Transforming therapy for LGBTQ+ communities.

We’ve built a team of therapists who are committed to providing affirming care to queer and trans people of all genders and sexualities.

Book a Free Consultation

Recognizing Our Need for Affirming Care

We know that it can be hard in lesbian, gay, bisexual, transgender, queer (LGBTQ+) and adjacent communities to find affirming and culturally responsive mental health support. Finding the right therapist can be challenging and sometimes downright frustrating. We know that many people avoid therapy altogether for fear of facing ignorance or discrimination.

We want you to feel welcome, affirmed, and supported in who you are and what you are experiencing in your life.

How We Can Help

We’ve built a team of therapists who have demonstrated experience in working with queer communities and are dedicating their time exclusively to learning and developing expertise on these issues:

    Areas of Focus

    - Dating and romantic relationships
    - Navigating systemic oppression
    - Family relationships
    - Disclosure and coming out
    - Gender identity exploration
    - Gender affirmation and transition
    - Queer family building
    - Relationship to food and body in the context of queer or trans identity
    - Aging
    - Isolation, depression, anxiety
    - Living with HIV/AIDS
    - Addiction/substance use
    - Bi erasure/phobia
    - Queer kink/BDSM communities/practices
    - Ethical non-monogamy/polyamory within queer communities

A Team Who Understands You

The therapists in this clinic have all dedicated significant training and clinical focus to LGBTQ+ mental health. In addition, the team has ongoing training so they can stay up-to-date in an ever-evolving field. Some of them are leaders in the field and regularly provide training to other therapists on LGBTQ+ concerns.

The Clinic Director, Dr. Sand Chang, PhD (they/them/their) is a renowned trainer in trans and nonbinary mental health with over 15 years of experience.

Meet Our Providers

Sand Chang, PhD

Clinic Director, Queer Resilience Clinic, CA

Bio

Jules Farzan-Kashani, PhD

Queer Resilience Clinic, CA

Bio

Christopher "Topher" McMullin, LMFT

Queer Resilience Clinic, CA

Bio

Mary Mykhaylova, LCSW

Queer Resilience Clinic, CA

Bio

How It Works

1

Schedule a free, 15 minute phone consultation with an Octave Care Navigator. Share more information about your situation, needs, and values using our pre-consultation questionnaire.

2

During the consultation, we’ll use information you’ve already provided and ask additional questions about what’s bringing you to Octave.

3

Together you and the Octave Care Navigator will determine the service and provider that best fits your needs and schedule.

Consultations are available via phone call and free of charge.

Frequently Asked Questions

Email Us

Can’t find your answer here? Get in touch with our team.

Care at Queer Resilience Clinic

What inspired the creation of this clinic?

As experienced clinicians working with LGBTQ+ clients, we recognized that many queer and/or trans people find the process of finding an affirming therapist to be frustrating, challenging, and laborious. We envisioned a system in which LGBTQ+ clients would feel comfortable getting support from clinicians who are more familiar and understanding of who they are in the world. At Octave we already had clinicians with a great amount of expertise in this area, so we tapped into their skills and talents to be able to create this offering for the community.

What’s different about LGBTQ+ counseling?

Clinicians must be aware of the ways in which identity, how one interacts with the world, systems such as homophobia, transphobia, heteronormativity, and ciscentrism affect mental health and wellbeing. Most therapists are not trained to work with LGBTQ+ people and for that reason typically cause more harm than good. We acknowledge that while not every issue that a queer and/or trans person needs to bring to therapy is related to gender or sexuality, it’s crucial to be able to build a relationship of trust with someone who can make space for these aspects of identity and experience along with all other aspects of cultural identity and experience.

What LGBTQ+ issues can our team address?

We’ve built a team of therapists who have demonstrated experience in working with queer communities and are dedicating their time exclusively to learning and developing expertise on these issues:

- Dating and romantic relationships
- Navigating systemic oppression
- Family relationships
- Disclosure and coming out
- Gender identity exploration
- Gender affirmation and transition
- Queer family building
- Relationship to food and body in the context of queer or trans identity
- Aging
- Isolation, depression, anxiety
- Living with HIV/AIDS
- Addiction/substance use
- Bi erasure/phobia
- Queer kink/BDSM communities/practices
- Ethical non-monogamy/polyamory within queer communities

What training do the therapists have regarding these topics/matters?

The therapists in this clinic have all dedicated significant training and clinical focus to LGBTQ+ mental health. In addition, we have ongoing training so that we can stay up-to-date in an ever-evolving field. Some of us are leaders in the field and regularly provide training to other therapists on LGBTQ+ concerns. Dr. Sand Chang, the QRC Director, has contributed significantly to the field of LGBTQ+ mental health, particularly trans and nonbinary health.

How is this clinic different from other Octave clinics?

This clinic is completely virtual, which we see as a real strength as some queer and trans people may not have access to in-person settings in urban/populated areas. In addition, we are completely focused on LGBTQ+ mental health work from an intersectional lens, meaning we focus greatly on other aspects of identity (race, class, ability/disability, neurodivergence, religion, etc.) that must be integrated in order to see the whole person.

What services will be offered at this clinic?

Individual therapy, Relationship therapy (couples, multiple partners), Group therapy, Coaching, Workshops, and Classes are offered at this clinic.

I understand that this is a clinic for LGBTQ+ communities. Can you define who would qualify for services?

We understand that language pertaining to identity is complex. Though we serve LGBTQ+ communities in the broadest sense, we think it’s important for our clients to know that:

  • We work with people in lesbian, gay, bisexual, and queer communities as well as people who are questioning their sexual orientation or do not identify with these terms/labels.
  • We work with trans and nonbinary people, as well as people who are questioning their gender identity or do not identify with these terms/labels.
  • We emphasize that there is no one way to be queer, or trans, or gay, or bi, etc., and we honor your experience in the context of your other identities and who you are in the world.

I prefer to work with a therapist who has a similar identity (lesbian, gay, bisexual, queer, trans, etc.). Will I be matched with someone who is similar to me?

In our clinic, we do have providers who have lived experience or identities that fall within LGBTQ+ communities. We will always do our best to honor your requests, but it may not always be possible to match you with someone who has the same exact background. We also take into account what your needs and goals are, as perhaps having someone with a certain area of focus/expertise might be helpful in some instances than having a therapist with a similar identity.

Getting Started at Octave

How can therapy at Octave help me?

Therapy at Octave is catered to meeting the needs of each client. Goals vary depending on each person but may include: becoming more embodied, building a better relationship with yourself, increasing connection with others, reducing distress or mental health symptoms, living more aligned with your values, and increasing coping and resilience in everyday life.

How can I get started?

The first step is to book a free phone consultation with an Octave Care Navigator. The consultation is your opportunity to tell us more about what brings you to Octave and the care you're seeking. Following the consultation, we will match you to the therapist on our team who is the best fit. You will then meet virtually with that therapist to establish goals and evaluate goodness of fit.

What can I expect during the consultation call?

The care navigator will gather information about your unique and specific goals for therapy or coaching. Care Navigators understand that while you receive services from the LGBTQ+ clinic, your needs and concerns may or may not be related to gender or sexuality. We understand that sometimes you simply want to know that you don’t need to educate your therapist on your identity or experience as an LGBTQ+ person.

Will I have the opportunity to meet my therapist in-person?

Our services are virtual at this time. We hope that in the future we will be able to have some in-person group offerings.

Where are your services offered?

Our services are offered virtually to anyone residing in the state of California.

If I do not live in CA, can I still seek services?

Due to licensing requirements, our providers are only able to give care to residents of California at this time. Octave also offers Coaching, which can be accessed anywhere in the United States. Some workshops and classes that are not psychotherapy may also be available to people outside of California.

How is my privacy protected?

At Octave we take your privacy very seriously. We abide by HIPAA and do not share any of your protected information without your permission.

Do you accept insurance?

We are in-network with Anthem Blue Cross of California and accept out-of-network benefits with other insurance companies. Our team is happy to provide assistance and work with your insurance company throughout the reimbursement process.

How much will therapy sessions cost?

Therapy sessions start at $205 for a 45-minute individual session. Depending on your insurance coverage, you may be able to get 50% - 80% of your care reimbursed by your insurance company.

What inspired the creation of this clinic?

As experienced clinicians working with LGBTQ+ clients, we recognized that many queer and/or trans people find the process of finding an affirming therapist to be frustrating, challenging, and laborious. We envisioned a system in which LGBTQ+ clients would feel comfortable getting support from clinicians who are more familiar and understanding of who they are in the world. At Octave we already had clinicians with a great amount of expertise in this area, so we tapped into their skills and talents to be able to create this offering for the community.

What’s different about LGBTQ+ counseling?

Clinicians must be aware of the ways in which identity, how one interacts with the world, systems such as homophobia, transphobia, heteronormativity, and ciscentrism affect mental health and wellbeing. Most therapists are not trained to work with LGBTQ+ people and for that reason typically cause more harm than good. We acknowledge that while not every issue that a queer and/or trans person needs to bring to therapy is related to gender or sexuality, it’s crucial to be able to build a relationship of trust with someone who can make space for these aspects of identity and experience along with all other aspects of cultural identity and experience.

What LGBTQ+ issues can our team address?

We’ve built a team of therapists who have demonstrated experience in working with queer communities and are dedicating their time exclusively to learning and developing expertise on these issues:

- Dating and romantic relationships
- Navigating systemic oppression
- Family relationships
- Disclosure and coming out
- Gender identity exploration
- Gender affirmation and transition
- Queer family building
- Relationship to food and body in the context of queer or trans identity
- Aging
- Isolation, depression, anxiety
- Living with HIV/AIDS
- Addiction/substance use
- Bi erasure/phobia
- Queer kink/BDSM communities/practices
- Ethical non-monogamy/polyamory within queer communities

What training do the therapists have regarding these topics/matters?

The therapists in this clinic have all dedicated significant training and clinical focus to LGBTQ+ mental health. In addition, we have ongoing training so that we can stay up-to-date in an ever-evolving field. Some of us are leaders in the field and regularly provide training to other therapists on LGBTQ+ concerns. Dr. Sand Chang, the QRC Director, has contributed significantly to the field of LGBTQ+ mental health, particularly trans and nonbinary health.

How is this clinic different from other Octave clinics?

This clinic is completely virtual, which we see as a real strength as some queer and trans people may not have access to in-person settings in urban/populated areas. In addition, we are completely focused on LGBTQ+ mental health work from an intersectional lens, meaning we focus greatly on other aspects of identity (race, class, ability/disability, neurodivergence, religion, etc.) that must be integrated in order to see the whole person.

What services will be offered at this clinic?

Individual therapy, Relationship therapy (couples, multiple partners), Group therapy, Coaching, Workshops, and Classes are offered at this clinic.

I understand that this is a clinic for LGBTQ+ communities. Can you define who would qualify for services?

We understand that language pertaining to identity is complex. Though we serve LGBTQ+ communities in the broadest sense, we think it’s important for our clients to know that:

  • We work with people in lesbian, gay, bisexual, and queer communities as well as people who are questioning their sexual orientation or do not identify with these terms/labels.
  • We work with trans and nonbinary people, as well as people who are questioning their gender identity or do not identify with these terms/labels.
  • We emphasize that there is no one way to be queer, or trans, or gay, or bi, etc., and we honor your experience in the context of your other identities and who you are in the world.

I prefer to work with a therapist who has a similar identity (lesbian, gay, bisexual, queer, trans, etc.). Will I be matched with someone who is similar to me?

In our clinic, we do have providers who have lived experience or identities that fall within LGBTQ+ communities. We will always do our best to honor your requests, but it may not always be possible to match you with someone who has the same exact background. We also take into account what your needs and goals are, as perhaps having someone with a certain area of focus/expertise might be helpful in some instances than having a therapist with a similar identity.