LGBTQ+ Affirming Therapists in San Antonio, TX

Photo of Andy Thornton, Licensed Professional Counselor, MS, LPC
Andy Thornton
Licensed Professional Counselor, MS, LPC
2 Endorsed
San Antonio, TX 78229
Being a member of the LGBTQ+ community is a hard-won point of pride.
Too often we feel like we can't say everything we want to say, or that we said something wrong and there's no fixing it. In my office, TMI doesn't exist! You can let it all out, make mistakes and try again until it feels right. The permission to speak freely and honestly about all the parts of your experience is a key component to your recovery. I am here to listen to you without judgment and to support you in understanding your relationships, your work, and how you find meaning. When you can coexist peacefully with all the parts of yourself, you may find your options opening up.
Being a member of the LGBTQ+ community is a hard-won point of pride.
Too often we feel like we can't say everything we want to say, or that we said something wrong and there's no fixing it. In my office, TMI doesn't exist! You can let it all out, make mistakes and try again until it feels right. The permission to speak freely and honestly about all the parts of your experience is a key component to your recovery. I am here to listen to you without judgment and to support you in understanding your relationships, your work, and how you find meaning. When you can coexist peacefully with all the parts of yourself, you may find your options opening up.
(726) 215-8181 View (726) 215-8181
Photo of Juan Arreche, Licensed Professional Counselor, MS, LPC
Juan Arreche
Licensed Professional Counselor, MS, LPC
2 Endorsed
Online Only
I specialize in LGBTQIA+ issues, depression, anxiety, attachment theory, codependency, relationships, self-esteem, and ADHD.
The interventions I use in therapy are based on what is most helpful to you. There’s no one size fits all in therapy. I come from the notion of the client being the expert in their lives. Several therapeutic techniques I use include ACT interventions, cognitive behavioral techniques, somatic interventions, solution-oriented approaches, and mindfulness.
I specialize in LGBTQIA+ issues, depression, anxiety, attachment theory, codependency, relationships, self-esteem, and ADHD.
The interventions I use in therapy are based on what is most helpful to you. There’s no one size fits all in therapy. I come from the notion of the client being the expert in their lives. Several therapeutic techniques I use include ACT interventions, cognitive behavioral techniques, somatic interventions, solution-oriented approaches, and mindfulness.
(210) 985-8457 View (210) 985-8457
Photo of Isaiah Rodriguez, Counselor, LPC
Isaiah Rodriguez
Counselor, LPC
3 Endorsed
San Antonio, TX 78229
It can be very confusing trying to navigate our world as a gay man.
My hope is to help you feel comfortable being your true self. I will help you get to a place where you wake up every morning feeling proud of who you and less worried about what others think about you. You will more be confident and secure as a gay man and not have to constantly walk on egg shells to make sure you fit in.
It can be very confusing trying to navigate our world as a gay man.
My hope is to help you feel comfortable being your true self. I will help you get to a place where you wake up every morning feeling proud of who you and less worried about what others think about you. You will more be confident and secure as a gay man and not have to constantly walk on egg shells to make sure you fit in.
(210) 361-7021 View (210) 361-7021
Photo of Dr. Rachel Cerna, Licensed Professional Counselor, PhD, LPC-S, NCC
Dr. Rachel Cerna
Licensed Professional Counselor, PhD, LPC-S, NCC
Online Only
I am a licensed therapist with a specialized focus on LGBTQIA+ individuals, teens/adolescents, and survivors of domestic violence and trauma.
I am passionate about promoting resilience and well-being, working to empower individuals to navigate complex challenges with a focus on self-compassion, emotional regulation, and holistic wellness.
I am a licensed therapist with a specialized focus on LGBTQIA+ individuals, teens/adolescents, and survivors of domestic violence and trauma.
I am passionate about promoting resilience and well-being, working to empower individuals to navigate complex challenges with a focus on self-compassion, emotional regulation, and holistic wellness.
(210) 972-8636 View (210) 972-8636
Photo of Jeffrey Cabral, Licensed Professional Counselor, MA, LPC
Jeffrey Cabral
Licensed Professional Counselor, MA, LPC
2 Endorsed
Online Only
Are you in search of LGBT affirming therapy?
You have taken a brave first step by seeking help and I am so glad you're here. Once we begin your therapeutic journey, you will learn essential skills and techniques to manage your emotional responses to every-day stressors. You will find yourself feeling motivated to progress, optimistic about the future, and eager to live life as your true self.
Are you in search of LGBT affirming therapy?
You have taken a brave first step by seeking help and I am so glad you're here. Once we begin your therapeutic journey, you will learn essential skills and techniques to manage your emotional responses to every-day stressors. You will find yourself feeling motivated to progress, optimistic about the future, and eager to live life as your true self.
(210) 361-3730 View (210) 361-3730
Photo of Tanisha Ellis, Clinical Social Work/Therapist, BA, MSW, LCSW
Tanisha Ellis
Clinical Social Work/Therapist, BA, MSW, LCSW
11 Endorsed
Online Only
I am a queer, Black therapist who specializes in providing care to BIPOC, the LQBTQIA population and those who identify as neurodivergent.
If they've shenanned once, they'll likely shenanigan again! My role is to guide you in setting healthy boundaries and making sure your well-being comes first. Every person’s journey is unique, and I create a safe, non-judgmental space where you can freely explore life’s challenges and uncover the strength you already carry within you. Together, we’ll navigate whatever comes your way, building on your strengths and finding real, meaningful solutions. My goal is to help you feel seen, heard, and supported every step of the way.
I am a queer, Black therapist who specializes in providing care to BIPOC, the LQBTQIA population and those who identify as neurodivergent.
If they've shenanned once, they'll likely shenanigan again! My role is to guide you in setting healthy boundaries and making sure your well-being comes first. Every person’s journey is unique, and I create a safe, non-judgmental space where you can freely explore life’s challenges and uncover the strength you already carry within you. Together, we’ll navigate whatever comes your way, building on your strengths and finding real, meaningful solutions. My goal is to help you feel seen, heard, and supported every step of the way.
(726) 227-3145 View (726) 227-3145
Photo of Rene 'rj' Ornes, MA, LPC, NCC
Rene 'rj' Ornes
Verified Verified
1 Endorsed
San Antonio, TX 78209
While I identify as a generalist, some scopes I’m extra passionate are self-esteem, illness management, overachievement/overcompensation, Latin X issues, and queer affirming care.
My passion is helping people feel good about themselves. I view the counseling experience as a creative process. A process that merges art, science, philosophy business into a single experience. I work with individuals at various stages, from those facing severe mental health challenges to those seeking personal growth and development. Whether you're dealing with deep emotional pain or simply looking to break free from old patterns, I’m here to help you find the peace and fulfillment you deserve.
While I identify as a generalist, some scopes I’m extra passionate are self-esteem, illness management, overachievement/overcompensation, Latin X issues, and queer affirming care.
My passion is helping people feel good about themselves. I view the counseling experience as a creative process. A process that merges art, science, philosophy business into a single experience. I work with individuals at various stages, from those facing severe mental health challenges to those seeking personal growth and development. Whether you're dealing with deep emotional pain or simply looking to break free from old patterns, I’m here to help you find the peace and fulfillment you deserve.
(210) 941-4582 View (210) 941-4582
Photo of Senovio Sparrow, Licensed Professional Counselor, LPC-S
Senovio Sparrow
Licensed Professional Counselor, LPC-S
2 Endorsed
San Antonio, TX 78228
I provide a warm, supportive space where you can be seen and heard as you navigate challenges like anxiety, depression, trauma, personality disorders, and LGBTQ+ issues.
For anxiety and depression, I use CBT and Mindfulness-Based Stress Reduction to help reshape negative thoughts and build resilience. If you're healing from trauma, I offer empathy and guidance through the process. For personality disorders, I incorporate DBT and Schema Therapy to support emotional regulation and healthier relationships.
I provide a warm, supportive space where you can be seen and heard as you navigate challenges like anxiety, depression, trauma, personality disorders, and LGBTQ+ issues.
For anxiety and depression, I use CBT and Mindfulness-Based Stress Reduction to help reshape negative thoughts and build resilience. If you're healing from trauma, I offer empathy and guidance through the process. For personality disorders, I incorporate DBT and Schema Therapy to support emotional regulation and healthier relationships.
(726) 232-4952 View (726) 232-4952
Photo of Belinda Miller, Clinical Social Work/Therapist, LCSW
Belinda Miller
Clinical Social Work/Therapist, LCSW
Online Only
As a queer-affirming therapist, I provide a safe space for clients to explore all issues including gender identity and self expression without fear of judgment.
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
As a queer-affirming therapist, I provide a safe space for clients to explore all issues including gender identity and self expression without fear of judgment.
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
(210) 750-6587 View (210) 750-6587
Photo of Andreanna Barley - Andreanna Barley- Intimacy + Authenticity, Marriage & Family Therapist Associate, LPC-A
Andreanna Barley- Intimacy + Authenticity
Marriage & Family Therapist Associate, LPC-A
4 Endorsed
San Antonio, TX 78214
Many of my clients are part of the LGBTQ+, polyamorous, and kink communities or identify as artists, creators, and trailblazers—people who live boldly but may struggle with the emotional wounds that come from existing outside the mainstream.
I specialize in working with clients with attachment trauma, emotional avoidance, and relational wounds. I integrate narrative therapy, relational cultural theory, and IFS. My approach to healing is deeply relational. My approach is sex-positive, LGBTQ+, consensual non-monogamy and kink informed, as well as rooted in social justice advocacy.
Many of my clients are part of the LGBTQ+, polyamorous, and kink communities or identify as artists, creators, and trailblazers—people who live boldly but may struggle with the emotional wounds that come from existing outside the mainstream.
I specialize in working with clients with attachment trauma, emotional avoidance, and relational wounds. I integrate narrative therapy, relational cultural theory, and IFS. My approach to healing is deeply relational. My approach is sex-positive, LGBTQ+, consensual non-monogamy and kink informed, as well as rooted in social justice advocacy.
(737) 348-0730 View (737) 348-0730
Photo of Jeffrey D Ross, Licensed Professional Counselor, MBS, LPC
Jeffrey D Ross
Licensed Professional Counselor, MBS, LPC
Online Only
I specialize in anxiety, depression, relationships, sexuality ( LGBT issues, coming out, HIV/AIDS, and more).
I have worked with many individuals who wish to experience positive change in their lives. I practice counseling using Reality Therapy and Cognitive Behavioral Therapy. I work with clients in a collaborative process that examines the motivation and behavior of the client, which I believe is central to effecting positive change. Currently NOT taking couples.
I specialize in anxiety, depression, relationships, sexuality ( LGBT issues, coming out, HIV/AIDS, and more).
I have worked with many individuals who wish to experience positive change in their lives. I practice counseling using Reality Therapy and Cognitive Behavioral Therapy. I work with clients in a collaborative process that examines the motivation and behavior of the client, which I believe is central to effecting positive change. Currently NOT taking couples.
(469) 599-2388 View (469) 599-2388
Photo of Barry Whetstone, Clinical Social Work/Therapist, LCSW
Barry Whetstone
Clinical Social Work/Therapist, LCSW
Online Only
As a Black, gay man, I am deeply passionate about supporting and empowering individuals within marginalized communities.
In the first session, we’ll focus on building a strong therapeutic relationship. I’ll take the time to learn about your experiences, challenges, and goals while creating a safe, nonjudgmental space for you to share. Together, we’ll explore your mental health, and I’ll provide an initial assessment of the challenges you’re facing. I’ll also offer thoughtful r
As a Black, gay man, I am deeply passionate about supporting and empowering individuals within marginalized communities.
In the first session, we’ll focus on building a strong therapeutic relationship. I’ll take the time to learn about your experiences, challenges, and goals while creating a safe, nonjudgmental space for you to share. Together, we’ll explore your mental health, and I’ll provide an initial assessment of the challenges you’re facing. I’ll also offer thoughtful r
(469) 717-4350 View (469) 717-4350
Photo of Brian Sharp - LGBTQ Therapy - Brian Sharp Counseling LLC, Licensed Professional Counselor, MS, LPC-S, NCC
LGBTQ Therapy - Brian Sharp Counseling LLC
Licensed Professional Counselor, MS, LPC-S, NCC
1 Endorsed
Online Only
Although I work with a wide range of client problems, I specialize in working with LGBTQ clients, addictions and substance use, codependency, depression and anxiety, and couples therapy.
You’ve done the talking. Now it’s time for real change. Let’s be honest: most therapy feels good in the moment—but nothing actually changes. You talk. You vent. Your therapist nods and says, “That sounds hard.” And then you leave, stuck in the same cycles. My clients come to me because they’re done with surface-level therapy. They’re burned out on insight that doesn’t lead anywhere. They want traction. Strategy. Results. That’s what I do.
Although I work with a wide range of client problems, I specialize in working with LGBTQ clients, addictions and substance use, codependency, depression and anxiety, and couples therapy.
You’ve done the talking. Now it’s time for real change. Let’s be honest: most therapy feels good in the moment—but nothing actually changes. You talk. You vent. Your therapist nods and says, “That sounds hard.” And then you leave, stuck in the same cycles. My clients come to me because they’re done with surface-level therapy. They’re burned out on insight that doesn’t lead anywhere. They want traction. Strategy. Results. That’s what I do.
(346) 229-0199 View (346) 229-0199
Photo of Landon Cotton, Licensed Professional Counselor, LPC
Landon Cotton
Licensed Professional Counselor, LPC
5 Endorsed
Online Only
I specialize in working with LGBTQ+ experiences, anxiety, depression, men's issues, and relationship challenges.
My approach to therapy is person-centered and goal-oriented. I will always see you as a unique individual and will focus on any need with compassionate and distinctive care. Using aspects of mindfulness and cognitive-behavioral therapy, my goal is to provide you with a safe space to talk and develop effective tools to help you move forward.
I specialize in working with LGBTQ+ experiences, anxiety, depression, men's issues, and relationship challenges.
My approach to therapy is person-centered and goal-oriented. I will always see you as a unique individual and will focus on any need with compassionate and distinctive care. Using aspects of mindfulness and cognitive-behavioral therapy, my goal is to provide you with a safe space to talk and develop effective tools to help you move forward.
(512) 843-7449 View (512) 843-7449
Photo of Cherise Miles, Licensed Professional Counselor Associate, LPC-A
Cherise Miles
Licensed Professional Counselor Associate, LPC-A
2 Endorsed
Serves Area
My areas of focus are trauma, depression, PTSD, anxiety, spiritual abuse, shame, LGBTQIA+ issues, and self-esteem.
How are you today? Really, how are you? Browsing these pages can be overwhelming – the unfamiliar words, the multitude of smiling faces. Those smiles can seem insulting in the face of overwhelming depression. Who do you pick? It’s okay to have questions and doubts; it’s okay to pick someone and change your mind once you meet them. My name is Cherise (she/her) and I am an LPC-Associate. This means that I have the education and experience to have a provisional license to counsel, but must do so under supervision. You not only have a qualified therapist, you also have a second, more experienced therapist behind the scenes.
My areas of focus are trauma, depression, PTSD, anxiety, spiritual abuse, shame, LGBTQIA+ issues, and self-esteem.
How are you today? Really, how are you? Browsing these pages can be overwhelming – the unfamiliar words, the multitude of smiling faces. Those smiles can seem insulting in the face of overwhelming depression. Who do you pick? It’s okay to have questions and doubts; it’s okay to pick someone and change your mind once you meet them. My name is Cherise (she/her) and I am an LPC-Associate. This means that I have the education and experience to have a provisional license to counsel, but must do so under supervision. You not only have a qualified therapist, you also have a second, more experienced therapist behind the scenes.
(512) 598-8770 View (512) 598-8770
Photo of Dr. Uriel Navarrete, Psychologist, PsyD
Dr. Uriel Navarrete
Psychologist, PsyD
4 Endorsed
Online Only
Specialties include BIPOC (Black, Indigenous, & other People of Color) Therapy; LGBTQIA+ Affirming Care; Relational Concerns (e.g., romantic, platonic, professional, etc.); Body Image, Fatphobia, and Weight Stigma.
Are you looking for an inclusive, culturally aware, and relationally focused therapist? Many of the concerns that clients bring up in therapy often involve challenges related to their various identities (e.g., race/ethnicity, gender, sexuality, body size, etc.) and/or the quality of their relationships. When describing their experiences with previous therapists, many clients have expressed things to me like, “my therapist just didn’t get me", and as a result, find themselves wanting to be seen and affirmed. As part of my practice, it’s important to me that I hold a deep understanding of your story, worldview, and experiences.
Specialties include BIPOC (Black, Indigenous, & other People of Color) Therapy; LGBTQIA+ Affirming Care; Relational Concerns (e.g., romantic, platonic, professional, etc.); Body Image, Fatphobia, and Weight Stigma.
Are you looking for an inclusive, culturally aware, and relationally focused therapist? Many of the concerns that clients bring up in therapy often involve challenges related to their various identities (e.g., race/ethnicity, gender, sexuality, body size, etc.) and/or the quality of their relationships. When describing their experiences with previous therapists, many clients have expressed things to me like, “my therapist just didn’t get me", and as a result, find themselves wanting to be seen and affirmed. As part of my practice, it’s important to me that I hold a deep understanding of your story, worldview, and experiences.
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Photo of Will Abshier, Licensed Professional Counselor, MA, LPC, LPCC
Will Abshier
Licensed Professional Counselor, MA, LPC, LPCC
3 Endorsed
Online Only
I'm Will Abshier, LPC (they/them), a gay, nonbinary Southerner specializing in LGBTQ+ mental health, identity exploration, mood disorders, and trauma.
My main focus is on LGBTQ+ mental health & wellness. In our community no two people share the exact same lived experience. To affirm this diversity I guide each individual to identify their own unique values and use those to forge a path toward a fuller life. I help folks learn to both love the life they live & live the life the life they love.
I'm Will Abshier, LPC (they/them), a gay, nonbinary Southerner specializing in LGBTQ+ mental health, identity exploration, mood disorders, and trauma.
My main focus is on LGBTQ+ mental health & wellness. In our community no two people share the exact same lived experience. To affirm this diversity I guide each individual to identify their own unique values and use those to forge a path toward a fuller life. I help folks learn to both love the life they live & live the life the life they love.
(737) 520-4436 View (737) 520-4436
Photo of Bethny Gabriella Brown, Licensed Professional Counselor, LPC, MA, MSEd
Bethny Gabriella Brown
Licensed Professional Counselor, LPC, MA, MSEd
1 Endorsed
Online Only
Waitlist for new clients
My work is informed by mind-body connections, queer theory, and intersectionality.
Hi! I'm a relational/attachment-based, non-pathologizing, trauma-aware, and culturally affirming therapist for 2SLGBTQ+ folks, first gen, children of immigrants, and bicultural people and expats. I work with teens, young adults, and adults who are looking to explore their identity and/or manage anxiety, panic attacks, acute trauma, complex PTSD, intergenerational trauma, relationship stressors, and life transitions. We do a lot of identity work here - exploring who YOU are, and not just who other people want or expect you to be. Cycle-breakers, free spirits, and recovering people-pleasers are all welcome!
My work is informed by mind-body connections, queer theory, and intersectionality.
Hi! I'm a relational/attachment-based, non-pathologizing, trauma-aware, and culturally affirming therapist for 2SLGBTQ+ folks, first gen, children of immigrants, and bicultural people and expats. I work with teens, young adults, and adults who are looking to explore their identity and/or manage anxiety, panic attacks, acute trauma, complex PTSD, intergenerational trauma, relationship stressors, and life transitions. We do a lot of identity work here - exploring who YOU are, and not just who other people want or expect you to be. Cycle-breakers, free spirits, and recovering people-pleasers are all welcome!
(512) 361-5805 View (512) 361-5805
Photo of Eduardo Corona, Clinical Social Work/Therapist, LCSW
Eduardo Corona
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I also offer affirming care for LGBTQ individuals and those navigating identity, spirituality, and self-worth.
As a Licensed Clinical Social Worker in Edinburg, TX, I’ve spent over seven years walking alongside individuals facing anxiety, trauma, relationship struggles, identity exploration, and life changes. I understand how heavy it feels when you’re seeking clarity or a safe space to be seen.
I also offer affirming care for LGBTQ individuals and those navigating identity, spirituality, and self-worth.
As a Licensed Clinical Social Worker in Edinburg, TX, I’ve spent over seven years walking alongside individuals facing anxiety, trauma, relationship struggles, identity exploration, and life changes. I understand how heavy it feels when you’re seeking clarity or a safe space to be seen.
(956) 395-3895 View (956) 395-3895
Photo of Kaleb Thorshov, Licensed Professional Counselor, NCC
Kaleb Thorshov
Licensed Professional Counselor, NCC
3 Endorsed
Online Only
There is no manual for the LGBTQ experience.
Imagine what it would be like to feel confident in the decisions you made and to know that every day was leading you closer to the life you want to live. Therapy is about building a better relationship with yourself and with those around you. Together we can work to find ways to better support your mental health.
There is no manual for the LGBTQ experience.
Imagine what it would be like to feel confident in the decisions you made and to know that every day was leading you closer to the life you want to live. Therapy is about building a better relationship with yourself and with those around you. Together we can work to find ways to better support your mental health.
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See more therapy options for San Antonio

LGBTQ+ Therapists

Do LGBTQ-affirmative therapists receive special training?

Yes. Many therapists who practice LGBTQ-affirmative therapy have completed specialized training, either during their degree program 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 marginalization 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 specialized training or experience in providing support to queer individuals, couples or families.