Services

Therapy for
your actual
life.

Six service types. Dozens of specialty areas. One practice that holds LGBTQIA+, poly, and kink identities as core — not as add-ons. Here's what we offer and what we're genuinely great at.

Just you. No explaining yourself first.

Individual therapy at Rebel Heart is designed for LGBTQIA+ adults and youth (ages 12+), polyamorous and ENM individuals, kink and BDSM community members, and anyone navigating identity, transition, or the particular exhaustion of moving through a world that wasn't built for you.

Our clinicians identify personally with the communities they serve. We complete quarterly LGBTQIA+ Affirmative Therapy training so our care stays informed, current, and actually useful. You won't spend your session catching us up.

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Who we serve with this

  • Adults
  • Youth ages 12–17
  • LGBTQIA+ community
  • Poly & ENM individuals
  • Kink & BDSM community
  • Gender-diverse people
  • Neurodivergent folks
  • People in life transitions

For partners of all constellations.

Bring whoever is important to you. Couples, triads, quads, polycules, nesting partners, play partners, chosen family — we work with relationship structures of all kinds without judgment, hierarchy, or the assumption that monogamy is the goal.

We help relationships build on trust, communication, and authenticity. Whether you're navigating jealousy in a poly system, renegotiating agreements, working through a rupture, or just wanting to build something stronger — we're here for it.

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Who we serve with this

  • Queer couples
  • Polycules & poly systems
  • ENM & relationship anarchists
  • Chosen family networks
  • Kink-dynamic partners
  • Couples exploring nonmonogamy
  • Multi-partner households

Family is what you say it is.

We work with queer families, chosen families, poly households, families with a member navigating a new identity, and biological families learning how to show up for someone they love.

Family therapy here isn't about getting everyone on the same page — it's about helping each person in the system communicate, understand, and find a way forward that honors everyone in the room. That sometimes includes the family member who isn't there yet.

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Who we serve with this

  • Queer & trans families
  • Chosen family systems
  • Poly households
  • Families with LGBTQIA+ members
  • Parents of queer & trans youth
  • Blended & nontraditional families
  • Families navigating coming out

Affirming documentation without unnecessary gatekeeping.

Gender-affirming surgery letters should not be another barrier between you and the care you need. Our clinicians provide affirming, informed evaluations and documentation for people pursuing gender-affirming procedures.

Use the request form for current availability, requirements, and next steps.

Request a Surgery Letter →

Start with the request form

  • Share what you need
  • Review current requirements
  • Confirm availability
  • Get clear next steps

Connection, practice, and support in community.

Group therapy offers a different kind of space: a place to be witnessed by people working through related experiences, practice new ways of relating, and build connection with support from a clinician.

Our current group offering is Rolling With It. Visit the group page for current details, availability, and next steps.

Explore Rolling With It →

Explore the current offering

  • Rolling With It
  • Group focus & details
  • Current availability
  • How to get started

Rings, collars, handfastings — whatever marks it.

Our commitment counseling program runs roughly 6–14 sessions and is designed for couples who want to build their commitment on a foundation that actually holds. We cover values alignment, communication patterns, conflict styles, finances, sex and intimacy, and whatever else is specific to your relationship.

This isn't a checklist process. It's real conversation about real life — including the parts that are specific to queer, poly, and kink relationships that most premarital programs completely ignore.

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Who we serve with this

  • Queer & LGBTQIA+ couples
  • Poly & multi-partner commitments
  • Kink-dynamic partnerships
  • Legal marriage & ceremonies
  • Second marriages & repartnering
  • Couples with complex family systems

Specialty areas

The stuff you’ve
been
afraid to say out
loud.

LGBTQIA+ Affirming Care

This is the core of everything we do. Every clinician at Rebel Heart holds one or more LGBTQIA+ identities and completes quarterly affirmative therapy training. You won't educate us — we'll meet you where you are.

Coming Out (at any age) Gender Identity & Expression Gender Euphoria & Dysphoria Sexual Orientation Exploration Internalized Homophobia & Transphobia LGBTQIA+ Relationship Dynamics Trans & Nonbinary Identity Queer Grief & Loss Chosen Family & Community LGBTQIA+ Youth (ages 12+)

Polyamory & Ethical Non-Monogamy

We are poly-informed, not poly-neutral. Whether you're just starting to explore ENM, navigating a complex polycule, or processing a relationship transition — we get it from the inside.

Polyamory & Polycule Relationship Anarchy Swinging & Monogamish Arrangements Opening Up a Previously Monogamous Relationship Jealousy & Envy Agreements & Renegotiation Attachment in Non-Monogamy Metamour Relationships Solo Polyamory Compersion & Abundance Mindset

Kink & BDSM

Kink-affirming means we treat your kink identity and practices as a valid part of who you are — not a symptom, not a problem to solve. We discuss negotiation, consent, and dynamic structures as the clinical skills they are.

BDSM & Kink Identity Consent & Negotiation Power Exchange & D/s Dynamics Kink Community Navigation Coming Out as Kinky Kink & Vanilla Partner Mismatches Shame Around Kink Desires Aftercare & Subdrop Kink-Related Trauma Scene Processing & Debrief

Mental Health & Neurodivergence

We work with the full range of mental health concerns, with particular expertise in how they show up at the intersection of queer, trans, poly, and kink identities.

Depression Anxiety & Panic ADHD Trauma & PTSD Complex Trauma (C-PTSD) Body Image & Body Dysmorphia Self-Esteem & Self-Worth Shame & Internalized Stigma Life Transitions Burnout & Chronic Stress Grief & Loss Identity Exploration Neurodivergence Sexual Health & Intimacy Spirituality & Ancestral Healing

We work with youth.

Red “12+” text on a black background, indicating services are available for ages 12 and up.

We serve queer and trans youth starting at age 12. We know that affirming therapy for LGBTQIA+ young people isn't a nicety — it's often life-saving. Our clinicians meet young clients where they are, in language that doesn't talk down to them.

Ages served

Youth: Ages 12–17
Adults: 18+

Parental consent required for minors. We're transparent with youth about what we share.

Yellow letter Q on a black background

Quarterly LGBTQIA+ Affirmative Therapy Training

Our entire clinical team completes quarterly training in LGBTQIA+ affirmative care. This isn't a checkbox — it's how we stay current, accountable, and actually useful to the communities we serve.