LGBTQIA+ Affirming Therapy

Online Therapy in Washington State

We accept Medicaid and major insurance plans

Accessible Therapy for the LGBTQIA2S+ Community

Every clinician at Femme & Them is queer and/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 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

  • Navigating Neurodivergence: ADHD, Autism & OCD

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.

Learn More about LGBTQIA+ Therapy


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.

Learn More about Perinatal Therapy


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.

Learn More about Relationship Therapy

Here through life’s expansions, contractions, and transitions