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LGBTQ+ Therapy 
In New York City

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Some of what brings LGBTQ+ people to therapy has nothing to do with being LGBTQ+. Anxiety is anxiety. A relationship coming apart is a relationship coming apart.
 

What's different is not having to explain the background. Not having to decide, in the first session, how much context a therapist needs before the actual conversation can start.
 

Who I work with
 

I work with LGBTQ+ adults across the range of what brings anyone to therapy — anxiety, depression, relationships, work, family, grief, questions of meaning.
 

I also work with a lot of lawyers and finance professionals, and there’s a particular version of this that comes up often: being queer in an environment that is formally inclusive and informally something else. The calculation about how much of yourself to bring into a room. The exhaustion of managing that calculation for years without naming it as work.
 

What clients bring
 

  • Anxiety and depression — with or without a connection to identity

  • Coming out — at any age, and to anyone, including yourself

  • Relationships — dating, partnership, non-monogamy, and the specific difficulties of each

  • Family — estrangement, partial acceptance, the relatives who are fine with it as long as it isn’t discussed

  • Work — being out, not being out, and the cost of either

  • Gender identity — exploration, transition, and living in a body that hasn’t always felt like yours

  • Internalised shame — the parts that didn’t disappear when the outside world got easier

  • Grief and loss — including losses that others didn’t treat as significant


What affirming actually means here
 

Plenty of therapists describe themselves as LGBTQ-friendly. In practice that can mean anything from deep familiarity to a willingness to be educated by you as you go. What I mean by it: your identity isn’t the presenting problem unless you say it is. I’m not going to route difficulties back through it, and I’m not going to avoid it either when it’s relevant. If you want to talk about a difficult mother, we’ll talk about your mother.

I’m a married, gay therapist with children myself, which is context rather than credential, but it does mean some things won’t need explaining.
 

How the work goes
 

Some of this work is about identity. Much of it isn’t. Both are fine. I draw on relational psychodynamic work to understand the patterns underneath, how you learned to read a room, what you learned to hide, what that cost, alongside CBT and DBT for practical skills where those are useful.

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Practical details
 

  • In person: 125 East 23rd Street, Manhattan

  • Telehealth: across New York State

  • Fee: $250 per session

  • Out-of-network: documentation provided for reimbursement

  • Complete confidentiality 
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Start with a conversation

Fifteen minutes, for both of us to explore fit.

 

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Related reading

If you can't love yourself, then how the hell are you going to love somebody else... well sorta
 

The Hidden Traumas of Queer Youth Experience
 

LGBT therapy photo.avif
LGBTQ+ therapist in NYC — Austin Dowling, LMHC
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Austin is a joy to work with. He's so warm and easy to talk to that it sets the stage for therapy to organically take place.

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