LGBTQ+ therapy in San Francisco
An LGBTQ+ therapist in San Francisco who gets it.
Looking for a gay or LGBTQ+ therapist in San Francisco? At Wellthy Psychiatry, your care comes from an LGBTQ+ provider with lived experience, in an LGBTQ-owned practice where you never have to explain or defend who you are.

How it works
Your walk to wellness.
01
Reach out
Every journey begins with a single step. Book a free 15-minute call where we’ll explore your goals.
02
Getting to know you
We take time to truly understand you: your story, your strengths, and the challenges you’re facing.
03
Grow together
Through ongoing visits, typically every 2 to 8 weeks, we work toward goals tailored to your needs.
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
Therapy that affirms all of you.
Earl blends evidence-based therapy (CBT, DBT, ACT) with medication management when it helps, so you get therapy and psychiatric care in one place.
Book a free consult
1
Coming out, identity and self-acceptance, at your own pace.
2
Anxiety, depression and burnout, including stress from discrimination.
3
Relationships, dating, family conflict and chosen family.
4
Trauma and family or religious rejection, with trauma-informed care.
5
Substance use concerns, without judgment.
6
ADHD and autism support for neurodivergent queer folks.
7
In person near Union Square or by telehealth anywhere in California.

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
