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LGBTQ+ Issues therapists in Seattle, WA

We are proud to feature top rated LGBTQ+ Issues therapists in Seattle. We encourage you to review each profile to find your best match.
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Seattle, Washington therapist: Ian Hagemann, MSW, counselor/therapist
LGBTQ+

Ian Hagemann, MSW

Counselor/Therapist, MSW, SWAA 60977729
I am an out bisexual who was part of the team that expanded the name of the Seattle Pride celebration to include bisexuals back in the early 1990s. I have been a member of the Seattle sex-positive community since the mid 1980s and have both lived and professional experience supporting my queer community.  
7 Years Experience
Online in Seattle, WA (Online Only)
Salt Lake City, Utah therapist: Hannah Muetzelfeld, psychologist
LGBTQ+

Hannah Muetzelfeld

Psychologist, PhD
I am a gender-affirming and queer-affirming therapist, and promote openness and acceptance in my practice. I greatly enjoy working with queer and gender-expansive clients, and strive to create a space where individuals can feel safe, seen, and celebrated in their identities. I offer trans-affirmative care, and have worked with several clients at various stages through their gender identity journey. I also have experience with letter-writing for gender affirming services in alignment with WPATH standards, and approach this process collaboratively and respectfully.  
12 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Bonfire Healing - Bonnie Deopp, MS, LMHC, CN, licensed mental health counselor
LGBTQ+

Bonfire Healing - Bonnie Deopp, MS, LMHC, CN

Licensed Mental Health Counselor, LMHC, CN, EMDR certified, Clinical Supervisor
Welcome, We're so glad you’re here! Bonfire Healing provides outpatient telehealth therapy with focus on complex mental health issues and developmental trauma along with co-occurring eating issues, addictions, chronic health conditions, nuerodiversity, and maladaptive behaviors. Our mission is to promote health equity through increasing access to evidence-based trauma treatment while utilizing insurance benefits so that this care is both high quality and affordable to more people as cost is the most common limiting factor for seeking therapy. We are well aware that for many of us in the LGBTQ+ community, the deepest wounds aren't just from personal events, but from systemic oppression and identity-based marginalization. We understand the struggle that in some circumstances the mental health field pathologizes or dismisses these experiences rather than acknowledging them as valid responses to an unjust world.  
15 Years Experience
Online in Seattle, WA (Online Only)
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Seattle, Washington therapist: Ciera Coyan, marriage and family therapist
LGBTQ+

Ciera Coyan

Marriage and Family Therapist, LMFT
As a queer/lesbian woman, it's been important to me from the start that my work focuses on LGBTQ+ clients. I have specialized training in queer and trans psychology. I have worked primarily with LBGTQ+ clients for the entirety of my career. Though it's not important for us all, for many of us a therapist who understands the specifics of queer community and culture is a huge bonus. I look for that in my own therapists, so I love providing that for clients as well!  
5 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Teona Amble, psychologist
LGBTQ+

Teona Amble

Psychologist, Ph.D., LP
Are you have issues with gender identity or gender transition? Do you need support while undergoing gender therapy? Do you need a safe place to talk through questions and stress around your sexual orientation and sexuality? I am here to be a non-judgmental support for you to process your feelings and thoughts and to figure out how to speak your truth and become more comfortable with your identity or taking time to figure it out.  
15 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Finley Anderson, therapist
LGBTQ+

Finley Anderson

Therapist, LMFT
Being LGBTQ+ in a world that hasn’t always affirmed you leaves a mark — even when things look fine on the outside. Whether you’re navigating coming out, processing family wounds, working through relationship challenges, or simply trying to feel at home in yourself, here you don’t have to explain or justify who you are.  
3 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Sarah Wolfer, licensed clinical social worker
LGBTQ+

Sarah Wolfer

Licensed Clinical Social Worker, LICSW
You shouldn't have to spend your therapy sessions managing your therapist's learning curve about your identity. I built Courageous You specifically for LGBTQIA+ adults who want care that already understands their lives: the complexity of coming out (at any age, any number of times), identity-based trauma, minority stress, navigating family and community, gender exploration, and everything in between. I offer Ketamine-Assisted Psychotherapy for queer clients carrying depression, trauma, or the particular kind of exhaustion that comes from decades of not fully belonging. And I offer Somatic EMDR therapy and affirming individual or relationship therapy when KAP isn't the right fit. You deserve a therapist who gets it. Telehealth in WA, ID, and FL.  
14 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Humanistic Therapy NW, therapist
LGBTQ+

Humanistic Therapy NW

Therapist, LCSW, LICSW, ACSW, CSWA
Each individual enters therapy with a constellation of unique life experiences that shapes that individual. Experiences, biology, modes of thinking, and environment create who we currently are. I hope to aid you in exploring your past, current, and future selves in order to help alleviate unwanted present-day thoughts, emotions, feelings, and experiences.  
17 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Vanessa Hooper, counselor/therapist
LGBTQ+

Vanessa Hooper

Counselor/Therapist, LMHC, PMH-C
Identity, relationships and family can carry extra complexity when you are navigating them outside of the mainstream script including in non-traditional relationship structures. I offer affirming, informed support, around identity, coming out, relationships and the layered effects of minority stress.  
6 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Dr. Nicole Montes, psychologist
LGBTQ+

Dr. Nicole Montes

Psychologist, PsyD
I consider myself an LGBT ally and provide gender affirming psychotherapy to trans and non-binary clients.  
5 Years Experience
In-Person in Seattle, WA 98107
Online in Seattle, WA
Seattle, Washington therapist: Roxanne Luna, psychiatric nurse practitioner
LGBTQ+

Roxanne Luna

Psychiatric Nurse Practitioner, PMHNP-BC
I provide an affirming and inclusive space for LGBTQ+ individuals seeking support for personal, relational, or mental health concerns. My goal is to help clients navigate challenges while fostering self-acceptance and emotional well-being.  
9 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Dr. Shelia Jackson, psychiatric nurse practitioner
LGBTQ+

Dr. Shelia Jackson

Psychiatric Nurse Practitioner, DNP,PMHNP-BC
I provide affirming, inclusive care for LGBTQ+ individuals. My practice is a safe space to explore identity, address mental health concerns, and receive support without fear of judgment.  
11 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Brian McCormack (Connemara Counseling), counselor/therapist
LGBTQ+

Brian McCormack (Connemara Counseling)

Counselor/Therapist, LPC-A/LMHCA
I provide support for individuals within the LGBTQ+ community, offering a safe, affirming, and nonjudgmental space to explore identity, relationships, and life challenges. Using evidence-based approaches, I help clients navigate concerns such as self-acceptance, coming out, family or cultural dynamics, discrimination, and mental health stressors. My work focuses on fostering authenticity, resilience, and empowerment, supporting clients in building a strong sense of self and creating meaningful, fulfilling lives aligned with their values.  
2 Years Experience
Online in Seattle, WA (Online Only)
Los Angeles, California therapist: Jayson L. Mystkowski, psychologist
LGBTQ+

Jayson L. Mystkowski

Psychologist, Ph.D., ABPP
Affirmative Cognitive Behavioral Therapy (ACBT) is an individualized, active and goal-oriented type of psychotherapy, with evidence-based Cognitive Behavioral Therapy interventions targeting SGM-specific stress and concerns. Topics addressed in Affirmative Cognitive Behavioral Therapy include the following: Stress management (e.g., coping skills, substance abuse and recovery) Gender identity (e.g., evaluations for medical transition and supporting documentation, non-binary) Coming-out (e.g., concerns about one’s family, religion, culture, and workplace) Sexual health (e.g., safer sex, STIs, sex positivity)  
22 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Kate Mageau (she/her), licensed mental health counselor
LGBTQ+

Kate Mageau (she/her)

Licensed Mental Health Counselor, LMHC, ADHD-CCSP, NCC, CIMHP, C-DBT
I am pansexual, part of the queer community, and a majority of my clients identify as queer or LGBTQ. I have written over 40 gender-affirming letters and I love that this part of my practice. I am available for one-time sessions for gender-affirming letters. I charge for the session but the letter is free!  
4 Years Experience
Online in Seattle, WA (Online Only)
Nashville, Tennessee therapist: Sally Roesch, licensed professional counselor
LGBTQ+

Sally Roesch

Licensed Professional Counselor, Licensed Professional Counselor, LPC, NCC
I'm experienced in working with those who may be struggling with relationship issues, Narcissistic tendencies, mood disorders, impulse behavior, and anxiety. I help clients improve communication, assertiveness, and self-worth. My goal is to help you clarify desires, address obstacles, and achieve your goals. I'm committed to providing direct, effective support; no tiptoeing around.  
10 Years Experience
Online in Seattle, WA (Online Only)
Washington, Washington, D.C. therapist: Dr. Caroline Hicks, psychologist
LGBTQ+

Dr. Caroline Hicks

Psychologist, PhD, LP
Sexual orientation and gender identity development are my areas of focus, and we use this space to make sure all intersecting identities (e.g., racial, religious, political, national) are considered as you find your authentic path in the world. This space is one where we can focus on your sexual orientation and/or gender identity development, or use these identities as a source of context to our work. In addition, I work with many trans*, non-binary, gender nonconforming, gender fluid, and other gender expansive folx as they embark on their path of congruence. In addition, I write letters of support for gender affirming surgeries/medical procedures.  
9 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Matthew Wolfe, licensed mental health counselor
LGBTQ+

Matthew Wolfe

Licensed Mental Health Counselor, LMHC, MHP
Queer and 2SLGBTQIA identities are constantly under attack in society but I know that our experiences extend far beyond those labels. WHile sexuality and gender may not be central to our work, the cultural and systemic intersections of those identities with our work will be honored and attended to.  
13 Years Experience
Online in Seattle, WA (Online Only)
Phoenix, Arizona therapist: Carolyne Mburu-Gerena, psychiatric nurse practitioner
LGBTQ+

Carolyne Mburu-Gerena

Psychiatric Nurse Practitioner, PMHNP-BC
I provide a supportive and inclusive environment for individuals navigating issues related to sexual orientation, gender identity, and life experiences within the LGBTQ+ community. Treatment focuses on addressing mental health concerns such as anxiety, depression, identity stress, and relationship challenges while fostering a space where individuals feel respected and affirmed.  
6 Years Experience
Online in Seattle, WA (Online Only)
Seattle, Washington therapist: Ariel Shearer, counselor/therapist
LGBTQ+

Ariel Shearer

Counselor/Therapist, LMHCA
For many LGBTQIA+ people, daily life can feel like trying to navigate spaces where your full self isn’t always seen, understood, or welcomed. Together, we’ll co-create a space where you feel seen, heard, and welcome to step into the fullest version of yourself. As a queer woman myself, I am especially passionate about supporting LGBTQIA+ individuals.  
1 Years Experience
In-Person in Seattle, WA 98109
Online in Seattle, WA
Seattle's tech economy — driven by Amazon, Microsoft, and a dense startup ecosystem — has made burnout, imposter syndrome, and the social costs of rapid wealth inequality prominent themes in local therapy. The "Seattle Freeze" — a widely noted phenomenon of difficulty forming close friendships — means therapists here frequently address loneliness, social anxiety, and the challenge of building genuine community in an outwardly welcoming but emotionally reserved city. Seattle's progressive culture sustains strong demand for LGBTQ+-affirming therapists, neurodiversity specialists, and practitioners working with race, identity, and social justice themes. UW Medicine and Swedish Medical Center provide institutional mental health resources alongside one of the most therapist-dense cities in the Pacific Northwest.

LGBTQ+ Issues therapists in Seattle, Washington Statistics

LGBTQ+ Issues therapists in Seattle, Washington average 14 years of experience and charge around $202 per session. 100% offer online sessions. The top treatment approaches are Cognitive Behavioral Therapy (CBT) (69%), Existential / Humanistic Therapy (41%), and Person-Centered Therapy (Rogerian) (39%).

Average years in practice

14 Years Experience

Average cost per session

$202

Accept insurance

41%

Offer sliding scale

48%

Gender ID

60% Female
27% Male
8% Non-Binary
5% Gender Fluid

Session Type

51% Online Only
49% In Person and Online

Top Treatment Approaches

69% Cognitive Behavioral Therapy (CBT)
41% Existential / Humanistic Therapy
39% Person-Centered Therapy (Rogerian)
39% Acceptance & Commitment Therapy (ACT)
37% Multicultural Therapy
35% Psychodynamic Therapy
32% Relational Psychotherapy

Ages Served

99% Adult
78% Young Adult
53% Senior
44% Teen
21% Children

Client Focus

87% LGBTQ+
68% Women
50% Men
35% Persons with Disabilities
34% Black / African American

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