LGBTQ Therapy
A clinician who does not need it explained first
You should not have to spend the first three sessions bringing your therapist up to speed on your own life.
Therapy here starts from the assumption that your relationship, your identity and your family are not the problem to be solved, and that you are as entitled as anyone to bring an ordinary problem to an ordinary therapist.
The first conversation is free and it lasts 55 minutes.
Open seven days a week.
Affirming therapy across Oregon
We see LGBTQ+ clients in person at our Tigard office, ten minutes from Portland, and by secure video anywhere in Oregon.
The video part matters more here than on most of our pages. Affirming clinicians are not evenly distributed across this state. If you are in Bend, Medford, Pendleton or a small town where the options are limited and everyone knows everyone, seeing somebody in Portland from your own front room is a real solution rather than a compromise.
Our Marriage and Family Therapist Associate works from Acceptance and Commitment Therapy and Narrative Therapy, and creates an affirming, inclusive space for clients from all backgrounds. Every clinician here sees LGBTQ+ clients.
What people bring here
Most of it is ordinary, which is the point.
Anxiety, depression, grief, work stress, a marriage in trouble, a habit that will not stop. The same things everyone brings. You should not have to find a specialist to get them treated by somebody who is not going to make your identity the subject.
Including at fifty, which is more common than the culture suggests and which comes with a particular kind of grief about time.
Parents who are polite and not warm. A sibling who does not invite you. The specific exhaustion of being tolerated.
What it does to a person to have been raised inside something that told them what they are is wrong, and what is left to sort out decades later.
Relationships, including couples work, including relationships that are not monogamous. Two of our clinicians work with couples.
Gender identity. Exploration, transition, and the ordinary life around both.
Couples work
Two people, both understood, neither treated as the one who needs explaining.
Couples therapy for LGBTQ+ couples is largely the same work as any couples therapy, with two differences that matter. The relationship may not have had the same models growing up, so some of what you are doing you are inventing. And you may be carrying family stress that a straight couple would not be, which turns up in the relationship as though it started there.
We work with married couples, unmarried couples, and people in relationship structures that are not two.
What we do not do
We do not treat being gay, bisexual or transgender as something to be worked on. That should not need saying and it still does, because conversion practices are not extinct.
We also do not make your identity the topic when you did not bring it. If you come here about your mother’s death, we will work on your mother’s death.
What this costs
$205 an hour with a licensed clinician, $180 with a supervised associate. Couples $230 and $205.
We are in network with Kaiser, PacificSource, Cigna, Aetna, and United Healthcare and Optum, and with Medicare, both Open Card and in-network Advantage plans. Regence Blue Cross Blue Shield is expected from 1 October 2026 and Moda from 15 October 2026, both for associates as well as licensed clinicians. For the Oregon Health Plan we can bill Open Card, but not the coordinated care organizations, and most OHP members are enrolled with a CCO rather than Open Card. There is no sliding scale.
Abby Feinstein, Marriage and Family Therapist Associate, and Cynthia Keavney, Professional Counselor Associate, are credentialed with Aetna and Cigna. PacificSource stops taking associates on 1 October 2026. If you carry another plan, our licensed clinicians are your in-network option.
Questions people ask
How do I know a therapist is actually affirming rather than just tolerant?
Ask them directly on the consultation. Ask what experience they have, ask how they would handle something specific to you, and pay attention to whether the answer is a policy statement or a description of work they have done. Ours is free and it is a full 55 minutes, which is enough time to find out.
Do I have to talk about my identity?
Only if you want to. Plenty of clients here never make it the subject.
Do you write letters for gender-affirming care?
No, we do not write WPATH or gender-affirming care letters. We would rather tell you that here than take a consultation you did not need. If a letter is what you are looking for, ask us on the consultation anyway and we will point you toward providers in Oregon who do write them.
Is telehealth private enough?
The video platform is secure and everything you say is confidential, with the narrow legal exceptions we will go through in the first hour. If privacy at home is the problem rather than the technology, say so and we will work out where and when.
Do you work with people who are not out?
Yes, and often. Nothing you say here goes anywhere.
Can we come as a couple?
Yes. Two of our clinicians work with couples.
Book a free 55 minute consultation
An hour, at no cost, with a clinician rather than an intake screener.
Book online · In person in Tigard, by video anywhere in Oregon