Therapy Where You Can Show Up as Yourself

Finding a therapist who respects your identity and experiences can make a meaningful difference. Therapy should be a place where you don’t have to defend who you are, explain why your relationships matter, or make yourself smaller to be understood.

We offer LGBTQIA+ affirming therapy by telehealth for adults across Oregon. Whether you’re exploring identity, navigating relationships, coping with stress, or looking for support through a life transition, therapy can make room for your experience without treating your identity as a problem.

Who This Page Is For

Therapy may be helpful if you:

• are exploring or making sense of your sexual orientation or gender identity

• feel pressure to hide, explain, or defend parts of yourself

• are navigating coming out, relationships, family, or community

• are coping with rejection, discrimination, isolation, or stress

• want support with anxiety, burnout, self-esteem, or another concern

• are looking for an affirming therapist in Portland or Eugene or virtually anywhere in Oregon.

You don’t need to be in crisis to begin therapy. You can start with what’s on your mind.

Our Commitment to LGBTQIA+ People

We stand with LGBTQIA+ people, personally and politically. LGBTQIA+ people are seeing their rights taken away, with real consequences for their safety, dignity, healthcare, and ability to live openly. We oppose laws and policies that restrict those rights.

In therapy, we offer individualized, affirming support. We recognize that these losses and the uncertainty they bring can affect people deeply. You deserve care that respects who you are, takes these realities seriously, and supports you without judgment.

What Affirming Therapy Means

Affirming therapy begins with respect for your identity, language, relationships, and lived experience. We recognize that political messaging, public debates and changing laws that threaten LGBTQIA+ people’s rights, safety, and belonging can add to stress and fear. We can offer affirming support as you process these experiences and work with trauma reactions or other effects they may have on your well-being. Therapy can help you explore how life experiences, relationships, social pressures, and personal goals affect your well-being.

You set the pace and decide what you want to discuss. Therapy may include space to explore identity, build self-trust, strengthen boundaries, process difficult experiences, and of course work on concerns that aren’t related to being LGBTQIA+.

Some of our providers identify as queer. If working with a queer-identified provider is important to you, let us know when you reach out, and we can discuss provider availability and fit.

Letters for Gender-Affirming Surgeries in Oregon

We provide letters for individuals seeking gender-affirming surgeries in Oregon. The letter process includes an assessment and providing you with the relevant diagnosis. We’ll discuss what the process involves and the documentation needed for your specific surgery request. The assessment is not meant to question your identity or your decision to pursue surgery. It’s a supportive opportunity to assess understanding and expectations and to plan for appropriate support during your recovery.

Support That Starts With You

Therapy can offer a steady, nonjudgmental space to explore what matters to you and what kind of support would feel useful.

FAQ: LGBTQIA+ Affirming Therapy

Do I need to have my identity figured out before starting therapy?
No. You’re welcome to bring questions or uncertainty. Therapy can support exploration without pressuring you toward a particular label or decision.

Can I talk about concerns that aren’t related to my identity?
Absolutely. You can bring whatever feels important, including anxiety, relationships, grief, work stress, or burnout.

Can you provide a letter for gender-affirming surgery?
Yes. We provide letters for individuals seeking gender-affirming surgeries in Oregon. The process includes an assessment and providing you with the relevant diagnosis. We’ll discuss the documentation needed for your specific request.

Do you offer LGBTQIA+ affirming telehealth outside Portland and Eugene?
We offer therapy by telehealth across Oregon, for adults who live outside those cities. We have offices in Portland and Eugene for individuals who prefer in person sessions.

Get Started

You deserve support that respects who you are and makes room for your full experience. Contact us to schedule a consultation for therapy by telehealth across Oregon.