Bisexual therapy here treats bi identity as legitimate on its own terms, engaging bi-specific minority stress rather than treating orientation as ambivalence.
Key Takeaways

What to know before you start:
- Bisexuality is a legitimate orientation on its own terms — not a phase, not indecision, not a stepping stone toward another identity.
- Bi-specific minority stress is real and clinically distinct — bierasure, bi-invisibility, and dismissive responses from both straight and gay communities produce their own nervous-system residue.
- Genuinely bi-affirming care means clinicians who understand bi experience closely — not affirming providers who default to gay/lesbian frameworks and treat bi as a lesser variant.
- At Angeles Psychology Group the work draws from Orgonomic and somatic therapy, Internal Family Systems, and depth psychology — matched to you.
- Sessions are available in person at our Mid-Wilshire office and by secure telehealth across California, beginning with a free consultation.
01 — What it isThe specific gap: gay-affirming vs bi-affirming
The clinical distinction that matters most here: gay-affirming and lesbian-affirming providers are not automatically bi-affirming. Bisexuality carries its own minority-stress pattern — bierasure in mainstream culture, dismissal or suspicion within some LGBTQ+ spaces, the specific weariness of having to justify your orientation with reference to the gender of your current partner. Providers who default to a gay/lesbian framework often miss the bi-specific layer entirely. That miss is what genuine bi-affirming care corrects.
The consequence, in practice, is that many bi clients arrive at therapy having named their identity clearly and still finding that the therapy did not feel meant for them. They were welcomed as LGBTQ+ but talked to as if the generalizations about gay or lesbian experience applied uniformly. Public resources from the Human Rights Campaign, the American Psychological Association, and the CDC’s LGBT Health resources continue to document mental-health disparities in bi adults that affirming care specifically is meant to address, and that bi-specific data often shows more severe patterns than gay/lesbian data on several indicators.
At Angeles Psychology Group this work sits inside depth-oriented care. If you have already read the broader affirming frame, our LGBTQ+ Affirming Therapy pillar page steps back to the wider context, and sibling clusters like queer therapy and LGBTQ+ couples therapy address adjacent identities the same way.
Bierasure. The systematic invisibility of bisexuality across both mainstream and some LGBTQ+ contexts — bi clients read as gay/lesbian if partnered with someone of the same gender, straight if partnered with someone of another gender, and rarely as bi on their own terms. Bierasure produces its own clinically-relevant nervous-system pattern.
Not sure whether depth work fits what you are actually working on? A free 20-minute consultation is the simplest way to find out.
02 — How we deliver itDepth work that engages bi-specific minority stress

Bisexual therapy at APG is delivered inside the practice’s coordinated stack of root-cause modalities: Orgonomic and somatic therapy for the nervous-system residue of bi-specific minority stress; Internal Family Systems for the protective parts that learned to hide, code-switch, or pass; depth psychology for the unconscious patterns shaped by growing up bi in bi-erasing contexts; and Emotion-Focused Therapy for the vulnerable feelings surfacing as safety builds.
The clinical stance treats bi identity as full and complete on its own terms. There is no working toward a settled identity here, no assumption that bisexuality is a stopping-point between straight and gay, no requirement that you justify your orientation with reference to your current partner. If you are curious about the broader framework the practice is built on, our Orgonomic therapy overview and our post on intimacy therapy for LGBTQ+ adults offer helpful context.
Bi-affirming specifically
Care that engages bi-specific minority stress rather than defaulting to gay/lesbian frameworks and treating bi as a lesser variant.
Relational structure held
Monogamous, non-monogamous, single, dating — structure is context, not the problem.
In person or online
Delivered at our Mid-Wilshire office or by secure telehealth across California — same depth, both formats.
03 — Getting startedA first step that doesn't require you to justify your orientation
Beginning is low-pressure and in your control. You book a free, 20-minute consultation, talk with a clinician about what brings you in, and together decide whether depth-oriented bi-affirming care fits what you are actually working on. There is no diagnosis required to start.
Angeles Psychology Group is a private-pay practice; superbills are provided for out-of-network reimbursement, and fees are explained transparently before you commit. Public resources from the American Psychological Association and the Human Rights Campaign offer useful public context on affirming care.
What the consultation actually covers is practical. A clinician asks what brought you to this page and what you have already tried, listens for the shape of the pattern rather than a diagnosis, and describes candidly which approaches from the practice’s stack seem most relevant. You are welcome to bring questions about clinician fit, prior LGBTQ+ therapy that defaulted to gay/lesbian frameworks, relationship structure and current partnering context, coming-out arc questions specific to bi identity, insurance and superbills, and what a typical arc of care looks like.
A typical first month runs weekly, 50 minutes per session. Early sessions are oriented toward the working relationship, the specific texture of your context, and how you have already tried to work with what is bringing you in. Deeper material tends to surface once safety is established rather than pushed for from the start; if bi-specific minority stress and bierasure residue show up as chronic activation or specific weariness, the first arc of care often addresses that residue before turning to the newer patterns living underneath it.
Practical notes on preparing for the consultation: there is no intake paperwork to complete before the call and no requirement to describe your situation in a particular way. You are welcome to bring notes if that helps you speak clearly under pressure, and equally welcome to arrive with none. If English is not your primary language, you can ask about language preferences during the call. If you have accessibility needs, mention them at booking so the practice can accommodate. If a specific clinician has been recommended to you by a therapist, prescriber, or friend, you can request them by name at booking; if not, the practice matches based on what you describe. Reviewer standing behind every page: David Zohar, MFT.
Frequently Asked Questions
What makes bisexual therapy different from general LGBTQ+ therapy?
Recognition of bi-specific minority stress and bierasure as clinically real and distinct from gay/lesbian experience. Providers who default to gay/lesbian frameworks often miss the bi-specific layer entirely, and that miss is what genuine bi-affirming care corrects.
Is bisexuality a phase or transition?
No. Bisexuality is a legitimate orientation on its own terms. The framing here does not treat bi as ambivalence, indecision, or a stepping stone toward another identity.
Do you serve bi people in same-gender or different-gender relationships equally?
Yes. Your current partner's gender does not change your orientation, and it does not change how the work is delivered. Both partnering contexts are held without shifting the framework.
Do you affirm non-monogamy and non-traditional relationships for bi clients?
Yes. Ethical non-monogamy, polycules and throuples, kink-aware relationships, and queerplatonic partnerships are all held without judgment. Structure is treated as context, not as the problem.
Is your practice a fit if I'm not fully out as bi?
Yes. Being fully out is not a prerequisite for depth work here. The practice holds the pace and privacy needs of bi clients at every stage of the coming-out arc.
Can this be done by telehealth?
Yes. Secure, HIPAA-compliant telehealth across California delivers the same depth as in-person work for most of the work; some experiential elements benefit from being in the room and your clinician will be candid about which.
How do I get started?
Book a free, 20-minute consultation through our online scheduling. You talk with a clinician about what brings you in, with no commitment, and together decide what fits.
About this page
This page reflects the practice of Angeles Psychology Group, a depth-oriented, affirming psychology practice in Los Angeles founded by Dr. Neil Schierholz, PsyD (PSY25154). Angeles Psychology Group is a psychology practice and does not prescribe medication. Where medication is relevant, care is coordinated with a client's own psychiatrist or prescriber, who manages any medication. Clinical statements are framed as research suggests and cited to primary sources.
Reviewed by Dr. Neil Schierholz, PsyD. Last updated August 2026.