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Transgender Therapists in Oregon

Transgender-affirming therapy provides support for gender exploration, transition, and the unique mental health challenges facing trans and nonbinary individuals. Oregon trans-affirming therapists offer a validating, knowledgeable space.

The directory's trans specialists provide identity exploration, transition navigation, WPATH-aligned letters for hormones and surgery when clinically appropriate, support for family members, and treatment of co-occurring concerns (anxiety, depression, trauma, gender dysphoria). The standard of care has moved firmly toward an informed-consent and affirming model rather than gatekeeping.

128
providers listed
Licensed
& verified
Telehealth
options
OHP & insurance
accepted

Enter a city to search within ~30 miles, telehealth therapists are shown statewide.

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128 providers found

Transgender also matches related terms: Transgender affirming care. Results below include all of them.

Related LGBTQ+(26) LGBTQIA+(9) Gender Identity(1) Transgender affirming care(1)
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  4. Sprout Therapy PDX Prescriber Supervisor

    LPC, LCSW, LMFT, PMHNPPortland, ORTelehealth

    Transgender

    We create a supportive space for personal growth and mental wellness, offering compassionate, individualized care for Oregonians. Sprout Therapy PDX is a group practice of progressive, affirming clinicians…

    Accepting Verified

    Fee
    $125–$180 per session
    In-network
    OHP: AllCare, EOCCO, IHN-CCO and 5 more, Aetna, Aetna Medicare +17 more
    Book

Video Introductions

Meet these providers before you reach out.

Mackenzie Phelps LPC · Portland, OR
Humanistic Therapy NW CSWA, LPC-A, LMFT-A · Portland, OR
Kate McNulty LCSW · Portland, OR
Noël Quigley LPC · Portland, OR
Del Knight / Soma Roots Therapy PsyD, LPC, LMHC · Camas, WA
Justine Elstad LCSW · Portland, OR

Related Articles

From Oregon providers writing about this topic.

When should I talk to a therapist about gender identity?

When should I talk to a therapist about gender identity?

Have you ever wondered if the discontentment or discomfort about your body or perceived identity could be gender dysphoria? For most of us, we are not offered that kind of language or conceptualization to name it for what it is. Before we get into it, let’s differentiate between dysphoria and…

Jaxon Shaffer
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Find Transgender therapists by city

Portland (77) Eugene (15) Beaverton (10) Clackamas (5) Bend (5) Hillsboro (4) Salem (3) Tigard (2) Rainier (2) Sandy (2)

Frequently asked questions

Common questions about this coverage in Oregon.

Do Oregon transgender therapists accept OHP/Oregon Health Plan?
This can provide Medicaid-eligible transgender individuals with access to therapy at little or no cost, depending on their specific plan.
Is telehealth available for transgender therapy in Oregon?
This allows for greater accessibility to care, particularly for those in rural areas or with mobility constraints.
Do Oregon transgender therapists offer sliding scale fees?
This can help make therapy more affordable for those who may not qualify for insurance coverage or have limited financial resources.
What does "WPATH-aligned" mean and why does it matter for finding a therapist?
WPATH (the World Professional Association for Transgender Health) publishes the international Standards of Care for trans and gender-diverse people. The current edition (SOC-8, published 2022) establishes the affirming, informed-consent model as best practice. A WPATH-aligned Oregon therapist will follow these standards: not gatekeeping, recognizing that distress is usually about external factors (rejection, discrimination, dysphoria) rather than the gender itself, and writing letters for medical interventions when clinically appropriate without lengthy required "real-life experience" delays. Asking directly "do you practice WPATH SOC-8?" is a useful screening question.
Do I need a letter from a therapist to start hormones in Oregon?
It depends on the prescriber. Many Oregon clinics now operate on an informed-consent model that doesn't require a therapy letter — Planned Parenthood, Outside In, and several private practices among them. The role of the letter is documentation, not gatekeeping.
Is therapy required in Oregon for kids and teens exploring gender?
Therapy is not legally required for minors exploring gender, but is strongly recommended for the family system as a whole — it's one of the strongest protective factors in mental-health outcomes for trans and gender-diverse youth. Family therapy with a knowledgeable provider (often involving the parents primarily, with the youth checking in periodically) is more useful than putting all the burden on the young person. Oregon has explicit legal protections for gender-affirming care for minors and bans conversion therapy.

These therapists utilize evidence-based approaches such as Cognitive Behavioral Therapy (CBT), Gender Affirming Therapy, and Trauma-Informed Care to support transgender clients.

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