At Foundations for Change, we proudly offer LGBTQ+ affirming therapy in St. Louis, creating a safe, inclusive space for individuals of all sexual orientations and gender identities. In a time when the rights of LGBTQIA+ people — especially trans youth and adults — are under threat across Missouri and the nation, we remain firmly committed to providing ethical, affirming, and compassionate mental health care.

We believe gender-affirming therapy is essential to well-being and that every queer and trans person deserves access to care that honors their identity and lived experience. Our therapists support clients through identity exploration, coming out, transitioning, relationship challenges, and the emotional impact of discrimination and social stigma.

For trans youth and their families, we offer care that prioritizes safety, emotional growth, and open, affirming communication. If you're seeking LGBTQ+ or trans-affirming therapy in the St. Louis area, Foundations for Change is here to support you with dignity, expertise, and unwavering allyship.