LGBTQ+ Couples Therapy

Andy Price, LMFT provides affirming therapy for LGBTQ+ couples in Sacramento and across California

Looking for a therapist who understands the experiences of LGBTQ+ relationships?

Navigating a non-monogamous or polyamorous relationship?

Struggling to work through sex and intimacy challenges?

Growing and changing together while one or both of you comes out or transitions?

Looking for a couples therapist who is queer and trans themselves?

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LGBTQ+ affirming couples therapy can help you feel empowered and understood in your relationship.

As a queer and non-binary therapist, Andy Price LMFT brings both professional and lived experience.

Working with a queer and trans therapist means your relationship can be fully understood and celebrated. You can dive into your experiences and struggles without having to explain your identity.

What you can gain from LGBTQ+ couples therapy

  • Gain insight into why you get triggered in arguments with your partner and learn new ways to communicate

  • Feel safe talking about the "tough stuff" - identity, sex, the state of the world

  • Know that your needs matter

  • Find safety and comfort in your relationship

What to Expect During LGBTQ+ Affirming Couples Therapy

  • De-escalate your conflict cycle

    You'll learn to understand your conflict cycle — how each of you reacts when you feel hurt, unseen, or worried — and how those protective responses unintentionally keep the disconnection going. For LGBTQ+ couples, that cycle is often shaped by external factors: family relationships, new understandings of your identity, a desire to express your true sense of a self, or the exhaustion of existing as a queer person during “unprecedented” times

  • Learn New Ways of Connecting and Communicating

    We'll build ways of communicating and sharing how you really feel, so your relationship can become a safe place to share your inner fears — including fears you may not bring up anywhere else. Once you can identify your conflict cycle, you can start to interrupt it instead of letting it take over. You'll learn how to say what you really need, in a way your partner can actually hear. For sex and intimacy concerns, we'll use practical skills (like mindfulness and sensate focus) to help you feel more connected and less anxious.

  • Integrate New Skills

    Through therapy, you'll learn to interrupt your conflict cycle and put these new ways of communicating into practice in daily life — building confidence that your needs matter and that your partner (or partners) can be there for you.

  • Evidence-Based Approaches

    I use Emotionally Focused Therapy (EFT), an evidence-based approach that draws on attachment theory and the science of emotion to help couples build a deeper, mutually supportive bond. I also draw from the Gottman Method to help you understand your relationship dynamics and build tools for a lasting, stronger relationship. I adapt my approaches to meet the specific needs of your relationship.

  • Deep Conversations

    In therapy, we’ll work to go beneath surface-level coping. I’ll support you to build a greater level of vulnerability and having deep conversations that will strengthen your emotional connection.

  • Couples Therapy That Gets Your Needs

    We’ll attend to how identity, transition, gender dysphoria, or jealousy shape your experiences with communication, sex, and intimacy.

    Gender transition, or any new understanding of your identity, can shift a relationship's dynamics. We'll work through those changes together, honoring your experience without treating your identity as a problem to be solved.

    Many LGBTQ+ individuals have complicated family relationships. We’ll work to understand and navigate these experiences.

Specialities

LGBTQIA+ relationships

Transgender identity and transitioning

Polyamory and Non-monogamy

Emotional Connection

Affairs and Breaches of Trust

Sex and intimacy

High conflict

Extended family conflict

Trauma

Kink & BDSM

Conscious Uncoupling

Neurodivergent relationships

Frequently Asked Questions

  • This practice is a good fit for couples who want both practical communication tools and deeper work on the patterns shaping their relationship. Many of my clients are looking for an LGBTQ+ affirming therapist, looking for a therapist knowledgable about polyamory, and/or navigating the impact of past trauma on their current relationship.

  • This practice may not be the best fit if you’re currently experiencing an acute mental health crisis, struggling with substance abuse, or need intensive structure and stabilization. Please see my Resources page for a list of support that can better serve your current needs.

  • Most couples start to notice small changes within the first few sessions. Deeper, lasting change typically takes several months. If you're working through long-standing disconnection or a deep betrayal, the process may take longer.

  • My specialities include LGBTQIA+ relationships, gender affirming care, affairs and breaches of trust, conflict, trauma, emotional connection, sex and intimacy, neurodivergent relationships, and conscious uncoupling.

  • Andy Price provides couples therapy in person Sacramento and online across California, specializing in LGBTQIA+ relationships, breaches of trust, non-monogamy/polyamory, and sex/intimacy.

  • I offer convenient online scheduling. If you’re ready to get started, go here to schedule your first session. I typically meet with both partners for the first session and with each partner individually during the second to help get to know each of you individually.

A non-binary couples and individual therapist stands on a balcony overlooking the beach, with their dog to their left. The dog is looking towards the ocean.

Hi, I’m Andy (they/them)

I’m a Licensed Marriage and Family Therapist. I provide sessions in person in Sacramento and online across California. I am passionate about helping people build authentic, connected, and affirming relationships.

I specialize in working with queer and trans individuals, couples, and non-monogamous relationships, supporting them as they navigate challenges of identity, sex and intimacy, relationships, political stressors, and life’s tough moments.

I value authentically showing up as myself, which means I’ll show you my personality, share my sense of humor with you, and also sit with you in moments of pain. I hope that authentically showing up as myself empowers you to authentically be yourself.