LGBTQIA+ Affirming Therapy in Nashville & Middle Tennessee
For Queer, Trans, Non-Binary Individuals and the People Who Love Them
You deserve therapy where you don’t have to explain yourself, defend your identity, or educate your therapist just to be understood.
At Works Counseling Center, we provide LGBTQIA+ affirming therapy for children, teens, adults, parents, and families across Nashville, Bellevue, Belle Meade, West Meade, Broadway, Nolensville, Gallatin, Hendersonville, Smyrna, Brentwood, Franklin, and Fairview, as well as virtual therapy throughout Tennessee.
Our practice is owned by a bisexual woman, and many of our clinicians are queer-presenting and deeply embedded in LGBTQIA+ communities. This isn’t just something we support. It’s something we live.
Therapy for Queer, Gender-Fluid, and Non-Binary Folks
Whether you’re newly exploring your identity or have been living openly for years, therapy can offer a space to slow down, unpack, and reconnect with yourself.
We work with queer, trans, gender-fluid, and non-binary clients in Nashville and surrounding Middle Tennessee communities, as well as virtually across Tennessee, around:
- Identity exploration and self-understanding
- Anxiety, depression, and burnout
- Trauma, religious harm, or family rejection
- Relationships, attachment, and communication
- Shame, internalized messages, or people-pleasing
- Life transitions, coming out, or redefining family
You do not need to have your language figured out.
You do not need to present a certain way.
You do not need to educate us to receive care.
Our therapists respect self-identified pronouns, understand gender-fluid and non-binary identities, and make space for nuance rather than boxes.
For People New to Their Queer Journey
If you’re early in your journey, questioning, or unsure where you land, you are welcome here.
You don’t need a label.
You don’t need certainty.
You don’t need permission.
Many clients we see in Brentwood, Franklin, Hendersonville, and Nashville come to therapy feeling overwhelmed, scared, excited, or confused all at once. Therapy can help you explore identity at your own pace without pressure to define yourself before you’re ready.
Therapy for Parents and Caregivers of LGBTQIA+ Children
If you’re a parent or caregiver of a queer, trans, or questioning child, you may be holding a mix of love, fear, confusion, and a deep desire to get it right.
We work with parents across Middle Tennessee who want to:
- Better understand their child’s identity and experience
- Learn how to support without minimizing or overreacting
- Navigate school systems, extended family, or religious conflict
- Process their own emotions in a non-judgmental space
- Build safer, more connected relationships with their children
Supporting your child does not require perfection.
It requires presence, curiosity, and willingness to grow.
We support both children and parents, without shame, blame, or fear-based narratives.
What Makes Our LGBTQIA+ Therapy Different
Many practices say they are “affirming.” We believe affirmation shows up in action.
At Works Counseling Center:
Our leadership is queer
Many clinicians are queer-presenting
We do not debate identities or require justification
We understand intersectionality and lived experience
We challenge systems, not clients
Whether you’re attending therapy in Gallatin, Smyrna, Nashville, or Franklin, or joining virtually from anywhere in Tennessee, you’ll be met with competence, respect, and care.
Gender-Affirming Hormone Letters
We provide gender-affirming mental health evaluations and support letters for individuals seeking hormone therapy, when clinically appropriate and aligned with current standards of care.
Our approach is collaborative, affirming, and respectful of self-identified gender experiences. We do not believe therapy should be about proving identity. Instead, our role is to support informed decision-making, emotional wellbeing, and access to affirming care.
Hormone letter evaluations may include:
- Exploration of gender identity and lived experience
- Discussion of goals related to medical transition
- Assessment of mental health support needs
- Collaboration with medical providers when appropriate
We work with trans, non-binary, and gender-fluid individuals, including adults and adolescents. When working with minors, we are mindful of developmental, family, and consent considerations and support both youth and caregivers through the process.
If you have questions about hormone letters, timelines, or what to expect, we’re happy to talk through that with you before starting.
Therapy Topics We Commonly Support
LGBTQIA+ affirming therapy at our practice often includes support around:
- Anxiety and depression
- Trauma and minority stress
- Identity development and self-acceptance
- Family dynamics and boundary setting
- Relationships and attachment
- Religious trauma and spiritual harm
- Parenting queer or trans children
If your experience isn’t listed here, that doesn’t mean it doesn’t belong.
Frequently Asked Questions
Do you work with non-binary and gender-fluid clients?
Yes. We respect self-identified pronouns and support a wide range of gender identities and expressions.
Do you write hormone support letters?
Yes. We provide gender-affirming evaluations and support letters for hormone therapy when clinically appropriate, using a collaborative and affirming approach.
Do I need to be out to start therapy?
No. You can explore identity privately, slowly, or quietly. Therapy does not require disclosure to anyone else.
Do you work with children and teens?
Yes. We provide trauma therapy via telehealth to clients located anywhere in Tennessee.
Is this therapy only for LGBTQIA+ clients?
No. Our affirming approach welcomes everyone, including families and individuals seeking to better understand and support queer loved ones.
Do you offer virtual LGBTQIA+ affirming therapy in Tennessee?
Yes. We offer virtual therapy to clients anywhere in Tennessee.
Ready to Get Started?
You deserve therapy where you can show up fully and honestly.
We offer in-person across Middle Tennessee and virtual throughout Tennessee
Whether you’re a parent wanting to support your child, someone new to their queer journey, or someone who’s been out for years and needs support right now, you are welcome here.