LGBTQIA+ Affirming Therapy in Washington State

Online Therapy for Queer & Trans Individuals, Couples, and Families

Every clinician on our team is queer or trans. We accept Medicaid and major insurance plans, because everyone deserves access to care.

Queer and Trans Therapists Serving Washington State

Every clinician at Femme & Them is queer or trans. That means you can show up as your full self from day one without having to educate your therapist before doing the real work. We help LGBTQIA2S+ individuals, couples, and families across Washington State navigate life's transitions and build toward real, lasting change.

We are an insurance-based practice accepting Medicaid and major commercial plans including Ambetter, Coordinated Care, Community Health Plan of WA, First Choice, Kaiser PPO, Molina, Premera, and Regence. Quality queer-affirming therapy in Washington should be accessible to everyone.

Meet the Team

Our Washington State Therapists Specialize in Supporting LGBTQIA+ Individuals, Couples, and Families With:

  • Gender Identity and Sexuality Exploration

  • Polyamory and Ethical Non-Monogamy (ENM)

  • Anxiety & Depression

  • Trauma, Complex PTSD, and Minority Stress

  • Gender Dysphoria and Gender-Affirming Care

  • Relationship Issues and Communication

  • Coming Out at Any Age

  • Parenting and Family Building

  • Neurodivergence and ADHD

LGBTQIA+ and Gender-Affirming Therapy

Every clinician on our team is queer or trans. No explaining your identity, no educating your therapist. Just care built for every part of the community including ace, aro, intersex, bi, pan, nonbinary, questioning, and more.

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Queer and Trans Perinatal Mental Health



Affirming support through fertility, adoption, pregnancy, postpartum, and pregnancy loss. We honor the full queer and trans perinatal experience including miscarriage, abortion, stillbirth, and infertility.

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Queer Couples and Relationship Therapy


Affirming relationship therapy for LGBTQIA+ partners including polyamorous, ENM, and kink-aware relationships. No judgment, no assumptions, just therapists who get it.

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Here through life’s expansions, contractions, and transitions