Telehealth LGBTQIA+ affirming therapy for adults and couples throughout Colorado. Trauma-informed, identity-affirming support — no commute required.

A Safe, Respectful Space for Identity, Belonging, Relationships, and Emotional Health

You're in the right place if you want a therapist who respects and affirms your identity — and understands the impact of stigma, stress, and belonging on mental and emotional health.

Your identity — who you are and how you experience yourself in the world — deserves to be seen, respected, and supported. Many LGBTQIA+ adults seek therapy not because their identity is the problem, but because they're navigating stress, relationships, trauma, anxiety, family dynamics, internalized shame, or the impact of living in environments that haven't always felt safe or affirming.

If you're looking for a therapist who understands the importance of identity-affirming care, you're in the right place.

I'm David Rothman, LPC, and for the past six years I've offered online LGBTQIA+ affirming therapy for adults and couples throughout Colorado via secure telehealth. My approach is non-judgmental, supportive, and trauma-informed, creating space for you to explore what you're feeling and what you need — at a pace that feels right.

What You May Be Navigating

Everyone's story is different — but many LGBTQIA+ clients share common experiences, such as:

• Stress, anxiety, or burnout from feeling misunderstood or unseen
• Family, cultural, or religious rejection or pressure
• Internalized shame, self-criticism, or self-doubt
• Relationship or attachment challenges
• Identity development or questioning
• Trauma related to discrimination, marginalization, or bullying
• Fear of vulnerability or trust challenges
• Grief over lost connections, identity change, or acceptance struggles
• Navigating transitions, disclosure, or social impact

You may also simply want a therapist who gets it — so you don't have to explain the basics of your identity before you can even begin the work.

How LGBTQIA+ Affirming Therapy Can Help

Therapy with me is steady, collaborative, and grounded. We focus on helping you feel seen and supported while navigating the emotional and relational challenges you're facing. Together, we'll work to:

• Reduce shame and internal pressure
• Strengthen identity, confidence, and self-trust
• Process trauma and painful experiences safely
• Explore relationships, attachment, and vulnerability
• Cope with anxiety, depression, and overwhelm
• Heal from religious, cultural, or familial rejection
• Feel more connected to yourself and others

The goal isn't to change who you are — it's to support you in being more fully yourself, with compassion and steadiness.

Affirming Care for Individuals & Couples

I work with:

• LGBTQIA+ adults
• Questioning and exploring individuals
• Couples and partners of all gender identities and orientations
• Neurodivergent LGBTQIA+ adults
• Those navigating intersectional identities

Relationship and identity work often overlap, so therapy may include: communication support, attachment awareness, navigating closeness and trust, identity safety in relationships, and repair after hurt or misunderstanding.

Therapy becomes a place where who you are is welcomed — not debated.

My Approach to LGBTQIA+ Affirming Therapy

My work is attachment-based, emotionally focused, trauma-informed, and psychodynamic. That means we look at:

• How your story has shaped how you see yourself
• The impact of shame or past harm
• Relationship patterns and attachment needs
• Nervous system responses to stress or marginalization
• Identity-centered resilience and self-compassion

Over six years of providing affirming care across Colorado, I've learned how much it matters to build safety early — before deeper work can happen, you need to trust that who you are won't be questioned or debated here. We move at a pace that feels safe. You're in control of what you share and when. Learn more about my approach and background.

Frequently Asked Questions About LGBTQIA+ Affirming Therapy

Do I need to have everything figured out about my identity before starting therapy?No. Many people come to therapy specifically because they're still exploring or questioning, and that's a completely valid reason to reach out. You don't need a settled label before we can begin.

Will I have to explain LGBTQIA+ basics before we can actually start working on what's bothering me?No — that's exactly what affirming care is meant to avoid. You shouldn't have to spend session time educating your therapist on fundamentals before getting to the actual support you came for.

I'm not dealing with anything identity-related — I just want a therapist who happens to be LGBTQIA+-affirming. Is that okay?Absolutely. Many clients come to me for anxiety, depression, relationship concerns, or life transitions that have nothing directly to do with identity — they simply want to know their therapist is genuinely affirming as a baseline.

What if my family or community isn't accepting — can therapy still help?Yes. Navigating family rejection, religious or cultural pressure, or an unaccepting community is one of the more common reasons people seek affirming therapy, including the grief and complicated relationships that often come with it.

Do you work with couples where one or both partners are LGBTQIA+, not just individuals?Yes. I work with couples and partners of all gender identities and orientations, including relationship and attachment work specific to LGBTQIA+ partnerships. Learn more about couples and relationship therapy.

A Gentle Note About Safety

If you are experiencing thoughts of self-harm or suicide, please reach out for immediate help by calling 911 or the Suicide & Crisis Lifeline at 988. You deserve support and safety now — you do not have to face this alone.

Online LGBTQIA+ Affirming Therapy in Colorado

You deserve a therapist who honors your identity and meets you with warmth, respect, and care. I offer online LGBTQIA+ affirming therapy for adults and couples across Colorado, providing a confidential space where you can talk openly — without having to mask, explain, or defend who you are. See all the areas I serve across the state.

If you're looking for online LGBTQIA+ affirming therapy in Colorado, I'm here to help.

Schedule an Appointment or Contact Me when you're ready to begin.