Written by Luisa Kos
Table of contents
Understanding LGBTQ and gender
Anxiety and depression are among the most common mental health challenges, yet they can feel deeply personal and isolating. They can affect your mood, thoughts, behaviours, and even physical health. Anxiety might manifest as excessive worry, restlessness, irritability, or panic attacks, while depression often brings persistent sadness, lack of motivation, fatigue, and a sense of hopelessness.
Why LGBTQ+ & gender-affirming therapy matters
For many LGBTQ+ individuals, therapy is not just about mental health—it’s about finding a space where you can be your authentic self without fear of judgment, misunderstanding, or bias. Gender and sexual identity can influence many aspects of life, from relationships and self-esteem to career choices and personal well-being. Having a therapist who truly understands the nuances of these experiences is invaluable.
Common reasons people seek LGBTQ+ or gender-affirming therapy include:
- Exploring and affirming gender identity
- Navigating the coming out process
- Coping with discrimination, rejection, or societal pressures
- Addressing LGBTQ+ relationship and intimacy challenges
- Managing anxiety, depression, or self-esteem concerns related to identity
- Processing past trauma, including homophobia, transphobia, or family rejection
- Seeking support for gender transition, including social, medical, or legal aspects
- Addressing internalised shame and self-acceptance
No matter where you are in your journey, a supportive and knowledgeable therapist can help you feel seen, heard, and validated.
Therapists who understand you
We believe that therapy should be a place of safety, understanding, and empowerment. That’s why every therapist in our directory is committed to inclusivity and respect. Many have specialist training in LGBTQ+ and gender-related therapy and understand the complexities of identity, relationships, and mental health within the community.
Our listed therapists use a variety of approaches tailored to your needs, including:
- Affirmative Therapy – A strengths-based approach that validates and supports your identity
- CBT & Mindfulness – Managing anxiety, stress, and self-esteem issues
- Trauma-Informed Therapy – Addressing past experiences of discrimination or rejection
- Relationship & Couples Therapy – Navigating relationships in an LGBTQ+ context
- Gender Exploration & Transition Support – Providing guidance throughout gender affirmation
A safe and affirming space
Many LGBTQ+ individuals have had negative experiences in healthcare settings, where they may have faced misunderstanding, misgendering, or outright discrimination. Our goal is to make finding an affirming therapist easier so that you can focus on what truly matters—your well-being.
Every therapist listed in our directory is committed to:
- Providing a judgment-free, inclusive space
- Respecting your pronouns and identity
- Understanding the impact of systemic discrimination
- Offering support tailored to your unique needs
Whether you are looking for short-term support, long-term therapy, or guidance through a specific life transition, you can find a therapist who aligns with your values and experiences.
Therapy provides a safe space for individuals to explore their gender identity without fear of judgment, offering validation, support, and the tools to navigate their journey with confidence.
Find a specialist
Luisa Kos
I am a psychodynamic psychotherapist trained at WPF and Tavistock Relationships, and a registered member of the BACP. Since qualifying in 2015, I have worked with both couples and individuals in South London, offering short and long-term therapy in person and online. I founded Dulwich Psychotherapy and South London Therapy Group, where I run a private practice and manage therapy rooms that host a community of around 20 practitioners. Before retraining, I spent 15 years in advertising and publishing, holding senior roles in user experience in New York and London, which gives me a unique perspective on the challenges of high-pressure professional environments.
Julie Smith
I trained in psychodynamic psychotherapy and have several years’ experience working with adults in both private practice and charitable settings in London. My background includes supporting clients with anxiety, depression, relationship difficulties, low self-esteem, family conflict, and life transitions.
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