From family conflict to relationship repair to internalized shame, our NYC-based lesbian-affirming therapists create space for you to unpack, process & grow. Let Expansive guide your journey without judgment, assumptions & needing to explain who you are.
Start Lesbian Affirming Therapy
Lesbian affirming therapy or sapphic therapy is mental health care that meets you where you are, not where you’re expected to be. It rejects pathologizing or stereotyping, and instead makes room for the full spectrum of queer womanhood: from chosen family to gender fluidity to sexual fluidity.
With a lesbian-affirming therapist, you don’t have to defend your identity, explain your experiences, or correct microaggressions mid-session. You get to focus on what actually brought you to therapy in the first place.
Why We Built This Practice
You hear it everywhere: “inclusive this,” “inclusive that.” But where are lesbians in the so-called inclusive language?
At Expansive, we believe specificity matters, especially when it comes to the lived experiences of lesbian clients. We are 100% queer-owned and most of our therapists are LGBTQ identified. We have trained with the best in the field and want to bring that quality of work to your sessions, online from anywhere in the state, or in-person.
That means space to unpack internalized shame, explore evolving identities, repair family ruptures, and process trauma without having to filter, educate, or downplay.
Our therapists offer care that’s clinically grounded and community-informed. You’ll find us in Midtown Manhattan at 352 7th Ave, just a commute away from the Upper West Side, Two Bridges, Dutch Kills, and beyond.
Find a Lesbian Affirming Therapist
Your therapist isn’t here to ask invasive questions or tiptoe around your identity. Expect direct, respectful, and validating care: sessions where your full self is welcome, whether you’re processing your first heartbreak, unpacking years of family silence, or just trying to stop apologizing for taking up space.
Lesbian affirming therapy is structured around what you bring in, and it often includes exploring relationships (past and present), identity, grief, sexuality, and boundary repair. Some clients come in with years of therapy under their belt; others are just starting. You’re not behind.
Get Matched with a Therapist
Dating with Intention
Meet Our NYC Lesbian-Affirming Couselors
Our therapists know how vital it is to have a space where your identity is embraced without question. They bring affirmation, openness, and compassion to help lesbian clients feel seen and supported.
Sapphic therapy may focus on relationships, identity, family dynamics, or self-acceptance, but at its core, it’s about giving you room to be fully yourself. With both expertise and, for some, lived experience, our team creates a space where your story is always honored.
See Our Full NYC Roster
Please note: Availability is always shifting, so we recommend visiting our full NYC therapist directory.
Why NYC Clients Choose Expansive for Lesbian Affirming Therapy
Our clients tell us the same thing again and again: “I didn’t have to explain myself here.” At Expansive Therapy, you’re not met with blank stares when you bring up chosen family, your ex from grad school, or how exhausting it is to feel invisible even in queer spaces.
Our team includes LGBTQ+ therapists and supervised associates who know this terrain — not in theory, but through lived experience and ongoing study. From Bushwick to Harlem to Jersey City, our clients come to us for therapy that actually feels affirming, not just labeled that way.
"Nick and Megan are some of the best in the field of mental health- STRONGLY RECOMMEND!"
Jack Hazan ★★★★★
Therapy should feel financially understandable from day one. Expansive Therapy is an out-of-network provider and works with most PPO and POS insurance plans offering out-of-network mental health coverage.
Before your first session, our admin team checks your benefits and sends a straightforward breakdown of your coverage. After you begin, we manage claim submissions and denials so insurance admin doesn’t take up your time or energy.
Session rates range from $75 to $250 based on your therapist’s experience, roughly 35% below typical NYC rates. Whether you’re coming from Red Hook, Upper East Side, or Bushwick, we’re here to help you understand your options with care.
Check Your Insurance Coverage
Our NYC office is based in Midtown Manhattan at 352 7th Ave, Suite 1201, just blocks from the Garment District, and a commute away from neighborhoods like Bed-Stuy, Morningside Heights, and Sunnyside. We offer both in-person and virtual sessions, with extended evening and weekend availability. Whether you're commuting in from Brooklyn or streaming your session from the Hudson Valley, we make getting affirming care as easy as possible.
Office Hours (Admin Support):
Monday through Friday, 9 am–6 pm
Therapist Availability:
Monday through Sunday, 8 am–10 pm
NYC Office Address:
352 7th Ave, Suite 1201
New York NY 10001
Phone: (917) 426-1521
Email: info@expansivetherapy.com
Affirming lesbian therapy doesn’t stop at the Hudson. Our team also serves clients throughout Los Angeles — from Silver Lake to Santa Monica, Echo Park to Pasadena. In-person or virtual, our LA-based therapists bring the same identity-conscious, deeply attuned care Expansive is known for in NYC.
Ready to Affirm Your True Self?
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