LGBTQ+ kids & teens
Affirming psychiatric care for LGBTQ+ kids and teens.
Support for LGBTQ+ and questioning young people ages 6 to 17, and the families who love them, from Earl Johns, a board-certified psychiatric nurse practitioner with lived LGBTQ+ experience. In person in San Francisco or by telehealth across California.
How it works
Your walk to wellness.
01
Reach out
Every journey begins with a single step. Book a free 15-minute phone 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.
Here’s what working together looks like, from your first visit on.
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: Secure HIPAA-compliant Zoom, or in person in San Francisco by request. You’ll need to be in California at the time of each visit. ADHD evaluations, including QbCheck computerized testing, are also available.
Who we see
Children and teens (ages 6 to 17)
Adults (ages 18 to 64; not currently accepting Medicare)
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
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 phone 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
A safe place to be exactly who you are.
Young people do best when they feel seen at home, at school and in care. We work with your child or teen and with you as a family, at a pace that feels right.
Book a free consult
1
Care for anxiety, depression, ADHD, trauma and stress tied to identity, school or bullying.
2
A space where kids and teens can explore who they are without judgment or pressure.
3
Family sessions and guidance for parents and caregivers who want to support their child well.
4
Thoughtful medication care when it’s needed, started low and adjusted together with your family.
5
Coordination with therapists, schools and pediatricians, with your permission.
6
Help with 504 plans and school accommodation letters.
7
In person near Union Square or by telehealth anywhere in California.
For parents & caregivers
Questions parents ask.
Starting care for your child brings up big questions. Here are the ones we hear most. Anything else, ask us on your free phone consult.
Can my teen get care without me knowing?
What stays private between my child and Earl?
How involved will I be?
Do both parents need to agree to treatment?
My child is questioning their identity. Will you push them in a direction?
Do you take insurance for kids and teens?
What if my child is in crisis?
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
Services