Tired of your therapist not understanding what it means to be queer, bisexual+, trans, or nonbinary?

Our LGBTQ therapists don’t just affirm your identity...we share it.

This is affirming LGBTQIA therapy from people who’ve lived it, not just studied it.
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Fill out the form below and let’s match you with a LGBT friendly therapist for a no-cost virtual consultation.
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Insurance-Free | Judgement-Free
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Finding a therapist shouldn’t feel like coming out again.

If you’ve ever felt unseen, misunderstood, or exhausted from retelling your story...you’re not alone.

At LGBT+ Counseling Collaborative, every clinician is LGBTQ+ themselves so your care comes from lived experience, not just training. We’re here to help you process trauma, relationships, and identity in peace without assumptions, explanations, or judgment.

So we don’t make assumptions. We don’t need you to explain your pronouns again and again.

This is LGBTQ therapy designed for you: Whether you’re out, questioning, or somewhere in between...you matter here.

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Gender affirming therapy available from LGBTQ+ identifying clinicians.

If you’ve ever been made to feel ashamed of who you are, this space was built for your healing.

Whether that shame came from religion, family, school, or society, you deserve care that honors your truth — not tries to erase it.

With LGBTQIA+ therapy, you can explore your identity, trauma, and relationships in a safe space where you don't have to explain or defend who you are.

Our services include different types of therapy for LGBTQ people like: 
No labels required. No judgment. Just therapy for LGBTQ people that's built around who you are and not who you were told to be.
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LGBTQIA Therapists Serving 220+ Clients Across Washington DC and Beyond

You don’t have to be “out” to get safe, affirming LGBT therapy.

We don’t ask for labels. We don’t need explanations. Just tell us where you are in your journey and your LGBT therapist will meet you there.

Step 1: Fill out Form

Tell us a bit about yourself like your interests and your contact information.

Step 2: Get Matched

We’ll personally review your info and connect you with the right LGBTQIA therapist based on your needs and identity.

Step 3: Enjoy Free Consultation

Meet virtually to ask questions, get a feel for the therapist, and see if it’s the right fit with no pressure.

Speak with a LGBTQ Affirming Therapist →

Discreet, Inclusive, & 100% Insurance-Free Gender Indentity Therapy

Why LGBT+ Counseling Collaborative?

Built by LGBTQIA therapists, for LGBTQIA people

Every therapist is part of the LGBTQ+ community. You don’t have to explain your identity or sanitize your story. We’ve lived it...not just studied it.
Privacy comes first — always

We don’t take insurance so your care stays confidential. No diagnostic codes. No public address. No signage. Credit card charges appear as “Counseling Collab” — your identity is never exposed.
Real access to LGBTQ affirming therapy

We’ve supported over 220 LGBTQIA+ clients across DC and beyond. With sliding scale rates, bilingual services, and both virtual and in-person options, care is available on your terms.

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Pride Therapy Built For Us, By Us

Not all therapy is safe for LGBTQ+ people. We built one that is.

We’re a collective of gay, lesbian, bisexual, queer, and trans therapists for LGBTQ individuals and our allies across the DMV and beyond.
Begin Your Healing Journey
LGBTQ Friendly Therapists
Fully Private Gender Therapy Care

Have questions? We have the answers.

Are You Accessible Via Public Transportation?

Yes! Our office address is undisclosed, but is located north of the Ballston Metro Station, Virginia Square Metro Station, or Courthouse Metro Station by approximately 1-2 miles. We are in easy walking distance of the 55 Public Bus in Arlington as well. Parking in our lot out front is free.

Do You Offer In Person and Virtual Options?

Yes! We offer in person sessions Monday-Friday between 8a-8p, depending on the clinician, at our Arlington, VA office. Our office address is undisclosed and given to clients only. Parking in our lot out front is free.

We offer LGBT affirmative therapy via telehealth sessions for those residing in DC, MD, and Virginia from all our clinicians, as well as two of our clinicians are able to see clients residing in PSYPACT states (approx 40+ states).

For those not residing in a licensed state, we offer coaching sessions on a case by case basis when there are no possible safety or ethical issues that might occur. A consultation would need to be done before determining this.

What Payment Methods Do You Take? Can I Use an HSA/FSA Card?

We take cash, check, HSA/FSA cards, debit cards, and credit cards through our secured portal. If your card is saved to our secure portal, the clinician does not have access to the full card number and can only see the last 4 digits.

We do not take Zelle, Venmo, or other electronic forms of payment. Paper checks must be submitted and cashed in advance of sessions.

How Does Sliding Scale Work?

Each clinician on staff has 5 sliding scale spots (25% of their caseload) to give to clients who cannot afford the regular cost of therapy or who do not have access to insurance or reimbursement options. These spots are limited because otherwise the therapists wouldn't be able to cover their own bills or would be working overtime and burning out, which are big values we focus on at our organization to model healthy self-care and work/life balance as clinicians for our own clients.

We want to make sure these spots only go to people who absolutely need it, and therefore we'd need the following information to approve sliding scale on a case-by-case basis:

  1. What is your current budget for weekly therapy? (All clients are required to start weekly)
  2. Do you have insurance and what's your reimbursement rate and out-of-network deductible? (Please note: Just having a high deductible is not a sole reason for requiring sliding scale as this is very common for most individuals.)
  3. Give a broad overview of current income and expenses, and why you're asking for sliding scale.

Sliding scale spots are one of the ways we strive to increase access to LGBTQ affirming therapy while also maintaining sustainability for our clinicians.

Each case will be determined separately. If we're unable to help immediately, we'll put you on our waitlist until a sliding scale spot opens or find you referrals that can help sooner.

What Are The Fees?

Counseling and mental health care is an investment in you. We've statistically seen that those who don't feel some financial buy in to the therapy process will end up unmotivated, dropping out, or more likely to cancel/no show to sessions. It's important that we are able to utilize our financial investment to put into our emotional and mental investments.

As of July 2025, our regular fees begin at $220 for 45 minute sessions and $260 for 60 minute  sessions for fully licensed counselors and our supervised residents in counseling starts at $185 for 45 minute sessions and $240 for 60 minute sessions for clients.

We offer LGBTQIA therapy with a focus on accessibility — all of our counselors prioritize 25% of our case loads for sliding scale (pay-what-you-can) clients as we prioritize accessibility of mental health services. We also have externs on staff who primarily do sliding scale and have more openings for that. All of our groups also have sliding scale options for up to 25% of members in it.

How do Superbills Work for Insurance Reimbursement?

We send out monthly superbills on the second day of every month that clients can submit to their insurance for reimbursement and most clients see a 40-80% reimbursement using that method. You will need to make sure your superbill has a Diagnostic Code, Location, and CPT Code listed on there. You will then submit your superbill through your insurance portal like a claim.

You can call your insurance in advance and ask the following questions to figure out your personal reimbursement rate:

1) What is your out of network deductible?
2) What is your reimbursement rate before the deductible is hit, and then after the deductible is hit?
3) You can also ask about CPT codes 90834, 90837, (individual) and 90847 or 90846 (family), or 90853 (group)to see what the reimbursement is for those codes.

It would be ideal to get that information from insurance before you meet with a counselor.

Do You Take Insurance?

We do not accept insurance of any form and payment is due at the time of sessions. We send out monthly superbills that clients can submit to their insurance for reimbursement and most clients see a 40-80% reimbursement using that method.

Due to the fact that taking insurance requires us to give inappropriate and premature diagnoses to clients as well as give up all our client records to insurance at any time, we will not be taking insurance at any point in the future. We feel that it is just not safe or in line with our professional ethics and that the overreach the utilize puts clients at jeaopardy, outs clients who aren't ready, and pathologizes identities— especially in the context of LGBTQ+ therapy..

We understand that this makes accessibility difficult sometimes, which is why we instead offer sliding scale options and also prioritize educating clients on utilizing superbill reimbursement instead since this option won't have access to client progress notes and treatment plans.

I'm Not On The LBGT+ Spectrum. Can I Be A Client?

Absolutely. While we focus on LGBT+ identities, all our clinicians have extensive experience working with allies and those not in the LGBT+ community. LGBTQIA+ therapy is at the core of what we do. We only ask for respect for our identities and safety for our clinicians in all those spaces as well. We do not tolerate discrimination or prejudice against any of our clinicians at any time. We are also more than happy to help those who don't yet know if they identify with an LGBT+ identity, or are in the questioning stages. Whether you decide you do or you don't, we'd be happy to help on that identity journey.

I'm Not "Out" Yet. Can I Go Here, and Is It Safe?

You are absolutely welcome here! We take the safety and privacy of our clients to be of the utmost importance. We have many clients who are not out at all, not out professionally, or some other experience like that. Our LGBT therapists work carefully and diligently to keep your privacy and safety a top priority.

There is no signage for our organization on the outside of our building or in the building lobby, nor is our address listed publicly. We do not take insurance so as to maintain privacy concerns and not be forced to out clients in our documentation.

All credit and debit card statements only say "Counseling Collab" on your bank statements. Our invoices and superbills for insurance reimbursement say "Counseling Collaborative" only.

We also abide by the standard limits of confidentiality set forth by the APA and ACA.  We practice COVID-cautiousness by having high-powered air purifiers in each office and our waiting room, and masking is welcome for anyone who wants to.

If there are additional precautions you'd like us to take, please let us know and we'll do our best to accomodate that.

We offer virtual services for those in  up to 38 US states or in person sessions at our office in Arlington, VA.  Address is available for clients only.
Arlington, Virginia 22207, United States
Copyright © 2025 LGBT+ Counseling Collaborative, Inc All Rights Reserved.
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