Looking for a LGBTQ Therapist? we’re here.

LGBTQ friendly therapy

Our therapists offer LGBTQ counseling in Seattle, Bellevue, Bothell/Woodinville that addresses the unique concerns of the LGBTQ community. We offer counseling focused on gender, sexuality and pride.

Growth begins with understanding and accepting who you are

In today’s world there is an increased risk of developing a mental health issue within the LGBTQ community

Our therapists have special training to work with members of our Seattle LGBTQ community that struggle with these particular issues:

  • Do you feel exhausted about hiding your true feelings and identity?
  • Do you struggle with defining your sexuality?
  • Are you facing social rejection in school, or even among friends?
  • Dealing with bullying in your daily life?
  • Or, still coping from past traumas? 

 Common issues that are specific to the LGBTQ community include:

  • Discrimination
  • Bullying
  • Gender dysphoria
  • Sexual identity struggles 

In today’s world there is an increased risk of developing a general mental health issue within the LGBTQ community, and our LGBTQ therapists have experience to help guide you through them. The LGBTQ face a dual struggle of both developing mental health issues more often, and can also face a stigma attending therapy. Both of these issues are a result of discrimination, marginalization and homo/bi/trans-phobia in society at large. There is nothing inherent to having a marginalized identity that leads to more mental health struggles, but rather coping with this identity is a struggle in the world at large.

Here at Acuity, we can help.

We are constantly bombarded by messages about sexuality and gender which can make it difficult for us to really engage with our sexuality in a constructive way. That’s why talking with our gender therapists in a safe and open minded space can lead to so much personal growth for our LGBTQ clients. Our LGBTQ counseling may include exploring one’s gender identity or sexual orientation, reconciling past trauma and re-learning how to relate to one’s difficult emotions. Some clients also see general benefit from learning stress management or other emotional coping skills.

Acuity’s 1-on-1 Therapies for:

Anxiety »

Depression »

Relationship Issues »

Grief & Loss »

Trauma & PTSD »

Our Clinicians also help with:

  • Personal Growth
  • Navigating Life Transitions (relocation, career changes, stage of life growth)
  • Existential Concerns
  • Managing Anger or Panic
  • Gaining control over Substance use & Addiction

Contact us to schedule an appointment or ask a question.

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Schedule a session and find your best path forward

Get Started: Contact UsSchedule a Session Online

You should be looking for a LGBTQ therapist when your life gets to the point that you:

  • Lack energy
  • Are feeling sad, depressed, extra emotional
  • Are avoiding friends and activities that you usual enjoy
  • Have been using substances to cope with your mental health
  • Have thought about self harm or suicide.

Our Approach:

LGBT Affirmative Therapy

The core of our approach is to offer self-affirming therapies that meet the client where they are at in a safe and supportive environment. Society or other organizations often suggest that there is one specific way for everyone to solve a problem, but people are not machines, we are all different and require different solutions.

We have no labels, no boxes to check. At Acuity every solution begins and ends with you.

Often clients come to us with distorted views of gender and sexuality, so for these clients we provide education on what gender means and can mean to them. Often we work with an open mind with clients to see what they really think about when it comes to gender, and we help them come to terms with what identity they have always felt most connected with. As with any of our therapies at Acuity, growth begins with understanding and accepting who you are.

Usually to better understand the background of our clients we learn each client’s history. Often a client’s religious or family background strongly alters their current perceptions of themselves. If you were raised to believe that homosexuality is a sin accompanied by great punishment and marginalization, it isn’t likely that you will easily embrace that identity openly.

Coming to terms with (and discarding) damaging ideas that you received from family, friends, bullies and partners takes time, but is rewarding once completed. In this example, rejecting any internalized homophobia is often an essential step to moving forward.

These backgrounds also feed into our trauma informed work. Like we always say at Acuity, most people think of trauma in too narrow a term [LINK: trauma]. Trauma isn’t just coping with physical violence, but can be many other things that shake us to our core: bullying, marginalization or terminal illness for example all can be traumatic.

It is the traumas in our past and an inability to feel accepted in the world currently that drive other struggles such as depression and trauma. Many in the LGBTQ community develop long term anxiety[LINK] or depression[LINK] about not feeling accepted. This constant feeling weighs down on us and takes its toll. We help clients lift that burden. 

Frequently Asked Questions about LGBTQ Therapy

Is LGBTQ therapy for me even if I don’t identify as a part of this group?

Many people have never seriously considered questioning their identity, so as long as you are open minded, you can find benefit from one of our counselors. We provide space for you to explore yourself on your terms. So if friends and family don’t provide you space to affirm yourself then counseling may be a good option for you.

You make it seem like I won’t be welcomed if I come out. I have the opposite problem, my friends are pressuring me to come out to them. What do I do?

Tell your friends to cool down. No one can force you into going public with your personal identity. When it happens it happens and that’s okay. If this is a major struggle for you, come discuss your thoughts with one of our LGBT affirmative therapists. You can discuss your options and how you can best respond to pressure while maintaining your personal privacy.

I am in a marriage that conflicts with what I am coming to realize is my identity. What should I do?

Like with most relationship issues is it key to be honest with yourself first, perhaps working with a counselor to better come to terms with your identity, your beliefs and your goals. Down the road there will come a time to be honest with your partner, but your therapists can prepare you for what that will look like. There may be insecurity, hurt, grief or any other hurtful emotions during such a process, but having the right social and professional support can help guide you and your relationship through such a situation. Just remember that no one is to “blame.” Before growth comes change even through the pain.

How should I come out to my children?

It’s best to come out and explain what your identity means as soon as possible. Doing so early on prevents the pain of having to come out and re-educate a child about sexuality at the same time. As you talk in person, be honest and give age appropriate information. Most children accept this information quickly, while others may need time, for which patience is key.

Why come out or share my identity with someone else, therapist or not? I’ve been okay so far…

Many people try to avoid coming out, but after difficulties realize just how much it was weighing on them. After coming out (even to themselves) many self-affirmed clients experience:

  • Greater self-esteem
  • Greater feelings of freedom and ability to express oneself
  • Healthier relationships
  • Less stress and anxiety
  • Connecting with a more supportive community
  • More opportunities for personal growth

Which therapist is right for me?

Let us help you find the right therapist. Many of our therapists specialize in anxiety, so view our profiles online to learn more about specific counselors specializing in anxiety treatment or speak with our Client Care Coordinator, who can help you with a personalized match to the right therapist for your needs. 

Finding the RIGHT therapist is the most important piece of reaching your goals.

How long does Therapy take?

Counseling works best within the framework of a safe and trusted therapeutic alliance. Since it takes time to build this relationship with your therapist, we recommend committing to weekly sessions for at least 8 weeks. Research shows that consistency adds to the positive outcomes of therapy. Once you reach your 8-week goal, you and your therapist can discuss a frequency of sessions that will support your continued success.

I’ve never done therapy before...What can I expect in my sessions?

The unknown of anything new can make it scary. Especially if you’ve never been to counseling before. Let us show you the “roadmap” so you know what to expect:

1st Session:
This first meeting is an introduction for both you and your counselor. Your therapist will explain the therapy process and go over the specifics of informed consent. From there, your therapist will gather additional information about your history, current circumstances, as well as struggles and personal strengths, which will help them to define a treatment plan that aligns with your goals. 

This is also the chance for you to learn more about your therapist. We encourage you to ask questions and get to know them; the relationship you build with your therapist will be the most important part of your work together. 

2nd Session and Future sessions:
In your weekly sessions, you and your therapist will use evidenced based therapies such as CBT, Mindfulness or ACT, to help you address your symptoms of worry, stress and anxiety. For anxiety rooted in trauma, or related to obsessive compulsive disorder (OCD), your therapist may recommend treatment with EMDR.

Closing Sessions:
Our goal is for you to find relief from your anxiety and be ready to “graduate” from therapy. In the last few sessions with your therapist, you will review your initial goals, the progress you have made, and solidify your new skills for managing anxiety in your life. At your last meeting together, you’ll have the time for the meaningful goodbye with your therapist.

How much does Counseling cost?

We strive to create access to high quality mental healthcare for everyone. Our therapists’ rates vary by experience and specialized training. We will make every effort to find the right therapist for you. 

Acuity Counseling also accepts health insurance and offers both in-network and out-of-network coverage. 

We are in-network partners with: 



First Choice

Premera Blue Cross

* We do not participate in EAP plans

Why don’t you only use Cognitive Behavioral Therapy (CBT)?

While we use CBT as an aspect of our therapeutic approaches, we know that every individual is different. No one responds to any method perfectly, so by employing many techniques we are able to provide the most personalized support. Cognitive Behavioral Therapy is talked about in relation to mental health so often because it has a large body of research behind it and is easy to replicate across all cases. This is why you may hear it called “evidence based,” which it certainly is. However, we use other evidence based therapies in conjunction with CBT in our therapies.

How can I evaluate whether therapy is working?

Acuity is unique because we use research backed questionnaires to assess your mood, goals and progress. From time to time we may share with you your progress on these reports, “you report being angry 30% less days than when you started therapy,” and then ask what your goals for the future may be. We have found that by having clients set their own goals and following up regularly we can achieve better results.

If I go to Acuity for help, does it mean there is something wrong with me?

No. We try to break this stigma constantly.

Many people come to Acuity just to gain a better perspective of themselves and work on some issues that they are having in their daily life. There aren’t many places for people to vent and seek honest help, so we provide that space for people as well as psychologically informed advice to better cope with life’s persistent problems. Even if you have a mental health diagnosis there is nothing wrong with you. We all experience and react to the world in different ways, it’s hard to argue that there is anything wrong with that.

Is medication used in conjunction with your therapy?

Some conditions for some people are best treated with the help of medication. If we find it necessary after our initial assessments, we will discuss types of medication, your comfort with it, and the pros and cons of medication with you. If you so choose, we can refer you to the appropriate psychopharmacologist in the area. If you are already on medication, we will coordinate treatment with your primary provider.

Break-free and begin your journey to

Your best

There is a future life where trauma does not control your day. Imagine yourself feeling calm, confident and ready to handle new situations with ease. The tools to living the life you have always envisioned are here, at your fingertips.

Acuity Counseling can help.


Schedule your therapy session online

Reach out directly to our Client Care Coordinator for questions, matching, and scheduling:

Online Counseling

Our services are also available online through Zoom. Telehealth/Online counseling gives you the opportunity to explore your challenges in life without complicating your daily schedule.


If you have questions and would like to talk about any of our counseling services, please reach out for a complimentary phone consultation or send us an email.

First Session Within 72 Hours of Calling

We book you an appointment within 24 hours of contacting us (usually less) and make sure your first appointment is soon after.

Seattle: 206-922-2376

Bellevue: 425-549-3242

Bothell/Woodinville: 206-910-9476


for Billing questions call:



Use our Online Scheduling Tool or call our office to schedule your appointment, or for any changes regarding scheduling.

Schedule by phone: 206-910-9476


Counseling services are often covered in full or in part by your health insurance company. Acuity Counseling proudly accepts most major health insurance plans.


First Choice





Sound Health & Wellness

We do not participate
in EAP Plans

Acuity Counseling Locations




Falcon View
12900 NE 180th St, Suite 160
Bothell, WA 98011
(206) 910-9476

Plaza 600 Building
600 Stewart St, Suite 1228
Seattle WA 98101
(206) 910-9476

–Coming Fall 2021–
221 N Wall St.
Spokane WA 99201

(206) 910-9476

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