Therapy for Gay, Queer and LGBTQ+ Adults in Melbourne

Honest, caring, non-judgemental therapy in Thornbury, inner north Melbourne — and online across Victoria. Medicare rebates available with a GP Mental Health Care Plan.

If you're looking for a therapist who genuinely understands what it means to navigate the world as a gay, queer or LGBTQIA+ person , you don't have to explain yourself here.

Maybe you've been carrying shame that doesn't quite have a name. Maybe you've spent years presenting a version of yourself that feels safe, while the real you stays hidden. Maybe something happened that you haven't been able to move past, no matter how hard you try. Or maybe you're simply exhausted from doing it all alone.

Whatever brings you here, this is a space where you can slow down, be honest, and begin to work through what's underneath.

 
 
 
 
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Hi, I'm Matthew Austin

I'm a registered mental health social worker and psychotherapist based in Thornbury, inner north Melbourne. I've spent over a decade working specifically with LGBTQIA+ adults, including senior counselling roles at Thorne Harbour Health and Queerspace and I bring both professional expertise and lived experience as a queer man to every session.

My practice is built around helping LGBTQIA+ adults work through trauma, shame, self-criticism, and the deeply held beliefs about themselves that formed in response to pain. I work with gay men, queer women, bisexual, trans, non-binary, and gender-diverse adults across the full spectrum of the LGBTQ+ community.

While many clients initially search for a gay psychologist in Melbourne, I am a registered mental health social worker, which means I offer the same Medicare rebates as a psychologist via a GP Mental Health Care Plan, with a therapeutic approach grounded in over a decade of specialist LGBTQ+ experience.

My core modality is Gestalt psychotherapy, with specialist training in EMDR and IFS. You can read more about how I work on my trauma therapy page, EMDR therapy page, and IFS therapy page.

 

Who I work with

I work with LGBTQ+ adults navigating:

  • Trauma and complex trauma, including identity-based trauma, sexual trauma, and the cumulative impact of growing up in environments where it wasn't safe to be yourself

  • Shame and internalised homophobia, the self-directed version of the messages absorbed from the world

  • Negative core beliefs and self-criticism, the inner voice that says you're too much, not enough, or fundamentally flawed

  • Coming out and identity exploration, at any age and in any direction

  • Minority stress and burnout, the ongoing toll of navigating a world that doesn't always make space for you

  • Distressing memories, specific experiences that keep surfacing and affecting daily life

  • Anxiety and depression, particularly where these are rooted in identity or trauma

 
 
 

What clients & collegues say

 

"Matthew was instrumental in a major growth period in my life. He is kind, firm, intuitive and practical. Matthew was able to conjure up core issues that were buried within surface level problems, and he helped me to create an easy and effective plan to tackle these. Matthew provides a judgement free space which made me feel super comfortable to be vulnerable. I feel lighter and happier than I have in a long time."

— Google review

"Matthew has been able to help me when I was in a very dark place. Could not recommend him enough — especially for those who have faced struggle as a queer person."

— Google review

"I have known Matthew for over a decade and have had the privilege to both work and study alongside him. His ability to remain present and non-judgmental in the most challenging situations is an asset to himself and his clients. He is able to sensitively shine a light on those things we might find darkest in ourselves. I confidently recommend him as a highly experienced practitioner."

— Google review

Your counselling space in Thornbury

 

I welcome you to my counselling room in Thornbury, inner north Melbourne. Hot and cold drinks are available, and I'm happy to discuss any other accommodations that would make the space more comfortable for you.

Sessions are also available online for LGBTQ+ adults across Australia — Medicare rebates apply to online sessions just as they do to in-person sessions.

 

Struggling right now? A free resource for you

If you're caught in a spiral of shame or negative self-talk and need something to help in this moment, I've created a free 14-minute guided meditation. No email sign-up required — just press play.

Befriending The Inner Critic
Matthew Austin

Frequently asked questions about LGBTQIA+ therapy in Melbourne

  • These terms refer to different registration pathways and levels of training, but the most important distinction for LGBTQIA+ clients is often not the title — it's the depth of lived and clinical experience with your community. A psychologist holds a university degree in psychology and is registered with the Psychology Board of Australia. A registered mental health social worker like me holds a social work degree plus specialist psychotherapy training, and is registered with AASW — and can offer Medicare rebates via a GP Mental Health Care Plan. An LGBTQIA+ affirming therapist is a broader term that simply signals a commitment to inclusive practice, but doesn't specify registration or training level. When choosing a therapist, ask about their specific experience with LGBTQIA+ clients, not just their title.

  • Therapy works best when you don't have to spend your session educating your therapist about who you are. A therapist with lived experience in your community brings an understanding of minority stress, identity-based shame, the impact of discrimination, and the specific ways LGBTQIA+ people have often adapted to navigate environments that weren't safe — without needing it explained. This means sessions can go deeper, faster, and with less of the emotional labour of making yourself legible to someone who doesn't share your context.

  • Safety in therapy comes from consistency, honesty, and genuine understanding — not just a rainbow flag on a website. In practice, it means you don't have to explain your pronouns, justify your relationships, or translate your experience into language a non-queer therapist can follow. It means I understand what internalised homophobia actually feels like from the inside. And it means the therapeutic relationship itself is grounded in over a decade of working specifically with LGBTQIA+ adults in Melbourne, including in community health and advocacy settings.

  • LGBTQIA+ counsellors and psychologists know that it takes more than just a rainbow flag on a website to make someone feel accepted and valued.

    They are sensitive to the fact that assumptions can be damaging, and they prioritise asking about your pronouns and try and avoid making assumptions about intimate relationships structures.

    They are curious about your coming out experience, and your current relationship with your sexuality.

    They are aware of the unique challenges that the LGBT community faces, such as social isolation, discrimination, and shame. They are there to support you and to help you navigate these challenges, so that you can feel more socially connected, less ashamed, and more resilient.

  • Here are some tips to help you find the LGBT counsellor in Melbourne for you.

    Reach out to your community and ask for recommendations. Someone close to you may know a LGBT counsellor in Melbourne who could be a good fit for you. Make sure to ask for details about their experience working with the therapist.

    You can also browse therapist directories, such as Psychology Today, Good Therapy, and Australian Psychological Society. These directories have filters that can help you narrow down your search based on your preferences. You can also check out Vic Inclusive Practitioners, a list of therapists and practitioners working with diverse populations, including LGBTQIA+ counseling in Melbourne.

    Be cautious of therapy profiles that include long specialty lists and look for specific LGBTQIA+ experience and training. Don't be afraid to ask questions and have a conversation with potential therapists before scheduling an appointment. Its ok to ask your potential new therapist if there are also LGBTQIA+.

  • My core specialties are trauma, complex trauma, shame, and the negative core beliefs that form when we've been hurt, dismissed, or made to feel like we're too much or not enough. I work with gay, queer, bisexual, trans, non-binary, and gender-diverse adults. My therapeutic approach is grounded in Gestalt psychotherapy, with specialist training in EMDR (Eye Movement Desensitisation and Reprocessing) and IFS (Internal Family Systems). I am a registered mental health social worker and offer Medicare rebates.

  • Yes. As a registered mental health social worker, I offer Medicare rebates to clients with a valid Mental Health Care Plan from their GP. This gives you access to rebates for up to 10 sessions per calendar year. You don't need a specific diagnosis — a general mental health referral is sufficient. If you're unsure how to get a referral or what to say to your GP, I'm happy to talk you through it.

  • Yes. I offer online sessions to LGBTQIA+ adults across Victoria. Online delivery works well for the approaches I use, and Medicare rebates apply to online sessions just as they do to in-person sessions.

 

Ready to take the first step?

I offer a free 30-minute check-in — no obligation, just a conversation to see whether working together feels like a good fit.

Matthew Austin is a registered mental health social worker and psychotherapist working with LGBTQIA+ adults in Thornbury, inner north Melbourne, and online across Victoria. Medicare rebates are available.

 
 

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