LGBTQ+ affirming online therapy: where you can choose an affirming therapist
Where you can choose an LGBTQ+ affirming therapist, where a service runs a dedicated program, and where its pages only say its therapists give LGBTQ+ affirming care, next to whether it takes insurance and what it costs without. Every fact is from the service's own pages.
25 online services let you choose an LGBTQ+ affirming therapist or run a dedicated program (Alma, BetterHelp, Doctor On Demand, Grow Therapy, Headway, NOCD, Open Path Psychotherapy Collective, Rula, SonderMind, Talkiatry, Talkspace, Thriveworks, Wellnite, Zencare, Modern Health, 7 Cups, Amwell, Calmerry, Cerebral, Charlie Health, Circle Medical, Daybreak Health, Equip, Little Otter and Octave), and 20 of them take insurance in network. 9 more say their therapists give LGBTQ+ affirming care, with no way to choose. At every other service, ask before you sign up.
25 services where you can choose an LGBTQ+ affirming therapist
A filter, a search page, a preference the service says it matches on, or a dedicated program. Directories show each therapist's own profile, so read it before you book.
| Service | What its pages say | Insurance | Without insurance |
|---|---|---|---|
| AlmaVisit site Insurance marketplace You can choose | Alma has a search for therapists who specialize in working with transgender clients, in California and a few other states. Limit: a transgender-client search on state pages (California and four other states); no general LGBTQ+ filter seen | In-network, cost varies by plan | Not published |
| BetterHelpVisit site Subscription therapy You can choose | On the therapist directory, filter by 'Therapist sexuality' and tick LGBTQ+ to see LGBTQ+ therapists. Limit: therapist-sexuality filter (LGBTQ+), not an LGBTQ+ issues filter alone | In-network, cost varies by plan | $70 to $100/week |
| Doctor On DemandVisit site Therapy + psychiatry You can choose | Doctor On Demand's online therapy page says people who identify as LGBTQ+ can speak with a licensed LGBTQ+ therapist. Limit: archived 2026-10-21 copy (live site blocks checks); the page does not describe the selection step | In-network, cost varies by plan | $134 for a 25-minute visit, $184 for a 50-minute visit |
| Grow TherapyVisit site Insurance marketplace You can choose | Grow Therapy's directory has an identity filter and an LGBTQ option in its Needs filter, so you can narrow to LGBTQ-focused therapists. Limit: LGBTQ is one option in the Needs filter; the identity filter's options are not listed on the pages read | In-network, cost varies by plan | Not published |
| HeadwayVisit site Insurance marketplace You can choose | Headway has a state-by-state LGBTQIA+ specialty search, so you can find LGBTQ-friendly therapists and psychiatrists covered by insurance. Limit: state-by-state LGBTQIA+ specialty search; the FAQ says you filter by your preferences and the profile | In-network, cost varies by plan | Not published |
| NOCDVisit site OCD therapy You can choose | NOCD has a 'Non-binary therapists' directory page for finding non-binary OCD therapists. Limit: non-binary therapist filter (therapist gender identity), not a general LGBTQ+ affirming filter | In-network, cost varies by plan | $120 (30 min), $180 (45 min), $240 (60 min) per session self-pay |
| Open Path Psychotherapy CollectiveVisit site Therapist directory You can choose | Open Path's therapist search has an LGBTQ+ (Sexuality) specialty filter. Limit: Specialties filter option (a specialty tag, not the therapist's own identity); option sits in the page's filter data | Cash only | $40 to $70 per individual session |
| RulaVisit site Insurance marketplace You can choose | Rula's directory has an LGBTQIA+ specialization filter, so you can search for LGBTQ+ therapists. Limit: LGBTQIA+ is one of the specialization filters on the directory, alongside gender identity and transgender issues | In-network, cost varies by plan | $150/session |
| SonderMindVisit site Insurance marketplace You can choose | SonderMind's California provider directory has an LGBTQIA+ popular filter, so you can browse therapists for the LGBTQIA+ community. Limit: a 'Popular filter' on the California directory (checked for California only); no separate identity or gender filter seen | In-network, cost varies by plan | $100 to $250 per session (SonderMind says its self-pay costs track national averages) |
| TalkiatryVisit site Psychiatry You can choose | Talkiatry psychiatrist profiles list LGBTQIA+ under expertise and specialties, so you can check a profile for an LGBTQIA+ specialty before booking. Limit: shown on each clinician's profile under expertise and specialties, not a directory filter | In-network, cost varies by plan | Not published |
| TalkspaceVisit site Therapy + psychiatry You can choose | Talkspace shows LGBTQIA+ expertise on each therapist's profile, so you can pick an LGBTQ+ therapist before you start. Limit: chosen from therapist profiles that list LGBTQIA+ expertise, not an identity-only filter | In-network, cost varies by plan | $69/wk |
| ThriveworksVisit site Insurance marketplace You can choose | Search Thriveworks' therapist directories for LGBTQ counseling or affirmative therapy to find an LGBTQ-affirming therapist. Limit: by specialty search in its therapist directories (LGBTQ counseling or affirmative therapy) | In-network, cost varies by plan | $200-$240 intake / $160-$195 follow-up |
| WellniteVisit site Therapy + psychiatry You can choose | Wellnite has an LGBTQ+ Issues search that lists therapists who work on LGBTQ+ concerns. Limit: condition filter 'LGBTQ+ Issues' in its provider directory; not a therapist-identity filter | In-network, cost varies by plan | $245/month |
| ZencareVisit site Therapist directory You can choose | Zencare's therapist directory has an Identities filter that includes LGBTQ, so you can choose an LGBTQ therapist. Limit: archived Aug 2025 copy of the directory's Identities filter (live site blocks checks) | Varies by therapist | Not published |
| Modern Health Employer / EAP You can choose | Modern Health says members can request a care provider of a certain sexual orientation. Limit: members request a provider by sexual orientation (a request at match, not a filter) | Employer or plan benefit | Through an employer or plan |
| 7 CupsVisit site Peer & group support Dedicated program | 7 Cups has a dedicated online therapy page for LGBTQ+ people, and says its online therapists offer an affirming environment. Limit: a dedicated LGBTQ+ therapy page; not a therapist-identity filter (directory filters not readable) | Cash only | $159/mo |
| AmwellVisit site Telehealth platform Dedicated program | Amwell Therapy lists LGBTQIA+ counseling as one of its service areas, offered through health plans and employers. Limit: a listed service area of Amwell Therapy on its payer page (B2B); no member-facing therapist filter seen | In-network, cost varies by plan | ~$142/session |
| CalmerryVisit site Subscription therapy Dedicated program | Calmerry runs a dedicated LGBTQIA2S+ counseling service, with therapists who specialize in LGBTQIA2S+ issues. Limit: a specialized LGBTQIA2S+ counseling track; matched within an hour, not a filter by identity | Out-of-network only | $57/wk ($49.50/wk with the first-month discount) |
| CerebralVisit site Therapy + psychiatry Dedicated program | Cerebral has a dedicated LGBTQIA+ mental health page, and says it provides gender-affirming care but not surgery evaluations or letters. Limit: dedicated LGBTQIA+ landing page; no identity-based therapist filter stated; gender-affirming care without surgery letters | In-network, cost varies by plan | $150 per session |
| Charlie HealthVisit site Intensive outpatient Dedicated program | Charlie Health runs a virtual LGBTQIA+ intensive outpatient program with LGBTQIA+-affirming therapists. Limit: virtual intensive outpatient program for LGBTQIA+ clients (kids, teens and adults) | In-network, cost varies by plan | Not published |
| Circle MedicalVisit site ADHD care Dedicated program | Circle Medical offers online gender-affirming hormone therapy for adults and says every provider offering it is LGBTQIA+ affirming. Limit: adults; gender-affirming hormone therapy | In-network, cost varies by plan | $120 per appointment (self-pay) A prescriber visit |
| Daybreak HealthVisit site Pediatric care Dedicated program | Daybreak says it has specialized sub-programs for students who identify as LGBTQIA+ and for BIPOC students. Limit: page claims specialized sub-programs for youth who identify as LGBTQIA+ but does not describe them; no therapist-identity filter found | In-network, cost varies by plan | Not published |
| EquipVisit site Eating-disorder care Dedicated program | Equip runs LGBTQIA+ support groups (youth and adult) and two transgender and gender nonconforming support groups. Limit: LGBTQIA+ and transgender/gender-nonconforming support groups; no therapist-identity filter found | In-network, cost varies by plan | Not published |
| Little OtterVisit site Youth & family Dedicated program | Little Otter has an LGBTQ+ teens program offering gender-affirming mental health care for teens and their families. Limit: teens and their families (LGBTQ+ Teens page); not a therapist-identity filter | In-network, cost varies by plan | $200/session ($350 assessment) |
| OctaveVisit site Insurance marketplace Dedicated program | Octave has a Queer Resiliency center of excellence whose providers have LGBTQ+ training and experience. Limit: Queer Resiliency center of excellence; its specialty list also includes an LGBTQ+ option in the therapist directory | In-network, cost varies by plan | $170-$250 individual / $190-$275 couples/family |
9 services that say their therapists give LGBTQ+ affirming care
Their pages say it, but describe no way to choose. Ask when you sign up.
| Service | What its pages say | Insurance | Without insurance |
|---|---|---|---|
| BrightlineVisit site Pediatric care Stated, no way to choose | Brightline says its clinicians and support staff are trained to provide LGBTQ+ families identity-centered healthcare. Limit: clinicians trained for LGBTQ+ families; no therapist-identity filter found on its pages | In-network, cost varies by plan | $350 initial session, then $200 to $275 per ongoing session |
| LifeStance HealthVisit site Therapy + psychiatry Stated, no way to choose | LifeStance's condition page says therapy can support gender affirmation, and that it aims to provide inclusive care for LGBTQIA+ people. Limit: describes gender-affirmation therapy; no LGBTQ+ therapist filter found | In-network, cost varies by plan | $210 to $432 per session (LifeStance's US average self-pay range; varies by state) |
| MDLIVEVisit site Therapy + psychiatry Stated, no way to choose | MDLive lists LGBTQ+ Support among the mental health concerns it treats, with no page saying how its therapists are matched or affirming. Limit: listed as a treated topic only; no affirming-therapist statement or filter found | In-network, cost varies by plan | $179 initial, $140 follow-up (before insurance) |
| Nema HealthVisit site Trauma & PTSD care Stated, no way to choose | Many Nema Health therapists list LGBTQ+ as a specialty on their profile pages, though the team page offers no filter for it. Limit: listed as a specialty on many individual therapist profiles; no filter or search by it found on the team page | In-network, cost varies by plan | $275 (50 min) |
| OpheliaVisit site Addiction care Stated, no way to choose | Ophelia says it provides affirming care for all identities and communities, and that it aims to make LGBTQ+ patients feel welcome. Limit: general 'affirming care for all identities' line; LGBTQ+ is not named in the homepage line, and its LGBTQ+ blog post describes no LGBTQ+-specific clinicians | In-network, cost varies by plan | Not published |
| PlushCareVisit site Telehealth platform Stated, no way to choose | PlushCare says some of its online therapists are allied with the LGBTQ+ community, but it names no way to pick one. Limit: some therapists described as allied with the LGBTQ+ community; no filter or search by it found | In-network, cost varies by plan | $169 per 45-minute session |
| Two ChairsVisit site Insurance marketplace Stated, no way to choose | Some Two Chairs therapists list LGBTQIA+ Affirming as a specialty on their profile pages, though the site offers no filter for it. Limit: listed as a specialty on individual therapist profiles (e.g. Jakuta Ptah); no directory filter found | In-network, cost varies by plan | $226/session ($260 first) |
| Within HealthVisit site Eating-disorder care Stated, no way to choose | Within Health says its providers are gender-competent and LGBTQIA+ experienced, and it offers affirming care for transgender, non-binary and queer patients. Limit: stated on its own learn article; no therapist-identity filter or LGBTQ+ program found on its pages | In-network, cost varies by plan | Not published |
| Lyra Health Employer / EAP Stated, no way to choose | Lyra says its providers are trained to work with LGBTQIA+ individuals, but its pages describe no way to choose a therapist by identity. Limit: provider training, not a statement that every therapist is affirming; no way to choose an LGBTQIA+ therapist on the pages read | Employer or plan benefit | Through an employer or plan |
Free directories and support lines
A free directory helps you find a therapist, who then sets their own fee. The lines give support or crisis counseling, not ongoing therapy.
- Who
- LGBTQ+ young people under 25
- What it gives
- Crisis counseling by phone, text or chat (not therapy)
- Cost
- Free
- How to start
- Text START to 678-678, call 1-866-488-7386, or chat at thetrevorproject.org/get-help
- Who
- Anyone looking for a therapist, counselor or coach; the site centers Black, Brown, Indigenous and People of Global Majority and Queer, Trans, Nonbinary and Intersex people
- What it gives
- A directory to find a therapist, counselor or coach whom you then pay (listed providers operate independently), plus a service in which its team matches you with up to 3 providers who contact you
- Cost
- The Get-Matched service is free; providers bill for their own sessions, and a Sliding Scale Options filter finds those with income-based fees
- How to start
- Search the directory by Provider's Identity, Cultural Knowledge or the Virtual or Online category, or fill in the Get-Matched form (its team makes matches or contacts you within 3 office days)
- Who
- Anyone looking for a mental health practitioner, with a focus on queer and trans Black, Indigenous and people of color (QTBIPOC)
- What it gives
- A national directory of mental health practitioners grounded in healing justice, searched by you, whom you then pay; the directory has filters for teletherapy, sliding scale and accepted insurance plans
- How to start
- Open the directory, search by name or by city, state or zip, and set the Provides Teletherapy filter to Yes
- Who
- Anyone; it prioritizes Black, Indigenous and people of color callers and uses an LGBTQ+ Black femme lens, and says no one will be turned away
- What it gives
- Peer support, crisis counseling and a place to report mistreatment by police or vigilantes, with trained volunteer listeners (calls are not shared with law enforcement)
- How to start
- Call or text 1 (800) 604-5841
Psychology Today's therapist directory has a dedicated search for LGBTQ+ therapists.
- Who
- Anyone looking for an LGBTQ+ therapist
- What it gives
- A directory of therapists searched by you, whom you then pay, with In Person and Online options and filters for insurance and price
- Cost
- Therapists set their own fees; the Insurance and Price filters find those that fit your plan or budget
- How to start
- Open the search, enter your state or ZIP code, and choose the Online option
- Who
- LGBTQ+ people looking for a therapist or another health provider who is knowledgeable and sensitive to their health needs
- What it gives
- A directory of health providers, including a Therapist category, whom you then pay, run by GLMA and the Tegan and Sara Foundation; you can limit results to telehealth or virtual providers and sort by gender, sexual orientation, race and ethnicity, language, approach and accepted payment
- Cost
- Free to search
- How to start
- Choose Therapist, tick Telehealth or virtual providers only, and enter your ZIP code
- Who
- LGBTQIA+ people of any age, with a youth talkline for ages 25 and younger and a senior hotline for ages 50 and above
- What it gives
- Peer support, information and local resources from LGBTQIA+ volunteers by phone and one-to-one online chat (not therapy)
- Cost
- Free
- How to start
- Call 888-843-4564 (Monday to Friday 2 to 11 PM Eastern, Saturday noon to 5 PM Eastern) or start a one-to-one chat at lgbthotline.org/chat
- Who
- Trans and questioning people; you do not need to be in crisis to call
- What it gives
- Peer support by phone from a trans or nonbinary peer operator, anonymous and confidential, with no calls to 911, emergency services or police without your explicit request (not therapy)
- How to start
- Call (877) 565-8860 in the US, Monday to Friday 1 to 9 PM Eastern (press 2 for Spanish)
- Who
- Primarily self-identified South Asian LGBTQ+ people in the United States, and people who want to support an LGBTQ+ friend or family member
- What it gives
- Phone-based peer support from trained South Asian LGBTQ+ volunteers: a one-time open conversation about topics such as gender, sexuality, coming out, family, culture and faith (not professional counseling)
- Cost
- Free
- How to start
- Call 908-367-3374 on Thursday or Sunday, 8 to 10 PM Eastern, write through the online contact form, or schedule a call
Services whose pages say nothing about it
We read their own pages and found nothing about LGBTQ+ affirming care. That does not mean none of their therapists offer it: ask before you sign up.
ADHD Online, Affect, Anywhere Clinic, Array Behavioral Care, Bend Health, Bicycle Health, Boulder Care, Brightside Health, Circles, Done, Eleanor Health, Frame, GoodRx Care, Headspace Care, Hims & Hers, Included Health, Joyous, Klarity Health, Learn to Live, Lemonaid Health, Meru Health, Mindbloom, Mindful Care, Monument, Oar Health, Online-Therapy.com, Prosper Health, QuickMD, Ria Health, Sesame, Spring Health, Teladoc Health (Mental Health), Workit Health.
Questions, answered
- Where can I find an LGBTQ+ affirming therapist online?
- 25 online services say on their own pages that you can choose an LGBTQ+ affirming therapist, or run a dedicated program: Alma, BetterHelp, Doctor On Demand, Grow Therapy, Headway, NOCD, Open Path Psychotherapy Collective, Rula, SonderMind, Talkiatry, Talkspace, Thriveworks, Wellnite, Zencare, Modern Health, 7 Cups, Amwell, Calmerry, Cerebral, Charlie Health, Circle Medical, Daybreak Health, Equip, Little Otter and Octave. Brightline, LifeStance Health, MDLIVE, Nema Health, Ophelia, PlushCare, Two Chairs, Within Health and Lyra Health say their therapists give LGBTQ+ affirming care but describe no way to choose. At the rest, ask before you sign up.
- Which of them take insurance?
- 20 of the services where you can choose an LGBTQ+ affirming therapist take insurance in network: Alma, BetterHelp, Doctor On Demand, Grow Therapy, Headway, NOCD, Rula, SonderMind, Talkiatry, Talkspace, Thriveworks, Wellnite, Amwell, Cerebral, Charlie Health, Circle Medical, Daybreak Health, Equip, Little Otter and Octave. What you pay depends on your plan; each service page lists the plans it names.
- Does BetterHelp have LGBTQ+ therapists?
- On the therapist directory, filter by 'Therapist sexuality' and tick LGBTQ+ to see LGBTQ+ therapists. (therapist-sexuality filter (LGBTQ+), not an LGBTQ+ issues filter alone.)
- Does Talkspace have LGBTQ+ therapists?
- Talkspace shows LGBTQIA+ expertise on each therapist's profile, so you can pick an LGBTQ+ therapist before you start. (chosen from therapist profiles that list LGBTQIA+ expertise, not an identity-only filter.)
- Are there free ways to find one?
- Yes: The Trevor Project, Inclusive Therapists directory, NQTTCN QTBIPOC directory, BlackLine, Psychology Today: LGBTQ+ therapists, LGBTQ+ Healthcare Directory, LGBT National Help Center, Trans Lifeline and DeQH Desi LGBTQ+ Helpline for South Asians. A free directory helps you find a therapist, who then sets their own fee; the lines give support, not ongoing therapy. Each is described on this page with who it serves and how to start.