LGBTQ+ Therapists in Portland, Oregon

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.