My Work with the SF LGBTQQ Communities

My Work with the LGBTQQ Communities of San Francisco

A focal point of my work as a psychotherapist is providing safe and compassionate psychotherapy services to the Gay, Lesbian, Bisexual, Transgender, Queer, and Questioning communities, and to their allies. Even in San Francisco, this can be a challenge. Whether you are going to therapy to talk specifically about your sexual orientation or gender identity, or to talk about something completely unrelated, you should make sure that you are working with a therapist who understands this important component of your life. Even here in the San Francisco Bay Area, there are, unfortunately, therapists who may just be “winging it,” at best, when it comes to this topic. At the same time, don’t be put off by a therapist who asks you questions about YOUR experience of your sexual orientation and/or gender identity. Just like every topic in psychotherapy, your therapist might use his or her own experience as a foundation, but your experience may differ.

Here are some of the topics that come up when I work with the LGBTQQ communities. This list includes issues I typically see in my private practice, as well as some of the issues I have worked with as a supervisor for Pacific Center and Queer Life Space, two Bay Area agencies that focus on services to the LGBTQQ communities. Obviously, there is considerable overlap, but some of the more common topics include:

Gay Men:

relationship difficulties, monogamy, finding someone who is interested in a long-term relationship, coming out, dealing with family.


relationship difficulties, meeting someone, finding community, lesbians living in San Francisco but finding more community in the East Bay, deciding to have children, being the non-biological mother.


feeling excluded from both the straight world and gay/lesbian world, coming out, finding community, meeting a partner.

Transgender and Gender Identity:

My work regarding the issue of gender is focused on the psychological implications of living in a binary world, e.g., how to live in a world where our biology is artificially connected to societal and cultural constructs of appearance and behavior.

Queer and Questioning:

who am I, how do I meet someone, how do I find community, how do I tell my family and friends, support around coming out.

Don’t see your issue here? This is intended to be a brief summary of some of the more common issues I see in my practice. There are as many issues around the topics of sexual orientation and gender identity as there are people in the world. Ultimately, a positive experience in psychotherapy is about the connection between you and your therapist. Please let me know if I can be helpful to you on your journey.