Image of a therapist and client in a counseling session.

2,444 people sought LGBTQ+ counseling help at Philadelphia in the last year

Discover how starting LGBTQ+ counseling can support your own journey toward a happier, more fulfilling life.

Meet with a provider as soon as this week

Good news! We have 95 therapists in Pennsylvania available for an online or in-person session.
Barbara Thomas

Hear from Barbara Thomas, Licensed Marriage & Family Therapist (LMFT)

View Barbara Thomas's profile

What is your go-to approach for LGBTQ+ counseling?

My go-to approach for LGBTQ+ counseling is collaborative therapy and trauma focused therapy. I prefer this because building the therapeutic relationship is essential and allows to build trust in the therapy room. Additionally, it allows clients to focus on their goals and to enhance their sense of themselves through empowerment. I utilize trauma-focused counseling as well, due to the trauma impact many individuals in the LGBTQ+ community experience and the context of being in a minority group. My personal experience as a member of the LGBTQ+ community allows some insight into the resilience of our community.

What tools do you teach in LGBTQ+ counseling?

I teach the following tools in LGBTQ+ counseling:

  • breathing techniques (square breathing, breath work)
  • mindfulness/present focus
  • grounding techniques (five senses, physical sensations, fidget/focus object, muscle relaxation)
  • journaling (freeform, bullet, prompts, daily success/struggle)
  • socratic questioning (cognitive challenging and rationalization of thoughts)
  • reframing (perspective shift and broadening mindset)
  • self-care skills (awareness of importance of basic needs)

How do you know when a client is making meaningful progress in LGBTQ+ counseling?

I know a client is making meaningful progress in LGBTQ+ counseling when there is trust in the therapeutic relationship and the goals set up initially are beginning to be achieved. I always like to preface that progress is not linear and will be an ongoing tool during treatment to challenge negative perceptions of self.

What can clients do in their personal time to supplement LGBTQ+ counseling?

Clients can supplement their time in LGBTQ+ counseling by seeking out resources in their local LGBTQ+ community, joining queer spaces that are affirming and supportive, research history of the LGBTQ+ movement and daily journaling to reflect.

What should someone do to prepare for starting LGBTQ+ counseling?

To prepare for their first LGBTQ+ counseling session, an individual can notice their struggles, goals, and timeline of symptoms. An individual can also remember that they can ask the therapist questions about their therapeutic style and explore/advocate for their needs in a clinician. Additionally, they can create a safe space in their home that helps build routine and privacy for online therapy.

Starting LGBTQ+ counseling

What is LGBTQ+ counseling?

LGBTQ+ counseling is a type of queer affirmative counseling dedicated to assisting individuals and couples in navigating the intricate intersections of their sexual orientation, gender identity, and mental health, with a primary goal of fostering well-being, self-acceptance, and affirming a client's life experiences as a queer individual. Although not all LGBTQ+ individuals seek specialized counseling, a substantial number discover vital support and empathy within these inclusive and affirming therapeutic settings.

How does LGBTQ+ counseling work?

Thriveworks LGBTQ+ counseling in Philadelphia, PA typically begins with an initial assessment to understand your specific needs. LGBTQ+ counselors aim to create a safe, inclusive, and affirming environment for anyone within the LGBTQ+ community by encouraging self-acceptance and offering an understanding of your identity and experiences. The therapy addresses issues like coming out, discrimination, mental health challenges, and gender transition, and provides support for LGBTQ+ relationships.

Why is LGBTQ+ counseling important?

LGBTQ+ counseling is incredibly important because it can help queer individuals accept their identity, learn self-love, and give them important tools for facing the challenges of being a queer person in today's society, among many other benefits. LGBTQ+-affirming therapists can understand the unique perspective and experiences of queer individuals as they help them process past trauma, address family conflicts, treat issues with anxiety, and more.

Is LGBTQ+ counseling conducted in person or online?

Thriveworks LGBTQ+ counseling in Philadelphia, PA is conducted both in person and online by video. We encourage you to choose the option that works best for you.

How long does LGBTQ+ counseling last?

The number of sessions for LGBTQ+ counseling depends on the specific needs and goals of the individual. It could encompass a relatively limited series of sessions or extend into a longer counseling plan. The precise quantity and duration of sessions typically emerge through collaborative discussion with the counselor, taking into account the client's progress and their therapeutic objectives.

Need more help deciding?

Many people who identify as Lesbian, Gay, Bisexual, Transgender, Queer, or questioning are enjoying cultural and legal victories that promote their human rights. Celebrities like Ellen have used their platform to encourage understanding and kindness. TV shows like Will & Grace and Modern Family have used humor to raise awareness of the various challenges LGBTQ people face. In the 2018, two openly gay athletes competed in the Pyeongchang, South Korea, and Adam Rippon became the first gay man to medal at a winter Olympics. Despite these victories, much more work needs to be done. Those in the LGBTQ community experience higher rates of marginalization, discrimination, and abuse simply for being themselves. What is the result of this maltreatment? The LGBTQ population also face higher rates of anxiety, depression, and addiction than the straight, cis-gendered population.

“It takes no compromise to give people their rights…
it takes no money to respect the individual. It takes no political deal to give people freedom. It takes no survey to remove repression.” ― Harvey Milk

A bedrock of emotional healthy is freedom to be oneself. That means acknowledging likes and dislikes. That means being honest about strengths and weaknesses. It also means being true to one’s gender and sexuality. People who identify at LGBTQ face particular challenges as they seek emotional health and freedom. That is one of the many reasons Thriveworks Philadelphia offers LGBTQ competent therapy. We know that our LGBTQ clients face unique challenges, and we are ready to help them as they fight again repression and fight for freedom.

LGBTQ Sensitive Counseling

It is not always easy to live in self-acceptance and freedom. Family and friends may or may not be supportive. Internal conflict and confusion can cause significant anxiety. These challenges are difficult but normal. Everyone needs a safe space where they can face these challenges with honesty and with support. For many, that safe space is therapy. Skilled mental health professionals create an environment where their clients do not feel judged or shamed. Instead, they can dream, question, remember, speak, and plan. Instead, their self-awareness and self-acceptance can grow. Such an environment is particularly important for clients who identify as LGBTQ as they often face extra roadblocks on their healing journey.

Many untrue and unfair stigmas still plague many in the LGBTQ community, and these stigmas exact a psychological and emotional price. What is the real-world impact of that toll? Consider these grievous realities:

  • The cis-gendered and straight population has a substance abuse rate of 9 percent, but the LGBTQ population’s substance abuse rate is 30 percent.
  • LGBTQ youth, ages 10-24 face more fear, prejudice, hatred, and bulling in their homes and in their schools than their cis-gendered and straight peers.
  • LGBTQ people are diagnosed with mental illness at twice the rate of others.
  • Many LGBTQ people report experience a heightened anxiety called “minority stress.” This often results from facing family rejection, social exclusion, the denial of human rights, harassment, prejudice, and abuse.
  • A lead cause of death for LGBTQ youth is suicide.

As sobering as these realities are, they only tell half the story. The LGBTQ also faces a dual-stigma: those who often need mental health care the most may have the hardest time finding a competent therapist. The American Psychological Association officially defined homosexuality as a pathology up until 1973. Even though the definition has changed, many therapists are not informed or accepting of the care LGBTQ clients need.

What does it look like for mental health professionals to offer LGBTQ competent care? How can individuals ensure their therapist will respect their gender and sexual orientation? Here are a few tips for choosing a therapist.

  • When calling to schedule an appointment, ask about the counselor’s experience with LGBTQ clients. It is okay to request past examples.
  • Listen to your intuition. If you feel comfortable, schedule an appointment. If at any point, you do not feel comfortable, move onto another therapist.
  • During your appointment, let your counselor know that LGBTQ sensitive therapy is important to you.
  • During treatment, disclosure whatever you feel safe disclosing about your sexual orientation and gender.
  • During treatment, disclose whatever you feel safe disclosing about past traumas and current mental health struggles you are experiencing.
  • There is no right or wrong topic for therapy. Many people choose to discuss topics like…
    • Gender and sexual identity
    • Safety concerns
    • Healthy communication
    • Dealing with discrimination and non-acceptance
    • How and when to come out
    • Dating and other relationships
    • Family concerns
    • Transcending gender roles
    • Addiction
    • Eating disorders
    • Depression
    • Anxiety and stress
    • Self-esteem issues
    • Past trauma and abuse

Setting Up an Appointment at Thriveworks Philadelphia for LGBTQ Informed Counseling

Are you considering reaching out and meeting with a therapist? Do you want to work with a mental health professional who offers LGBTQ competent care? If you are ready to start counseling, the professionals at Thriveworks Philadelphia are ready to meet with you. When you contact our office, a scheduling specialist will answer your call and help you make an appointment. We do not have voicemail. We also do not put our customers on a waitlist. You may have your first appointment within 24 hours of your first call. We offer evening and weekend sessions, and we accept many different insurance plans. Life is hard. Scheduling therapy should not be. Let’s work together. Call Thriveworks Philadelphia today.

Pricing & insurance

Our therapists accept most major insurances. We accept 585+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our Philadelphia therapists and counselors accept 28 insurance plans

  • Aetna

  • Blue Cross Blue Shield | Anthem (Blue Card)

  • Carelon

  • Cigna | Evernorth

  • Cigna | Evernorth EAP

  • Cigna | Evernorth Medicare Advantage

  • Compsych

  • First Health Network

  • Geisinger Health Plan

  • Geisinger Health Plan Medicare Advantage (HMO | PPO)

  • Highmark Blue Cross Blue Shield of Pennsylvania Exchange

  • Highmark Blue Cross Blue Shield of Pennsylvania | PPO - HMO

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Self-pay costs at Philadelphia
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

5.0 Learn about verified reviews
★★★★★
Rob is great! Making progress.
Brian Dec 2023
Thriveworks.com verified review
★★★★★
I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Read more I had the pleasure of working alongside Marie for years. Her work with her clients is unparalleled. She is clinically exceptional, while somehow maintaining an authenticity that makes working with her in any capacity a wonderfully positive experience. I would recommend Marie to anyone who is serious about helping themselves, and particularly those with a history of trauma.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Read more Marie is the best around. So knowledgeable and supportive with her clients. She helped me through many traumatic situations without judgment. If you are looking for an amazing therapist to help you, she is who you need.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Read more Marie Moriarty Puggi is a fantastic clinician. She’s very person centered and empathetic. She goes above and beyond for her clients and their families. They have shown a great deal of appreciation for the efforts she makes with her clients. They want to talk with her and engage and do the work in order to heal. Highly recommended.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Read more Marie is an excellent Therapist. She assisted me with various ways to change my perspective. Marie's assistant me with positive ways to view situations and how to be accountable for my behavior. Marie is very kind and personable. She made me feel important and that I should matter to me first.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Read more Marie has an excellent communication skills. She displayed active listening skills when engaging with her clients and coworkers. Marie is dependable, accountable and reliable. Marie is a team player who goes beyond her expectations to meet the need of her consumer. Marie is non judgemental, observant and respectful. Marie is a very patient therapist.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Read more Marie is a compassionate, hard working, supportive, empathetic therapist that I would recommend to clients. She offers an environment conducive for a therapeutic relationship. She works well individually and is a great team member.
Philadelphia Aug 2022
Review left on Thriveworks.com
★★★★★
Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Read more Marie Moriarty-Puggi a clinician at the Walnut St site in Philadelphia is one of the most caring, dynamic, person centered therapists that I’ve ever had the pleasure of knowing and working with. Marie always goes the extra mile for her clients, going above and beyond to help her clients reach their maximum potential. I would recommend Marie without hesitation.
Philadelphia Aug 2022
Review left on Thriveworks.com

Where to find us

Getting here

Thriveworks Counseling Providence is located at 245 Waterman St Suite 504A, Providence, RI 02906, between Wayland Ave. and Butler Ave.

Phone number

(215) 642-8968

Languages spoken by PA providers

  • English
  • French
Tuesday 8:00am - 9:00pm
Wednesday 8:00am - 9:00pm
Thursday 8:00am - 9:00pm
Friday 8:00am - 9:00pm
Saturday 8:00am - 9:00pm
Sunday 8:00am - 9:00pm
Monday 8:00am - 9:00pm

Shown in ET

Tuesday 7:00am - 9:30pm
Wednesday 7:00am - 9:30pm
Thursday 7:00am - 9:30pm
Friday 7:00am - 9:30pm
Saturday 7:00am - 6:00pm
Sunday 8:00am - 5:00pm
Monday 7:00am - 9:30pm

Shown in ET

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