San Francisco, CA · Nashville, TN · Online · Currently Accepting New Clients ASK ALISON LEIGH · PhD, MFT

You deserve a therapist who doesn't need
you to explain yourself first.

25+ years working with LGBTQIA+ individuals and couples. Gender and sexuality are not problems to be solved — they are dimensions of human experience that deserve clinical depth, care, and respect.
What I work with
  • Gender dysphoria & affirmation
  • Coming out at any age
  • LGBTQIA+ couples therapy
  • Sexual trauma & PTSD
  • Sexual identity & orientation
  • Anxiety & depression
  • Intimacy & desire
  • Shame & secrecy
  • Relationship difficulties
How I work
My approach is somatic — body-based — which means we go deeper than talk therapy alone.

Sessions are available in person in San Francisco and Nashville, or online anywhere in the world.

I have been working with LGBTQIA+ individuals and couples for over 25 years. No explanations needed. No catching me up. The real work begins immediately.

Currently accepting new clients.
Wedding Officiant
I am a certified marriage officiant.

If you'd like someone who truly knows your journey — someone who has sat with you through the hard parts — to stand with you on your wedding day, I would be deeply honored.

Contact me to discuss your ceremony. Every wedding is as unique as the people in it.

"We couldn't be happier having Alison officiate our wedding."

— Louis & Madeline, couples therapy clients

Contact Alison