Most of what brings LGBTQ+ couples to therapy is what brings any couple in. The same fight on repeat. Sex that has drifted. A big decision you can’t agree on.
Some of it is yours alone, though. Maybe one of you is out at work and the other isn’t. Maybe a parent still won’t say your partner’s name at Thanksgiving. You shouldn’t have to spend the first few sessions explaining your relationship to the person who’s supposed to help with it.
All of our therapists are LGBTQ+ affirming, and several make queer relationships, sex and gender identity a focus of their work. We see couples at our North Austin and Westlake offices and online anywhere in Texas. If you’re looking for support on your own, start with our LGBTQ+ therapy page.
Clinically reviewed by William Schroeder, LPC, NCC, co-founder of Just Mind. Last reviewed October 24, 2026.
Premarital Counseling
Plenty of couples come to us before anything is wrong. Premarital counseling (or pre-commitment counseling, if marriage isn’t the plan) is a chance to talk through what tends to surface later: money, family, whether to have kids, how you fight, what monogamy means to each of you. For LGBTQ+ couples the list often includes how out each of you is, and to whom.
Andrea Oberhauser, LPC Associate (supervised by Kimberley Mead, LPC-S), is trained in premarital counseling and works with nontraditional relationships. She uses Emotionally Focused Therapy, which looks at the pattern two people fall into when they feel disconnected.
You don’t need a wedding date. Moving in together, merging money or starting a family are good reasons to come in early.
What Therapy Looks Like for LGBTQ+ Couples
By most measures, same-sex couples are as satisfied with their relationships as straight couples. In John Gottman and Robert Levenson’s 12-year study of gay and lesbian couples, same-sex partners brought more humor and affection into disagreements and took a partner’s negativity less personally. The study found a weak spot too: in gay male couples, when the partner who started a conflict got very negative, the other partner had a harder time repairing it.
What’s often different is the pressure from outside. The American Psychological Association’s practice guidelines ask therapists to understand how stigma and discrimination wear on sexual minority people, and to respect the many shapes their relationships take. In our offices, that might sound like:
- Partners who are out to different degrees, or came out at very different ages
- Family who are cold to your partner, or a chosen family you lean on instead
- One partner transitioning or questioning their gender
- Sex and desire that have changed over time
- Talking about monogamy, or about opening the relationship
- Rebuilding trust after an affair
- Co-parenting and blended families
Most of our couples therapists use the Gottman Method or Emotionally Focused Therapy (EFT). If you’d like a therapist who is LGBTQ+ themselves, tell our client care team and we’ll match you with one.
Sex-Positive Couples Counseling
Sex-positive means your therapist won’t treat your desires, your kinks or your relationship structure as the problem. What you bring in is what you work on.
Phil Rogers, LMFT Associate (supervised by Sarah Dunlap, PhD, LMFT-S), focuses his couples work on sex, communication, queer issues and ethical non-monogamy. He has particular experience with clients who practice or are curious about kink, and he’s a member of the queer community himself. Bella Lyon, LMFT, works with sex and intimacy concerns and has extensive training in EFT. Dorian Rinehart, LCSW, describes their work as sex-positive and comfortable with gender fluidity.
Get Matched With an LGBTQ+ Couples Therapist
Prefer an LGBTQ+ couples therapist specifically? Tell us a little about the two of you. A real person on our client care team reads what you share and usually suggests two or three therapists who fit within 24 hours.
Couples sessions are 50 minutes and cost $160 to $215, depending on the therapist. Longer sessions are available if you ask.
LGBTQ+ Couples Counseling FAQs
What is LGBTQ couples counseling?
It’s couples therapy where at least one partner is LGBTQ+, with a therapist who doesn’t need your relationship explained. The work itself covers what any couple brings: conflict, trust, sex, big decisions. Coming out, family acceptance and how your relationship is structured get treated as ordinary parts of that conversation rather than detours.
How does couples counseling work?
It starts with finding a therapist you both trust. After that, the work often begins somewhere couples don’t expect: with how you fight, before what you fight about.
Andrea Oberhauser, one of our EFT couples therapists, walks couples through four steps when the same argument comes back. Notice the “here we go again” moment and name it out loud. Pause and slow down. Then shift from what you’re fighting about to how, by asking yourself, “Am I fighting for respect, reassurance, closeness, to feel safe?” Last, say that need to your partner, clearly and gently.
As she puts it, “Real resolution comes when you talk about the deeper emotional need rather than the thing you’re fighting about.” She goes deeper in Why You Keep Having the Same Fight.
What can a couples counselor do for you?
Mostly, help you fight better. The Gottman Institute’s research found that 69% of relationship conflict is about perpetual problems: differences in personality or needs that won’t ever be fully solved. So winning stops being the point. A couples therapist helps you talk about those differences without each round turning into a standoff, and helps protect the friendship underneath.
Is couples counseling effective?
It can be, and timing matters. Couples who come in while there’s still goodwill between them have more to work with. Repeated affairs, emotional abuse, violence and active addiction make repair much harder, and some of these need attention on their own before couples work can help. If you’re unsure whether therapy can help your relationship, a first session is a reasonable way to find out.
Does insurance cover LGBTQ+ couples counseling?
No. Insurance covers treatment for a diagnosed condition in one person, and couples therapy is care for the relationship. Couples sessions are private pay, and rates are on our Rates and Insurance page.
Can we do couples sessions online?
Yes. Both partners can join from the same room or from separate locations anywhere in Texas.
Do you work with open or polyamorous relationships?
Yes. Phil Rogers works with ethically non-monogamous and polyamorous relationships, including sessions with more than two partners. None of our therapists will assume monogamy is the goal. Tell the client care team what your relationship looks like when you reach out, and ask who sees more than two partners together, so we can match you with someone who fits.
How long does couples counseling usually take?
Most couples come weekly or every other week for three to six months. Couples working through an affair or a major decision often take longer.
What if there's violence in our relationship, or I don't feel safe?
Tell us when you reach out. Couples therapy usually isn’t the right place to start when one partner is afraid of the other, and your therapist may suggest individual sessions first.
If you’re in danger right now, call 911. The National Domestic Violence Hotline is free, confidential and open 24/7: call 1-800-799-7233 or text START to 88788. If you’re thinking about suicide, call or text 988.
Part of Austin's LGBTQ+ Community
Affirming care doesn’t stop at our office door. These are the local organizations we belong to and support.
Just Mind is a proud member of the Austin LGBT Chamber of Commerce, which supports LGBTQ+-owned and ally businesses across Central Texas. Visit Austin LGBT Chamber of Commerce
We donate to Out Youth, which serves Central Texas LGBTQIA+ youth and their allies. Visit Out Youth
We donate to ASHwell, an Austin clinic that has cared for the LGBTQ+ community since 1988. Visit ASHwell
Meet The Team
Everyone below works with couples. Marie-Michele Atkinson, LMFT, has a particular affinity for LGBTQi+ couples and couples who are new parents. Working online, they help partners with the trauma-related cycles that make talks about money, co-parenting and sex escalate. Kari Somera, LPC, uses EFT and the Gottman Method and works with sexuality and sexual identity. Phil Rogers focuses on queer relationships and ethical non-monogamy. Patty Monical, Brett Brightwell and David Jenkins bring Gottman training to their couples work.
Not sure about who to pick? We can help!
LGBTQ+ Couples Resources
Posts from our therapists on relationships, conflict and coming out.
Client Testimonials
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