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LGBTQ+ Affirming Therapy · Seattle · Statewide WA Telehealth

Therapy where you do not have to explain or defend who you are.

That frees the session for what brought you in, the anxiety, the relationship questions, the coming-out timeline, the family tension, instead of the context you usually have to lay out first. Care for LGBTQ+ adults in Seattle and across Washington by secure video.

Same-week first appointments Most major insurance plans accepted Clinicians who do affirming work
Two adults stand close together holding hands, shown from the shoulders down in soft warm amber light, faces out of frame
In short

LGBTQ+ affirming therapy at Counseling Services for Wellbeing helps queer, trans and questioning clients in the Seattle area get care from clinicians who do affirming work, so you are not vetting or educating your own therapist. We accept most major insurance plans, book first appointments the same week and see clients at our Green Lake, Burien and Smokey Point offices or by secure video statewide.

Does this sound familiar?

You have probably done the vetting before.

Reading bio after bio, scanning for whether a therapist actually gets it or just added a flag to a profile. Bracing for the session where you end up explaining your own identity, your relationship, your pronouns, before any of the real work can start. Wondering whether you will be the one teaching your clinician instead of the other way around.

Maybe the therapists who clearly do this well are all cash-pay and booked out for weeks. Maybe you have sat across from someone who treated your queerness or your transness as the thing to examine, when you came in about anxiety, a breakup or burnout. Or someone who skipped past it so carefully that you never felt fully seen at all.

None of that is what affirming care is supposed to feel like. You should be able to walk in, be exactly who you are and spend the hour on what you actually came in for.

What we offer

Affirming therapy for queer, trans and questioning adults across Washington.

Identity, coming out and gender exploration

Working through who you are, who you tell and when, with someone who treats it as a starting point, not a problem to solve.

Anxiety, depression and burnout

Affirming care for everyday concerns, not just identity itself. Your queerness or transness does not have to be the topic of every session.

Family acceptance and minority stress

The weight of being misunderstood at home, at work or in the world, and the steady toll that takes over time.

Same-sex and nonbinary couples

A therapist who already gets your relationship, so you are not asked to explain its basics before the work begins.

Polyamorous and nonmonogamous relationships

Care without judgment for the relationship structure you actually have, from clinicians who work with nontraditional partnerships.

Living outside the Seattle metro

When a local affirming therapist is hard to find, secure video opens the door to care without a long drive.

Lesbian, gay, bisexual, transgender, queer, nonbinary, asexual and questioning clients are all welcome. Affirming is the baseline here, not a niche.

Our approach

How affirming care works here.

Affirming care starts from the idea that your identity is not the problem and you should not have to explain or defend it to your own therapist. We work on what you came in for, with someone who already understands the context.

1

Reach out

A short form or a call. We hear what is going on and what you are looking for, whether that is identity work or anxiety, a relationship or a transition. No vetting marathon to get through first.

2

Get matched

We pair you with a clinician who does affirming work and fits what you are working on, rather than handing you whoever is next on a list. You are not the one who has to figure out, from a bio, whether someone gets it.

3

Start this week

First appointment in person at one of three Seattle-area offices or by secure video anywhere in Washington. The same therapist works with you across your care, so there is continuity and no starting over and re-explaining yourself.

The method

What affirming work looks like in the room.

Affirming therapy treats your sexual orientation, gender identity and relationship structure as a normal and healthy part of who you are, rather than something to question or change. The American Psychological Association describes affirmative practice as care that recognizes the lived realities of LGBTQ+ people and the effects of stigma and minority stress, and supports clients in their own self-understanding.

Your identity is the context your care starts from, not the thing under a microscope. The full range of care is available from clinicians who affirm you, including anxiety therapy, depression therapy, trauma therapy and couples work, drawing on CBT, EMDR, DBT and relationship-focused approaches as they fit. A note on scope: this is affirming therapy and counseling, not a medical-transition service. We do not provide hormone therapy, surgical letters or medical transition care, and we will be clear about that at intake.

4.8★
across 338 client reviews
Affirming
bench across the team, not one solo clinician
Same
therapist each session, continuous care

How we compare

Counseling Services for Wellbeing vs. typical Seattle affirming options.

"LGBTQ-friendly" generalists Online-only therapy platforms Counseling Services for Wellbeing
Clinicians who do affirming work
Tolerant, but you may end up educating them
Whoever is assigned, varies widely
Matched to a clinician who does this work
Insurance accepted
Sometimes, varies by practice
Limited carrier coverage
Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
First appointment
Often weeks-long waitlists
Days, but with whoever signs on
Same-week scheduling
Messaging between sessions
Rarely offered
Built-in app messaging
No 24/7 app messaging
Same therapist each session
Usually, with a solo clinician
Therapist rotation common
Same therapist, continuous care
In person and statewide video
One office, limited reach
Video only, no in-person option
Three offices or secure video statewide
  • Clinicians who do affirming work

    • "LGBTQ-friendly" generalistsTolerant, but you may end up educating them
    • Online-only therapy platformsWhoever is assigned, varies widely
    • Counseling Services for WellbeingMatched to a clinician who does this work
  • Insurance accepted

    • "LGBTQ-friendly" generalistsSometimes, varies by practice
    • Online-only therapy platformsLimited carrier coverage
    • Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
  • First appointment

    • "LGBTQ-friendly" generalistsOften weeks-long waitlists
    • Online-only therapy platformsDays, but with whoever signs on
    • Counseling Services for WellbeingSame-week scheduling
  • Messaging between sessions

    • "LGBTQ-friendly" generalistsRarely offered
    • Online-only therapy platformsBuilt-in app messaging
    • Counseling Services for WellbeingNo 24/7 app messaging
  • Same therapist each session

    • "LGBTQ-friendly" generalistsUsually, with a solo clinician
    • Online-only therapy platformsTherapist rotation common
    • Counseling Services for WellbeingSame therapist, continuous care
  • In person and statewide video

    • "LGBTQ-friendly" generalistsOne office, limited reach
    • Online-only therapy platformsVideo only, no in-person option
    • Counseling Services for WellbeingThree offices or secure video statewide

We are not the boutique queer-only brand in the city and we are not trying to be. We are the option that affirms you, takes your insurance, gets you in this week, and can help with whatever you came in for.

Insurance & coverage

Most major insurance plans accepted

Kaiser Permanente Premera Blue Cross Regence Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Optum Humana Wellpoint Carelon LifeWise First Choice Health Network Coastal Administrative Services Medicare Tricare Triwest

We confirm exactly what your plan covers before your first session, so affirming therapy here does not have to be a cash-pay decision. First appointments are available the same week.

The team

Meet some of our affirming therapists.

A deeper bench of clinicians who do affirming work than the five here. We match you with someone who fits both your identity and what you came in for.

Angie Blattenbauer, LMHC

Angie Blattenbauer

LMHC
LGBTQ+ affirmingGender identityEMDRTraumaNeurodivergence
Read bio Book with Angie

Anne Rochon, MEd, LMHC

Anne Rochon

MEd, LMHC
LGBTQ+ affirmingAdults & older adultsEMDR
Read bio Book with Anne

Stacy Lanier, MS, LMFT-Associate

Stacy Lanier

MS, LMFT-Associate
LGBTQ+ affirmingIFSAnxietyTraumaTeens & families
Read bio Book with Stacy

Adina Brown, LMFTA

Adina Brown

LMFTA
LGBTQ+ affirmingCouples & familiesACTGottman
Read bio Book with Adina

Serena Perry, MA, LMFTA

Serena Perry

MA, LMFTA
IFSPolyvagalAnxietyDepressionCouples
Read bio Book with Serena

+ Meet the full team

Therapists and psychiatric providers across all three offices and by secure video.

Meet the team

Deeper bench than the five here. Tell us what you are looking for and we will match you with a clinician who does this work.

Where to meet

Three offices or secure video anywhere in Washington.

For LGBTQ+ clients outside the Seattle metro, where a local affirming therapist can be hard to find, secure video opens the door to care without a long drive.

Green Lake, Seattle

North Seattle, Wallingford, Ravenna, Roosevelt

View office →

Burien

White Center, SeaTac, Normandy Park, South King

View office →

Smokey Point, Arlington

Arlington, Marysville, north Snohomish

View office →

Secure video, statewide

Anywhere in Washington. Same therapist either way.

Affirming therapy by secure video →
Frequently asked questions

What clients ask before starting affirming therapy.

Do you offer LGBTQ+ affirming therapy?

Yes. Our clinicians do affirming work, and your identity is a starting point, not the problem. That means you do not have to explain or defend who you are to get to the real work. We will match you with a therapist who does this work and fits what you are looking for, whether the focus is identity itself or something else entirely.

Do you take my insurance?

We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. Much of the Seattle affirming-specialist market is cash-pay only, so taking your plan is a real difference. Coverage details can vary by plan, so we will confirm exactly what yours covers before your first session, and you will not be left guessing about cost.

How soon can I be seen?

First appointments are available the same week, not weeks out. Many of the affirming-specialist practices in Seattle book well ahead, so you do not have to sit on a long waitlist to start. Reach out and we will find the first opening that fits your schedule, in person or by secure video.

Do you work with transgender and nonbinary clients?

Yes, with clinicians who do gender-affirming therapeutic work. To be clear about scope, this is affirming therapy and counseling, not a medical service. We do not provide hormone therapy, surgical letters or medical transition care. If that is part of what you need, we can talk it through at intake so you know exactly what we do and do not offer.

Can I get affirming care for anxiety or depression, not just identity work?

Yes. The full range of care is available from clinicians who affirm you, including anxiety therapy, depression therapy, trauma therapy, couples work and family work. Your identity does not have to be the topic of every session. It is simply the context your care starts from, so you can focus on whatever brought you in.

Do you work with same-sex couples and nonmonogamous relationships?

Yes. We have clinicians who work with same-sex and nonbinary couples and with polyamorous and nonmonogamous relationships, including therapists who specialize in nontraditional relationship structures. We will match you with someone who understands your relationship rather than asking you to explain its basics first.

Do you offer affirming therapy online or only in person?

Both. You can meet in person at our Green Lake, Burien or Smokey Point offices, or by secure video anywhere in Washington with online therapy across Washington. For LGBTQ+ clients outside the Seattle metro who may not have a local affirming option, video makes affirming care reachable without a long drive.

Take the next step

You should not have to vet, explain or defend who you are to get good care.

Start with one conversation, with a therapist who already gets it. Counseling Services for Wellbeing accepts most major insurance plans, books first appointments the same week and matches you with a clinician who does affirming work, in person at our Green Lake, Burien and Smokey Point offices or by secure video across Washington.