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LGBTQIA+ Affirming · Online Across Texas

LGBTQ+ Affirming Therapist for Couples and Adults in Texas

Affirming online therapy for LGBTQIA+ adults and couples anywhere in Texas, from my Southlake-based practice. Bring all of who you are, whether your identity is the focus of therapy or simply part of your life.

  • Free phone consultation
  • Secure video, anywhere in Texas
  • Texas LMFT #201087
Two women lying close together and smiling

Per session

$200

Does this sound familiar?

You don’t have to have the words for it yet.

  • I want a therapist I don't have to educate about my own life.
  • My partner and I keep having the same fight, and it has nothing to do with being queer.
  • I'm coming out later in life, and my marriage is changing.
  • My family says they accept me, but it doesn't feel that way.
  • I'm trying to hold my queerness and my faith or culture together.

Affirming therapy, without having to explain yourself

Just like any person who shows up in my practice, you bring your human need for emotional, relational, and psychological health. As someone from the LGBTQIA+ community, you may also bring another level of complexity to your therapy. Coming out, family acceptance, understanding and developing your sexual and/or gender identity, forming healthy relationships, and managing social stigma are just some of the specialized concerns you may be facing.

I have worked extensively with LGBTQIA+ clients. I work with individuals, couples, and adult families dealing with issues related to sexual and gender identity, gender dysphoria, and sexual orientation. And if your gender identity and sexual orientation are unrelated to your specific needs in therapy, I provide safety and acceptance for you to explore any aspect of your personal experience.

You shouldn't have to spend your session proving you belong in it. As an LGBTQ-affirming therapist in Texas, I want your energy going toward what you actually came in for.

LGBTQ+ couples therapy in DFW and across Texas

I welcome same-gender couples and fully support marriage equality. I also work with couples that include a nonbinary or transgender partner, and with couples who don't fit neatly into any category.

Queer couples deal with the same things every couple does: communication breakdowns, conflict that goes in circles, mismatched desire, trust after an affair, stress about money or kids. Sometimes there are added layers, like one partner being more out than the other, families who welcome one of you and not the other, or a partner's transition reshaping the relationship. Many LGBTQIA+ couples also build relationships without a script handed down from their families, which is both freeing and a lot of work.

In couples therapy, I draw on Emotionally Focused Therapy and Gottman Method tools to help you understand the cycle you get caught in and find your way back to each other. For couples who want focused, concentrated time together, online couples therapy intensives are also an option.

Two men sharing an affectionate embrace over coffee

Coming out, family acceptance, and chosen family

Coming out isn't a single event. It's a series of decisions about who to tell, when, and how, and it can look very different at 22 than at 45. Some people come out after years in a different-sex marriage. Some never feel the need for a formal announcement at all.

Family acceptance can be just as complicated. Parents may say the right things and still flinch at a holiday photo. Siblings may be supportive in private and silent in public. In therapy, we can work on what you need from your family, what you can let go of, and how to protect your relationship with yourself either way.

For some clients, family therapy with adult family members becomes a place to have conversations that have been avoided for years. For others, the deeper work is grieving what a family can't give and investing in the chosen family who can.

“If your sexual orientation or gender identity isn't why you're here, that's okay. You still deserve a therapist who sees all of you.”

Shameela Keshavjee, LMFT

Queer South Asian and Muslim clients

I've worked extensively with South Asian and Muslim clients as well as LGBTQIA+ clients, and I know those identities aren't separate boxes. If you're queer and South Asian, or queer and Muslim, you may feel pressure to choose: your family or your truth, your faith or your partner, your community or your safety.

I don't think you should have to choose, and I also won't tell you what to do with your faith or your family. Some clients find ways to stay deeply connected to their religion and culture; others step back; many live somewhere in between. Coming out can mean something very different in a family organized around izzat and "what will people say." We'll go at your pace, with care for your safety and for the relationships that matter to you. You can read more on my Culture & Spirituality page.

Stress, stigma, and taking care of yourself

Even with a lot of love around you, living as an LGBTQIA+ person can mean carrying a background level of vigilance: scanning a new workplace, deciding whether to hold hands in a restaurant, bracing when the news turns to people like you. For many of my clients in Texas, the broader climate can feel stressful and uncertain. That stress is real, and it deserves attention in therapy.

We can work on mindfulness and coping skills to steady your nervous system, and on building the kind of connection and community that reminds you you're not alone. If you need support between sessions, my warmlines page lists peer-support lines, including Trans Lifeline. If you're in crisis, call or text 988, or call 911.

Getting started

I work with adults 18 and older. Sessions are online, so you can meet from wherever feels private and comfortable, as long as you're located in Texas at the time of your session.

New couples start with a free phone consultation, which is required before our first appointment, and individuals are welcome to schedule one too. It's a chance to ask me anything, including about my experience with LGBTQIA+ clients, before you decide.

What I draw from

  • Emotionally Focused Therapy (EFT)
  • Gottman Method
  • Internal Family Systems (IFS)
  • Mindfulness
  • Attachment-based therapy
  • Trauma-informed care

Curious how these fit together? Read more about my training.

How it begins

Three simple steps to get started

  1. 01

    A free phone consultation

    We talk briefly about what’s bringing you in and whether I’m the right fit. For couples, this call is required before a first appointment.

  2. 02

    Your first session, online

    You join a secure SimplePractice video session from anywhere in Texas. We start getting to know your story, your patterns and your goals.

  3. 03

    Steady, honest work

    Weekly sessions to start build momentum. As things improve, we space them out. You set the pace; I help you keep it.

Sessions are private-pay. I’m out of network with all insurance companies, and I can give you a receipt to submit for out-of-network reimbursement. See rates & insurance.

Questions

LGBTQIA+ Issues: common questions

Don’t see yours? Browse all FAQs or send me a note.

Are you an LGBTQ-affirming therapist in Texas?

Yes. I've worked extensively with LGBTQIA+ clients and offer affirming individual, couples, and adult family therapy online to anyone located in Texas, from my Southlake-based practice. You won't have to educate me on the basics or defend your identity in session. Whatever you're coming in for, all of who you are is welcome.

Do you work with gay and lesbian couples in DFW?

Yes. I welcome same-gender couples throughout DFW and Texas and fully support marriage equality. I also work with couples that include a nonbinary or transgender partner. LGBTQ+ couples therapy covers the same ground as any couples work, like communication, conflict, intimacy, and trust, along with any added layers your relationship carries.

Do I have to talk about my identity in therapy?

No. If your gender identity and sexual orientation aren't related to what you want to work on, we don't need to focus on them. Many LGBTQIA+ clients come in for anxiety, burnout, grief, or relationship stress. You deserve a therapist who affirms you without making your identity the topic of every session.

Do you work with transgender and nonbinary clients?

Yes. I work with transgender and nonbinary adults and with couples that include a trans or nonbinary partner. We can explore gender identity, gender dysphoria, relationships, family, and the stress of moving through the world, or anything else you'd like to focus on. For peer support between sessions, my warmlines page includes Trans Lifeline.

Can you help me come out to my South Asian or Muslim family?

Yes. I understand how family honor, community visibility, and faith can shape coming out in many South Asian and Muslim families. We'll think through safety, timing, and what you hope for, and we'll care for you whether the conversation goes well or not. There's no single right way or schedule to come out.

Do you see LGBTQ+ teens?

No. I work only with adults 18 and older, so a therapist who specializes in adolescents would be a better fit for a younger person. If you're an adult family member, I'm glad to work with you on your own feelings and on how to support someone you love.

Online across Texas

Ready when you are.

Reaching out is the hardest part. A short, free phone call is all it takes to see whether we’re a good fit, with no pressure and no paperwork.

Prefer email? shameela@therapywithshameela.com

CallBook a free phone consultation