Who we work with

LGBTQIA+ Affirming Therapy

Affirming, here, is not a checkbox on a directory profile. Dr. McVey is a member of the LGBTQIA+ community, has focused on this work for over a decade, and built a practice where nothing about who you are needs a preamble or a glossary.

Some clients come for identity work. Just as many come for anxiety, careers, couples work, or grief — and simply want a therapist where being queer is context, not curriculum.

What we work with

  • Coming out — at 19 or at 55
  • Identity, faith, and family negotiations
  • Queer relationships and open, honest couples work
  • Sexuality and intimacy, with clinical sexology depth
  • Minority stress: vigilance, code-switching, the tax of it
  • Everything else — because queer people also just have lives

Why the specifics matter

You shouldn't have to educate your therapist before therapy can help you. Here the foundation is already laid: the clinical knowledge, the community context, and — where it matters — the lived understanding of finding your way to your own sexuality against resistance. Dr. McVey's path into this work began there, and the practice's mission still carries it: no one should feel lost with no roadmap.

The work itself draws on the full toolkit — EMDR for trauma, Gottman for couples, IFS for the internal negotiations that a divided world installs.

Practical details

55-minute sessions, $215 with sliding scale from $150–194. Downtown DC office or telehealth across the District. The free consultation is a fit-check in both directions — come ask us anything.

FAQ

Common questions

Dr. McVey is a community member. Paul El-Meouchy works extensively with gender identity and expat LGBTQIA+ clients. Ask either of us anything you like in the consultation — the vetting is welcome.

Yes — questioning is welcome here without any pressure toward a conclusion. The work is clarity on your terms and your timeline.

Absolutely. Couples work here doesn't need translating for queer relationships — the structures, the intimacy work, all of it is already fluent.

Ready to begin?

The 15-minute consult is where most people begin.