As of April 2026, 2 LGBTQ+ therapists listed on Oregon Counselor Directory in Portland offer sliding scale fees. This is a small portion of the total 1,084 listed providers. Individuals seeking reduced-cost care may find more options by filtering for OHP/Medicaid acceptance, which applies to 278 providers.

Do any Portland LGBTQ+ therapists accept Oregon Health Plan (OHP/Medicaid)?

Yes. Of the 1,084 LGBTQ+ therapists listed in Portland, 278 accept Oregon Health Plan (OHP/Medicaid) as of April 2026. OHP acceptance is one of the more common pathways to low- or no-cost therapy for eligible Oregon residents and represents a broader option than sliding scale arrangements.

Can I see an LGBTQ+ therapist in Portland via telehealth?

Yes. 924 of the 1,084 LGBTQ+ therapists listed in Portland offer telehealth services as of April 2026. Telehealth sessions can lower indirect costs such as transportation and may expand access for individuals in surrounding areas who prefer to work with Portland-based providers.

Are Portland LGBTQ+ therapists currently accepting new patients?

All 1,084 LGBTQ+ therapists listed in Portland on Oregon Counselor Directory are currently accepting new patients as of April 2026. Availability can change, so it is advisable to contact a provider directly to confirm current openings before scheduling.

What is the most practical way to find affordable LGBTQ+ therapy in Portland?

Filtering by OHP/Medicaid acceptance is the most widely available cost-reduction option, with 278 providers meeting that criterion. Telehealth availability across 924 providers can also reduce indirect costs. Only 2 providers list sliding scale fees, so contacting clinicians directly about payment flexibility may uncover additional options not reflected in directory listings.

2 LGBTQ+ therapists in Portland offer sliding scale fees as of April 2026, making cost-adjusted care a limited but available option among the 1,084 providers listed on Oregon Counselor Directory. Of those 1,084 providers, 278 accept Oregon Health Plan (OHP/Medicaid), which represents a more substantial pathway to affordable care for eligible residents. Telehealth is available through 924 of the listed providers, which can reduce costs associated with transportation and time off work. All 1,084 listed providers are currently accepting new patients. Portland has a large and established LGBTQ+ community, and the provider pool reflects a range of therapeutic approaches, identities served, and insurance arrangements. Individuals seeking affordable LGBTQ+-affirming therapy in Portland may want to prioritize filtering by OHP acceptance or telehealth availability, as those options are more widely represented than sliding scale arrangements. Contacting providers directly to ask about fees, reduced rates, or payment plans is also advisable, as some clinicians offer flexible arrangements that may not be reflected in directory listings.

LGBTQ+ Therapists in Portland, Oregon

Marca Cassity

Lauren Hval

Alicia Johnson

Kasey Joffe

Sedona Karlin

Tiffany Kettermann

Erin Karcher

Aaron Kelsay

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