LGBTQ+ Affirming Therapy in Portland, Oregon
Sprout Therapy PDX is a queer-founded, queer-led mental health practice serving LGBTQ+ communities across Oregon. Whether you're navigating identity, relationships, transitions, or the everyday weight of moving through a world that doesn't always see you — we offer care that's affirming, grounded in lived experience, and accessible to people using Oregon Health Plan (OHP/Medicaid), private insurance, or self-pay.
We work with individuals, adults, teens, kids, couples, and families of any kind, in person at our two Portland offices (St. Johns and North Tabor) or via telehealth statewide.
You've probably seen "LGBTQ+ friendly" or "LGBTQ+ welcoming" on a lot of therapy websites. Those words don't always mean the same thing in practice.
At Sprout, affirming care means:
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We don't treat your identity as the problem.
Your queerness, transness, non-monogamy, gender expression, or any other part of who you are isn't something we'll try to fix or talk you out of.
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We bring lived experience into our work.
Sprout was founded by a queer therapist, our leadership is queer-led, and our clinical team includes LGBTQ+ identified clinicians at every level.
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We understand that identity isn't separate from systems.
The stress of navigating healthcare, family, work, or public spaces as an LGBTQ+ person is real, and it shows up in mental health. We address that directly — not as background noise.
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We affirm complex and intersecting identities.
Many of our clients hold multiple marginalized identities — queer + BIPOC, trans + neurodivergent, non-monogamous + chronically ill, and so on. We don't ask you to pick which part to bring in.
Our Services for LGBTQ+ Clients
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One-on-one work for LGBTQ+ adults, teens, and kids working on identity, relationships, minority stress. Available in person at our St. Johns or North Tabor offices, or via telehealth across Oregon.
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For partners and partner constellations of any structure. Polyamorous and open relationships welcome; we don't require you to fit into a two-person model.
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Including chosen family. We work with parents supporting LGBTQ+ kids, LGBTQ+ adults navigating family of origin, and queer family systems in their own right.
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Group offerings include support specific to LGBTQ+ populations.
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Through our Psychiatric Mental Health Nurse Practitioners (PMHNPs), including affirming psychiatric care that won't pathologize your identity.
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When helpful, your therapist can coordinate with our case management, peer support, or medication management providers — keeping care connected without you having to repeat your story to every new person.
Who We Work With
We work with LGBTQ+ clients across the full spectrum of identity, including:
Lesbian, gay, bisexual, pansexual, and queer-identified adults, teens, and kids
Trans, non-binary, genderqueer, and gender-expansive folks
Asexual, aromantic, and ACE+ spectrum
LGBTQ+ folks of color
LGBTQ+ neurodivergent folks
People in polyamorous, open, non-monogamous, or kink-aware relationships
LGBTQ+ parents, foster/adoptive families, and chosen families
LGBTQ+ folks navigating chronic illness, disability, or fatness in unsupportive systems
Areas We Treat
Coming out, identity exploration
At any age, any stage
Gender-affirming care support
Pre-, during, and post-transition
Religious trauma and family rejection
Including ongoing relationships with religious or unaccepting family
Relationship work
Including non-monogamy, polyamory, kink, and queer-specific dynamics
Anxiety, depression, trauma
At general and specialty levels
Internalized stigma and minority stress
The cumulative impact of systemic and interpersonal harm
Grief and loss
Including grief specific to queer experience (chosen family loss, identity-based loss)
Workplace and healthcare advocacy
Helping clients navigate hostile systems with support
BECOMING A CLIENT
The process is straightforward:
Book a free phone screening with our Intake Coordinator: Book your screening
Complete a short questionnaire
Brief screening conversation (~20 min) to talk about what brings you in, your insurance, and any preferences (clinician identity, modality, format)
Get matched with a clinician whose specialties, training, and approach align with your needs
First full session — typically scheduled within 1–2 weeks of your screening
The screening isn't therapy and doesn't establish care — it's a fit check, and there's no cost.
We accept most major private insurance plans and OHP CCOs.
More info on using your insurance at Sprout here:
Fees & Insurance FAQ | Insurance Basics
Common Questions, Answered
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No. Many of our clients are at different points in their relationship with their identity — some are out everywhere, some are exploring privately, some are out to a few people. There's no expectation that you have language sorted out before therapy starts.
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Yes. During your screening call, you can request a clinician based on identity (LGBTQ+, BIPOC, trans/non-binary, etc.) or other preferences. We'll match where we can.
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All of our clinicians are trained to write WPATH-aligned letters when clinically appropriate, as part of ongoing therapy. This isn't a separate service — it happens within established therapy relationships. Mention this during your screening.
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Yes. We work with relationship structures of any size and configuration. Insurance billing for multi-person relationship work is more complex — we'll talk through what's possible during your screening.
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All adult therapy is confidential within the limits Oregon law requires (mandated reporting for child abuse, imminent danger to self/others, etc.). For minors, we follow Oregon law on minor consent and confidentiality and work with families on what's shared. We'll walk through this during intake.
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Sprout is an outpatient practice and doesn't provide 24/7 crisis services. If you're in crisis right now, call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. Our intake team can also help with referrals to higher levels of care when you call.
Our StorySprout was founded in 2018 by a queer therapist who left a high-volume, under-resourced clinical job to build something different — a practice where clients could find affirming care, and where clinicians could do their best work without burning out.
Today, Sprout is a team of clinicians, supervisors, and supportive staff committed to a few things:
Care that meets the whole person. Identity, relationships, family of origin, and systemic context all in the room when relevant.
Sustainable practice for our team. When clinicians are supported, clients receive better care. Boundaries on caseload, real time off, and a culture that doesn't extract are foundational.
Accessibility through OHP. We're proud to be a queer-led practice that doesn't require private insurance or self-pay to access affirming therapy.
Long-term relationships, not transactional care. We're here for clients across years, not just episodes.
Read more:
Our Mission | Meet Our Leadership