SERVICES - LGTBQIA+ THERAPY

LGBTQIA+ Therapy in New York City

You shouldn't have to wonder if your therapist will actually accept you for who you are. At Grounded, you won't have to. Every therapist here has specific training in LGBTQIA+ affirming care and genuine working knowledge of what queer and trans life actually looks like.

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ABOUT LGBTQIA+ THERAPY

A space where all of you is welcome.

In-person in Manhattan or virtually across NY, NJ & TX.

Our LGBTQIA+ affirming therapists have genuine working knowledge of queer and trans life. The nuances of coming out at any age, navigating gender identity, managing minority stress, building chosen family, being queer and religious, being trans and a parent.

We're sex-positive, kink-aware, and experienced in the ways LGBTQIA+ identity intersects with race, faith, culture, and disability. LGBTQIA+ affirming care is built into how every Grounded therapist works, not a specialty someone tacked on to their profile.

All Grounded therapists are licensed in New York and hold credentials including LMSW, LCSW, LMHC, MHC-LP, and LMFT. Many are in-network with Aetna and UMR Top Tier insurance.

WHAT WE WORK WITH

The full range of LGBTQIA+ experience.

We work with queer and trans individuals, couples, and families across a wide range of concerns, not just identity-specific ones.

  • Coming out at any age, in any context

  • Gender identity and gender dysphoria

  • Gender transition support and surgery letters

  • Minority stress and the weight of discrimination

  • Internalized homophobia and transphobia

  • Relationship and family acceptance challenges

  • Sexual trauma and body safety

  • Anxiety and depression rooted in LGBTQIA+ experience

  • Intimacy, desire, and sexual identity exploration

How we work. You deserve a therapist who gets it.

  • Narrative Therapy

    Rewriting the stories you've been handed about who you are, separating your identity from the narratives imposed by family, culture, or religion. Reclaiming authorship of your own life.

  • Trauma-Informed & Somatic Approaches

    For the ways minority stress, discrimination, and gender dysphoria live in the body and for healing sexual trauma, body shame, and the physical experience of being unseen or unsafe.

  • Trauma-Informed CBT

    Addressing the thoughts, beliefs, and early experiences that shape anxiety, depression, and PTSD rooted in LGBTQIA+ experience and in a framework that understands where those patterns come from..

  • DBT & Psychodynamic Therapy

    For emotional regulation, distress tolerance, and exploring the deeper roots of patterns in relationships and identity. Particularly helpful for managing the ongoing impact of minority stress.

You shouldn't have to compromise on this.

LGBTQIA+ affirming therapy tends to be the right fit if:

IS IT THERAPY RIGHT FOR YOU?

✓ You've had therapists before who didn't really get it and you're done settling

✓ You want to work on identity, coming out, or gender without explaining the basics

✓ You're navigating gender transition and want informed, consistent support

✓ Anxiety or depression is rooted in queer or trans experience

✓ You're in a non-traditional relationship and want a therapist who understands it

✓ You need a surgery letter from a therapist who actually understands the process

✓ You want a space where your full identity is welcome, not just the parts that are easiest to hold

WHY WORK WITH US

Our goal is to reduce barriers so you can focus on feeling supported, understood, and connected.

Cozy living room with a brown leather sofa, a green armchair, a wooden desk with a lamp and art supplies, and a beige rug on hardwood floors. Large windows with black blinds let in natural light. Decor includes framed art, a small lamp, and a sign that reads 'Grounded Therapy.'

Accessible, Affirming Care

We believe therapy should feel safe, supportive, and easy to access from the very beginning.

  • Virtual & In-Person Sessions — meet in the way that feels most comfortable for you

  • Welcoming, Accessible Space — our office is wheelchair accessible and designed to feel comfortable and inclusive

  • Flexible Payment Options — we offer a sliding scale, accept select insurance plans, and help with out-of-network reimbursement

  • Collaborative Support — when helpful, we coordinate care with psychiatrists, medical providers, schools, and other members of your support system

Specialized Support

We offer affirming, identity-aware therapy for LGBTQIA+ individuals, couples, and relationships, with care that recognizes the impact of identity, community, and lived experience on mental health.

  • Anxiety & Depression — support for stress, burnout, overwhelm, self-worth, and navigating daily life

  • Identity & Self-Exploration — space to explore sexuality, gender identity, relationships, and understanding yourself more deeply

  • Relationships & Couples — support for communication, connection, boundaries, conflict, and nontraditional relationship structures

  • Grief, Rejection & Family Dynamics — compassionate care for experiences of loss, estrangement, isolation, or not feeling fully accepted

  • Neurodivergent Experiences — affirming care tailored to how you experience and move through the world

  • Culturally Responsive Care — therapy that honors your lived experience, with the option to work with LGBTQIA+ therapists and therapists of color