LGBTQIA+ Affirming Care in Portland

Medically Reviewed By:

Medical Director:Dr. Samuel “Joe” Cross-Sarvis DNP, FNP-C, PMHNP-BCPsychiatric Mental Health Nurse Practitioner

Psychiatric medication management from providers who see all of you.

Finding a psychiatric provider who truly understands your identity shouldn’t be its own source of stress. At Synchronous, our LGBTQIA+ patients work with providers trained to recognize how minority stress, discrimination, and identity-related experiences can show up as anxiety, depression, and other mental health conditions, and to treat them without judgment or assumptions.

Care Built Around You, Not a Script

Every patient starts with a full psychiatric evaluation, not a generic checklist. We take the time to understand your history, your goals, and the specific pressures you’re navigating — whether that’s family rejection, workplace stress, gender-related care coordination, or symptoms that have nothing to do with your identity at all. From there, we build a medication plan suited to your diagnosis, not your demographic.

A No-Judgment Zone

You won’t need to educate your provider on the basics, over-explain your identity, or brace for an uncomfortable conversation. Our team is here to treat your symptoms, monitor your medications, and support your mental health, full stop.

Convenient, Confidential Telehealth

All appointments are available via secure telehealth, so you can meet with your provider from wherever you feel safest. We currently see patients across Oregon, Washington, Florida, and California.

Common Concerns We Help Manage

Anxiety and depression linked to minority stress or discrimination
Mood symptoms tied to family or social rejection
Coordination of psychiatric medications alongside gender-affirming hormone therapy prescribed elsewhere
ADHD, bipolar disorder, and other conditions that deserve the same care regardless of identity

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