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LGBTQ+ Therapists in Oregon

3,839 providers found

Related:LGBTQIA+Transgender Sex-Positive Kink Allied Open Relationships Non-Monogamy

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, 3,839 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. 3,298 therapists offer telehealth sessions, broadening access across Oregon, and 1,133 accept the Oregon Health Plan (OHP), providing low-cost or no-cost care to eligible individuals. 9 therapists offer sliding scale fees, making therapy more accessible to those with limited income. Currently, 20 providers are accepting new clients, and 11 offer in-person sessions.

Telehealth OHP Accepting Sliding Scale

Relationship specialists

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Couples CounselingFamily TherapyTelehealth

Jake Jacobsen

Clinical Social Work/Therapist

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Telehealth

Laila Josephine Ayyoub

LCSW, LICSW · Serves Area, OR

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+NeurofeedbackBiofeedbackCulturally Sensitive

Nicole R Sela

MA, LPCC, NCC · Serves Area, OR

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Cognitive Behavioral (CBT)Culturally Sensitive

Amy Boyer

LCSW

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Cognitive Behavioral (CBT)Couples CounselingTelehealth

Steve LeSieur

MA, LMFT · Serves Area, OR

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

AddictionLGBTQ+Self EsteemCouples CounselingCulturally Sensitive

Hope's Horizon Counseling Services LLC

LMHC-S, LPC-S, LCMHC, LPC-MH

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Couples CounselingCulturally SensitiveTelehealth

Randia M Dickerson

MSW, LICSW, LMSW, LCSW · Serves Area, OR

Community listing from public Oregon licensing records — not authored or endorsed by the provider. Personal bio appears once the profile is claimed.

LGBTQ+Cognitive Behavioral (CBT)Couples Counseling

Video Introductions

Meet these providers before you reach out.

Sarah Zamiska Dover LMFT

Sarah Zamiska Dover LMFT

MA, LMFT · West Linn, OR

Related Articles

From Oregon providers writing about this topic.

The Queer Body Remembers: Somatic-Focused Trauma Healing

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 of the gay men’s personal narratives that I have he

Payam GhassemlouApr 20, 2026

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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.

As of April 2026, 3,839 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. 3,298 therapists offer telehealth sessions, broadening access across Oregon, and 1,133 accept the Oregon Health Plan (OHP), providing low-cost or no-cost care to eligible individuals. 9 therapists offer sliding scale fees, making therapy more accessible to those with limited income. Currently, 20 providers are accepting new clients, and 11 offer in-person sessions.

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