Transgender Therapists in Portland, OR

I am a queer non-binary femme and have a lot of experience with LGBTQIA+ clients, as well as partners and family of transgender individuals.
I'm very responsive to what each individual brings. Therefore, my clients experience customized approaches based on their level of need and interest. I find helping people talk through issues through Socratic questioning and considering all alternatives leads to much insight. I help clients identify their core values so that they can act in alignment.
I am a queer non-binary femme and have a lot of experience with LGBTQIA+ clients, as well as partners and family of transgender individuals.
I'm very responsive to what each individual brings. Therefore, my clients experience customized approaches based on their level of need and interest. I find helping people talk through issues through Socratic questioning and considering all alternatives leads to much insight. I help clients identify their core values so that they can act in alignment.

I specialize in working with transgender and non-binary folks, and with people navigating relationships, building confidence, or wanting to engage in the arts as part of therapy.
As an expressive arts therapist, I often integrate play and creative expression into therapy. We can create a D&D character who represents your inner critic or use visual art, movement, music, writing, or role-play in our work. I also integrate somatic approaches like IFS informed therapy and brainspotting to support with processing trauma and stuck issues.
I specialize in working with transgender and non-binary folks, and with people navigating relationships, building confidence, or wanting to engage in the arts as part of therapy.
As an expressive arts therapist, I often integrate play and creative expression into therapy. We can create a D&D character who represents your inner critic or use visual art, movement, music, writing, or role-play in our work. I also integrate somatic approaches like IFS informed therapy and brainspotting to support with processing trauma and stuck issues.

Do you identify as transgender, non-binary, gender-fluid or gender-nonconforming?
As a therapist with lived experience, I strive to foster a space that allows curiosity, compassion, and courage to take root, grow and aid the healing process. We may use somatic, cognitive, neurobiologic, mindfulness, existential, and parts-of-self frameworks and tools as we walk through the process together, finding what aids your goals, plans, and life.
Do you identify as transgender, non-binary, gender-fluid or gender-nonconforming?
As a therapist with lived experience, I strive to foster a space that allows curiosity, compassion, and courage to take root, grow and aid the healing process. We may use somatic, cognitive, neurobiologic, mindfulness, existential, and parts-of-self frameworks and tools as we walk through the process together, finding what aids your goals, plans, and life.

I specialize in working with transgender clients, mood disorders and trauma.
If you would like support while addressing: current stressors, pains, trauma, struggles, transitions, communication needs, healing from relationships, or identity I can help guide you within your own journey to ease these feelings for you and develop fulfilling coping skills. I am also supportive of incorporating your partner or your family to aid in healing, communication and healthier dynamics. I am client centered and focus on what you would like your journey in therapy to look and feel like. I am attachment theory and trauma focused in my modalities.
I specialize in working with transgender clients, mood disorders and trauma.
If you would like support while addressing: current stressors, pains, trauma, struggles, transitions, communication needs, healing from relationships, or identity I can help guide you within your own journey to ease these feelings for you and develop fulfilling coping skills. I am also supportive of incorporating your partner or your family to aid in healing, communication and healthier dynamics. I am client centered and focus on what you would like your journey in therapy to look and feel like. I am attachment theory and trauma focused in my modalities.

I am a Creative Arts Therapist experienced in working with Transgender individuals and LGBTQ+ clientele.
Art therapy is an effective way to process life experiences that feel unspeakable. Creative Arts Therapy may also assist individuals experiencing creative blocks. Note: One does not need to be a fine artist to engage in Art Therapy; all creative levels are welcome!
I am a Creative Arts Therapist experienced in working with Transgender individuals and LGBTQ+ clientele.
Art therapy is an effective way to process life experiences that feel unspeakable. Creative Arts Therapy may also assist individuals experiencing creative blocks. Note: One does not need to be a fine artist to engage in Art Therapy; all creative levels are welcome!

I'm great with teens (14 and over) and adults (18-45) navigating life's transitions with queer, transgender, trauma, and/or neurodivergent intersections.
Hello! I am a queer, psychodynamic therapist originally from Texas, now enjoying the Pacific Northwest. Clients know me as collaborative, approachable, and a fierce advocate. I believe in building trust, authenticity, and genuine care with my clients. I center my client’s values, personal goals, and story to direct our focus, and work to adjust my approach to meet my clients however they show up. I am passionate about working with clients who feel burnout from systematic oppression, capitalism, and traditional expectations of what success and fulfillment means.
I'm great with teens (14 and over) and adults (18-45) navigating life's transitions with queer, transgender, trauma, and/or neurodivergent intersections.
Hello! I am a queer, psychodynamic therapist originally from Texas, now enjoying the Pacific Northwest. Clients know me as collaborative, approachable, and a fierce advocate. I believe in building trust, authenticity, and genuine care with my clients. I center my client’s values, personal goals, and story to direct our focus, and work to adjust my approach to meet my clients however they show up. I am passionate about working with clients who feel burnout from systematic oppression, capitalism, and traditional expectations of what success and fulfillment means.

Full Spectrum Therapy LLC
Licensed Professional Counselor, LPC, ATR, LAT
1 Endorsed
Portland, OR 97202
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages.
We have expertise with transgender/gender nonconforming issues with children, teens, and adults. We can help with exploring lesbian, gay, bisexual, polyamorous, and queer identities. We help with healing from trauma, abuse, loss, grief, and neglect.
We work with people from all walks of life, including transgender, non-binary, and questioning people of all ages.
We have expertise with transgender/gender nonconforming issues with children, teens, and adults. We can help with exploring lesbian, gay, bisexual, polyamorous, and queer identities. We help with healing from trauma, abuse, loss, grief, and neglect.

I identify as a transgender man who is motivated to work with LGBTQ+ individuals from adolescents to adults providing affirming care.
I have worked in complicated systems which include the criminal legal system, working with houseless folks seeking services and in primary care working with youth and families in pediatrics. I base my practice as trauma-informed, client centered, and using a social justice lens. My practice consists of Motivational Interviewing, Family Systems, Attachment Theory, and Narrative Therapy.
I identify as a transgender man who is motivated to work with LGBTQ+ individuals from adolescents to adults providing affirming care.
I have worked in complicated systems which include the criminal legal system, working with houseless folks seeking services and in primary care working with youth and families in pediatrics. I base my practice as trauma-informed, client centered, and using a social justice lens. My practice consists of Motivational Interviewing, Family Systems, Attachment Theory, and Narrative Therapy.

My own experiences as a transgender man and as a full-time resident at a Buddhist monastery for 2 and 1/2 years also inform my work.
Serving Oregon & California. Are you contemplating or working through a major change, transition, or transformation? This could mean a shift in work, relationship, gender or sexual identity, spiritual perspective, health status, or a recent loss. When we are thrust into the unknown, finding a new way forward can feel confusing, overwhelming, scary, or uncertain. You might be unsure of what to do next, worry you have lost your way, or find it hard to trust you will land on your feet again. I specialize in working with people navigating major change. I walk alongside you in the mystery until you find your way to the other shore
My own experiences as a transgender man and as a full-time resident at a Buddhist monastery for 2 and 1/2 years also inform my work.
Serving Oregon & California. Are you contemplating or working through a major change, transition, or transformation? This could mean a shift in work, relationship, gender or sexual identity, spiritual perspective, health status, or a recent loss. When we are thrust into the unknown, finding a new way forward can feel confusing, overwhelming, scary, or uncertain. You might be unsure of what to do next, worry you have lost your way, or find it hard to trust you will land on your feet again. I specialize in working with people navigating major change. I walk alongside you in the mystery until you find your way to the other shore

I specialize in working with LGBTQIA folks,providing transgender affirming care including,but not limited to: sexual and gender identity exploration and documentation for trans affirming medical care.
“It’s not about being a new person, but becoming the person you were already meant to be.” -Anonymous
"The place in which I'll fit will not exist until I make it" -James Baldwin
The journey to becoming your authentic self can be challenging, but there is help.
I specialize in working with LGBTQIA folks,providing transgender affirming care including,but not limited to: sexual and gender identity exploration and documentation for trans affirming medical care.
“It’s not about being a new person, but becoming the person you were already meant to be.” -Anonymous
"The place in which I'll fit will not exist until I make it" -James Baldwin
The journey to becoming your authentic self can be challenging, but there is help.

As a child and family therapist who is neurodivergent and transgender myself, I have a passion for working with youth with ASD/ADHD, as well as youth who identify as trans and LGBT.
Using Narrative Therapy, I conceptualize change through changing an individual's personal "narrative". To this end, I incorporate techniques including play therapy, ACT and CBT, and I use Collaborative Problem Solving and ARC Frameworks when working with families. All my work is done from a trauma-informed lens.
As a child and family therapist who is neurodivergent and transgender myself, I have a passion for working with youth with ASD/ADHD, as well as youth who identify as trans and LGBT.
Using Narrative Therapy, I conceptualize change through changing an individual's personal "narrative". To this end, I incorporate techniques including play therapy, ACT and CBT, and I use Collaborative Problem Solving and ARC Frameworks when working with families. All my work is done from a trauma-informed lens.

I’m passionate about group therapy and co-facilitate a group for parents, caregivers, and allies of transgender individuals.
I am an experienced clinician with specialized training in areas including sexual abuse, trauma recovery, neurodivergence, and sexual and gender expression and orientation. My approach is person-centered, meaning I work collaboratively with clients as partners in therapy. I have experience supporting gender diverse (trans/nonbinary) adolescents (14+) and adults, as well as adults of all ages managing anxiety, depression, OCD, PTSD, bipolar disorder, and more.
I’m passionate about group therapy and co-facilitate a group for parents, caregivers, and allies of transgender individuals.
I am an experienced clinician with specialized training in areas including sexual abuse, trauma recovery, neurodivergence, and sexual and gender expression and orientation. My approach is person-centered, meaning I work collaboratively with clients as partners in therapy. I have experience supporting gender diverse (trans/nonbinary) adolescents (14+) and adults, as well as adults of all ages managing anxiety, depression, OCD, PTSD, bipolar disorder, and more.

Homebody Counseling, LLC
Licensed Professional Counselor, MS, LPC
Online Only
Waitlist for new clients
I treat individuals with a variety of concerns including identity development, gender dysphoria, body kindness, self esteem, anxiety, depression, grief, and LGBTQIA2s+ specific issues.
Hi, I'm Michelle Sargenti and my therapy practice is Homebody Counseling, LLC. I firmly believe that we are all deserving of peace, and my intention is to support you in claiming yours. As a therapist, I aim to show up as my authentic self - someone who will laugh with you, grieve with you, celebrate you, and support you in navigating life’s challenges while providing insight into tools that ease the process.
I treat individuals with a variety of concerns including identity development, gender dysphoria, body kindness, self esteem, anxiety, depression, grief, and LGBTQIA2s+ specific issues.
Hi, I'm Michelle Sargenti and my therapy practice is Homebody Counseling, LLC. I firmly believe that we are all deserving of peace, and my intention is to support you in claiming yours. As a therapist, I aim to show up as my authentic self - someone who will laugh with you, grieve with you, celebrate you, and support you in navigating life’s challenges while providing insight into tools that ease the process.

I am able to support medical transition, assess and dx gender dysphoria, and provide psychoeducation for trans considerations with families.
June 2025, I have openings for new clients! I also can set up assessment appointments for folx needing WPATH letters of support. Email is the best way to contact me. I keep a waitlist, reach out to be added. My practices focuses on supporting gender diverse, teen, & BIPOC communities. I am looking to supervise student LPCinterns who want support learning to provide culturally competent care for queer bipoc individuals.
I am able to support medical transition, assess and dx gender dysphoria, and provide psychoeducation for trans considerations with families.
June 2025, I have openings for new clients! I also can set up assessment appointments for folx needing WPATH letters of support. Email is the best way to contact me. I keep a waitlist, reach out to be added. My practices focuses on supporting gender diverse, teen, & BIPOC communities. I am looking to supervise student LPCinterns who want support learning to provide culturally competent care for queer bipoc individuals.

I also specialize in Gender Affirming Care for transgender and gender diverse individuals.
Everybody deserves a space where they can feel truly seen, heard, and understood without judgment. As a clinical psychologist, I strive to provide therapy that is collaborative, effective, and uniquely tailored to every client. I have extensive training and clinical experience working with clients from all walks of life on a wide range of issues including (but not limited to): depression, anxiety, stress, self-esteem, family-of-origin, cultural identity, codependency, relationships, etc. I also enjoy working with couples (monogamous or non-monogamous) and families.
I also specialize in Gender Affirming Care for transgender and gender diverse individuals.
Everybody deserves a space where they can feel truly seen, heard, and understood without judgment. As a clinical psychologist, I strive to provide therapy that is collaborative, effective, and uniquely tailored to every client. I have extensive training and clinical experience working with clients from all walks of life on a wide range of issues including (but not limited to): depression, anxiety, stress, self-esteem, family-of-origin, cultural identity, codependency, relationships, etc. I also enjoy working with couples (monogamous or non-monogamous) and families.

I have experience and a passion for working with queer, transgender, and neurodivergent clientele, and I work with individuals.
My approach is a combination of evidence-based practices such as emotional focused therapy (EFT), internal family systems (IFS), and somatic therapy. As someone who is white, able-bodied, neurodivergent, queer, and nonbinary, I recognize how intersecting identities affect systems and relationships, and the privilege that I hold within these systems.
I have experience and a passion for working with queer, transgender, and neurodivergent clientele, and I work with individuals.
My approach is a combination of evidence-based practices such as emotional focused therapy (EFT), internal family systems (IFS), and somatic therapy. As someone who is white, able-bodied, neurodivergent, queer, and nonbinary, I recognize how intersecting identities affect systems and relationships, and the privilege that I hold within these systems.

I specialize in working with the LGBTQIA+ population, especially transgender and non-binary individuals.
I believe that you are the expert in your own life. My job as your therapist is to help you to find solutions and answers that work for you. I will walk beside you on your path, providing guidance, support and direction when needed. I provide a safe and non-judgmental space where ideas, concepts, and problems can be examined without pressure. I would like for you to think of my expertise and the therapeutic experience as a tool you can use in order to achieve your goals and start to live the kind of positive life you have imagined.
I specialize in working with the LGBTQIA+ population, especially transgender and non-binary individuals.
I believe that you are the expert in your own life. My job as your therapist is to help you to find solutions and answers that work for you. I will walk beside you on your path, providing guidance, support and direction when needed. I provide a safe and non-judgmental space where ideas, concepts, and problems can be examined without pressure. I would like for you to think of my expertise and the therapeutic experience as a tool you can use in order to achieve your goals and start to live the kind of positive life you have imagined.

Spectrum Counseling and Mental Wellness
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Portland, OR 97205
Waitlist for new clients
We specialize in lesbian, gay, bisexual, transgender, asexual, queer, and questioning populations.
Spectrum Counseling and Mental Wellness is a non-profit organization committed to providing counseling and related services to the LGBT community and other marginalized communities. We are growing and adding new therapists! Please contact us to be matched with an available therapist. Some therapists have waitlists. Visit our website for more information by clicking the "website" button on the left.
We specialize in lesbian, gay, bisexual, transgender, asexual, queer, and questioning populations.
Spectrum Counseling and Mental Wellness is a non-profit organization committed to providing counseling and related services to the LGBT community and other marginalized communities. We are growing and adding new therapists! Please contact us to be matched with an available therapist. Some therapists have waitlists. Visit our website for more information by clicking the "website" button on the left.

I specialize in working transgender and non-binary youth and their families on matters related to gender identity.
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.
I specialize in working transgender and non-binary youth and their families on matters related to gender identity.
My approach to therapy is based on Acceptance & Commitment Therapy (ACT). A core idea in ACT is that trying too hard to get rid of or control our emotions tends to backfire. Instead of trying to get rid of unwanted thoughts and feelings (e.g., anxiety & depression), I will help you learn to react differently to them so that you can keep your focus on living a meaningful and fulfilling life based on what’s important to you. We will work together to set meaningful goals to address your concerns–whether they relate to life transitions, depression, anxiety, body image, grief/loss, job or academic stress, or gender & sexuality.

I have a passion for working with lesbian, gay, bisexual, transgender, genderqueer, and non-binary individuals & their loved ones.
I am honored to build an affirmative practice that brings in-depth, contemporary, relational psychotherapy to my community. I hope to build therapeutic relationships that encourage my clients to process and fully experience emotions, move through depression and anxiety, and re-frame negative thoughts and patterns with a deeper understanding of their origins. Together, we engage bravely (and playfully) with unexamined thoughts, feelings and experiences!
I have a passion for working with lesbian, gay, bisexual, transgender, genderqueer, and non-binary individuals & their loved ones.
I am honored to build an affirmative practice that brings in-depth, contemporary, relational psychotherapy to my community. I hope to build therapeutic relationships that encourage my clients to process and fully experience emotions, move through depression and anxiety, and re-frame negative thoughts and patterns with a deeper understanding of their origins. Together, we engage bravely (and playfully) with unexamined thoughts, feelings and experiences!
See more therapy options for Portland
Nearby Transgender Therapists Searches for Portland
- Beaverton
- Clackamas
- Fairview
- Gladstone
- Gresham
- Happy Valley
- Hillsboro
- Lake Oswego
- Milwaukie
- Tigard
- Tualatin
- West Linn
Transgender Therapists
As a gender-diverse individual, why might I want to see a therapist who is also gender diverse?
A trans or gender-diverse client may want to see a therapist who is also trans or gender diverse because the client may feel safer sharing their experiences and more confident that the therapist will understand, validate, and support them. But trans or gender-diverse clients can also benefit from therapy with cisgender therapists; this is a personal decision based on the connection between the client and the therapist, and if that connection is strong, therapy will be successful.
What if I cannot find a therapist who shares my gender identity?
Therapy can still be effective if a therapist does not share a client’s gender identity; a large body of research indicates that the most important factor in successful therapy is the therapeutic alliance. A therapist can also be interviewed for sensitivity and competence on gender identity and expression to ensure they possess appropriate knowledge and skills. Many therapists have excellent training and extensive experience working with gender-diverse clients, and that expertise can be invaluable despite a therapist not sharing the same firsthand experiences.
How can I recognize a good therapist for working with gender-diverse clients?
An experienced therapist should be able to help clients explore their gender identity and expression, alleviate discomfort related to their gender identity, treat mental health challenges and trauma, address existing relationships and communication with family members and loved ones, and determine the next steps pertaining to nonmedical or medical gender-affirming interventions. To recognize a good therapist, clients can ask about these topics and explore their comfort and connection with the clinician.
How might I inquire about a therapist’s experience working with transgender clients?
Clients should feel comfortable asking therapists directly about their experience working with transgender or gender-diverse clientele. For example, clients may ask about the therapist’s training and education with regard to gender identity, how many trans clients they’ve worked with in the past, and what sorts of matters were discussed. You may wish to inquire how a therapist specifically supports the needs of transgender clients or clients questioning their gender identity. A good clinician who is nonetheless not the right fit for you is often happy to make referrals to others based on the concerns you articulate in a preliminary conversation.