Online Only)
Houston, Texas therapist: Edward J. Wilson, licensed professional counselor
Serving LGBTQ+

Edward J. Wilson

Licensed Professional Counselor, MEd, LPC, CHt
I offer online therapy through helloalma.com. They provide a HIPAA compliant Zoom connection and they also handle mental health insurance for two major providers. Below is the link to Alma. Click the link and then select "search provider by name." Type in "Edward Wilson" https://secure.helloalma.com/providers-landing/  
45 Years Experience
Online in San Antonio, TX
Dallas, Texas therapist: Noel Curry, counselor/therapist
Serving LGBTQ+

Noel Curry

Counselor/Therapist
Passion Flower Therapy provides online therapy in Texas for individuals navigating anxiety, depression, ADHD, mood disorders, impulse control challenges, and major life transitions. We support clients working through stress, burnout, and emotional overwhelm with practical, compassionate care. We also offer affirming online therapy for LGBTQ+ individuals, highly sensitive people, and those exploring identity, relationships, and self-esteem in a safe, nonjudgmental space. Our therapists have experience supporting clients through anger management, emotional abuse, domestic abuse recovery, and the lasting impact of difficult or traumatic relationships. We also help individuals living with chronic pain address the emotional toll of ongoing physical conditions. For those feeling stuck in their careers or seeking change, we offer career counseling to help clarify direction, reduce workplace stress, and build more fulfilling professional lives. Our goal is to help you better understand yourself, strengthen coping skills, and create meaningful, lasting change—all from the comfort of secure online therapy.  
10 Years Experience
Online in San Antonio, TX (Online Only)
Houston, Texas therapist: Vada Counseling, counselor/therapist
Serving LGBTQ+

Vada Counseling

Counselor/Therapist
We're a group practice that provides safe, affirming mental health therapy to LGBTQ+ Texans and allies, both in-person at our office in Houston and virtually across the state. We are queer and trans therapists who specialize in working with folks of all ages to explore their gender, sexuality, anxiety, trauma, grief, relationships, and more. We provide individual, family, couples, and group therapy options and accept insurance as well as self-pay and sliding scale if needed. We also offer clinical supervision, training and consultation for organizations who wish to be more LGBTQ+ inclusive, and free support letters for individuals seeking gender-affirming care.  
11 Years Experience
Online in San Antonio, TX
Flower Mound, Texas therapist: Mindful Path Counseling + Wellness, counselor/therapist
Serving LGBTQ+

Mindful Path Counseling + Wellness

Counselor/Therapist, LPC-S, LCSW, LCDC, LMFT
We offer both in-person & online counseling. You have the flexibility to do either one, or a combination.  
27 Years Experience
Online in San Antonio, TX
Philadelphia, Pennsylvania therapist: Iris Bowen, licensed clinical social worker
Serving LGBTQ+

Iris Bowen

Licensed Clinical Social Worker, LCSW, MBA
Black, queer, neurodivergent, abolitionist therapist specializing in neurodiversity (ADHD & autism), complex trauma, people-pleasing, and perfectionism. Trained in EMDR, IFS, ACT, and more.  
7 Years Experience
Online in San Antonio, TX (Online Only)
Sugar Land, Texas therapist: Salutaris Psychotherapy, licensed clinical social worker
Serving LGBTQ+

Salutaris Psychotherapy

Licensed Clinical Social Worker, LCSW
I offer online therapy for adults in Texas, Florida, and Vermont through a secure, convenient telehealth format. Born in Texas and raised in Brazil and Chile, I bring a multicultural perspective to my work with clients navigating anxiety, depression, self-esteem struggles, relationship stress, LGBT+ issues, identity exploration, and major life transitions. My approach is practical, compassionate, and grounded in real life, drawing from ACT and CBT to help clients understand patterns, clarify values, strengthen boundaries, and build skills they can use outside of sessions. Therapy should fit your life, your context, and your goals—and online therapy can provide a flexible space to begin that work from wherever you are. Free consultations.  
27 Years Experience
Online in San Antonio, TX
San Antonio is one of the largest military cities in the country, home to Fort Sam Houston, Joint Base San Antonio–Lackland, and Randolph AFB, generating exceptionally strong demand for therapists specializing in military trauma, PTSD, moral injury, and the challenges of military family life including frequent relocation and deployment stress. The city has a majority Hispanic population, and bilingual Spanish-English therapists and culturally grounded care for Latino families are consistently in high demand. University Health and the South Texas Veterans Health Care System provide major institutional mental health services alongside a large private practice community. San Antonio's strong Catholic faith tradition also means many residents seek therapists who can integrate spiritual values with evidence-based care.

LGBTQ+ therapists in San Antonio, Texas Statistics

LGBTQ+ therapists in San Antonio, Texas average 15 years of experience and charge around $192 per session. 100% offer online sessions. The most commonly treated issues are Anxiety or Fears (77%), Depression (68%), and Trauma and PTSD (63%).

Average years in practice

15 Years Experience

Average cost per session

$192

Gender ID

62% Female
28% Male
6% Non-Binary
4% Gender Fluid

Session Type

57% In Person and Online
43% Online Only

Top Specialties

77% Anxiety or Fears
68% Depression
63% Trauma and PTSD
55% LGBTQ+ Issues
53% Stress
49% Loss or Grief
45% Self Esteem

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