Around 50% of people will develop a mental health illness at some point in their lifetime, but this number is even higher for members of the LGBTQIA+ community due to social discrimination, familial rejection, and fear of harassment.In fact, they are two and a half times more likely to suffer anxiety, depressive episodes, and substance abuse.Luckily, the rise of online therapy companies provides marginalized community members and their families more access to counseling and therapy services. By expanding access to areas that were lacking in mental health providers, these platforms are helping more people from marginalized communities get the care they need from the comfort of home and often at a lower cost than traditional, in-person therapy.
Counseling and therapy are similar, but where therapy often treats a diagnosis and dives into more complex issues that take time to address and overcome, counseling is often shorter and more focused on a specific issue, such as helping someone cope with identity negation, bias, discrimination, or concerns around how loved ones will respond to coming out or transition. Many people in the LGBTQIA+ community often find the most benefit in inclusive, affirming counseling services. To help, we’ve evaluated 55 different online companies and 25 directories, surveying over 100 users at each and testing these services ourselves to find the best LGBTQIA+ counseling services. Here are our picks.
Best LGBTQ+ Counseling of 2023
- Best Overall :National Queer and Trans Therapists of Color Network
- Most Budget-Friendly:Talkspace
- Best for Grief:BetterHelp
- Best for Marriage Counseling:ReGain
- Best for Addiction:Monument
- Best for Teen Counseling:Teen Counseling
- Best With Insurance:Teladoc Health
- Best for Kids Under 12:Little Otter
- Best for Family Counseling:Thriveworks
- Best for BIPOC:Inclusive Therapists
Best Overall:National Queer and Trans Therapists of Color Network
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- Price:Directory is free; providers charge at their set rates
- Insurance Accepted?Yes, dependent on the therapist
- Types of Counseling:Individual therapy, couples therapy, group therapy, family therapy, teen counseling, medication management
NQTTCN helps facilitate the affirming care necessary to better serve BIPOC and LGBTQIA+ communities with access to therapists and counselors who share similar identities.
Provider directory is free
Therapists offer culturally sensitive and community-affirming services
Many providers are multilingual
Therapists may offer need-based or variable fees
Includes a comprehensive list of community resources
Fees vary by therapist
Providers may accept limited insurance plans
This is a directory and not an actual therapy provider
Search filters are limited
Anyone identifying as LGBTQIA+ or BIPOC will feel heard and seen by providers listed in theNational Queer and Trans Therapists of Color Networkdirectory, which is why it takes the top spot on our list. Founded in 2016 by Erica Woodland, a psychotherapist, theNQTTCN的使命is to act as a “healing justice organization committed to transforming mental health for queer and trans people of color (QTPoC).”
The directory succeeds in its intention by providing marginalized communities with a comprehensive, up-to-date list of therapists and counselors who specialize in offering mental health support services for individuals of all ages and stages of life. The directory’s database also allows users to search for mental health providers who have undergone specific training in issues pertinent to serving the LGBTQIA+ and BIPOC communities. However, the search filters are somewhat more limited than other, similar online directories. Aside from specialties, you can only filter by which therapists offer virtual sessions, are accepting new clients, and offer a sliding scale.
The providers that users find in the NQTTCN directory all bill at their own rates, so cost and insurance acceptance vary. The NQTTCN offers the opportunity for qualified individuals to receive some financial assistance with itsMental Health Fund. Users can apply to receive $100 in aid per session for up to eight sessions with a participating provider.
Our survey data indicates that 80% of NQTTCN users reported feeling very satisfied or satisfied with the qualifications, related experience, or special training of therapists. Seventy-four percent of users were still engaged in therapy with the provider they found through the directory, and 54% reported they were very likely to continue treatment in six months. Of the users who tried another service first, 39% indicated that NQTTCN was much better at filling their counseling needs.
Most Budget-Friendly:Talkspace
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- Price:$276–$516 monthly
- Insurance Accepted?Yes
- Types of Counseling:Individual, couples, group, teen
If money is a barrier to obtaining mental health support, Talkspace may fit into even the tightest of budgets. With monthly subscriptions starting at $297 a month, plus a discount at signup, Talkspace provides LGBTQIA+ individuals an affordable option to get the mental health support needed.
Comprehensive online platform and app
Services available nationwide
Some insurance and employer plans accepted
24/7 therapist scheduling
Live therapy sessions are short (30 minutes)
Users can’t pick therapists
The financial landscape is challenging today, especially for young adults, and when it comes to sacrificing something, many opt to forego caring for their mental health needs. One of the goals ofTalkspace是桥,货币分而允许LGBTQI吗A+ community members to engage in the services they need at an affordable price. And, with a wide-reaching platform, users can engage in live counseling via chat, telephone, and video from anywhere.
In addition to individuals, Talkspace provides couples and teen counseling opportunities. For LGBTQIA+ individuals and their loved ones, that could mean they’d only need one platform to address all of their family’s mental health needs. Talkspace also has apage dedicated to LGBTQIA+counseling that provides insight into related services.
Talkspace’s subscription service ranges from $276 to $516 a month. The company accepts some traditional health plans, such as Cigna and Optum, as well as employee assistance programs and educational organization plans. HSA and FSA cards are accepted for payment.
Users can choose from one of three subscription plans:
- $69/week for messaging only
- $99/week for messaging plus one live 30-minute live session per week
- $199/week for messaging, one live session per week, plus workshops
There are no free consultations or assessments, but Talkspace does offer a discount for the first month. Talkspace also has limited psychiatric services for medication management available for an extra price.
One of the largest online mental health support providers, Talkspace ranks high in our user survey, with 90% indicating their overall experience was excellent, very good, or good. When it came to satisfaction with therapists, 83% were very satisfied or satisfied overall, and 90% believed therapist diversity options were excellent, very good, or good. Qualifications of therapists scored high, too, with 92% of users saying they were excellent, very good, or good. Twenty-six percent of users found therapists culturally supportive of LGBTQIA+ individuals, and 76% felt that Talkspace was a good value for the cost.
Best for Grief:BetterHelp
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- Price:$240–$360 monthly
- Insurance Accepted?No
- Types of Counseling:Individual
Grief can become all-encompassing and difficult to wade through without professional help. BetterHelp offers individual grief counseling that helps users navigate what comes after loss.
Network consists of only licensed therapists
Quick matching
App and platform increase availability
Available nationwide
No insurance accepted
Only offers individual therapy
Price surge based on demand and location
Since it started in 2013,BetterHelp已发展到一个网络的27000 therapi吗sts. This significant number enables quick matches in most cases and provides users access to a diverse group of therapists. Grief is a universal experience, but when added to the unique struggles experienced by LGBTQIA+ individuals it can become especially overwhelming. BetterHelp believes thattherapy for LGBTQIA+individuals is crucial for overcoming life’s obstacles and difficulties, and the platform helps connect those needing affirming care with therapists who facilitate it.
A blog post on BetterHelp’s website offers a glimpse into the differentstages of grief, including what’s called complicated or prolonged grief. This can happen when someone still feels lingering sadness surrounding a loss that occurred in the past. The counselors at BetterHelp can understand and assist individuals with processing and developing healthy methods of dealing with grief of any kind.
Pricing at BetterHelp is billed monthly and ranges from $240 to $360. This variation depends on a user’s location and the demand for therapists. BetterHelp does offer a possible reduction in subscription costs for users who demonstrate financial need.
BetterHelp doesn’t accept insurance, but users can use FSA and HSA cards to make payments. Note that there is no free assessment or consultation indicated on their site.
The users who took our survey seemed pleased with what BetterHelp offered, and 86% indicated an excellent, very good, or good experience on the platform overall. Thirty-two percent reported that it was important they find a counselor with a similar identity or cultural background and 85% noted that the diversity among providers was excellent, very good, or good. Of those who stopped counseling, mostly due to feeling better, 72% said they would return to BetterHelp in the future if they needed further therapy or counseling.
Best for Marriage Counseling:ReGain
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- Price:$60-$90/week
- Insurance Accepted?No
- Types of Counseling:Couples therapy, individual therapy
ReGain focuses on helping couples navigate the ups and downs most relationships undergo. Its large platform, with access to couples-centered therapists across the country, allows LGBTQIA+ couples to engage in relationship therapy tailored to their individual needs.
Online platform
Discounted rates for paying quarterly or monthly
First-month discount
Income-based need available
Users can remain anonymous
Cost isn’t clear upfront
Participates in surge pricing
Insurance not accepted
A couple who prefers telehealth options for therapy versus in-person sessions should consider whatReGainoffers. The availability of a wide range of licensed couples therapists makes it easy to find someone who will fit the unique needs of LGBTQIA+ couples, whether they’re dating, married, and/or have kids. Since the focal point of couples therapy is not on the individuals but the relationship, it is important to find a provider specializing in it.
ReGain began doing business in March 2016 as an offshoot of BetterHelp, one of the largest online therapy providers in the world. Therapists in ReGain's network are licensed and must meet specific parameters, such as having at least 1,000 hours and three years of experience.
During the signup process, the website allows couples to choose a therapist based on several factors, including someone who identifies as LGBTQIA+. For some, this may be an important factor in matching them with a provider. The matching process seems to work since 74% of users indicated that they were very satisfied or satisfied with the therapist options on the site.
The average cost of couples therapy with ReGain is $60-$90/week, billed a month in advance. This cost includes one weekly 45-minute live audio/video/chat session and unlimited messages with a therapist. The cost of therapy depends on where the user lives and the demand for counseling services in their area.
The company doesn't accept insurance but offers a promotional discount for the first month. Users can also apply for a need-based cost reduction simply by filling in the application.
Seventy-seven percent of users who chose Regain to facilitate couples therapy found the experience to be excellent, very good, or good. Out of those who answered, 88% indicated that their counselor was excellent, very good, or good, and 80% of users found diversity in the counselor choices to be excellent, very good, or good. When it came to matching couples with a counselor, 83% reported the service was excellent, very good, or good.
Best for Addiction:Monument
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- Price:Free for community access; $9.99 a month for subscription; $45 per session up to $249 a month
- Insurance Accepted?Yes
- Types of Counseling:Individual therapy, peer therapy, group therapy
Alcohol addiction requires a multi-prong approach to overcome. Monument has put together an online community that gives those struggling with alcohol the treatment tools to succeed in giving it up.
Matches users with therapists
Active and anonymous community support forums
Multiple plans available
Accepts some insurance
Support groups led by a therapist
Free option available
Only treats alcohol addiction
Limited to 20 states
Members of the LGBTQIA+ community are more likely to have substance abuse issues than their heterosexual counterparts.With this in mind, we choseMonument最好的治疗成瘾治疗服务. While it is limited in what it treats, the services it provides are valuable for any member of the LGBTQIA+ struggling with alcohol. Monument has created a platform that gives users access to physicians, therapists, moderated support groups, and community support forums, including those for BIPOC and LGBTQIA+ individuals. These forums allow for a larger number of people to participate in meaningful discussions revolving around topics chosen by members.
If you are unsure as to whether Monument might work for you, you can join the community for free and get access to the therapist-moderated groups and community support forums. This is a unique feature of Monument compared to other online counseling companies. It is important to note that Monument cannot help all alcohol users, and some may better benefit from in-patient treatment at a facility.
Monument’s monthly fees range based on the service package chosen. The options include:
- Physician Care:$9.99 a month plus a one-time $45 fee for an initial physician appointment; medication management (naltrexone or disulfiram); messaging with a physician; access to moderated therapy groups and community forums.
- Total Care (biweekly):$149 a month for two therapy appointments; messaging with a therapist; unlimited physician appointments; everything else in the Physician Care Plan.
- Total Care (weekly):$249 a month for four therapy appointments plus everything included in the biweekly plan.
The monthly plans at Monument vary to allow users to craft their care based on their needs and financial capability. Insurance is accepted, and users can check the price with insurance before signup. Some of the major carriers Monument accepts include Aetna, Cigna, and Oxford Health. Even if Monument doesn’t accept a particular insurance carrier, users can pay with an FSA or HSA account.
Among those who participated in the user survey, Monument ranked fairly well, with 78% reporting their experience with the therapy provider as excellent, very good, or good, and 73% indicated most or all of their needs were met. A very high 62% said they would recommend Monument to others, and 78% indicated it was better than other services they had tried. Since the platform is extensive in its offerings, 62% of users found navigation and use very easy or easy, with 64% very satisfied or satisfied with the therapist options available through Monument.
Best for Teen Counseling:Teen Counseling
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- Price:$240 to $360 monthly
- Insurance Accepted?No
- Types of Counseling:Teen counseling, parent counseling
Teen Counseling gives teens and parents a safe space to get mental health therapy with a fully vetted and licensed provider. Since LGBTQIA+ teens have unique needs, finding therapists with expertise dealing with this age group is critical to their emotional and mental stability.
A network of 13,000 licensed providers
Financial aid is available
Participate in sessions over chat, video, or phone
Available across the country
Insurance isn’t accepted
May take up to 48 hours to be matched
Initial match does not offer users a choice
Teenagers are one of the most impressionable and at-risk age groups, especially those in marginalized communities. Current data suggests an upward tick in the number of LGBTQIA+ teens experiencing suicidal thoughts.Teen Counseling, a subsidiary of BetterHelp, presents itself as a platform catering to the specialized needs of this age group. With a wide-reaching platform and app, Teen Counseling arms teens with mental health tools they can access in the palm of their hands. Within each user portal, a teen can access an electronic journal, send and receive messages with their therapist and even participate in live sessions. The Teen Counseling portal also contains all resources shared by the therapist, so it’s easy for a user to refer back to at any time.
Parents can also join Teen Counseling for advice and support. Depending on the circumstances, teens and parents are welcome to join therapy together, which can benefit the teen's mental health and the parent-child relationship.
The cost of Teen Counseling varies depending on where you live and the availability of counselors in the network. It typically ranges from $240 to $360 per month, with some discounts for veterans and their families. Users with a demonstrated financial need can apply for aid to reduce the cost of services. Teen Counseling accepts FSA and HSA payments but not insurance plans.
Teen Counseling has one plan that includes messaging and one live session by phone, chat, or video a week. The platform doesn’t offer free consultations or assessments.
Teen Counseling scored positively overall, with 85% saying their experience was excellent, very good, or good. In an LGBTQIA+ context, 30% percent of Teen Counseling users said finding a therapist with a similar identity or cultural background was important, and 76% thought the company provided excellent, very good, or good options for therapist diversity. Eighty-five percent said Teen Counseling's therapist qualifications were excellent, very good, or good.
Best With Insurance:Teladoc Health
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- Price:$99 per session
- Insurance Accepted?Yes
- Types of Counseling:Individual therapy, couples therapy, medication management
Teladoc is most known for providing telehealth medical care; however, it has many online counseling opportunities, including psychiatric services for medication management. The best part is that it accepts most major insurance plans, a rarity with online therapy platforms.
Accepts over 60 insurance plans
Users choose therapy providers
Medication management available
No recurring subscription fees
Teen counseling options
Can’t confirm insurance coverage until registration
Not a dedicated therapy platform
Provider biographies available after signup
With the influx in online counseling platforms, it is surprising that many still don't accept insurance plans.Teladocis an exception, allowing users to utilize insurance benefits. For LGBTQIA+ families looking for an inclusive counseling experience covered under their family insurance plan, Teladoc may be an ideal fit. Finding providers who take insurance may mean the difference between getting help or not.
Our survey data indicated that over 50% of those who chose Teladoc said insurance was important to their decision. According to the Census Bureau, more people were insured in 2021 than in years past, leaving about 8.3% of the population uninsured.With the cost of living increasing, those with insurance want to utilize their benefits, especially when it comes to mental health support.
Since its foundation in 2002, Teladoc has expanded to provide online mental health care to people in 30 countries. Mental health service providers hold various licenses, including Ph.D., LMFT, LCSW, LPC, and LICSW. Medication management is also available through its psychiatric services.
The current out-of-pocket cost of a 50-minute counseling session is $99. Users pay for each session with no minimum or maximum per month. Psychiatry services are available for users who need prescription medication and ongoing medication management. The charge for an initial consultation is $299, and each subsequent appointment is $119.
Since Teladoc takes insurance, these costs may reduce to plan co-pays. Some of the major insurance companies Teladoc accepts include:
- Aetna
- United Healthcare
- Blue Cross & Blue Shield
- Medicare
- Medicaid
Users can utilize their FSA or HSA accounts to pay for all services. Note that Teladoc doesn’t offer free consultations or subscription plans.
Teladoc scored the highest in user satisfaction out of all the companies surveyed, with 97% of those indicating their experience was excellent, very good, or good. Ninety percent of users reported that the diversity at Teladoc providers was excellent, very good, or good. Over 28% said they filtered counselor search parameters by gender, identity, and background, and 13% expressed their desire to find a therapist who was culturally supportive of LGBTQIA+.
Best for Kids Under 12:Little Otter
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- Price:$200 per session
- Insurance Accepted?Yes
- Types of Counseling:Children’s therapy, parents' therapy, family therapy
小水獭在提供精神头脑并不是唯一的lth services for children from birth to 14, but in its holistic approach to supporting and treating the family unit. Little Otter believes that children grappling with mental health are best served when the family actively participates in the counseling process.
Focuses on family mental health
Therapy for children under 14
Psychiatric option for medication
Advocates early diagnosisand treatment
Very expensive
Not aavailable in all states
Only accepts Kaiser Permanente
Children can be especially vulnerable to mental health issues, especially when they also identify as LGBTQIA+.Little Otteris one of very few to step forward and treat children from birth to 14. Family support and eventual acceptance of children who identify as LGBTQIA+ is crucial to that child’s ongoing mental health and stability, as well as their ability to overcome the stigma and loneliness associated with their identity. The sooner children and families get guidance through this journey, the more successful the results.
Little Otter aims to support children and their caretakers through a wide range of identity issues. The company’sblogposts address topics along this same line, advocating for marginalized individuals struggling with issues related to being BIPOC and LGBTQIA+, gender identity and expression, and body image.
The biggest drawback to Little Otter is the price. An initial 30-minute consultation with a clinician is $90. After that, each session costs users $200 for 45 minutes of therapy. The company doesn’t accept insurance yet, but users may still use their FSA and HSA cards to pay for services. The only way to save at the moment is by bundling services:
- $680 for four sessions
- $1,920 for 12 sessions
Little Otter doesn’t offer free consultations or discounts beyond bundled services. The user survey data shows that 72% believe the value of Little Otter is excellent, very good, or good.
Given the specificity of the ages treated, users had a lot to say about Little Otter. The data indicates that 75% felt the services were excellent, very good, or good, and 70% thought the therapist diversity at the company was excellent, very good, or good. Of those seeking gender-affirming care, 19% were looking for culturally supportive therapy for LGBTQIA+, and 27% were looking for BIPOC support. Thirty percent of users searched for therapists by gender identity and background.
Best for Family Counseling:Thriveworks
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- Price:$99 per session
- Insurance Accepted?Yes
- Types of Counseling:Individual therapy, children’s therapy, couples therapy, family therapy
Families with a member struggling with mental health concerns, including LGBTQIA+ issues, often have the most success when those closest participate in counseling. Thriveworks offers families the chance to further a loved one’s mental health journey by partaking in counseling with them online and in person.
In-person and virtual therapy services
Accepts some insurance plans
Quick therapist availability
Available in most states
Can’t search by specific qualities
No messaging option
Why does therapy have to be either all online or all in-person? It doesn’t, at least, not withThriveworks. The mental health support company has both an online platform providing services to people nationwide and 380 in-person offices in all but five states (New York, North Dakota, South Dakota, Vermont, and West Virginia). Thriveworks providers often have flexible schedules that can accommodate the needs of family therapy sessions. Family participation in therapy related to LGBTQIA+ can increase the chance of success for the individual, especially in teens and young adults.
In some cases, counselors may have immediate availability to help those who need guidance sooner get started with counseling quicker.
Starting family counseling with Thriveworks may also be quick, depending on counselor availability. The Thriveworks website allows users to search for available therapists by state. Providers have posted calendars that indicate whether sessions are in-person or virtual. Their bios give details about their practice specialties, methods, and services.
Thriveworks offers counseling services for $99 per week. While its providers do accept insurance, they don't take all plans. Users should clarify this with their therapists before starting to ensure that their insurance is on the list. Some of the insurance companies include:
- Aetna
- Blue Cross & Blue Shield
- Cigna
- Humana
- Medicare
- United Healthcare
Thriveworks is not a subscription service and doesn’t offer any kind of packaging or discounts.
调查还报告说,90%的Thriveworks users felt the company did an excellent, very good, or good job with providing therapy services overall, and 78% indicated that their needs were met by their therapist. Eighty-seven percent felt like the therapy matching was excellent, very good, or good, and 80% of users said they were very likely or likely to recommend Thriveworks to others.
Best for BIPOC:Inclusive Therapists
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- Price:Set by therapists
- Insurance Accepted?Yes
- Types of Counseling:Individual therapy, couples therapy, group therapy, family therapy, children’s therapy
Inclusive Therapists is a directory that prioritizes the mental health needs of the BIPOC community. It helps make users feel safe in connecting with a provider who can lead them through a vulnerable process right from the start.
Online and in-person options
Expanded search fields for therapists
Provider matching, if requested
Focus on BIPOC, LGBTQIA+, neurodivergent, and disabled
States therapists serve unclear
Search results may not be the best
Can’t use the site to schedule
With a growing network of 3,800 providers,Inclusive Therapistsis thriving and succeeding in its mission of “[c]elebrating all identities and abilities in all bodies.” With diversity lacking among mental health professionals, Inclusive Therapists is working hard to bridge the gap, in part, by offering providers a low-cost monthly membership to the directory. This enables a greater number of BIPOC and LGBTQIA+ individuals to find the mental health services that best suit their needs. The directory has ample BIPOC and LGBTQIA+ counselors available who can relate to many of the social and mental issues their fellow community members might be struggling with, and offer more focused support.
The website allows users to either find a provider on their own or have the directory find one for them. The search fields allow users to narrow down parameters based on categories, such as Cultural Knowledge, Insurance, Focus, and Spiritual Knowledge. There is also a search field for providers who charge based on a sliding scale. Since the cost of therapy and counseling can be high, Inclusive Therapists started a fund to help offset mental health service prices and bring counseling and therapy to populations that may be struggling more, financially. You can apply for theBlack Mental Health Fundor theBIPOC Therapy Fundfor assistance.
Providers in the Inclusive Therapists directory set their own rates, so there is no clear denotation of price. Not all providers accept insurance, but 71% of the providers in our survey indicated they offer a sliding scale for users in need.
More than 77% of users who participated in the survey said they were satisfied with the provider options given by the site, and 74% were still attending sessions with 54% likely to continue for six months. It may take patience to find a therapist who matches and is accepting new patients —58% said it took multiple therapists to find someone with availability. Users seeking diversity in therapist choices were happy with what Inclusive Therapists provided.
Final Verdict
LGBTQIA+ individuals may speak more openly about their struggles with therapists or counselors who identify similarly. For this reason, we awardedNational Queer and Trans Therapists of Color Networkas best LGBTQIA+ counseling and therapy options. With a directory full of identity-affirming providers, the NQTTCN offers marginalized community members options for getting the help they need to treat and improve the mental health conditions impacting these communities at staggering rates.
For parents who want to ensure their children get affirming care and guidance,Teen Counselinghas the resources to provide it. With a vast network of licensed therapists available and a tech-friendly platform, teens and parents experiencing common issues that accompany LGBTQIA+ identities can find the help they need to navigate them.
Compare the Best LGBTQIA+ Counseling
Company | Price | Insurance Accepted? | Types of Counseling Offered |
National Queer and Trans Therapists of Color Network Best Overall |
Varies | Yes, determined by provider | Individual, Teen, Family, Group, Couples |
ReGain Best for MarriageCounseling |
$60-$90/week | No | Couples |
Teladoc Heath Best for Insurance |
$99/therapy session | Yes | Individual, Couples, Psychiatry |
Talkspace Best for Budget |
$69, $99, $109/week | No | Individual, Couples, Teens, Psychiatry |
Little Otter Best for Kids Under 12 |
$200/session | Yes (one) | Children, Family |
Teen Counseling Best for Teens |
$60 to $90/week | No | Teens, Parents |
Thriveworks Best for Family |
$99/session | Yes | Individual, Children, Couples, Family |
BetterHelp Best for Grief |
$60 to $90/week | No | Individual |
Inclusive Therapists Best for BIPOC |
Varies based on provider | Varies based on provider | Individual, Couples, Family, Children |
Monument Best for Addiction |
Free; $9.99/week plus $45/physician appointment; $149/month; $249/month | Yes | Individual, Group, Peer |
Guide to Choosing the Best LGBTQIA+ Counseling
What Is LGBTQIA+ Counseling?
When looking for the best options for therapy and counseling, LGBTQIA+ individuals and their families have to consider unique issues. One element that should be addressed is finding a provider who utilizes affirming therapy techniques to help process the facets of gender identity that often lead to deeper issues of depression, shame, anxiety, and substance abuse. Affirming therapy can help stave off a mental health crisis that can lead to self-harm.
An LGBTQIA+ individual should not be changed or converted into someone they are not. “[L]ooking for therapists who identify as affirming,” says subject matter expert and clinical psychologist,Dr. Amy Marschall, PsyD. “There are certifications therapists can get that indicate they have had education in understanding LGBTQIA+ experiences, language, etc., but certification isn't essential to be affirming. Clients might feel more comfortable meeting with a therapist who shares this component of their identity as well.”
Why Is LGBTQIA+ Affirming Therapy Important?
As Dr. Amy Marschall puts it, “LGBTQ+ people are at higher risk for some mental health challenges compared to cishet people, mainly as a result of oppression, minority stress, and rejection from their families. For trans people, in particular, the increased risk for depression and suicide almost completely disappears when they have a supportive and affirming family. This stress and rejection can manifest asdepression, anxiety, PTSD, or other mental health issues.” Seeking therapy that doesn’t deny their identity but encourages and affirms it is crucial to undoing the lasting psychological impacts of oppression and rejection.
A therapist who engages in affirming therapy will address, among other things, the following categories:
- Trauma:Existing in a transphobic environment can leave a lasting imprint on the psyche of LGBTQIA+ individuals. The constant hostility and fear of violence can lead to certain psychological and physical ramifications and responses to the world at large.
- Depression:The uphill battle LGBTQIA+ people feel can lead to depression of varying degrees. Without a solid support network, this can lead to suicidal ideation.
- Self-harm:The rate of suicide is high among LGBTQIA+ individuals, with 50% reporting at least one suicide attempt.
- Shame:An LGBTQIA+ individual may feel so different than everyone else that shame takes root. This can lead to a worsening of anxiety and depression. To cope, LGBTQIA+ individuals are more likely to self-medicate with drugs and alcohol at a higher rate than their heterosexual counterparts.
Affirming therapy supports LGBTQIA+ members and their families at a time when they may not be finding it in the world at large.
What Types of Counseling Could Be Considered for LGBTQIA+ People?
When seeking the best online counseling for LGBTQIA+ issues, start with evaluating the platform. Pay attention to whether the intake system asks questions regarding culture, orientation, or gender. Look for reviews from third parties as to what might make the service better or worse for LGBTQIA+ individuals. If the company has a blog, keep an eye out for content that's relevant to LGBTQIA+.
Is Online LGBTQIA+ Counseling Right for Children and Teens?
The online therapy business is booming and for good cause.Telehealth can reach peoplein any place and any time they may need help. While online therapy is not appropriate for critical mental health situations such as suicidal ideation, in non-crisis times, it can help keep an individual from reaching that point.
Children and teens who identify as LGBTQIA+ are at critical emotional and developmental milestones. Asupportive familyunit can mean the difference between whether a child thrives or struggles. Early intervention with a therapist or counselor can also aid in a child developing healthy coping strategies and a positive mindset.
Comparing Online Counseling for LGBTQIA+ People
There are various factors to consider when choosing which online counseling is best:
- Cost of services:Talkspace, for instance, is an affordable option with three tiers of pricing and discount codes available. For people with insurance, finding a platform that accepts appropriate carriers may reduce expenses.Teladoc Healthaccepts a wide variety of major insurance plans. Some platforms, likeBetterHelp, offer reduced fees for those with financial hardship. Some therapists participating inNational Queer and Trans Therapists of Color Network’sdirectory offer sliding scales for some clients.
- Counselor Specialties:边缘化社区的成员,发现the best LGBTQIA+ counselor means seeking someone with experience in dealing with mental health issues that commonly impact the LGBTQIA+ community. Look at provider biographies and see if they have specialized training in LGBTQIA+ or BIPOC issues. Counseling topics do not always have to be centered around LGBTQIA+ issues, but an inclusive therapist will always be considerate of an individual’s gender and identity in how they discuss any issue.
- Scheduling:在线咨询我的最大的好处之一s the flexibility in scheduling. If a person cannot leave school or work to attend appointments, online platforms make it easier to facilitate sessions in varying locations. Some providers have late-night and weekend availability. Telehealth therapy makes it easier for users to have control over their therapy schedule.
- Communication methods:Larger platforms, such asTeen CounselingandTalkspace, have comprehensive platforms that give users access to therapists via chat, phone, and video calls. In between sessions, these private chat rooms allow the free flow of messages between users and therapists. Users need to feel comfortable with the system or therapy sessions will be eaten up by technological learning curves.
- Ease of switching therapists:If a therapist isn’t working out, all companies on this list allow users to switch. Therapy cannot be effective if the user and provider are not clicking.
What if I'm Having Thoughts of Harming Myself?
Thoughts of self-harm require emergency intervention rather than the services of an online therapist. These hotlines can help anyone experiencing suicidal ideation:
- 988 Suicide and Crisis Lifelinewill route callers to the National Suicide Prevention Lifeline.
- 1-866-488-7386 is theTrevorLifelineoffers 24/7 access to suicide prevention services for LGBTQIA+ individuals.
- 1-877-565-8860 is theTransLifelinestaffed 24/7 with transgender support.
Frequently Asked Questions
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Do Online Counselors Typically Treat LGBTQIA+ Children and Teens?
许多在线治疗counselors offer services geared toward helping LGBTQIA+ teens and their families. However, for children 12 and under, the options are more limited, and finding an online provider for this young age group is challenging.Little Otteris one of a very select few that provide teletherapy for young children and maintains best practices for counseling LGBTQIA+ youth.
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Is There Financial Support Available for Online LGBTQIA+ Counseling?
Yes, there are financial funds established to help reduce or cover the costs associated with online LGBTQIA+ therapy. TheMental Health Fundoffered by National Queer and Trans Therapists of Color Network is one such option. A few online therapy companies, such as BetterHelp, have need-based applications that anyone can fill out and submit.
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What Is an LGBTQIA+ Affirming Provider?
The best LGBTQIA+ counseling involves a practitioner who engages in affirming therapy and helps LGBTQIA+ individuals through difficult feelings and accept their identity. Affirming therapy validates an LGBTQIA+ individual rather than repressing or reprogramming them. Affirming therapy can help develop healthy coping strategies for societal and familial rejection.
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Can a Therapist Help a Teen or Young Adult Come Out?
For a young person who wants to come out, a therapist can act as a guide to process the barrage of emotions that come along with what might be a difficult act. Part of this is guiding an LGBTQIA+ individual to understand some of the hardships they may face and giving them the tools and techniques for managing them. The best online therapy for LGBTQIA+ includes a therapist who can act as a mediator in a family therapy session to help theteen or young adult come out to the family.
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Can Relationship Therapy Be Part of LGBTQIA+ Counseling?
Couples therapy can help anyone in a romantic relationship cope with the stressors in the relationship. Therapists and counselors alike can assist individuals and couples with getting through the difficulties weighing on a relationship, whether they are LGBTQIA+ or not.
Methodology
In compiling this list, we looked at 55 online therapy companies and 25 directories to determine the options most befitting LGBTQIA+ individuals and their families. In choosing the companies and directories, we looked at user data and surveys conducted to get a sense of overall satisfaction with the services provided by each. Some of the more relevant information used in forming this list was the diversity of therapists, price of services, and users' overall sense of value for the cost.
Familiar companies, such asMDLive,Psychology Today,Pride Counseling, andQueer Couples Center没有分数一样高公司和directories on this list. Some of these received lower overall satisfaction scores or were too pricey for the range of services they provided. Diversity was a factor in the compilation of this list, and some of the omitted names did not score as well in our user survey in that regard.
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