Meet Me in Less Than a Minute
I’m Troy Wood, a licensed LGBTQ+ therapist based in San Francisco’s Castro District. For over a decade, I’ve helped gay, bi & queer men move through anxiety, self-doubt, and relationship challenges with affirming, evidence-based therapy. You won’t have to explain your identity here — I already get it, and I’ll meet you with empathy, tools, and support.
Support for LGBTQ+ Clients in San Francisco
Therapy with me is about more than problem-solving — it’s about being understood. I provide affirming, trauma-informed support to help you move from struggle to confidence
Here’s how I support you:
Individual therapy to reduce anxiety, improve self-esteem, and navigate identity with confidence.
Couples therapy to strengthen intimacy, rebuild trust, and improve communication.
Trauma-informed care to heal past wounds, grief, or loss, while building resilience and self-worth.
Flexible options: in-person in the Castro District or secure online therapy anywhere in California.
Stop Feeling Disconnected — Start Living with Confidence
Many gay, bi, and queer men struggle with anxiety, loneliness, or feeling unseen.
You might find yourself
Worrying about intimacy or communication in relationships
Carrying stress, anxiety, or self-doubt that drains your energy
Wondering if anyone truly understands what it’s like to be you
Imagine Feeling...
Confident in your identity and relationships
Grounded and resilient — even in tough moments
Supported by a therapist who gets your world and your experiences
Therapy creates the space to move from isolation to connection.
From struggling alone to finally feeling seen, understood, and supported.
Therapy Services
Just for You
Why I Do This Work
I specialize in therapy for gay, bi, and queer men because I’ve lived many of the same questions myself. For over a decade, I’ve helped LGBTQ+ clients move through anxiety, depression, trauma, and identity struggles with care that is affirming and trauma-informed.
I use evidence-based approaches like CBT, ACT, IFS, and mindfulness — always tailored to your needs. My clients often tell me the biggest relief is not having to explain their identity. With me, you’re already understood.
What to Expect When Getting Started
Your First Step Should Feel Safe and Easy
Step 1: Get Your Free Consultation — A no-pressure conversation to explore what you need.
Step 2: We Create Your Personalized Plan — Goals, support, and tools tailored to you.
Step 3: Reclaim Your Peace with Ongoing Support — Weekly or flexible scheduling, online or in-person.
Whether you’re in San Francisco, Nob Hill, Bernal Heights, the Mission, or anywhere in California, I offer secure online sessions or in-person support from my office space in the Castro District.
FAQs About Therapy with Me
How do I find an LGBTQ+ therapist in San Francisco?
Look for a therapist like me, who specializes in LGBTQ+ clients and understands the unique challenges around identity, relationships, and belonging. As a licensed gay therapist based in San Francisco’s Castro District, I provide affirming, trauma-informed therapy for gay, bi & queer men, both in-person and online across California.
What should I expect in my first therapy session?
Your first session is a chance to talk about what’s bringing you in and what you’d like to change. We’ll explore your goals, answer your questions, and see if we’re a good fit. Many clients say it feels like a relief to finally talk with someone who understands their world without judgment.
Can I do therapy online if I don’t live in San Francisco?
Yes. In addition to in-person sessions in San Francisco, I provide secure online therapy to LGBTQ+ clients anywhere in California. This allows you to access affirming care from the comfort of your home.
Do you only work with gay men?
While I specialize in therapy for gay, bi & queer men, I welcome all LGBTQ+ individuals and couples who want affirming, supportive therapy.