LGBTQIA+-affirming therapy in Portland — and statewide via telehealth

Evidence-based care (ACT/CBT) for anxiety, depression, relationships, identity, and trauma — without having to educate your therapist.


You shouldn’t have to educate your therapist to get good care

Many LGBTQIA+ clients come in wanting help with life’s essentials — anxiety, relationships, work, family — while trusting that their therapist is competent with identity, community, and culture. 

What’s different here

You can focus on healing, not teaching. Our clinicians are LGBTQIA+‑affirming and trained in minority stress, trauma‑informed care, and inclusive relationship practices.

Your identity is celebrated. We uplift sexual and gender diversity, ENM, and kink‑affirming care within an ethical, non‑judgmental framework.

We look at the systems you move through. We address how oppression and safety concerns impact daily life — and build skills for resilience.

See if we’re a fit – Free consult

How we practice

We use approaches with strong research support while centering your values and safety.

Evidence‑based, values‑centered

We specialize in Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). In plain language: we help you notice and unhook from difficult thoughts and feelings, take steps that matter to you, and build a life guided by your values.

Trauma‑informed & minority stress‑aware

Discrimination and rejection can be traumatic. We pace sessions to your needs, focus on choice and consent, and collaborate on safety planning when relevant.


Competencies you can expect

  • Affirming care for trans, nonbinary, gender‑expansive clients
  • Relationship counseling, including ENM/polyamory; kink‑aware therapy
  • Support for teens & families; parent and ally consultation
  • Navigation of medical systems and community resources
  • Ongoing training/supervision in LGBTQIA+ clinical care

If you’re seeking letters related to gender‑affirming care, mention this during your consult and we’ll discuss options.


Trusted LGBTQIA+ resource in Portland — more than a decade

The majority of our clients identify as LGBTQIA2S+. In our 2024 census, about 60% did. We’ve built our practice around serving this community.

Culturally specific care

  • Many of our staff are immersed in the local LGBTQIA2S+ community
  • More than 10 years primarily serving LGBTQIA+ clients in a behavioral health setting
  • Ongoing LGBTQIA+ clinical training, supervision, and didactics
  • Identity‑conscious provider matching on request
  • Affirming environment: gender‑neutral restrooms, inclusive paperwork & language
  • Support with up‑to‑date community resources when needs extend beyond therapy

What this means for you

  • You won’t have to educate your therapist about your identity
  • Care that considers intersectional identities and minority stress
  • Flexible, evidence‑based approaches tailored to your values (e.g., ACT/CBT)
  • Help navigating documentation for gender‑affirming care (when appropriate)
  • Financial access options: sliding scale and OHP

Meet our therapists

All of our therapists are LGBTQIA2S+ affirming and many of them are part of the community.

Review their profiles to see who you resonate with.

See our list of available therapists

Get started — quick, private, and simple

Fill out our the form below and we’ll get back to you with the therapist that fits who you are and your situation.

What Makes Us Unique

Portland Psychotherapy is a clinic, research & training center with a unique business model that funds scientific research. This results in a team of therapists who are exceptionally well-trained and knowledgeable about their areas of specialty.