LGBTQ+ Affirming Therapy in Los Angeles
At Sagebrush Psychotherapy, you don’t have to edit yourself. Your identity is not a footnote in the story. It is central to how you experience everything: relationships, community, trauma, safety, belonging, and your sense of self worth. We honor that. We work with it. We help you create a life that fits who you are.
Our team includes queer and trans therapists who understand these experiences from the inside, and who honor the full truth of who you are.
LGBTQ Therapists in Los Angeles: Providers Who Understand Your Experience
Your identity impacts how you move through the world. It influences your relationships, safety, family dynamics, work environments, intimacy, and what it means to thrive. That is not something to work around in therapy. It is central to the healing process.
We take the time to understand your story, your community, and the environments that have shaped you.
We focus on affirmative therapy that integrates evidence-based tools with genuine acceptance. Our role is to walk with you as you move toward relief, resilience, and a deeper trust in your own life.
Who we support
We proudly provide LGBTQ affirming therapy for clients across Los Angeles, West Hollywood, and all of California. Our providers include licensed therapists and licensed clinical social workers who have specialized training and extensive experience supporting the LGBTQ community. We support individuals with diverse identities and lived experiences, including:
Sexual identies
Lesbian
Gay
Bisexual
Pansexual
Asexual
Gender diversity
Transgender
Non-binary
Gender-expansive, genderqueer
Intersex clients
Questioning and exploring
People exploring gender identity or sexual orientation
Couples
Queer and gender-diverse couples navigating relationship changes or marriage
Non-traditional partnerships
Polyamory
Open relationships
Kink
Non-traditional family structures
Families
LGBTQ parents
Children in LGBTQ families
Teens and young adults exploring identity
Caregivers seeking mental health resources to better support an LGBTQ child
Mental Health challenges
People facing anxiety, depression, trauma in relation to identity-based stress
Anyone who has felt misunderstood, minimized, or unsafe with prior psychologists, therapists, or psychiatrists
Understanding Mental Health Impacts in LGBTQ Therapy
Many clients come in carrying a long history of shrinking parts of themselves to survive. Identity-based stress can look like:
Holding back affection in public because you do not feel safe
Avoiding sharing important parts of your life to your family to keep the peace
Changing how you speak or look at work to feel safer
When you’ve spent years hiding who you are or bracing for how others might react, your mind and body stay on alert. Over time, this constant vigilance can evolve into anxiety disorders, depression, trauma responses, and chronic low self worth.
In our therapy work we help you to understand your story and its’ impact and empower you to build a life that is truly yours.
Data from The Trevor Project’s National Survey on LGBTQ Youth Mental Health shows that anxiety and depression are significant challenges for LGBTQ people. These numbers reflect the real impact of stress, stigma, and environments where it is not always safe to be yourself:
Suicide Risk and Support for the LGBTQ Community
The Trevor Project’s 2024 national survey found that 39% of LGBTQ young people seriously considered suicide in the past year, and 12% attempted. Rates are even higher for transgender and non-binary youth. These numbers reflect the real impact of stigma, discrimination, and feeling unsafe in places where support should exist.
You deserve therapy that acknowledges this reality and offers real support. At Sagebrush Psychotherapy, we specialize in working with clients who experience suicidal thoughts. We believe in effective and impactful treatment:
Our clinicians are trained in Dialectical Behavior Therapy (DBT), an evidence-based approach for treatment of suicidality and intense, painful emotions.
We integrate high-acuity care with an understanding of how LGBTQ identity and community stress overlap. You are not required to compartmentalize your identity or symptoms; we hold both.
At Sagebrush, you can talk openly about suicidal feelings and get help building safety, coping skills, and support systems that work for your life. You deserve care that takes your pain seriously and recognizes your identity as something worth protecting. Healing is possible, and you do not have to face this alone.
Neurodivergent + Queer Intersections
Many LGBTQ+ clients are also autistic, ADHD, or otherwise neurodivergent. We provide affirming care that celebrates who you are, rather than asking you to mask or fit into someone else’s expectations. Together, we explore what best supports your wellbeing, whether that is sensory comfort, clearer communication, more confidence in relationships, or routines that help you feel safe and grounded.
Our focus is helping you live in a way that feels authentic, joyful, and sustainable. You get to be your full self here. No part of your identity has to be hidden or explained away.
Resources
Trevor Project Crisis Services
Provides crisis intervention, suicide prevention, and mental health support for LGBTQ+ youth.
Offers comprehensive services including health care, housing, mental health, legal services, and community programs.
Parents, Families and Friends of Lesbians and Gays (PFLAG), PFLAG Los Angeles Chapter
A national organization offering education, peer support, and advocacy for LGBTQ+ people and their families.
Provides gender-affirming telehealth services including hormone therapy, PrEP, and LGBTQ-focused medical care.
Primary medical care, HIV services, and behavioral health support for LGBTQ+ clients.
In Person Therapy in Los Angeles and Telehealth Across California
We offer in person therapy for clients in Los Angeles County, including West Hollywood, Silverlake, Downtown LA and surrounding communities.
We also provide secure telehealth across California for flexible, private access to care from wherever you are.
Whether you are looking for individual therapy, couples therapy, family therapy, or guidance for a child or teen, we will work with you to find the right fit.
Schedule a consultation to get started and explore how we can help.