Finding the right therapist can feel daunting for anyone, but for lesbian, gay, bisexual, trans, non-binary and queer people, it can be especially important to choose someone who truly understands and respects your identity. LGBTQ+ affirming therapy provides a safe, supportive space where you don’t have to explain or justify who you are – you can simply focus on your wellbeing.

What Is LGBTQ+ Affirming Therapy?

Affirmative therapy is counselling that actively validates and celebrates sexual orientation, gender identity and diverse relationship styles. It is not just about being “okay” with LGBTQ+ clients; it means:

  • Using inclusive language and respecting pronouns
  • Understanding how minority stress, stigma and discrimination affect mental health
  • Recognising the richness of LGBTQ+ identities and cultures
  • Creating a non-judgemental environment where you can explore all aspects of yourself

An affirming therapist keeps up to date with research and good practice around gender, sexuality and relationship diversity (sometimes called GSRD).

Why It Matters for Mental Health

Research shows that LGBTQ+ people are more likely to experience anxiety, depression, trauma and low self-esteem, often as a result of discrimination, rejection or internalised stigma. When therapy is not affirming, people may feel unseen, misunderstood, or even retraumatised.

Working with a therapist who respects your lived experience can help you:

  • Build self-acceptance and confidence
  • Process painful experiences such as bullying, rejection or hate crime
  • Explore identity, gender or sexuality safely
  • Improve relationships and communication
  • Develop tools to manage stress, shame or dysphoria

Affirming therapy supports resilience and celebrates authenticity.

What to Expect in Sessions

You don’t need to prepare a script or have everything figured out. In therapy, we explore what feels most important at your pace. Sessions are confidential and collaborative – there’s no judgement or pressure to meet expectations. Together, we can work on understanding yourself more deeply and finding practical ways to feel grounded and supported.

Sarah James therapist and counsellor

Taking the First Step

Whether you’re questioning your identity, processing trauma, or simply looking for a therapist who will affirm every part of who you are, support is available.

If you’re based in Brighton or prefer online therapy, as an LGBT affirming counsellor, I can help. Get in touch to arrange a free phone consultation.


Frequently Asked Questions About LGBTQ+ Affirming Therapy

What makes a therapist LGBTQ+ affirming?

An LGBTQ+ affirming therapist creates a safe, supportive space for people of all sexual orientations and gender identities. They use inclusive language, respect pronouns, understand the impact of minority stress, and avoid pathologising identity.

Do I need to be sure about my gender or sexuality before starting therapy?

Not at all. Therapy is a place for exploration, whether you’re questioning, coming out, or simply wanting support to live more authentically. You don’t need to have everything figured out beforehand.

How can affirming therapy help with trauma or discrimination?

LGBTQ+ affirming counselling provides space to process painful experiences such as rejection, bullying, or hate crime. Your therapist can help you build resilience, challenge shame, and develop tools to manage anxiety, low mood, or hypervigilance.

Is LGBTQ+ specific therapy only for people who’ve experienced problems?

No – many people come simply to explore their identity, improve relationships, or work on personal growth. Affirming therapy celebrates your whole self, not just the challenges you may face.

Can I access LGBTQ+ affirming therapy online?

Yes. Online counselling gives you access to an affirming therapist from anywhere in the UK. It’s especially helpful if you live outside Brighton, have mobility concerns, or prefer the comfort of your own space.