The Affirmative Couch

Expand my clinical skills in Affirmative Psychotherapy...

For Psychotherapists

Learn about my unique mental health needs...

For The Communities

Teaching Affirmative Psychology

We train psychotherapists to provide a safe space and affirmative mental health services for LGBTQIA+ (lesbian, gay, bisexual, pansexual, queer, transgender, gender nonbinary, intersex, asexual, etc.), consensual non-monogamous (CNM; swinging, open, polyamorous), and kink (fetish, bondage, discipline, domination, submission, sadism, masochism, etc.) communities. Our online magazine for community members, Out on the Couch, publishes articles written by psychotherapists to increase awareness of the unique needs of these communities and how therapy can help.

The Affirmative Couch, LLC is approved by the American Psychological Association to sponsor continuing education for psychologists. The Affirmative Couch, LLC maintains responsibility for this program and its content.

APA Approved

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LGBTQ+ clients deserve therapists who are intimately familiar with the particularities of how queer and trans people live, love, creative and contribute to the world. This requires specific and rigorous education and sensitivity, awareness of ancient queer and trans historical culture and also of the impact of heterosexist and cissexist parenting (which is to say abuse) on the functioning queer and trans person. It also involves the working hypothesis that there is a spirit informing the individuation of LGBTQ people on which the future of our society depends.

– Douglas Sadownick, PhD;
Core faculty & Founding Director of LGBT Specialization in MA Clinical Psychology Program at Antioch University Los Angeles

Trans Lifeline

Nonprofit Spotlight

The Affirmative Couch believes in supporting nonprofits that cater towards supporting LGBTQIA+, CNM, or kink mental health; every quarter we pick a different nonprofit to donate a portion of our net profits.

Trans Lifeline is an international trans-led organization providing community and direct support services to trans people in the United States and Canada. Their peer-support Hotline is the only one of its kind; all of their operators are trans-identified, which means that any trans or questioning person in crisis or experiencing suicidality can call and talk to someone who shares a piece of their lived experience. Their Microgrants program provides low-barrier grants to trans people for legal name changes, updated IDs, and specialized support for transgender people who are undocumented or incarcerated. Learn more at their website, and support their work with a donation. The Affirmative Couch will also donate 1% of our profits to support Trans Lifeline.


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