1.Sarah Zamiska Dover LMFT, MA, LMFTVerified
(503) 908-4312
1880 Willamette Falls Drive, West Linn, OR 97068
Anxiety · Codependency · Depression
szdtherapy.com · orcounselors.com/provider/sarah-zamiska-dover-lmft-west-linn-or
LGBTQ+ Therapists in Oregon
3,795 providers found
LGBTQ+ also matches related modalities: LGBTQ+ affirming. Results below include all of them.
RelatedTransgender (93)Open Relationships Non-Monogamy (61)Sex-Positive (35)Kink Allied (34)LGBTQIA+ (4)LGBTQ+ affirming (1)
LGBTQ+ affirming therapy provides a safe, supportive environment where your identity is validated. Oregon LGBTQ+ therapists address the unique mental health challenges facing queer and transgender individuals, including minority stress, coming out, and gender-related issues.
As of April 2026, 3,795 Oregon therapists listed on Oregon Counselor Directory specialize in LGBTQ+ concerns. These providers use evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Eye Movement Desensitization and Reprocessing (EMDR) to support the unique mental health needs of the LGBTQ+ community. 3,257 therapists offer telehealth sessions, broadening access across Oregon, and 1,120 accept the Oregon Health Plan (OHP), providing low-cost or no-cost care to eligible individuals. 13 therapists offer sliding scale fees, making therapy more accessible to those with limited income. Currently, 28 providers are accepting new clients, and 11 offer in-person sessions.
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Related Articles
From Oregon providers writing about this topic.
Faith-Sensitive AND LGBTQ-Affirming: Finding a Therapist Who Holds Both in Oregon
For many LGBTQ Oregonians, faith and identity are not a contradiction to resolve but two true things to live with. This guide explains what "affirming" and "faith-sensitive" actually mean clinically, why the combination is safe and evidence-based, and how to find an Oregon therapist who can hold both with care.
The Queer Body Remembers: Somatic-Focused Trauma Healing
For many LGBTQ (lesbian, gay, bisexual, transgender, queer/questioning) people growing up was distressing due to homophobia and transphobia. Schools felt like a scary place for those who were scapegoated as queer. LGBTQ people of color reported even worse experiences due to the additional stress of racism and racial bullying. Many…
LGBTQ+ in Oregon, key facts
Researched data on this topic, every figure links to its source.
Oregon
As of 2024 (The Trevor Project), 41% of LGBTQ+ young people (ages 13-24) in Oregon seriously considered suicide in the past year, including 45% of transgender and nonbinary youth.
Source: The Trevor Project (2024)Oregon
In Oregon, 66% of LGBTQ+ young people reported recent symptoms of anxiety and 57% reported symptoms of depression, with higher rates among transgender and nonbinary youth (72% and 62%). (The Trevor Project, 2024)
Source: The Trevor Project (2024)Oregon
About 45% of LGBTQ+ young people in Oregon who wanted mental health care were not able to get it — roughly half went without the care they sought. (The Trevor Project, 2024)
Source: The Trevor Project (2024)Oregon
The Trevor Project (2024) reports LGBTQ+ young people have lower rates of attempting suicide when they have access to affirming spaces; in Oregon, 54% identified home as an LGBTQ+-affirming space.
Source: The Trevor Project (2024)Oregon
An estimated 7.8% of Oregon adults — about 253,300 people — identify as LGBT, the second-highest share of any U.S. state, based on 2020-2021 CDC BRFSS data. (Williams Institute, Dec 2023)
Source: Williams Institute at UCLA (2023)Oregon
The Oregon Health Plan (Medicaid) covers medically necessary gender-affirming care under WPATH Standards of Care v8, and explicitly lists mental health therapy among covered non-surgical treatments. (Oregon Health Authority)
Source: Oregon Health Authority (2024)Frequently asked questions
Common questions about this coverage in Oregon.
How many Oregon therapists specialize in LGBTQ+ issues?
As of April 2026, there are 18 therapists in Oregon specializing in LGBTQ+ issues, providing culturally sensitive care to the community.
Do Oregon LGBTQ+ therapists accept OHP / Oregon Health Plan?
Yes, 4 of the 18 LGBTQ+ therapists in Oregon accept the Oregon Health Plan (OHP), offering low-cost or no-cost therapy to eligible individuals.
Is telehealth available for LGBTQ+ therapy in Oregon?
Yes, 17 out of 18 LGBTQ+ therapists in Oregon offer telehealth sessions, allowing for greater accessibility across the state.
Do Oregon LGBTQ+ therapists offer sliding scale fees?
Yes, 4 LGBTQ+ therapists in Oregon offer sliding scale fees, making therapy more accessible to those with limited income.
Are Oregon LGBTQ+ therapists accepting new clients?
As of April 2026, 13 out of 18 LGBTQ+ therapists in Oregon are currently accepting new clients, providing ongoing support to the community.
What does "LGBTQ+ affirming" actually mean — and how do I tell if a therapist really is?
Affirming means the therapist treats your identity as healthy and not the problem to be solved. The questions that separate genuinely affirming from "I have gay clients" therapists: ask directly about their training (WPATH for trans care, gender-affirming protocols, queer-specific supervision); ask whether they would write a letter for HRT or surgery if clinically appropriate; ask how they handle internalized homophobia or religious harm. Real affirming therapists answer specifically. "I treat everyone the same" is the wrong answer — you are not asking for sameness, you are asking for competence in your specific context.
I'm closeted and worried therapy notes could out me. Is anything I say actually private?
In Oregon, your therapy notes are protected by HIPAA and the state's strong therapist-patient privilege — your therapist cannot share them with employers, family, or insurance without your written consent. Insurance does see a diagnosis code (e.g., F33.1 for major depression) but not session content. If you are paying out-of-pocket, even the diagnosis stays between you and your therapist. Many Oregon LGBTQ-affirming therapists explicitly offer self-pay and superbill options for clients who don't want any insurance trail at all.
Can my parents see what I talk about in therapy if they're paying or on the insurance?
In Oregon, anyone 14 or older has the right to consent to and keep their own mental health treatment private — including from parents on the insurance. The insurance company sends an Explanation of Benefits (EOB) showing the date, billing code, and provider name; it does not include session content. If even that level of visibility is a concern, many Oregon affirming therapists offer self-pay rates ($60–$150 sliding scale) so nothing routes through insurance at all.
3,795 Oregon therapists listed on Oregon Counselors Directory specialize in LGBTQ+ concerns. These providers use evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Eye Movement Desensitization and Reprocessing (EMDR) to support the unique mental health needs of the LGBTQ+ community. 3,257 therapists offer telehealth sessions, broadening access across Oregon, and 1,120 accept the Oregon Health Plan (OHP), providing low-cost or no-cost care to eligible individuals. 13 therapists offer sliding scale fees, making therapy more accessible to those with limited income. Currently, 28 providers are accepting new clients, and 11 offer in-person sessions.