LGBTQ + Affirming Therapy – Laura Pearl LCSW

LGBTQ+ Affirming Therapy in New York City

A space where you don’t have to explain the nuances of who you are, just bring them.

Queer and Trans Identities Deserve More Than “Acceptance” in Therapy

Most therapists in New York are “affirming” of LGBTQ+ identities. If you are working on issues unrelated to your sexuality, that can be fine. Sometimes, however, it feels more comfortable to work with someone who truly understands. As a queer, bisexual therapist, I offer a therapy space that’s not just LGBTQ+ affirming, it’s identity-informed, relational, and body-based.. You can just be here.

What LGBTQ+ Affirming Therapy Looks Like with Me

Therapy isn’t just about “supporting” your identity. It’s about understanding how your experiences as a queer person shape your life experience..

In our work together, you can expect:

A therapist who gets that “coming out” isn’t a one-time event
Recognition of how queer pride and ethnic pride intersect, sometimes in confusing ways
A space where your gender and sexuality are not topics to be “managed” but parts of your wholeness
A place to work through how current events affect safety and relationships for queer people
Therapy that’s paced around trust, not an external agenda

Therapeutic Approaches I Offer

Healing is relational. My work combines somatic, trauma-informed modalities with a deep understanding of LGBTQ+ lived experiences:

Somatic Therapy

Supporting you to reconnect with your body’s cues, especially if safety in the body has felt distant.

EMDR Therapy for Queer Trauma

Helping you process trauma (from family, partners, systems, or society) in a way that’s paced, safe, and attuned to your identity.

Relational & Identity-Informed Therapy

Exploring how your identity shows up in relationships, boundaries, attachment patterns, and self-concept.

Parts Work & Inner Child Healing

Many LGBTQ+ adults carry inner parts that have to hide or silence themselves. Therapy is a space to meet them, hear them, and integrate them gently.

Who I Work With

I offer LGBTQ+ affirming therapy for adults navigating a wide range of experiences, including:

Trans, non-binary, and gender-expansive individuals navigating how self-expression and/or transition affect their relationships and experience of the world
Neurodivergent LGBTQ+ adults
Survivors of identity-based trauma, rejection, or erasure
People exploring gender or sexuality later in life
LGBTQ+ adults living with CPTSD, dissociation, or chronic anxiety
First- and second-generation queer Americans balancing cultural and familial expectations

If you’ve felt unseen in previous therapy, this space is different.

Why Work with Laura?

I’m not just an LGBTQ+ affirming therapist, I’m a queer woman who understands the subtle, everyday complexities of navigating a world that is increasingly hostile to us. My PhD in cultural anthropology informs my approach to identity and lived experience. My clinical training ensures that our work is deeply rooted in trauma-informed, somatic, and relational care.

Clients often describe therapy with me as “steady,” “attuned,” and “permission-giving.” This is a space where your story won’t be rushed, minimized, or pathologized.

Therapy in the Upper East Side or Statewide in New York

I offer weekly, long-term LGBTQ+ affirming therapy to adults across New York State. In-person sessions are available at my private office located in the Upper East Side, on the border of Carnegie Hill and Yorkville. For those unable to attend in person, secure virtual sessions are available.

Begin LGBTQ+ Affirming Therapy in NYC

You deserve a therapy space that understands your complexity and holds it with care, not as a “topic” to be addressed, but as a fundamental part of how we work together.

If you’re ready to explore your healing journey in a space that truly affirms who you are, reach out today for a free 15-minute consultation. No pressure. Just a conversation to see if it feels like a good fit.

Commonly Asked Questions

I’ve had therapists who said they were LGBTQ+ affirming but didn’t understand my experience. How is this different?

I have lived experience as an LGBTQ+ person as well as experience working with a wide variety of LGBTQ+ clients.

I’m still figuring out my gender and sexuality. Do I need to be “sure” before therapy?

Not at all. Therapy is a space to explore identity at your own pace, without pressure to label or define yourself before you’re ready.

I have trauma unrelated to my identity. Can we work on that, too?

Absolutely. All of you are welcome here. We’ll work with the whole picture—identity, trauma, relationships, and beyond.