You shouldn't have to explain yourself to feel safe.
2SLGBTQIA+ affirming therapy over video for teens and adults. Our therapists already understand queer, trans, and nonbinary lives, so your sessions can focus on what matters to you.
In network with most major plans
Kaiser, BCBS, United/Optum, PacificSource, Aetna, Moda, Cigna, Puritive, Providence, and EAP plans. Not sure about yours? Text us and we'll check.
So, what is 2SLGBTQIA+ affirming therapy?
It's therapy where your identity is respected from the very first session.
An affirming therapist uses your name and pronouns and centers your own words for your experience. They also understand the weight of living in a world that doesn't always make room for you, from everyday microaggressions to family rejection.
At Barefoot and Balanced, we support people exploring gender or sexuality, coming out, healing from religious or family trauma, and navigating transition. We work with adults and teens 12 and up, write letters of support for gender-affirming care, and meet by secure video with evening and weekend times available.
Finish this sentence
Choose the words that fit best. Nothing you pick is saved, and we'll show you how affirming therapy with us can help.
Lately, I've been ...
Wherever you are in your journey, you belong here
Pick a phrase above to see what that might look like in therapy with us.
Book a free consultation- Identity exploration
- Coming out support
- Gender-affirming care
Small shifts that add up
Growth in affirming therapy tends to show up in everyday moments. Clients tell us they start noticing changes like these.
You stop editing yourself
Being fully seen each week makes it easier to show up as yourself everywhere else.
Stress has somewhere to go
You build coping tools for the microaggressions and stigma that used to stay bottled up.
Hard conversations feel possible
Coming out and setting boundaries get a little less scary each time.
You feel more at home in yourself
Your identity becomes something you get to explore and celebrate.
Your people get stronger
Whether it's your family of origin or your chosen family, your relationships start to feel more supportive.
Why people choose Barefoot and Balanced
We're a team of trauma-informed, sex-positive, gender-inclusive therapists with more than twenty years of experience each. We celebrate diversity and authenticity, and we make room for every single story.
Therapy in ASL
A Deaf therapist works with Deaf and Hard of Hearing clients directly in ASL. No interpreter needed.No waitlist
Text us and a person responds, usually the same day.Poly and ENM focused
Your relationship structure is never treated as the problem.Evenings and weekends
Late sessions and Saturday and Sunday times for people whose weekdays are already full.Recovery-informed
Two therapists bring 12-step and substance-use experience.Women in transition
Menopause, divorce, and starting over at any age.End of life therapy
Compassionate support for people facing serious illness & navigating hospice.2SLGBTQIA+ affirming
Queer, trans, nonbinary, Two-Spirit, and questioning clients are welcomed and celebrated here. You will never have to explain or defend who you are.Affirming therapy questions
What makes a therapist 2SLGBTQIA+ affirming?
An affirming therapist respects your identity as valid from the start, uses your name and pronouns, and understands the stress that comes with living in a world that isn't always welcoming. You won't spend your sessions educating them.
Do I need to know my identity before starting?
Not at all. Many people come to therapy because they're questioning. You can explore at your own pace, without pressure to choose a label.
Do you work with teens?
Yes. We see teens 12 and up and offer support for parents who want to understand and back their kid through identity questions or coming out.
Can you write letters of support for gender-affirming care?
Yes. Our therapists provide letters of support for gender-affirming medical care when needed, always centering your autonomy and goals.
Will my therapist share what I talk about?
Your sessions are confidential. For teens, your therapist will talk openly with you and your parents about what stays private and what may be shared.
Do you work with queer, poly, and ENM relationships?
Yes. Every relationship structure is welcome, and we can help with communication, intimacy, and sexual health concerns.
Can you help with religious trauma?
Yes. Many of our clients are healing from religious messages about gender and sexuality. We help you work through the shame and decide what role, if any, faith plays in your life now.
Does insurance cover affirming therapy?
We're in network with Kaiser, BCBS, United/Optum, PacificSource, Aetna, Moda, Cigna, Providence, and several EAPs. Coverage can depend on the clinician, so we'll confirm yours on your free call.
You belong here, exactly as you are.
Book a free 15-minute consultation and we'll match you with an affirming therapist who fits you.
How to get started
Getting started takes about ten minutes of your time.Reach out
Send a text or fill out the form. Share as much or as little as you want.Have a free 15-minute call
We'll talk about what's going on and match you with the therapist who fits. Insurance gets checked on the same call.Start your first session
Log on from wherever you're comfortable. Shoes optional.
Request your free call
We'll reach out within one business day.
Please don't share private health details here. If you are in crisis, call or text 988.