About LGBTQ+
LGBTQ+ affirmative professionals offer a safe, respectful space to explore identity, relationships, coming out, minority stress or discrimination, without pathologising sexual orientation or gender identity.
Clinical psychologists are psychologists with specialist training in assessing, diagnosing and treating mental health problems, from anxiety and depression to more complex conditions. In some countries it is a regulated health specialty; Therapy247 checks the registration.
Getting mental health care in South Africa
Public health system · Public health system
Mental health care is available through public clinics and hospitals, usually starting at a primary health care clinic.
How to check that a professional is licensed
- Health Professions Council of South Africa (HPCSA). Psychologists, registered counsellors and psychometrists must be registered with the HPCSA; check the category and status on the HPCSA register. Search the official register
Urgent help in South Africa
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 10177 · Ambulance and fire
- 0800 567 567 · SADAG Suicide Crisis Helpline
- 0861 322 322 · LifeLine South Africa – Trauma & Crisis Line
Information reviewed in November 2026 · Sources: hpcsa.co.za
Signs to look out for
Being LGBTQ+ is not a mental health problem. However, discrimination, rejection, hiding who you are or living in an unsupportive environment can create stress that affects well-being. It may help to seek support if you feel anxious or low, isolated, unsafe, conflicted about your identity, struggling with coming out, facing family rejection, or affected by harassment or violence.
What helps: treatments and professionals
Look for affirmative therapy: psychologists, psychotherapists and other professionals who respect your identity and have training in sexual and gender diversity. Evidence-based approaches such as cognitive-behavioural therapy, acceptance and commitment therapy and family therapy can be adapted to address minority stress. So-called conversion therapies are harmful and rejected by professional bodies. Peer and community groups can complement professional support.
When to seek urgent help
If you are in immediate danger, have been assaulted, or are being threatened because of your identity, contact your local emergency services. Seek urgent help too if you have thoughts of suicide or self-harm, or if you have been thrown out of your home and have nowhere safe to go. Specialised LGBTQ+ organisations in many places can offer support and guidance.
What you can do in the meantime
Connect with people and spaces where you can be yourself, whether friends, community groups or trusted online communities. You decide when, how and to whom you come out; your safety comes first. Look for reliable, affirming information sources. Look after sleep, movement and routines, and limit exposure to hostile content online. Ask potential therapists directly about their experience with LGBTQ+ clients.
What does a clinical psychologist do?
A clinical psychologist assesses, diagnoses and treats mental health problems in children, adults or older people. Day to day they conduct clinical interviews, use validated questionnaires and tests, formulate what keeps the problem going, and deliver evidence-based therapies. They often work in hospitals, community mental health teams or private practice, and coordinate with psychiatrists, family doctors and social services.
When to see a clinical psychologist
A clinical psychologist is a good choice for moderate to severe or persistent difficulties: anxiety disorders, depression, obsessive-compulsive problems, trauma, eating disorders, personality difficulties, or when a formal diagnosis or report is needed. If medication may be needed or there is a risk to safety, a psychiatrist should also be involved. For coaching or personal growth, other professionals may fit better.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in South Africa cover psychological care?
Mental health care is available through public clinics and hospitals, usually starting at a primary health care clinic.
How do I check that a clinical psychologist is licensed in South Africa?
Health Professions Council of South Africa (HPCSA): Psychologists, registered counsellors and psychometrists must be registered with the HPCSA; check the category and status on the HPCSA register.