Gay & LGBTQ+ psychiatry

LGBTQ+ psychiatric care in San Francisco.

Searching for a gay psychiatrist in San Francisco? Earl Johns is a board-certified, UCSF-trained psychiatric nurse practitioner and LGBTQ+ provider who offers medication management and therapy, working alongside a board-certified collaborating psychiatrist.

A calm turquoise beach with gentle waves

How it works

Your walk to wellness.

  1. 01

    Reach out

    Every journey begins with a single step. Book a free 15-minute call where we’ll explore your goals.

  2. 02

    Getting to know you

    We take time to truly understand you: your story, your strengths, and the challenges you’re facing.

  3. 03

    Grow together

    Through ongoing visits, typically every 2 to 8 weeks, we work toward goals tailored to your needs.

  4. 04

    Find peace and wellness

    Feel grounded, balanced, and at peace, with a plan that supports your wellness.

What to expect

Care that fits your life.

Visits happen online through a secure, HIPAA-compliant platform, with in-person visits in San Francisco by request.

Your first visit

45 to 90 minutes. We listen to your story, your challenges, and your goals, then build an individualized plan that may include therapy, lifestyle strategies, nutrition, and medication when appropriate.

Follow-up visits

25 min

Focused medication visits, best if you already see a therapist

45 min

Medication management plus brief therapy (DBT, CBT, ACT)

60 min

Deeper therapy and mind-body work

Visits range from weekly to every 2 to 3 months, depending on your goals.

Between visits

Questions don’t always wait for your next session. Reach us by phone or email and we’ll respond within 3 business days.

Visit location: Virtual via HIPAA-compliant Zoom, or in person at our San Francisco office upon request.

Who we see

  • Children and teens (ages 6 to 17)

  • Adults (ages 18 to 64)

  • LGBTQIA+ people, including gay, lesbian, bisexual, trans, nonbinary and questioning folks

  • Neurodivergent people, including ADHD and autism

  • Trauma survivors and people working through grief or big life transitions

  • Professionals facing burnout and stress

  • Allies and families of LGBTQIA+ and neurodivergent people

Official ADHD testing is also available. You’ll need to be in California at the time of each visit.

Insurance

We’re in network with these plans:

  • Aetna

  • Anthem Blue Cross California

  • Carelon Behavioral Health

  • Cigna

  • Oxford / Optum

  • Quest Behavioral Health

  • United Healthcare / Optum

Paying out of network? We provide superbills for PPO reimbursement. Copays vary by plan, so check your benefits with your insurer.

Not sure where to start?

Book a free 15-minute consult. We’ll talk through what’s going on and help you decide on next steps, with no pressure.

Book a free consult

How we help

Medication care that sees the whole you.

Thoughtful prescribing and follow-up, with real time to talk through what is and isn’t working, plus therapy and lifestyle support when you want it.

Book a free consult

1

Medication management for depression, anxiety, bipolar disorder and PTSD.

2

ADHD evaluation and treatment, including official ADHD testing.

3

Prescribing that considers your full medication list, including PrEP, HIV care or hormones.

4

Lab work and GeneSight genetic testing to help guide medication choices.

5

Support for sleep, substance use and burnout.

6

25, 45 or 60-minute visits, depending on how much therapy you want.

7

In person near Union Square or by telehealth anywhere in California.

A golden ocean wave at sunrise

Just like the way waves break.

You’re not broken. You’re not alone.

And this isn’t the end of your story, just a new chapter. Our care is rooted in science, shaped by lived experience, and delivered with humanity.

Book a free consult