Transgender Therapists in Seattle, WA

I primarily work with the LGBTQIA2S+ community and have worked with trans, nonbinary, and gender-questioning adolescents, adults, and their families for the last 10 years around gender identity exploration, gender dysphoria, medical transition, and treating trauma related to gender and sexuality.
We will look at several aspects of your life that may be affecting the issues you may be experiencing, such as the relationship between gender, social, cultural influences, and oppression, to understand your own unique experiences. We will work together to find what treatment approach best fits your needs.
I primarily work with the LGBTQIA2S+ community and have worked with trans, nonbinary, and gender-questioning adolescents, adults, and their families for the last 10 years around gender identity exploration, gender dysphoria, medical transition, and treating trauma related to gender and sexuality.
We will look at several aspects of your life that may be affecting the issues you may be experiencing, such as the relationship between gender, social, cultural influences, and oppression, to understand your own unique experiences. We will work together to find what treatment approach best fits your needs.

As an out & proud transgender woman, I have always been aware of opportunities for advocacy and the ability to celebrate gender expression in all forms.
My clients are often aware of their struggles but may not possess the right skills in combatting plaguing thoughts or self-doubt. My clients can feel extremely aware of their space and understand that healing is a process that isn't always linear. I believe that my clients are able to be honest about their expectations of counseling and opportunities for us to collaborate towards care together.
As an out & proud transgender woman, I have always been aware of opportunities for advocacy and the ability to celebrate gender expression in all forms.
My clients are often aware of their struggles but may not possess the right skills in combatting plaguing thoughts or self-doubt. My clients can feel extremely aware of their space and understand that healing is a process that isn't always linear. I believe that my clients are able to be honest about their expectations of counseling and opportunities for us to collaborate towards care together.

As a therapist specializing in supporting adults who experience gender dysphoria and grapple with family and community acceptance, I provide a safe, affirming space to explore your identity, build resilience, and find joy in living as your authentic self.
With over a decade of professional experience supporting gender-diverse individuals and more than 20 years of lived experience within the Transgender/Nonbinary community, I bring a deep understanding and compassionate approach to this work.
At the heart of my practice is the belief that being seen and heard by someone else is one of the most powerful gifts
As a therapist specializing in supporting adults who experience gender dysphoria and grapple with family and community acceptance, I provide a safe, affirming space to explore your identity, build resilience, and find joy in living as your authentic self.
With over a decade of professional experience supporting gender-diverse individuals and more than 20 years of lived experience within the Transgender/Nonbinary community, I bring a deep understanding and compassionate approach to this work.
At the heart of my practice is the belief that being seen and heard by someone else is one of the most powerful gifts

I'm a trans woman and licensed clinical social worker in the states of Washington, Vermont, Minnesota, and New York, with over ten years of experiences spanning transgender care, sexual assault advocacy, community mental health, and behavioral health.
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, feelings of isolation or rejection, or other forms of lasting trauma, I can help. Please know that I believe you to be, at this moment, exactly who you needed to be in order to survive. I also believe that things can get better.
I'm a trans woman and licensed clinical social worker in the states of Washington, Vermont, Minnesota, and New York, with over ten years of experiences spanning transgender care, sexual assault advocacy, community mental health, and behavioral health.
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, feelings of isolation or rejection, or other forms of lasting trauma, I can help. Please know that I believe you to be, at this moment, exactly who you needed to be in order to survive. I also believe that things can get better.

Hi! I'm currently accepting new clients! My name is Tally (she/her), I’m a queer white trans woman therapist in so-called seattle, washington on Occupied Duwamish Lands. I work to create gender-affirming, trauma-informed care for teens + adults under a liberation framework. I approach my work shaped by mutual aid and anti-imperialist organizations. Abolition and Decolonization are deeply structured parts of my work here and elsewhere. Sliding Scale available!
Hi! I'm currently accepting new clients! My name is Tally (she/her), I’m a queer white trans woman therapist in so-called seattle, washington on Occupied Duwamish Lands. I work to create gender-affirming, trauma-informed care for teens + adults under a liberation framework. I approach my work shaped by mutual aid and anti-imperialist organizations. Abolition and Decolonization are deeply structured parts of my work here and elsewhere. Sliding Scale available!

Therapy focuses on anxiety management, gender dysphoria, coming out, improving self-esteem, connection to community, relationship skills, and the process of transitioning (if desired).
I have been working with the LGBTQ+ community for over a decade providing individual therapy and evaluations/letters for gender-affirming surgery. I also offer consultation to parents who feel anxious about their child coming out. My goal is to promote a supportive and understanding space that will ultimately strengthen the parent-child relationship.
Therapy focuses on anxiety management, gender dysphoria, coming out, improving self-esteem, connection to community, relationship skills, and the process of transitioning (if desired).
I have been working with the LGBTQ+ community for over a decade providing individual therapy and evaluations/letters for gender-affirming surgery. I also offer consultation to parents who feel anxious about their child coming out. My goal is to promote a supportive and understanding space that will ultimately strengthen the parent-child relationship.

I work with folks seeking support around exploring their gender identity and expression, gender dysphoria, gender-related trauma, navigating social and medical transition, or are simply wanting mental health support (for anxiety, depression, trauma, OCD, etc.) without the added stress of explaining or educating the clinician.
The most important ingredient in a successful therapeutic experience is a solid, trusting relationship between client and therapist. In a supportive therapeutic environment, we can begin to unpack what holds you back, and heal what needs to be healed so that you can show up to life as your whole self.
I work with folks seeking support around exploring their gender identity and expression, gender dysphoria, gender-related trauma, navigating social and medical transition, or are simply wanting mental health support (for anxiety, depression, trauma, OCD, etc.) without the added stress of explaining or educating the clinician.
The most important ingredient in a successful therapeutic experience is a solid, trusting relationship between client and therapist. In a supportive therapeutic environment, we can begin to unpack what holds you back, and heal what needs to be healed so that you can show up to life as your whole self.

I also offer specialized care to transgender and questioning clients, including transition-related counseling.
My work with clients is holistic, meaning we take a look at the whole life. I use an emotion-focused approach that works toward building confidence, trust, and self-esteem. Collaboratively, we'll aim to explore what is useful in your life and what is keeping you stuck, so that you can find a healthy path forward.
I also offer specialized care to transgender and questioning clients, including transition-related counseling.
My work with clients is holistic, meaning we take a look at the whole life. I use an emotion-focused approach that works toward building confidence, trust, and self-esteem. Collaboratively, we'll aim to explore what is useful in your life and what is keeping you stuck, so that you can find a healthy path forward.

I specialize in working with folks who struggle with eating disorders, PTSD, C-PTSD, Grief/Bereavement, Adoption and/or Foster Care, Gender Dysphoria, Transgender issues, LGBTQIA+ issues, and issues related to sex/sexuality.
Mental health shouldn’t be a privilege. So much of how we feel in our minds and bodies has to do with the identities we inhabit in the world and how our environments do or do not support us. Counseling is a tool that can be helpful when dealing with the natural anxiety, depression, and grief that can arise as a result of living in a culture that refuses to see you or value you. I work with folks through an anti-oppression and somatic (body-based) lens. As a Non-Binary and Queer therapist, I am passionate about the decolonization of the therapy space. The personal is political.
I specialize in working with folks who struggle with eating disorders, PTSD, C-PTSD, Grief/Bereavement, Adoption and/or Foster Care, Gender Dysphoria, Transgender issues, LGBTQIA+ issues, and issues related to sex/sexuality.
Mental health shouldn’t be a privilege. So much of how we feel in our minds and bodies has to do with the identities we inhabit in the world and how our environments do or do not support us. Counseling is a tool that can be helpful when dealing with the natural anxiety, depression, and grief that can arise as a result of living in a culture that refuses to see you or value you. I work with folks through an anti-oppression and somatic (body-based) lens. As a Non-Binary and Queer therapist, I am passionate about the decolonization of the therapy space. The personal is political.

I am also trained to address a wide variety of concerns such as depression, anxiety, trauma, and gender dysphoria.
I enjoy helping others find meaningful, authentic ways of connecting in their relationships and communities. Those I work with tend to feel a lack of connection or authenticity in their life. I believe that therapy is a collaborative process in which we get to recontextualize our experiences through truthful and empowering reframes. This includes curiosity in how your identity and lived experience has shaped your worldview. I am professionally and personally passionate about geek and gaming culture and am comfortable weaving this into therapy when appropriate. Additionally, I work with a lot of young adults in the tech industry.
I am also trained to address a wide variety of concerns such as depression, anxiety, trauma, and gender dysphoria.
I enjoy helping others find meaningful, authentic ways of connecting in their relationships and communities. Those I work with tend to feel a lack of connection or authenticity in their life. I believe that therapy is a collaborative process in which we get to recontextualize our experiences through truthful and empowering reframes. This includes curiosity in how your identity and lived experience has shaped your worldview. I am professionally and personally passionate about geek and gaming culture and am comfortable weaving this into therapy when appropriate. Additionally, I work with a lot of young adults in the tech industry.

I specialize in helping clients who are exploring or struggling with their sexual identity, gender dysphoria, C-PTSD, mood disorders, and suicidal thoughts.
I began my clinical career in the fall of 2019, with a focus on meeting the needs of the LGBTQIA+ community. I am most experienced working with both adults and adolescents with a focus on supporting recovery from complex trauma.
I specialize in helping clients who are exploring or struggling with their sexual identity, gender dysphoria, C-PTSD, mood disorders, and suicidal thoughts.
I began my clinical career in the fall of 2019, with a focus on meeting the needs of the LGBTQIA+ community. I am most experienced working with both adults and adolescents with a focus on supporting recovery from complex trauma.

I also have a personal understanding and history of working with LGBTQ+ specifically Transgender Individuals, and Catholics.
We all experience struggles in life. I believe sometimes we just need a bit of help to overcome them. I am an authentic strength-based and solution-focused counselor who aims to assist my clients in them using strengths to find solutions and overcome whatever those struggles may be. I value staying open-minded, warm, authentic, and honest with my clients. I want to give you space to express yourself and feel safe. I see the world in "grey” not black and white. When facing challenges I believe there are many paths to improvement. As your counselor, I aim to help and empower you to explore them so you can move toward a better place.
I also have a personal understanding and history of working with LGBTQ+ specifically Transgender Individuals, and Catholics.
We all experience struggles in life. I believe sometimes we just need a bit of help to overcome them. I am an authentic strength-based and solution-focused counselor who aims to assist my clients in them using strengths to find solutions and overcome whatever those struggles may be. I value staying open-minded, warm, authentic, and honest with my clients. I want to give you space to express yourself and feel safe. I see the world in "grey” not black and white. When facing challenges I believe there are many paths to improvement. As your counselor, I aim to help and empower you to explore them so you can move toward a better place.

Mary Bernard
Licensed Mental Health Counselor, MS, LMHC
2 Endorsed
Seattle, WA 98101
Waitlist for new clients
I have advanced training in trauma therapies (ART, EMDR, IFS), play therapy, sand tray, expressive arts as well as the treatment of gender dysphoria, autism and dissociative disorders.
Whether you are struggling in your important relationships, trying to cope with the impact of past trauma, or exploring questions of meaning and identity, searching for a therapist is a courageous step toward building the life you've been wishing for. I especially enjoy working with adolescents and adults, and am here to support you as a fellow traveler on the journey toward a better life. I offer a place to explore your questions, hopes, struggles, and joys in the context of a safe, connected relationship free of judgment. I invest my time outside of our sessions in training and research to ensure I am offering you what works.
I have advanced training in trauma therapies (ART, EMDR, IFS), play therapy, sand tray, expressive arts as well as the treatment of gender dysphoria, autism and dissociative disorders.
Whether you are struggling in your important relationships, trying to cope with the impact of past trauma, or exploring questions of meaning and identity, searching for a therapist is a courageous step toward building the life you've been wishing for. I especially enjoy working with adolescents and adults, and am here to support you as a fellow traveler on the journey toward a better life. I offer a place to explore your questions, hopes, struggles, and joys in the context of a safe, connected relationship free of judgment. I invest my time outside of our sessions in training and research to ensure I am offering you what works.

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 provide walk and talk therapy and can integrate somatic approaches like IFS informed therapy and brainspotting.
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 provide walk and talk therapy and can integrate somatic approaches like IFS informed therapy and brainspotting.

I have extensive training and experience in working with transgender, non-binary, gender queer individuals and their families.
I am a queer trans-identified licensed professional therapist practicing clinical psychotherapy for over 18 years. My practice is based out of Portland, OR and Seattle, WA. I specialize in working with teen and adult queer, non-binary, gender and neurodiverse, and poly-relationships. I have extensive experience and work with counseling both individuals and couples in a wide variety settings such as primary health care clinics, urban and rural tribal health care, community mental health treatment centers, and major healthcare facilities.
I have extensive training and experience in working with transgender, non-binary, gender queer individuals and their families.
I am a queer trans-identified licensed professional therapist practicing clinical psychotherapy for over 18 years. My practice is based out of Portland, OR and Seattle, WA. I specialize in working with teen and adult queer, non-binary, gender and neurodiverse, and poly-relationships. I have extensive experience and work with counseling both individuals and couples in a wide variety settings such as primary health care clinics, urban and rural tribal health care, community mental health treatment centers, and major healthcare facilities.

As a transgender therapist, I am especially equipped to support those who find themselves somewhere outside of traditional gender norms.
Welcome. My therapy practice was built with a vision of providing care to my community in ways that reflect my values. Those values center around my belief that healing comes when we have access to safety and authentic connection, because the deepest answers we may need arise ultimately from within ourselves. I seek to be an active participant in creating a culture of care for all people. I come into this role from my own healing journey that is always on-going, still often surprising, and practiced with intention because it’s been my most meaningful source of freedom, inspiration, strength, and clarity.
As a transgender therapist, I am especially equipped to support those who find themselves somewhere outside of traditional gender norms.
Welcome. My therapy practice was built with a vision of providing care to my community in ways that reflect my values. Those values center around my belief that healing comes when we have access to safety and authentic connection, because the deepest answers we may need arise ultimately from within ourselves. I seek to be an active participant in creating a culture of care for all people. I come into this role from my own healing journey that is always on-going, still often surprising, and practiced with intention because it’s been my most meaningful source of freedom, inspiration, strength, and clarity.

Aurora Fernwood: Gender - ADHD - Trauma
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
If you’re transgender, you may face barriers to expressing who you are, feeling judged or invisible.
I'm Aurora. My core specialties are helping adults and older teens who are: - Transgender or Queer; or -have ADHD (neurodivergence); or -need healing from Religious Trauma. I also have experience assisting with many other issues, including anxiety, PTSD, self-criticism, perfectionism, women's issues and more. I offer individual online telehealth therapy only.
If you’re transgender, you may face barriers to expressing who you are, feeling judged or invisible.
I'm Aurora. My core specialties are helping adults and older teens who are: - Transgender or Queer; or -have ADHD (neurodivergence); or -need healing from Religious Trauma. I also have experience assisting with many other issues, including anxiety, PTSD, self-criticism, perfectionism, women's issues and more. I offer individual online telehealth therapy only.

My specialty is working with transgender and gender non-conforming clients.
Ideally, I would like to use my extensive training and 40+ years of counseling experience to support, assist and advocate for clients whose personal identity lies on the LGBTQIA2S+ spectrum, while they explore, investigate, or plan the rest of their life journey in their true identity. Naturally, I do NOT exclude others from becoming clients, since I also have a wealth of experience serving clients from the vast straight and cisgender community.
My specialty is working with transgender and gender non-conforming clients.
Ideally, I would like to use my extensive training and 40+ years of counseling experience to support, assist and advocate for clients whose personal identity lies on the LGBTQIA2S+ spectrum, while they explore, investigate, or plan the rest of their life journey in their true identity. Naturally, I do NOT exclude others from becoming clients, since I also have a wealth of experience serving clients from the vast straight and cisgender community.

Scout Kopech
Licensed Professional Clinical Counselor, MS, LPCC-S, LMHC
2 Endorsed
Serves Area
Waitlist for new clients
As a queer transgender woman, I am personally aware of the unique challenges faced by the LGBTQIA+ communities.
My approach to therapy is highly individualized to your goals and needs. I work with LGBTQIA+ individuals from an affirmative and supportive framework that allows for greater self-understanding and self-acceptance of sexual orientation and gender. I provide letters of support for gender-affirming care, and will work to help you find authenticity.
As a queer transgender woman, I am personally aware of the unique challenges faced by the LGBTQIA+ communities.
My approach to therapy is highly individualized to your goals and needs. I work with LGBTQIA+ individuals from an affirmative and supportive framework that allows for greater self-understanding and self-acceptance of sexual orientation and gender. I provide letters of support for gender-affirming care, and will work to help you find authenticity.

Gabriel Molinaro
Marriage & Family Therapist Associate, MA, LMFTA
6 Endorsed
Serves Area
Waitlist for new clients
I provide letters for gender-affirming medical care and offer support for those navigating gender dysphoria, anxiety, and depression.
improved communication and deeper understanding within families. I work with many neurodivergent clients as well, drawing guidance from the work of Dr. Devon Price (author of Unmasking Autism), the Therapist Neurodiversity Collective, and the Autistic Self-Advocacy Network.
I provide letters for gender-affirming medical care and offer support for those navigating gender dysphoria, anxiety, and depression.
improved communication and deeper understanding within families. I work with many neurodivergent clients as well, drawing guidance from the work of Dr. Devon Price (author of Unmasking Autism), the Therapist Neurodiversity Collective, and the Autistic Self-Advocacy Network.
See more therapy options for Seattle
Nearby Transgender Therapists Searches for Seattle
- Bainbridge Island
- Bellevue
- Burien
- Kenmore
- Kirkland
- Lake Forest Park
- Lynnwood
- Medina
- Mercer Island
- Seatac
- Shoreline
- Tukwila
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.