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In-person therapy in Houston, online in Texas • In-network with BCBS, Aetna, Cigna, UHC, Oscar, Tricare, Curative • Therapy in English, Spanish, Portuguese, Farsi • Immediate Openings

'Therapy session room at Real Talk Clinical Psychology in Houston, TX

LGBTQ+ Affirming

PhD-Level LGBTQ-Affirming Therapy in Houston, TX

Sexual orientation and gender identity shape how people move through the world, how they see themselves, and what they have learned to expect from relationships.


Those who are part of the LGBTQ+ community come to therapy for a full range of reasons: anxiety, grief, relationship difficulty, trauma, questions about meaning, or simply the sense that something is not well. Affirming care means that your identity can be part of the conversation when relevant, without having to be explained, defended, or minimized.


Our team of PhD-level psychologists is in-network with Aetna, BCBS Texas, Cigna, United Healthcare/Optum, Oscar, Tricare, and Curative. We offer in-person sessions in Houston and telehealth across Texas and other states via PsyPact. 


We'll verify your benefits before your first appointment. Our clinical director reviews each inquiry and recommends a clinician who fits what you are bringing in.

Our psychologists come from diverse  backgrounds, speak several languages, and have worked in multiple countries and settings. We are attentive to how culture, migration, race, gender, and identity shape a person's life.


Our clinical approach is depth-oriented. We are interested in what sustains the symptoms, not only what they look like on the surface. Why does this keep happening, and where did it come from? These questions take time and require a different quality of attention, a willingness to stay with what is uncomfortable, and a clinician who can hold complexity over the long term.


LGBTQ+-affirming therapy is not a specialty in the sense of a separate technique. It is a stance: one that does not treat identity as a problem to be resolved, that understands how minority stress operates, and that can hold the full complexity of how someone has come to understand and inhabit who they are. 

How We Serve the LGBTQ+ Community

We recognize that sexual orientation and gender identity intersect with family systems, culture, religion, migration history, and early attachment experiences. 


The work may touch on the impact of:

  • Coming out, or the decision not to; 

  • Family rupture, ambivalence, or difficult reconciliation; 

  • Religious conflict or moral injury; 

  • Minority stress and chronic vigilance; 

  • Internalized shame or a sense of fragmentation; 

  • Relationship patterns and attachment dynamics; 

  • The psychological weight of invisibility or hypervisibility in different contexts.



PhD-Level Training in LGBTQ+-Affirming Therapy

Doctoral-level training matters most when LGBTQ+ concerns intersect with trauma, depression, anxiety, or developmental history. Advanced clinical training supports the ability to differentiate minority stress from other psychiatric presentations, work with complex trauma rooted in rejection, concealment, or family rupture, address dissociation, shame, or chronic self-monitoring, navigate gender dysphoria with the nuance it requires, and hold ambivalence about transition, relationships, or family ties without pressure toward resolution. 


Identity structure is rarely linear. It may involve grief, loss of community, or sustained existential questioning. Doctoral training enables reflective, long-term clinical work that does not reduce complexity.


David Latini, Ph.D.

Adults • English • Online, In Person • Chronic illness, sexual health. LGBTQ+ & CNM-affirming.

Kristen Wheeler, Psy.D.

Adults • English • Online, In Person • Trauma, crisis, substance use. LGBTQ+, veterans, first responders.


Adrienne Rich. Compulsory Heterosexuality and Lesbian Existence. 

Read Here

From Our Journal

The Fear of Being Misunderstood. 

Read Here


What I Have Learned From Being Quiet in a Loud Room. 

Read Here. 

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