Therapy organized around what makes a life worth living, not what's wrong with you.
Affirming psychotherapy for LGBTQ+ adults in New York. Alex Conway, LMHC.
A practice where you don't start from scratch.
Most of my clients are LGBTQ+ adults who have spent a long time explaining themselves to therapists who didn't quite know the questions to ask. That isn't the work here. Your identity, relationships, and the particular shape of your life are part of what we're working with from session one — not background you have to translate first.
A telehealth practice, by design.
My practice is fully online, by secure video, for clients located in New York State. Telehealth means you don't lose forty-five minutes to a commute on either side of a session, you can do this work from a place that already feels like yours, and the practice can serve clients across all of New York rather than only the few neighborhoods near a Manhattan office.
For whatever life throws at you
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Gender Affirming Therapy
A safe space to explore your journey of self-discovery and authenticity. Whether it’s navigating social challenges, considering medical transition, or seeking support in affirming your gender identity.
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Relationship Counseling
If you are struggling with trust issues, intimacy, or compatibility, learn tools for improving communication, resolving conflicts, and strengthening emotional connection, building healthier and more fulfilling relationships.
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Kink Dynamics and Identities
Explore your desires and fantasies in a supportive and understanding environment. Whether it’s navigating power dynamics, negotiating boundaries, managing jealousy or insecurity, or fostering intimacy and connection.
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LGBTQ+ Affirmative Therapy
Get help navigating family dynamics, coming out, internalized stigma, coping with discrimination, or minority stress.
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Coming Out
A safe and supportive space to explore your feelings, fears, and goals. Providing validation, empathy, and practical strategies for self-disclosure.
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Coping with Discrimination
Whether it’s microaggressions, workplace discrimination, or social exclusion, together we can navigate stigma and prejudice through self-compassion and empowerment.
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Struggling to focus
Concentration or commitment challenges in my day-to-day life
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Divorce or Separation In My Life
Emotions and stress around relationship changes
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Loss of someone I care for
Coping with grief and loss
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Managing Stress
Identifying and handling stressors within my life
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Career issues
Coping with anxiety, uncertainty, and stress caused by my career
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![Woman clearly over this conversation]()
Feeling down or lack motivation
Help navigating feelings of sadness, indifference, or apathy
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Being a new parent
Navigating the emotions and responsibilities of parenthood
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Individual Counseling
Gain insight into patterns of behavior, and develop coping strategies to navigate life's challenges.
