LGBTQ+ Couples Therapy in Austin, TX

Your relationship doesn’t need to look like anyone else’s to deserve care.

Whether you’re navigating communication struggles, trust issues, emotional distance, identity exploration, or the impact of past trauma, LGBTQ+ couples therapy offers a space where your full selves and your relationship are seen, respected, and supported.

If you’ve been burned by past therapy experiences—or worried that a therapist won’t “get it”—you’re not alone. Many LGBTQ+ couples in Austin come to counseling after feeling misunderstood, pathologized, or reduced to labels. This is different.

In our work together, your identities, dynamics, and relationship goals won’t be questioned—they’ll be honored.

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Affirming Support for Connection, Communication, and Healing

Disconnected, even if you still care about each other deeply

  • Misunderstood when trying to talk about sex, identity, or needs

  • Hurt by past betrayals or emotional distance

  • Unsure how to manage change, transitions, or mental health stressors

  • Overwhelmed by outside pressure, family dynamics, or coming-out tension

  • Like you're always talking past each other, no matter how hard you try

You’re not the only couple feeling this way—and you don’t have to stay stuck in it.

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You Might Be Feeling…

What LGBTQ+ Couples Therapy Looks Like Here

This isn’t about fixing you. It’s about helping you slow down, tune in, and reconnect with each other in ways that feel safe, honest, and real.

We’ll work on things like:

  • Improving communication without blame or shutdown

  • Rebuilding trust after betrayal, distance, or hurt

  • Navigating differences in emotional needs, sex drive, or attachment styles

  • Talking about sex and intimacy without shame or performance

  • Supporting each other through transitions—coming out, gender journeys, grief, parenthood, or change

  • Unpacking how trauma, anxiety, or past relationships show up between you

You set the tone and the pace. My job is to help you feel grounded and supported as you do the work—together.

A Therapist Who Understands LGBTQ+ Relationships

This isn’t "tolerance." It’s true affirmation.

I work with couples across the LGBTQ+ spectrum, including trans, nonbinary, gender-expansive, queer, bi+, pan, poly, and same-sex partnerships. You don’t need to educate me about your identity or explain why your relationship is valid.

That said—every couple is different. I’ll always ask questions with curiosity, not assumption, and help you explore what you need, not what the world says you should want.

Based in Austin, Connected to the Community

Austin is one of the most vibrant, creative, and proudly queer cities in Texas. But even here, it can be hard to find therapy that feels safe and grounded—especially when you’re going through something painful.

Whether you're in South Austin, North Loop, the East Side, or completely online, you deserve therapy that feels like a soft place to land, not another space where you need to perform or prove yourself.

All sessions are virtual, HIPAA-secure, and designed to fit into your life—not add more stress to it.

Let’s Help Your Relationship Feel Like Home Again

You don’t have to wait until things fall apart to get support. And if you already feel like you’re on the edge—there’s still room to rebuild.

If you're in Austin and looking for LGBTQ+ couples therapy that’s affirming, sex-positive, neurodivergent-aware, and truly relational, I’d love to connect.

Reach out to check availability for a free consultation or to get started.

contact@sagebrushcounseling.com | (512) 790‑0019

Frequently Asked Questions About LGBTQ+ Couples Therapy in Austin

Do we have to be in crisis to start couples therapy?

Not at all. Many LGBTQ+ couples come to therapy when things are “mostly okay” but not great—when communication feels strained, intimacy feels distant, or you're just not connecting the way you used to. You don’t have to wait for a major rupture to get support. Therapy can help strengthen your relationship before it reaches that point.

Do you work with trans, nonbinary, or polyamorous couples?

Yes. I work with couples across the gender and relationship structure spectrum, including queer, trans, nonbinary, gender-expansive, bi+, polyamorous, and open relationships. You won’t have to educate me on your identity, and your relationship won’t be pathologized here. You’ll be met with respect, curiosity, and support.

Is your practice affirming of kink, sex positivity, and neurodivergence?

Yes. I approach couples therapy from an affirming, nonjudgmental lens. If your relationship includes kink dynamics, neurodivergent communication styles, or unique intimacy needs, we’ll talk about it openly and without shame. You deserve therapy that understands real relationships—and doesn’t try to fit you into a narrow mold.

We’re both neurodivergent—or one of us is. Can you support that?

Absolutely. Many of the LGBTQ+ couples I work with include one or more neurodivergent partners (ADHD, autism, AuDHD, etc.). I bring a neurodivergent-aware lens to our work together, especially around sensory needs, masking fatigue, communication differences, and emotional regulation.

We’re nervous about being judged. Is this a safe space?

It’s completely normal to feel unsure, especially if past therapy experiences weren’t positive. In our work together, I’ll hold space for both of you with care and honesty.

Can we do therapy even if we’re not officially “a couple”?

Yes. I work with all kinds of relational dynamics, including dating, nesting partners, long-term co-parents, and even relationships in transition. If there’s an emotional connection and both of you want to explore what’s next, that’s enough.

Is this therapy virtual or in person?

All sessions are online, through a secure, HIPAA-compliant platform. Whether you're in South Austin, the East Side, Round Rock, or just want to avoid traffic and parking, virtual therapy makes it easier to show up consistently, especially when you’re already feeling disconnected or overwhelmed.

What if one of us is unsure about therapy?

That’s pretty common. You don’t have to be 100% on the same page to begin. Sometimes one partner is more ready, while the other is unsure or protective. Therapy can help you talk about those fears, clarify what’s at stake, and explore what both of you want from the process.

Schedule a Counseling Session or Ask a Question

All sessions are held virtually and are available to adults and couples living anywhere in Texas. Not located in Texas? Feel free to reach out — I’m happy to connect you with referrals in your area.

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