Health Care For All: How To Find Therapy & LGBTQ Mental Health Services Near Me

Research helps clinicians develop more effective mental health treatments to support people of all identities in coping with the unique challenges they may face. However, despite therapeutic advancements, not all mental health professionals are knowledgeable about or sensitive to such issues—leaving many people in marginalized communities without options for informed, evidence-based care. 

Here, we’ll explore some of the mental health challenges that members of the LGBTQ+ community often face due to lived experiences of discrimination, highlighting the need for tailored, sensitive care. We’ll also offer advice and resources aimed at helping LGBTQ+ individuals find inclusive mental health care in their area.

Discrimination, gender identity, and more: Why affirming mental health care matters 

Traditional mental health care practices used to be rooted in the false belief that being LGBTQ+ was a mental illness, leading to the development of conversion “therapy” programs aimed at trying to change an individual’s sexual orientation or gender identity. Over the years, research has shown time and again that such therapies are ineffective, and there’s also “powerful evidence that trying to change a person’s sexual orientation [or gender identity] can be extremely harmful.” It has been outlawed in many areas as a result.

There has always been a faction of professionals (including the father of psychoanalysis, the late Sigmund Freud) who never believed that variation in gender and sexual orientation are mental abnormalities, and that they’re instead normal parts of human diversity. Armed with research, mental health professionals and civil rights activists helped remove homosexuality and transgender identities from being listed as illnesses in the Diagnostic and Statistical Manual of Mental Disorders (DSM) in 1973. 

Despite the shift in understanding, many states still haven’t banned conversion therapy. Many LBGTQ+ youth and adults have been subjected to the practice, despite the fact that research shows it can amount to torture. Given this history of harm to queer people in the healthcare field as well as the discrimination and attempts at legal erasure they still face, it becomes clear why affirming care is a necessity for individuals in this community.

Unique mental health challenges in the LGBTQ+ community

Despite these pervasive, systemic mental health obstacles, statistics suggest that availability of care continues to be an issue. As of 2024, an estimated 84% of LGBTQ+ youth wanted mental health care, and 50% of those young people were not able to get it. 

The need for gender-affirming health care

Gender-affirming care is a holistic concept that can include medical, mental, and social aspects. It aims to support transgender people—individuals whose gender identity doesn’t match the one they were assigned at birth—and other gender-diverse clients. Many such clients pursue gender-affirming mental health treatments and psychoeducational resources as well as community resources tailored to address the challenges faced by gender non-conforming people. 

Gender-affirming medical care may include specialized family planning services, gender affirming hormone therapy, gender affirming surgery, and/or affirming mental health care. Research suggests that gender-affirming care in general can be life-saving for LGBTQ+ individuals.

Where to begin your search for “LGBTQ mental health services near me”

The internet offers many resources for finding LGBTQ+-friendly mental health professionals, whether they’re simply inclusive individuals or have been specifically trained in queer-affiming approaches. You might search using specific keywords for finding care in your area,, such as “LGBTQ mental health services near me” or “nearby gender-affirming mental health professionals.” 

In addition, some sites specifically designed to help individuals find LGBTQ-informed therapists and support services include:

• Health Professionals Advancing LGBTQ+ Equality
• The Association of LGBTQ+ Psychiatrists
• World Professional Association for Transgender Health
• The National Queer and Trans Therapists of Color Network
• The Trevor Project
• OutCare

Other options for finding LGBTQ mental health services near me

If you already see a primary care physician you trust, you could ask for their assistance. They may be able to refer you to an LGBTQ+-affirming mental health provider. Here are some other suggestions: 

• Ask your insurance company. If you have insurance, your provider might have a directory that includes queer-competent therapists.
• Reach out to others in the community. If you know other people in the LGBTQ+ community near you, you might ask for their suggestions. If they’re not currently receiving treatment, they may know someone else who has an affirming therapist. 
• Try social media. If you don’t know anyone who can help, consider asking a local queer-friendly Facebook group, subReddit, or other social media community for suggestions.  

Peer support and group therapy for those in the LGBTQ+ community

LGBTQ+-specific groups provide a place where individuals can express themselves without judgment, exploring their identities and experiences in a way that may not be safe or possible elsewhere. Research suggests that participation in LGBTQ+ mental health support groups can help reduce symptoms of depression, anxiety, and stress, increase self-esteem, and improve overall mental health outcomes for queer people. 

Support groups may also foster a sense of community, helping individuals feel less alone and more connected. Additionally, these resources can empower individuals to advocate for themselves and their communities, organizing rallies, awareness campaigns, and other initiatives. They can be a critical source of peer support for individuals with shared experiences. Support groups may be available through local queer community centers or clinics, queer-focused bookstores, public libraries, or online.

Evaluating mental health providers 

Current research suggests that, while most mental health professionals hold LGBTQ+-positive attitudes, many still lack the knowledge and training necessary to provide high-quality, affirming care for sexual and gender minorities. If you’re looking for an LGBTQ+-friendly therapist, first read their professional bio. Do they list their pronouns and mention anything about working with LGBTQ+ people? If not, it doesn’t necessarily mean they don’t have the experience or ability to help, but it might be a good thing to consider when vetting candidates. 

Questions to ask during your initial therapy consultation

Many therapists offer free consultations with prospective clients to allow them to ask questions and learn more about their approach to providing therapy. Before the consultation, you might write down a list of questions and concerns you have about qualifications, training, and treatment options. For example, consider asking about their experience and training in providing LGBTQ+ counseling. Other helpful questions may include:

• Do you currently have other LGBTQ+ clients?
• Do you have experience with writing support letters for gender-affirming care? (If applicable)
• How do you approach treatment with someone who has needs you aren’t familiar with or educated on?
• Is your supervisor familiar with LGBTQ+ identities? (If they are in supervision)

Considering sexual/gender identity and intersectionality

Intersectionality is the concept that people with multiple marginalized identities may experience unique and compounding forms of discrimination. For example, a woman of color in the LGBTQ community may experience discrimination based on both her race and her sexual orientation and/or gender identity. When looking for a mental health care professional, individuals with intersecting identities may benefit by focusing on finding therapists experienced in culturally competent care. 

Encouraging signs and potential red flags 

An affirming therapist will typically demonstrate their understanding through their actions, such as using your correct pronouns and creating an inclusive environment (possibly also with visual cues like Pride flags). Note that a therapist may be willing to share their own sexual orientation or gender identity, but some prefer not to. This isn’t necessarily indicative of a “good” therapist one way or the other, though it may be helpful when putting clients at ease.

On the other hand, you may exercise caution if a therapist seems hesitant or dismissive about LGBTQ+ issues, lacks specific knowledge or experience, or is ambiguous about their stance on topics like conversion therapy or anti-LGBTQ+ legislation. Be wary of providers who use outdated or offensive terms, who ask inappropriate questions about your identity, or who assume that all your challenges are linked to your LGBTQ+ identity.  

Self-advocacy in treatment

Advocating for your own health is often key to positive treatment outcomes. First, it can help to know your rights. Familiarize yourself with legal protections against discrimination based on sexual orientation or gender identity, including when receiving healthcare services.

If you find a therapist you “click” with but who isn’t familiar with LGBTQIA+ issues or specific needs, don’t hesitate to educate them (if you are willing and have the capacity) and clearly communicate your preferences and concerns. A good mental health provider will be encouraging, supportive, and receptive to your feedback and input. 

When to switch therapists

Finding the right therapist can be a process, and it can be essential to prioritize your well-being throughout. Here are some signs that it might be time to consider finding a new provider: 

• You feel unheard or misunderstood
• Your therapist seems dismissive of your feelings or experiences related to your LGBTQ+ identity
• Your therapist doesn't take your concerns seriously
• You don’t feel comfortable being honest and vulnerable
• You feel like your therapist doesn't "get it”
• Your therapist is unwilling or unable to address specific issues
• Your therapist makes inappropriate comments or behaves inappropriately
• You haven't been making progress towards your goals
• Your mental health needs have changed
• You have a “gut feeling” it’s time to move on

Trying out a few different therapists before finding the right fit is common. Don't be afraid to make a change if something doesn't feel right, and it can also be advisable to report a therapist who behaves in a harmful way.

The popularity of virtual and telehealth platforms for LGBTQ+ mental health care

Studies suggest that the popularity of virtual mental health platforms for LGBTQ+ individuals is growing. For example, data from a 2022 Kaiser Family Foundation (KFF) analysis reveals that a greater percentage of sexual minority adults had used telehealth services than their non-queer peers within the past year (63% vs. 53%), with mental health services being the most common type. Additionally, the Trevor Project’s most current research suggests that 53% of LGBTQ+ young people received mental health care online in 2024.

The reasons for this relationship are diverse. Some may not have affirming providers near them, or they might need more convenient, flexible options than they can get from local providers. Telehealth may also help address provider shortages and burnout, helping ensure that LGBTQ+ individuals can receive care even during times of high demand.

Virtual platforms may offer an outlet for affirming care for those in non-affirming environments. It may also provide a sense of comfort to individuals who are not yet openly LGBTQ+ and prefer to seek support without fear of being outed. 

The efficacy of online therapy 

Research indicates that online therapy, particularly internet-based affirmative cognitive behavioral therapy (iCBT), can be effective in addressing various LGBTQ+ mental health concerns. For example, results from a randomized controlled trial published in Behaviour Research and Therapy suggest that an iCBT program explicitly targeted at LGBTQ+ youth and adults yielded favorable outcomes in reducing depression and anxiety symptoms. Another 2023 systematic review of 15 digital interventions (including apps, online groups, and teletherapy targeting LGBTQ+ youth) suggests that most produced favorable effects on depression, anxiety, coping skills, and suicidal ideation.

How members of the LGBTQ+ community can get started with online care

An online therapy platform like BetterHelp matches individuals with therapists according to their needs and preferences as outlined in a brief questionnaire. That means an individual may have the opportunity to get matched with a provider who is experienced in working with LGBTQ+ clients, is LGBTQ+ themselves, is culturally competent, and/or shares other components of a client's identity. 

BetterHelp also allows clients to switch therapists at any time, for no additional cost, until they find the right fit. Plus, the overall cost of online therapy is often more affordable than traditional in-person therapy without insurance.