Photo of Natalie Carter-Gibson, Psychotherapist in Crewe, England
Natalie Carter-Gibson
Psychotherapist, MA, MBACP Accred
Verified Verified
Crewe CW1
I work with clients using techniques from different therapy methods from person centred, behavioural to CBT and solution focused and IFS. My focus is on the person in front of me and where they are at that moment. Any client arrives with an idea of what they want to look at, but the journey that follows is unique and generally directed by the client's needs. The difference can be evident so quickly once we move together towards a clearer understanding of how to move forward from the place the client began - its fulfilling and rewarding for all involved
I work with clients using techniques from different therapy methods from person centred, behavioural to CBT and solution focused and IFS. My focus is on the person in front of me and where they are at that moment. Any client arrives with an idea of what they want to look at, but the journey that follows is unique and generally directed by the client's needs. The difference can be evident so quickly once we move together towards a clearer understanding of how to move forward from the place the client began - its fulfilling and rewarding for all involved
01270 447578 View 01270 447578
Photo of Sarah Bennett, Counsellor in Crewe, England
Sarah Bennett
Counsellor, MNCPS Acc.
Verified Verified
Crewe CW1  (Online Only)
My name is Sarah , I hold Accredited Registrant membership of The National Counselling Society . I work online to support clients using Teams, or Facetime to connect via either phone or video call. I am able to support adults and teenage/adolescent clients from the age of 11 . I am qualified and experienced to support clients in a range of issues such as: Depression Bereavement Relationships Counselling Loss Divorce Anger Negative Thinking Intrusive Thoughts Loneliness Eating Disorders Issues with Food, Pregnancy and Infant Loss Anxiety Management, Alcohol, Smoking and more
My name is Sarah , I hold Accredited Registrant membership of The National Counselling Society . I work online to support clients using Teams, or Facetime to connect via either phone or video call. I am able to support adults and teenage/adolescent clients from the age of 11 . I am qualified and experienced to support clients in a range of issues such as: Depression Bereavement Relationships Counselling Loss Divorce Anger Negative Thinking Intrusive Thoughts Loneliness Eating Disorders Issues with Food, Pregnancy and Infant Loss Anxiety Management, Alcohol, Smoking and more
01270 444996 View 01270 444996
Photo of Kay Glover Counselling and Supervision, Counsellor in Crewe, England
Kay Glover Counselling and Supervision
Counsellor, MBACP Accred
Verified Verified
Crewe CW1
With over 15 years' experience as a counsellor, I can offer a calm, safe space for you to explore your feelings and begin to make changes toward the life you would like. If you feel anxious, depressed, are suffering from PTSD or feel suicidal, have general low mood or feel that the time is right to seek support please contact me for an initial chat. I work with a person-centred approach, integrating other ways of working to suit your needs. I offer a free consultation so that you can find out if you would like to begin your journey with me. Free parking and disabled access. Face to face, telephone or online appointments.
With over 15 years' experience as a counsellor, I can offer a calm, safe space for you to explore your feelings and begin to make changes toward the life you would like. If you feel anxious, depressed, are suffering from PTSD or feel suicidal, have general low mood or feel that the time is right to seek support please contact me for an initial chat. I work with a person-centred approach, integrating other ways of working to suit your needs. I offer a free consultation so that you can find out if you would like to begin your journey with me. Free parking and disabled access. Face to face, telephone or online appointments.
01782 493932 View 01782 493932
Photo of Patricia Yvonne Taylor, Psychotherapist in Crewe, England
Patricia Yvonne Taylor
Psychotherapist, MSc, MBACP Accred
Verified Verified
Crewe CW1
My counselling model is Person-Centred. Many years experience enables me to offer effective individualised, psychological treatment. I treat most emotional disorders and provide a neutral ground My focus is to individuals heal, energise, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, understanding you and your issues to customise a treatment plan which meets your needs. I will be there for you every step of your journey. My goal is to help you grow from your struggles, heal your pain, and move forward to where you want to be in your life.
My counselling model is Person-Centred. Many years experience enables me to offer effective individualised, psychological treatment. I treat most emotional disorders and provide a neutral ground My focus is to individuals heal, energise, and become aware of their inner strengths. I achieve this by providing a neutral safe space, listening to your concerns, understanding you and your issues to customise a treatment plan which meets your needs. I will be there for you every step of your journey. My goal is to help you grow from your struggles, heal your pain, and move forward to where you want to be in your life.
01260 545418 View 01260 545418

More Therapists Nearby

Photo of Lavinia May, Psychologist in Crewe, England
Lavinia May
Psychologist, MA, GMBPsS
Verified Verified
1 Endorsed
Sandbach CW11
Hi, I'm Lavinia and I am a Psychotherapist, working with both individuals and couples. Part of LGBTQ+ Community. I have worked in Mental Heath services for over nine years , helping people manage their emotional health and wellbeing. I offer a safe non judgemental therapeutic environment for you to process your thoughts and feelings. Our sessions will be empowering, liberating and can even be life changing, giving you the opportunity to gain the confidence to make positive changes to uncover your full potential.
Hi, I'm Lavinia and I am a Psychotherapist, working with both individuals and couples. Part of LGBTQ+ Community. I have worked in Mental Heath services for over nine years , helping people manage their emotional health and wellbeing. I offer a safe non judgemental therapeutic environment for you to process your thoughts and feelings. Our sessions will be empowering, liberating and can even be life changing, giving you the opportunity to gain the confidence to make positive changes to uncover your full potential.
01270 449727 View 01270 449727
Photo of Helen Allen, Counsellor in Crewe, England
Helen Allen
Counsellor, MNCPS Acc.
Verified Verified
Tarporley CW6
There is so much noise all around us. Opinions from family, friends and society on how we should think, act, look and learn are everywhere. It’s easy to lose sight of what you think, what you want, who you actually are. Counselling gives you a time and space to discover what you think and what’s important to you. My ethos is to walk in your world with you in a non judgemental way. We would work together in an atmosphere of trust and mutual respect, unpicking and exploring where the issues stem from. Using a blend of techniques supporting you in finding the understanding and acceptance to move forwards in a happier, healthier way.
There is so much noise all around us. Opinions from family, friends and society on how we should think, act, look and learn are everywhere. It’s easy to lose sight of what you think, what you want, who you actually are. Counselling gives you a time and space to discover what you think and what’s important to you. My ethos is to walk in your world with you in a non judgemental way. We would work together in an atmosphere of trust and mutual respect, unpicking and exploring where the issues stem from. Using a blend of techniques supporting you in finding the understanding and acceptance to move forwards in a happier, healthier way.
0151 453 1909 View 0151 453 1909
Photo of Newid Integrated Counselling & Psychotherapy, Counsellor in Crewe, England
Newid Integrated Counselling & Psychotherapy
Counsellor, MBACP
Verified Verified
2 Endorsed
Tiverton CW6
Newid pronounced "Nowed" is Welsh for change. I chose this name not only to reflect my heritage but also to reflect that change is the only constant in life. We all travel with it, yet all our experiences can be profoundly different. I believe that counselling is a collaborative process in which we work together on what you want to change or explore in a safe non-judgemental environment. I offer an integrative approach where we work side-by-side to understand your past and help you discover new ways of coping and moving forward. I recognise that courage is not fearless and making the 1st step can be challenging in it's self.
Newid pronounced "Nowed" is Welsh for change. I chose this name not only to reflect my heritage but also to reflect that change is the only constant in life. We all travel with it, yet all our experiences can be profoundly different. I believe that counselling is a collaborative process in which we work together on what you want to change or explore in a safe non-judgemental environment. I offer an integrative approach where we work side-by-side to understand your past and help you discover new ways of coping and moving forward. I recognise that courage is not fearless and making the 1st step can be challenging in it's self.
01884 219224 View 01884 219224

Online Therapists

Photo of Adrian Peter Langham, Psychotherapist in Crewe, England
Adrian Peter Langham
Psychotherapist, MBACP Accred
Verified Verified
1 Endorsed
Harrogate HG3
I am an Accredited Counsellor & Psychotherapist with 18 years experience of working with a diverse mix of clients in various settings ranging from mental health services, NHS clinics, sexual health & sexual violence services. I work from a non pathological stance and value diversity. In addition to my therapeutic training I have undertaken specialist LGBTQ+ training enabling me to work effectively with Gender, Sex and Relationship Diversity. I am also an accredited Mindfulness teacher and incorporate aspects of this into my client work.I hope to enable clients to gain insights and meet themselves with compassion & understanding.
I am an Accredited Counsellor & Psychotherapist with 18 years experience of working with a diverse mix of clients in various settings ranging from mental health services, NHS clinics, sexual health & sexual violence services. I work from a non pathological stance and value diversity. In addition to my therapeutic training I have undertaken specialist LGBTQ+ training enabling me to work effectively with Gender, Sex and Relationship Diversity. I am also an accredited Mindfulness teacher and incorporate aspects of this into my client work.I hope to enable clients to gain insights and meet themselves with compassion & understanding.
0115 697 1336 View 0115 697 1336
Photo of Jay Lever-King, Psychologist in Crewe, England
Jay Lever-King
Psychologist, MSc, GMBPsS
Verified Verified
3 Endorsed
Hyde SK14  (Online Only)
I’m Jay, here to help you with your anxiety, self-limiting beliefs and be your best self. As a gay man with ADHD, I understand the struggles that come with being part of a minority community. I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of the messages that are all-too-often received as an individual living in what can feel like an isolating world.
I’m Jay, here to help you with your anxiety, self-limiting beliefs and be your best self. As a gay man with ADHD, I understand the struggles that come with being part of a minority community. I have experienced first-hand how it feels to be held back by debilitating anxiety, fear of abandonment, rejection and low self-worth as a result of the messages that are all-too-often received as an individual living in what can feel like an isolating world.
01457 601794 View 01457 601794
Photo of Jo Gibson in Crewe, England
Jo Gibson
Verified Verified
Hull HU5
I work with relationship issues, anxiety, depression, gender, identity, LGBTQ+ issues and trauma.
Acknowledging that you are struggling to cope with the daily life is hard and the first step to taking control of your life. Often people don’t feel that their problems are worth contacting a therapist about, as "others have it worse" and try to push the uncomfortable feelings away and carry on. Therapy isn't about blaming yourself or passing responsibility it's about working together with another individual to validate your experiences and understand your patterns of behaviour. We will then work together to help you make positive changes for a more fulfilled life. I am a therapist and supervisor and work with teens and adults.
I work with relationship issues, anxiety, depression, gender, identity, LGBTQ+ issues and trauma.
Acknowledging that you are struggling to cope with the daily life is hard and the first step to taking control of your life. Often people don’t feel that their problems are worth contacting a therapist about, as "others have it worse" and try to push the uncomfortable feelings away and carry on. Therapy isn't about blaming yourself or passing responsibility it's about working together with another individual to validate your experiences and understand your patterns of behaviour. We will then work together to help you make positive changes for a more fulfilled life. I am a therapist and supervisor and work with teens and adults.
01482 699740 View 01482 699740
Photo of Craig Budzik, Counsellor in Crewe, England
Craig Budzik
Counsellor, MBACP
Verified Verified
Manchester M1
I’m part of the LGBT+ community, identifying as cis gay man using he/him pronouns.
Counselling and Psychotherapy can be a powerful way to heal through talking. My approach is integrative and brings together different approaches, styles and ideologies. Not just from the Counselling and Psychotherapeutic sphere, but also from the spiritual sphere. I believe that human wellness is multidimensional. No singular event, element or experience of living can truly cause wellness or suffering. It’s a complex interplay between various factors which make up our experience of life.
I’m part of the LGBT+ community, identifying as cis gay man using he/him pronouns.
Counselling and Psychotherapy can be a powerful way to heal through talking. My approach is integrative and brings together different approaches, styles and ideologies. Not just from the Counselling and Psychotherapeutic sphere, but also from the spiritual sphere. I believe that human wellness is multidimensional. No singular event, element or experience of living can truly cause wellness or suffering. It’s a complex interplay between various factors which make up our experience of life.
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Photo of Joshua Oliver Jake Corner, Counsellor in Crewe, England
Joshua Oliver Jake Corner
Counsellor, PNCPS Acc.
Verified Verified
Bradford BD4
​Being apart of the LGBTQ community, it is my passion to support people with gender identity, coming to terms with sexuality, judgment from others and coming to terms with a diagnosis of HIV.
We can all have times in our lives when we find things tough, we can feel overwhelmed and struggle to cope or we may feel dissatisfied with our lives. This is how counselling can help. ​ I offer a safe space where you can talk openly and privately about your problems, feelings and behaviours. We can build a therapeutic relationship based on trust and respect. It is a non judgmental space for you to speak about issues you face, that you may not feel comfortable to discuss with friends or family.
​Being apart of the LGBTQ community, it is my passion to support people with gender identity, coming to terms with sexuality, judgment from others and coming to terms with a diagnosis of HIV.
We can all have times in our lives when we find things tough, we can feel overwhelmed and struggle to cope or we may feel dissatisfied with our lives. This is how counselling can help. ​ I offer a safe space where you can talk openly and privately about your problems, feelings and behaviours. We can build a therapeutic relationship based on trust and respect. It is a non judgmental space for you to speak about issues you face, that you may not feel comfortable to discuss with friends or family.
0113 519 3167 View 0113 519 3167
Photo of M Fok, Counsellor in Crewe, England
M Fok
Counsellor, MA, BACP
Verified Verified
1 Endorsed
Leeds LS1  (Online Only)
As a non-binary therapist with BAME & LGBTQIA background, specializing in LGBTQIA+ counselling and gender transitioning.
Have you faced judgement for simply being yourself? Has your sexuality, identity, gender, and life choices been disapproved of? It's challenging to live with constant questioning from family, friends, or others. We may even begin to question ourselves, wondering if we're "normal," if we're making the right choices, or if we'll ever be accepted. These thoughts can make it difficult to be confident in who we are and to find happiness. My role here is not to aim to fix things or help you feel "normal". Instead, I strive to work alongside you to discover a path that is uniquely yours, empowering you to be yourself and find happiness.
As a non-binary therapist with BAME & LGBTQIA background, specializing in LGBTQIA+ counselling and gender transitioning.
Have you faced judgement for simply being yourself? Has your sexuality, identity, gender, and life choices been disapproved of? It's challenging to live with constant questioning from family, friends, or others. We may even begin to question ourselves, wondering if we're "normal," if we're making the right choices, or if we'll ever be accepted. These thoughts can make it difficult to be confident in who we are and to find happiness. My role here is not to aim to fix things or help you feel "normal". Instead, I strive to work alongside you to discover a path that is uniquely yours, empowering you to be yourself and find happiness.
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Photo of Lucas Voclere Counselling & Psychotherapy (Online) in Crewe, England
Lucas Voclere Counselling & Psychotherapy (Online)
Verified Verified
Manchester M3  (Online Only)
Waitlist for new clients
Queer French Neurodivergent Online Counsellor, I focus on personal development, gender & sexual identity, relationships (including polyamory/ENM/CNM), sexuality, neurodiversity, and cultural identity (including expat life).
Are you struggling with your life, self-esteem or relationships? To understand who you are, your needs, how to cope & improve your life? Do you need an existential therapy balancing survival & aliveness dedicated to help you embrace & empower your unique diversity (Gender, Sexual, Cultural... - Polyamory/ENM/CNM - Neurodiversity - Intersectionality...)? Then you could benefit from the humanistic & integrative therapy I offer with my passion for diversity, belonging, purpose, relationships & personal development. I offer a holding safe space with no judgments and the acceptance of everything you are, have lived & want to achieve.
Queer French Neurodivergent Online Counsellor, I focus on personal development, gender & sexual identity, relationships (including polyamory/ENM/CNM), sexuality, neurodiversity, and cultural identity (including expat life).
Are you struggling with your life, self-esteem or relationships? To understand who you are, your needs, how to cope & improve your life? Do you need an existential therapy balancing survival & aliveness dedicated to help you embrace & empower your unique diversity (Gender, Sexual, Cultural... - Polyamory/ENM/CNM - Neurodiversity - Intersectionality...)? Then you could benefit from the humanistic & integrative therapy I offer with my passion for diversity, belonging, purpose, relationships & personal development. I offer a holding safe space with no judgments and the acceptance of everything you are, have lived & want to achieve.
0117 456 2963 x44 View 0117 456 2963 x44
Photo of sanctuary counselling services ltd, Counsellor in Crewe, England
sanctuary counselling services ltd
Counsellor, MNCPS Acc.
Verified Verified
Bewdley DY12
I specialise in anxiety, depression, trauma, bereavement and transgender.
Sanctuary Counselling service offers private counselling throughout the wyre forest and neighbouring towns. There are times in our lives when life is a struggle. It’s hard to keep it all together. Counselling is for those times. I'm Tracy, a qualified counsellor and member of the BACP (British Association of Counselling and Psychotherapy), working within the ethical framework of the BACP. My counselling orientation is of an Integrative Approach to ensure that the individual needs of a client are best served. The well-being of a client is my primary concern. Daytime, Evening and Weekend Appointments Available Face to Face,
I specialise in anxiety, depression, trauma, bereavement and transgender.
Sanctuary Counselling service offers private counselling throughout the wyre forest and neighbouring towns. There are times in our lives when life is a struggle. It’s hard to keep it all together. Counselling is for those times. I'm Tracy, a qualified counsellor and member of the BACP (British Association of Counselling and Psychotherapy), working within the ethical framework of the BACP. My counselling orientation is of an Integrative Approach to ensure that the individual needs of a client are best served. The well-being of a client is my primary concern. Daytime, Evening and Weekend Appointments Available Face to Face,
01299 667134 View 01299 667134
Photo of Rachel Spence, Counsellor in Crewe, England
Rachel Spence
Counsellor, MBACP
Verified Verified
Leeds LS1
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
I am a Relate trained counsellor experienced at working with both couples and individuals. I offer a down-to-earth, forward thinking, non-directive approach. I endeavour to create a warm, non-judgemental therapeutic relationship where we can focus on you and your situation. I will work with you to understand your concerns, your deeper needs and how they are affecting your life and relationships.I see my role as supportive of your change, offering change to explore feelings and experiences in a safe, confidential space. I have worked with clients from the LGBT community and from diverse backgrounds.
0113 467 9116 View 0113 467 9116
Photo of Best life therapy, Counsellor in Crewe, England
Best life therapy
Counsellor, BACP
Verified Verified
Abergavenny NP7
I also work with couples and relationships and am LGBTQ+ affirmative and respect all diversity within relationships.
I’m Carrie, I am a level 6 qualified Pluralistic psychotherapist. I use a range of therapeutic approaches designed around your needs and wishes. Counselling is a collaborative process in which my bring expertise and experiences and you bring yours and together we can find a treatment plan that is right for you.
I also work with couples and relationships and am LGBTQ+ affirmative and respect all diversity within relationships.
I’m Carrie, I am a level 6 qualified Pluralistic psychotherapist. I use a range of therapeutic approaches designed around your needs and wishes. Counselling is a collaborative process in which my bring expertise and experiences and you bring yours and together we can find a treatment plan that is right for you.
01495 364566 View 01495 364566
Photo of Michael James, Psychotherapist in Crewe, England
Michael James
Psychotherapist, MA, MBACP
Verified Verified
Kendal LA9
I’m an Integrative Relational Psychotherapist with over 25 years of experience. The essence of my practice is 'person-centred' in that I am always led by the client's needs as presented to me. In this way 'therapy' is always grounded in the trans-formative power of trusting and collaborative relationships. Our work together should then stand as an open invitation to go beyond our sense of limitation and to help establish a greater sense of well-being, meaningful identity and purpose.
I’m an Integrative Relational Psychotherapist with over 25 years of experience. The essence of my practice is 'person-centred' in that I am always led by the client's needs as presented to me. In this way 'therapy' is always grounded in the trans-formative power of trusting and collaborative relationships. Our work together should then stand as an open invitation to go beyond our sense of limitation and to help establish a greater sense of well-being, meaningful identity and purpose.
01229 260984 View 01229 260984
Photo of Laura Fenn, Psychotherapist in Crewe, England
Laura Fenn
Psychotherapist, MSc, MBACP
Verified Verified
Manchester M25
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
Starting therapy can be a difficult decision- you may feel desperate and alone but reaching out for help is the most important step on the road to recovery. I am a qualified integrative therapist who advocates for celebrating our uniqueness. The base of my sessions is always Person-Centred; to listen, offering compassion and warmth. I also offer stress, anxiety and mindfulness techniques and other therapeutic approaches were appropriate. I have worked extensively with clients suffering from a wide range of issues including trauma, anxiety, and bereavement, and have much experience of working with the LGBTQ+ community
0161 524 0498 View 0161 524 0498
Photo of Adele McGovern, Psychologist in Crewe, England
Adele McGovern
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
Ilkley LS29
I'm LGBTQIA+ friendly.
If you want to gain a deeper understanding of yourself, your relationships, the patterns you might find repeating, or of your difficulties, we might work well together. I specialise in identity development. I work with people who want something to be different in their life, even if they're not sure what that is yet. Maybe you have an anxiety that takes hold and limits you in ways you're sick of. Maybe you feel a deep dissatisfaction or you're living with depression. Perhaps you find yourself in relationships that hurt you in similar ways and you're wondering how that keeps happening, and how you could gain the power to change it.
I'm LGBTQIA+ friendly.
If you want to gain a deeper understanding of yourself, your relationships, the patterns you might find repeating, or of your difficulties, we might work well together. I specialise in identity development. I work with people who want something to be different in their life, even if they're not sure what that is yet. Maybe you have an anxiety that takes hold and limits you in ways you're sick of. Maybe you feel a deep dissatisfaction or you're living with depression. Perhaps you find yourself in relationships that hurt you in similar ways and you're wondering how that keeps happening, and how you could gain the power to change it.
01473 943374 View 01473 943374

See more therapy options for Crewe

LGBTQ+ Counsellors

Do LGBTQ-affirmative therapists receive special training?

Yes. Many therapists who practice LGBTQ-affirmative therapy have completed specialised training, either during their degree programme or as continuing education, to learn the core principles of affirmative therapy and how to best support their LGBTQ clients; some have received certifications in LGBTQ-affirmative therapy. Prospective clients should inquire as to a clinician’s background and training to ensure a good fit.

Why might I want to see an LGBTQ-affirming or LGBTQ-friendly therapist?

Queer and gender-non-conforming individuals frequently experience bias and marginalisation in day-to-day life. Working with a therapist who understands these unique challenges, as well as accepts and affirms their identity, can help LGBTQ clients feel safe and supported during therapy—allowing them to better navigate their relationships, mental health, and anything else that they wish to explore during therapy. It is important to note that many therapists can be effective in their work with LGBTQ+ individuals, even in the absence of specific training or background knowledge. The most important component in therapy is the alliance between therapist and client, and this alliance can exist between individuals with very different backgrounds.

How can I find an LGBTQ-friendly therapist?

You may wish to inquire about a therapist’s expertise with your specific challenges or concerns—depression, for example, or relationship strife—as well as their past experiences treating LGBTQ+ clients. Prospective clients may also ask whether a therapist has obtained additional training and/or certification in LGBTQ-affirmative techniques.

How can I inquire about a therapist’s experience with LGBTQ issues?

Prospective clients should feel empowered to directly ask therapists whether they have received training or been certified in LGBTQ-affirming therapy; competent therapists will be happy to explain their educational background and preferred approach(es) to help a client find the best match for them. Clients may also wish to ask how a therapist has treated clients with their particular challenges in the past and what they expect treatment to look like.

Are all the therapists listed in the LGBTQ directory themselves members of the LGBTQ community?

While therapists may choose to disclose their sexual orientation or gender identity in their profiles, the LGBTQ directory features not only those who have shared this information but also those who assert specialised training or experience in providing support to queer individuals, couples or families.