Fee for Service Therapist (TGQ Initiative)

Company: Hudson Guild
Location: New York City
Posted on: February 17, 2026

Job Description:

Job Description Job Description Salary: $40-$45 per session JOB OVERVIEW: We are seeking a compassionate and skilled Therapist to join our team under the Transgender Queer (TGQ) initiative, our gender affirming mental health care. The ideal candidate will have experience working with transgender/gender diverse individuals of all ages and backgrounds to provide therapeutic support for a range of emotional, behavioral, and psychological challenges. This role involves developing and implementing individualized treatment plans, building strong therapeutic relationships with those who are a part of the LGBTQ community, and collaborating with each assigned client to promote mental and emotional well-being. Must be licensed in New York State and provide telehealth services consistent with NYS requirements; telehealth may only be provided to clients located where the clinician is authorized to practice. Required Qualifications: Masters degree in Social Work, Psychology, Counseling, or related field. Valid state licensure as a Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or equivalent. Experience providing therapy to LGBTQ individuals. Experience working with transgender/gender diverse individuals is highly preferred. Strong knowledge of gender identities, mental health disorders, and therapeutic techniques for LGBTQ clients. Excellent communication and interpersonal skills to build rapport with LGBTQ individuals and any collateral contacts who are also supporting each client. Ability to maintain confidentiality and comply with ethical guidelines in therapy practices. Empathy, patience, and a genuine passion for supporting the mental health of transgender/gender diverse individuals. Ability to collaborate effectively with multidisciplinary teams. Flexible scheduling within clinic operating hours, with a minimum commitment of 10 hours/week (Clinic hours: Monday-Thursday 9AM-8PM, Friday 9AM-5PM). Preferred Qualifications: Bilingual (English/Spanish) or multilingual skills are a plus. Experience navigating systems relevant to the TGQ community (e.g., medical transition, housing, or legal document updates). Expertise in working with TGQ children and adolescents. Key Responsibilities: Provide individual therapy to LGBTQ adolescents, adults, and older adults using evidence-based therapeutic techniques (i.e. cognitive-behavioral therapy, dialectical behavior therapy, motivational interviewing, etc.). Maintain a caseload of 10-20 clients, with the expectation of at least 60% of assigned clients will be served through the TGQ initiative. Conduct thorough assessments to understand the emotional, developmental, and psychological needs of clients. Develop personalized treatment plans in collaboration with clients and other professionals. Support transgender/gender diverse individuals in managing anxiety, depression, trauma, behavioral issues, and other emotional concerns. Foster a safe and supportive environment to help transgender/gender diverse individuals be able to express themselves. Regularly document and maintain accurate records of client progress and treatment outcomes. If appropriate, work closely with families, schools, and other healthcare/social service providers to coordinate care and ensure the client's holistic needs are met. Stay informed about the latest developments in matters related to gender affirming mental health care to provide high-quality care. Participate in regular supervision and professional development opportunities. Engage in data analysis processes conducted by the Evaluation and Quality team to determine strengths and areas for improvement and follow action steps in the Continuous Quality Improvement (CQI) process Assist in carrying out and participate in Community Building activities to support organizational effectiveness and outreach Other related duties/responsibilities as assigned. WORKING CONDITIONS: Typical office environment may require occasional travel between sites. PHYSICAL REQUIREMENTS: Position requires frequent communication with participants, management, and staff. Must be able to remain in a stationary position, as well as the ability to operate a computer and other office machinery, such as phone and copy machine. Occasionally lift up to 20 lbs. Hudson Guild is an Equal Opportunity Employer

Keywords: Hudson Guild, Bethlehem , Fee for Service Therapist (TGQ Initiative), Social Services , New York City, Pennsylvania