Finding a therapist is hard enough. Finding one who actually affirms your identity — without requiring you to educate them, defend your existence, or brace for a misstep — is a different challenge entirely.

For LGBTQ+ people in Oregon, that gap is real. Plenty of therapists will say they're "accepting." Fewer have genuine experience with queer and trans lives, the specific stressors that come with them, and the kind of care that doesn't add to the weight you already carry.

Sprout Therapy PDX is an LGBTQ-affirming therapy practice serving clients across Oregon via telehealth, with physical locations in Portland's St. Johns and North Tabor neighborhoods. Sprout accepts Oregon Health Plan (OHP/Medicaid), Kaiser, PacificSource, and other Oregon insurance plans.

If you're looking for a queer or trans-affirming therapist in Oregon, here's what to look for — and how Sprout approaches this work.