LGBTQ Affirmative Therapy:

LGBTQ Affirmative Therapy (Lesbian, Gay, Bisexual, Transgender, Queer or Questioning) is not a neutral approach. It is based on the understanding that LGBTQ people are not just tolerated or accepted, but celebrated for their value in any culture.

This perspective is essential for effective therapy since it challenges many years of hostility inflicted by a homophobic and heterosexist culture. Shame and self-hatred are consequences of surviving in such a society and become expressed in a variety of ways. These ways are often the reasons therapy is sought out.

The healing process of LGBTQ Affirmative Therapy transforms the self-hatred into self-compassion. It works through pain instead of avoiding it turning suffering into empowerment.

Individual Therapy:

Individual therapy is extremely personal and tailored to the individual. Sessions are typically weekly and last for about 50-minutes. You and I work collaboratively to identify the goals for therapy and how to achieve those goals. With some clients, we discuss how shame has held them back and how to achieve self-acceptance. We discuss the role of healthy emotions and how growing up in oppressive environments can transform emotions into something more toxic and lethal. Therapy can also focus on increasing self-awareness and acceptance, learning skills to regulate emotions and change negative thinking, improve communication skills and quality of relationships, grieving painful loss and solving problems impeding your ability to accomplish important goals. Whatever the goals are, I strive to create a space free of judgment so you can safely explore who you are and what you want your life to be.


Couple’s Therapy:

Relationships are diverse. What works for one may not apply to another. What defines a working relationship is co-created by the participants in that relationship. Sometimes those definitions are different or change over time and the process of working through those differences to a resolution becomes the basis for therapy.

Couples regularly seek out therapy because they believe “bad communication” is the issue. What seems more true is that they are communicating, they just don’t like the messages and they are depending on the other person to change in order to be happy.

Couple’s therapy centers around clarity of these messages and how they are communicated. In general couples have similar goals; to experience less conflict and pain in the relationship and more love and joy. Goals are defined by the couple and the work is about how to accomplish them within the mutually accepted boundaries.


Gay Men Over 40 Support Group:

A weekly support group for Gay men over 40.  Participants in the group discuss topics related to relationships and intimacy and receive support with various life challenges. Benefits of participating in a support group include:

  • Feeling less lonely, isolated or judged
  • Gaining a sense of empowerment and control
  • Improving your coping skills and sense of adjustment
  • Talking openly and honestly about your feelings
  • Reducing distress, depression, anxiety or fatigue
  • Developing a clearer understanding of what to expect with your situation
  • Getting practical advice or information
  • Comparing notes about resources

Group sessions are 90-minutes and are held in Midtown Sacramento.  Contact to set up a free 30-minute intake.



Presentations & Trainings:

Cultivating Empowerment: Preventing Suicide in the LGBTQ Community using Affirmative Therapy (2-hours)

With a suicide death every 11.9 minutes and over a million attempts in the United States every year, suicide impacts every community. This is especially true for the Lesbian, Gay, Bisexual, Transgender, Queer and Questioning communities. LGBTQ Affirmative Therapy is an approach to psychotherapy that is based on the understanding that LGBTQ people are not just tolerated or accepted, but celebrated for their value in any culture. Mental health clinicians trained in LGBTQ Affirmative Therapy and Suicide Prevention can improve their effectiveness for helping LGBQ clients increase protective factors and resilience while decreasing risk of suicide attempts and death.

A Collaborative Intervention: Suicide Risk Assessment & Safety Planning (2-hours)

This training provides an in depth view of suicide prevention from a clinical perspective. Participants learn about the nature of suicide, suicide related statistics, mental health and warning signs.  Participants also learn to assess risk, how to collaboratively work with a client/patient on safety, standard of care, and information on available resources for intervention and postvention.  One of the most effective ways of preventing suicide is recognizing the signs and knowing how to help. This training will better prepare participants in recognizing the warning signs of someone at risk for suicide and how to appropriately intervene and link that person to life-saving services.

Suicide Attempt Survivors Support Group Facilitator Training: Fighting Stigma, Promoting Connectedness, Saving Lives (2-day training or 90-minute overview)

A history of suicide attempts is considered the single highest risk factor to going on to die by suicide. It is estimated that there are more than a million suicide attempts in the United States each year. While most people just attempt once, more than a third will try again. Yet there are few places where people with histories of suicide attempts can go for help. The city of Los Angeles is an exception. Didi Hirsch Mental Health Services’ Suicide Prevention Center has developed an innovative eight-week support group, Survivors of Suicide Attempts (SOSA). The facilitator’s manual which describes the development and implementation of this group was also created and has been recognized as a best practice by the Suicide Prevention Resource Center’s Best Practices Registry. The manual for running a Survivors of a Suicide group has now been distributed to hundreds of people across the United States, and in fact the world. In this training, participants will learn the background and development of this innovative support group and will also understand how the 8-week group works to achieve the desired results of increased hopefulness, connectedness, and coping skills, along with a reduction of suicide intent and ideation.



“I wanted to personally tell you what a wonderful trainer Rick Grant-Coons was.  He was extremely well-informed, was able to answer every question thrown at him and he was very respectful to all of us and stated how everyone has something to contribute. It was a refreshing change.  Thank you for your time.” – Training Participant 


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