Mental Health is about more than your gender or sexuality
Mental health and gender identity are interconnected. We provide the support you need.
or: Check out our therapist’s profile pages to see what disorders the therapist works with.
We work at the intersection of gender and mental health. Everyone on our team has received traditional training in comprehensive mental health support and social work. This means we can help you with any mental health problems you want to discuss in therapy, in addition to any gender-related concerns you may have.
If you need help right now
You deserve support today, and these lines are staffed around the clock.
- 988 Suicide & Crisis Lifeline: call or text 988
- Crisis Text Line: text HOME to 741741
- Trans Lifeline: 877-565-8860
- If you are in immediate danger, call 911 or go to your nearest emergency room.
Nothing here matches that word, and that doesn't mean we can't help.
Our therapists work with more than what's listed on this page. Tell us what's going on and we'll help you find the right fit.
Mood & Anxiety
Anxiety
Anxiety has a way of taking up residence in your body and your thoughts at the same time. Maybe your mind loops on worst-case scenarios, or your chest stays tight for reasons you can't name. Working with a therapist helps you understand what your anxiety is trying to protect you from and gives you practical ways to quiet it.
Depression
Depression is heavier than a bad week. It flattens your energy and makes ordinary tasks feel enormous, and it often convinces you that reaching out isn't worth the effort. Therapy for depression gives you a place to be honest about how you're doing and start finding your way back toward the things that used to matter to you.
Bipolar Disorder
Living with bipolar disorder means navigating shifts in mood and energy that can seem to arrive without warning. Therapy helps you learn your own patterns and prepare for the harder stretches before they hit. Paired with medication management, many people find a rhythm that holds.
Social Anxiety
Social anxiety turns ordinary conversations into something you rehearse in advance and then replay for hours afterward. You might be skipping things you actually want to be part of. Therapy helps loosen the grip of that fear so you can show up as yourself around other people.
Obsessive Compulsive Disorder (OCD)
OCD keeps you stuck in a cycle where intrusive thoughts demand relief and the relief never lasts. The rituals can swallow hours of your day. Therapists trained in OCD treatment use approaches like exposure and response prevention to help you interrupt that cycle and get your time back.
Agoraphobia
Agoraphobia can shrink your world down to a handful of places that feel safe. Maybe you've started avoiding stores or crowds, or you find yourself calculating how far you are from home. Treatment moves at a pace you set, helping you widen your range again.
Personality & Behavioral
Borderline Personality Disorder
If you live with borderline personality disorder, your emotions probably arrive with an intensity other people don't seem to understand. Relationships can feel like they're always one moment away from rupture. Therapy, especially DBT-informed work, helps you build tolerance for those waves and steadier connections with the people you love.
Bipolar Disorder in Relationships
Bipolar disorder shapes how you relate to other people alongside how you feel inside. The shifts can strain your closest relationships and leave you managing the aftermath. Support here focuses on the interpersonal side of living with bipolar disorder and on care that stays consistent through the highs and lows.
Perfectionism & People Pleasing
Perfectionism and people pleasing usually started as strategies that kept you safe. At some point the cost catches up, and you find yourself worn out from managing everyone else's comfort. Therapy helps you sort out whose expectations you've been carrying and what it would take to set some of them down.
Attachment Wounds & Issues
The way you learned to connect as a child tends to follow you into adult relationships. Attachment wounds can leave you bracing for abandonment or holding people at arm's length without meaning to. Therapy gives you a relationship where those patterns can surface safely and slowly shift.
Other Personality Disorders
Personality disorders get discussed in ways that sound more like labels than descriptions of a person. If you carry one of these diagnoses, our therapists will meet you as a whole human being and work with the specific patterns causing you trouble. Treatment here is collaborative and paced to what you can take on.
Neurodevelopmental & Cognitive
ADHD
ADHD is about how your attention and motivation work, and it rarely looks the way the stereotypes suggest. You might be brilliant at the things that grip you and completely stuck on everything else. Therapy helps you build systems that fit your brain and unpack the shame that piles up after years of being told to just try harder.
Autism & Autism Spectrum Disorder
Whether you were diagnosed as a kid or recognized yourself as an adult, autism shapes how you take in the world and how you connect with people. Our therapists work from an affirming stance, which means the goal is a life that fits you instead of one where you're masking constantly. We also support adults navigating late diagnosis and self-identification.
Neurodivergence
Neurodivergence covers the wide range of ways brains work differently from what schools and workplaces expect. If you've spent years feeling out of step, therapy can help you understand your own wiring and stop treating it as a personal failing. From there you can build a life shaped around how you actually function.
Body & Self-Perception
Body Dysmorphia
Body dysmorphia locks your attention onto parts of your appearance that other people may never even notice. The checking and comparing can eat hours of your day. Therapy helps you loosen that focus and rebuild a relationship with your body that isn't run by scrutiny.
Disordered Eating
Your relationship with food and your body can get tangled up with control, comfort, and distress until it's hard to tell what's what. Disordered eating shows up in every body size and every gender, and you deserve care whether or not you meet the criteria for a formal diagnosis. Therapy offers a place to work through it with someone who takes the whole picture seriously.
Identity & Self-Exploration
Gender Dysphoria
Gender dysphoria looks different for everyone who experiences it, and the distress is real wherever you are in your process. Our therapists provide affirming care that follows your lead rather than a script. You decide the pace and the direction.
Gender-Affirming Surgery Letters
Arrive Therapy writes the assessment letters required for gender-affirming surgery. You meet with a clinician who understands WPATH standards, and we handle the letter so your surgical timeline keeps moving. You do not need to be an existing client.
Read about surgery lettersAlready know you need one? Schedule your letter assessment and get on the calendar today.
Gender & Sexuality Identity Exploration
Questions about your gender or your sexuality deserve room to unfold without anyone rushing you toward an answer. Therapy can be that room. You might use it to explore identity, think through coming out, or process how the people around you are responding.
Adoption
Adoption raises questions about identity and belonging that stay with you long past childhood, even when the adoption itself went well. If you're an adoptee, therapy gives you space for the parts of your story that stay complicated. We also work with adoptive and birth parents.
Relationship & Social
Interpersonal Relationships
Relationships ask a lot of us, and the patterns that keep repeating are usually older than the relationship you're in now. Therapy helps you notice what you bring into connection and where it came from. That awareness is what makes closeness feel safer.
Sex & Intimacy Concerns
Talking about sex with a therapist feels awkward for about five minutes. After that, most people feel relief at finally saying things out loud. We work with desire differences, sexual pain, shame around sex, and intimacy that has gone quiet.
Family Conflict
Family conflict tends to follow the same script for years on end. Whether you're dealing with an estranged parent or tension that flares up every holiday, therapy helps you decide what you want your role to be. You can change your part even when nobody else changes theirs.
Bullying
Being bullied leaves marks that last well past the situation itself, whether it happened at school or at work. Therapy gives you a place to process what happened and rebuild the confidence it cost you.
Trauma & Systemic Impact
Childhood Trauma
What happened to you as a child shaped how you learned to stay safe, and those adaptations often stick around long after you need them. You might notice it in how you react to conflict or in how hard it is to trust someone. Trauma-informed therapy helps you work through it at a pace your body can handle.
Adult Trauma
Trauma in adulthood can upend a life that felt settled. Whether it came from a single event or a long stretch of something you endured, the effects on your sleep and your sense of safety are real. Therapy helps you process what happened with support, so you're not carrying it alone.
Healing from Oppression & Systemic Harm
Living under systems that devalue you takes a real toll, and framing that toll as a personal problem misses the point entirely. Working with a therapist who names oppression as a source of harm means you can spend your session on healing. You get support that accounts for the context you're living in.
Religious Trauma
Leaving or questioning a religious community can cost you your framework for meaning and sometimes your family. Religious trauma also covers the shame and fear that some communities instill early and deeply. Therapy gives you room to sort through what faith and belief mean to you now, with nobody pushing you in either direction.
Minority Stressors
Belonging to a marginalized group means carrying a background load that other people never have to think about. Microaggressions and constant vigilance accumulate. Therapy offers a place where you don't have to explain the basics before you can get to the actual issue.
Coping & Life Management
Coping Skills
Coping skills are the practical tools that get you through a hard moment without making it worse. You already have some. Therapy helps you expand the set and figure out which ones hold up when things get difficult, because small practices repeated often tend to matter more than dramatic changes.
Emotional Regulation
Big feelings can hit at full volume before you have any chance to catch them. Emotional regulation work teaches you to notice what's rising and give yourself room before you respond. This is a learnable skill, even if it has felt impossible so far.
Life Transitions & Adjustment Challenges
Big changes shake things loose even when the change is one you chose. A move, a divorce, a new job, a new baby: all of it asks you to become someone slightly different than you were. Therapy gives you steady ground while you adjust.
Grief & Loss
Grief doesn't follow the tidy stages anyone described to you. It arrives out of order and shows up years later at the strangest moments. Therapy gives you a place to grieve at your own pace, whether the loss is recent or something you've been carrying a long time.
Specialized Treatment Needs
Dual Diagnosis
When a mental health condition and substance use exist side by side, treating one and ignoring the other rarely holds up. Dual diagnosis care addresses both at once, with a therapist who understands how the two feed each other. You get one plan that accounts for the whole picture.
Substance Use Disorder & Addiction
Substance use usually starts as something that worked, which is part of what makes it so hard to leave behind. Therapy meets you where you are, whether you're in recovery or still deciding what you want to change. You don't have to arrive with your mind already made up.
Self-Injurious Behavior
If you're hurting yourself, you're managing something that feels unmanageable. Therapy approaches this with care instead of alarm, working with you on what the behavior is doing for you and what else could meet that need. You can talk about it honestly here.
Need support right now?
Therapy works on a schedule, and a hard night doesn't. These lines are staffed 24 hours a day and they are free to call.
- 988 Suicide & Crisis Lifeline Call or text 988
- Crisis Text Line Text HOME to 741741
- Chester County Crisis Intervention 610-280-3270
- Trans Lifeline 877-565-8860
If you are in immediate danger, call 911 or go to your nearest emergency room.
Not an emergency?
We would still like to hear from you. Reach out and we will help you find a therapist who fits.
Contact Arrive TherapyCurious about who you might work with?
Meet our team.
“Highly recommended, especially for anyone in the LGBTQ+ community, or anyone seeking a therapist that works with the community.”
— JILL, Client

