LGBTQI-Affirming Psychotherapy

Serving the Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and Intersex Community of Washington DC

Our caring and professional counselors embrace diversity and embody compassion. Contact us today to discuss how we can help.

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Modern and Effective Treatment

Scientifically-based counseling methods

Our counselors are trained in cutting-edge best practices for talk therapy. We help facilitate cognitive insight while teaching in-the-moment awareness of your body for maximum benefit.


Systematic Progress

Setting goals and removing obstacles to healing and growth

We’ll collaborate with you on goals and systematically maintain focus to help replace unhelpful mental habits or behaviors with ones that better fit you.

lgbtq+ counseling
We're a safe and supportive space that will understand and accept you.
Modern and Effective Treatment
Scientifically-based counseling methods
Systematic Progress
Setting goals and removing obstacles to healing and growth

More than just couples therapy

We provide a full range of counseling and psychiatric services:

We’re known in the DC metro area for being specialists in relationship counseling and couples therapy. But we also treat bipolar, depression, and anxiety with both talk therapy and medication management. Our Bethesda clinic offers advanced treatment for depression using ketamine.

To really help relationships requires us to also be experts in treating many other mental health symptoms.

Healing from Grief/Trauma

Restore emotional balance after loss or learn how to break free from the burdensome psychological symptoms common to PTSD or emotional/physical trauma.


Build on your strengths at any stage of recovery from drugs or alcohol and treat root-causes, not just symptoms.


Attend to mind and body to reset your brain’s natural ability to feel calm, clear, and confident.


Connect to your core values and learn to let go of compulsive behaviors like smartphone use, eating, gambling, porn, or OCD rituals.


Gain skills to unhook from depression’s grip on your thoughts and actions and find joy and confidence in life.

Intimacy, sex, and love
  • Create spark and improve sex life
  • Treatment for sexual disorders (painful sex, ED, low libido and mismatched libido)
  • Communicate to resolve conflict and deepen trust
  • Navigate poly/kink/alt or orientation together
  • Prevent or heal from infidelity
  • Premarital counseling

Services Offered

Fill out the brief contact form below and we’ll spend a few minutes talking on the phone with you about your concerns and describe how we might help.

FEES AND INSURANCE: We don’t accept insurance but many of our clients submit their claims and receive between 40-60% reimbursement.

Our fees start at $175 for a 50 minute session.

Schedule Your Consultation

A compassionate and scientifically-based modern approach to talk therapy that works


Relationship specialists that facilitate structured sessions to promote connection and collaboration

Psychiatric Assessment and Medication Management

Our Board Certified Psychiatric Nurse Practitioners provide psychiatric assessment to help you determine if medication might support your healing, if you are struggling with anxiety, depression, addiction, relationship stress, grief or PTSD. Our psychiatric program is called Calliope Health and you may contact us here. 


Improve family communication, build connection, and resolve conflict in healthy ways

Simple Process

How Does it Work?

We’ll start with a brief phone call. Then we’ll talk about next steps to create the positives changes you’re looking for.

Step 1:

Schedule your Consultation

You can browse our staff bios and tell us which counselor you think might be a good match for you. Or you can simply tell us how to reach you and we’ll call to assess which counselor is available for your schedule and personal needs.

Schedule Your Consultation

Step 2:

Fill out intake forms and plan for first meeting

Once you’ve spoken to the counselor you’ll be working with and scheduled your first appointment, you’ll be sent intake forms that you can fill out and bring with you when you come.

We don’t ask you to fill out lengthy questionnaires ahead of time. We’ll have questions for you in our first meeting and will be listening carefully about the issues you want to address.

Questions patients ask

Frequent Questions

These are some frequently asked questions that might help you get familiar with what to expect in your counseling sessions.

Are your counselors gay, lesbian, bi-sexual or queer?

We’ve got a very diverse staff. Some of us are gay, lesbian, queer, bisexual, or straight. We all have a lot of experience with GLBTQI issues and culture. If you have a strong preference for your therapist to be a particular orientation, please let us know!

What are the signs that I need therapy?

One of the most common reasons people come talk to us is that a particular psychological symptom is interfering with an important relationship or with your ability to succeed at work.

Others prefer to come in to address a burden they’ve carried for a long time, such as a traumatic event or a difficult childhood.

Or you might simply want to learn more about yourself, gain more emotional intelligence skills, or have a more vibrant experience of life and love.

How long does therapy last?

Most individual counseling sessions are 50-60 minutes in length. You can arrange for longer sessions with your therapist if it’s beneficial.

It’s typical to meet with your therapist regularly, and weekly sessions are most common, especially at first.

A typical, short-term course of psychotherapy is between 8-12 sessions. Many of our clients meet for much longer than this, and in some special circumstances, less.

Can you prescribe medication?

Yes! We have Board Certified Psychiatric Nurse Practitioners specializing in medication management and psychotherapy for anxiety, mood disorders, depression and a wide range of other treatments. To learn more about psychopharmacology, listen to Keith’s Medicine for the Mind 101 podcast episode. Contact our psychiatric program, Calliope Health, for an intake. 

What type of therapy is offered?

Each of the therapists in our group are independent clinicians that are affiliated with Keith Miller & Associates Counseling. The following is a sampling of some of models we’ve been trained in:

  • Trauma-informed Cognitive Behavioral Therapy (CBT)
  • Acceptance and Commitment Therapy (ACT)
  • Mindfulness-Based Stress Reduction (MBSR)
  • Gestalt
  • Client-centered
  • Psychodynamic
  • Solution-focused
  • Internal Family Systems Therapy (IFS)
  • Sex therapy
  • Emotionally-Focused Therapy for Couples (EFT)
  • Imago Relationship Therapy
  • Relationship Enhancement Therapy
  • Attachment-Based Couples Therapy
How much does therapy cost?

Our fees start at $175 for a 50 minute session. We don’t accept insurance but many of our clients submit their claims and receive between 40-60% reimbursement.

Fees vary between counselors on our staff, so be sure to check with the therapist you speak with about his/her fee.

A little history

About Our Mission

Keith Miller & Associates Counseling is proud to serve the GLBTQI community in the
Washington area.

Founded in 2007 by Keith Miller, an award-winning author and psychotherapist, our staff is committed to:

  • Clinical competence in mental health issues specific to the GLBTQI communities
  • The idea that diversity should be celebrated and all people are respected, valued,
    and affirmed inclusive of their sexual orientation, gender identity, and gender expression
  • Supporting marriage equality, social justice, and cultural competence in psychotherapy

We look forward to talking to you about how we can help!

We are proud supporters of:

Schedule a consult with us today!

Get in contact and we’ll discuss questions and next steps to schedule your appointment.

What our clients say

Client Testimonials

“After several years together, my boyfriend was considering ending our relationship because of constant bickering. Our counselor was able to help us learn how to communicate better so that now we rarely fight, and can step back when things are too heated to discuss. He gave us the tools we needed to move forward in our relationship. We became engaged just 5 months after our last session. I do not think our relationship would have survived and flourished without your help.”

–  Feedback from client satisfaction survey  

``Through our sessions, I've learned so much about myself and how to be happier, more confident, and calm.``
Washingdon DC