Therapy for Gay, Queer and LGBTQ+ Adults in Melbourne

Honest, caring, non-judgemental therapy at Prana House, Thornbury — and online across Victoria. Medicare rebates available · Session fee $260 · Gap after rebate $173

 

Matthew Austin

Registered Mental Health Social Worker, Bachelor of Social Work. AASW Member #468686

· Advanced Diploma of Gestalt Psychotherapy

· EMDR Levels 1 & 2

· In practice since 2012 · Private practice since 2020

As featured on The Right Therapist podcast — here.

 
 

As a queer therapist, I understand from the inside what it means to navigate identity, community, and mental health in a world that isn't always affirming. I know what it's like to carry shame that doesn't quite have a name, to present a version of yourself that feels safe while the real you stays hidden, and to search for a space where you don't have to explain yourself before the real work can begin.

This is that space.

I'm Matthew Austin, a registered mental health social worker and psychotherapist at Prana House in Thornbury, inner north Melbourne. I've spent over a decade working specifically with LGBTQ+ 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.

 
 
 
 
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What working with me actually looks like

Our first session is less about your history and more about what's alive for you right now; that's the Gestalt lens I bring to every session. We start with what you're noticing in yourself today: what feels stuck, what feels charged, what you've been carrying.

From there, the work unfolds at your pace. If there are specific memories or experiences that are still causing distress, I may draw on EMDR (a structured, evidence-based approach that works directly with how those memories are stored). If you're struggling with an inner critic that won't let up, or protective parts of yourself that keep getting in the way, IFS offers a way to approach those parts with curiosity rather than frustration, helping them settle.

For LGBTQIA+ clients, this matters in specific ways. EMDR can be particularly effective for processing experiences of discrimination, family rejection, or identity-based trauma, because it works directly with how those memories are held in the body. IFS helps make sense of the parts that learned to hide, perform, or shut down, not because something is wrong with you, but because those parts developed as adaptations to environments that weren't always safe.

 

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

 
 
 
 

As featured on

The Right Therapist podcast by Source, Australia's trusted therapy platform. Matthew appeared in the episode "How Therapy Actually Heals Trauma", discussing how to work with shame specific to the LGBTQ+ community.

Listen on Spotify

 
 

What clients 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."

— Tim

"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."

— Andrew

"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."

— Anita

 

Your counselling space in Thornbury

 

I see clients at Prana House, 1/885 High St, Thornbury VIC 3071, in the inner north of Melbourne, close to public transport and street parking.

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 LGBTQIA+ adults across Victoria. 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 (member #468686), 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.

  • In my experience, both as a queer person and as a therapist who has worked with LGBTQ+ adults for over a decade, the most common thing clients tell me in a first session is some version of: "I've never been able to say this out loud before." That's not because they haven't tried therapy. It's because they've spent their sessions managing their therapist's understanding of who they are, rather than getting to the actual work. When your therapist shares your context, you don't have to translate yourself. The session can start from a different place, and go deeper, faster, with less of the emotional labour of making yourself legible to someone who doesn't share your experience.

  • 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. My therapeutic approach is grounded in Gestalt psychotherapy, a relational, present-focused approach that works with the whole person, not just symptoms. On top of that foundation, I bring specialist training in EMDR (Eye Movement Desensitisation and Reprocessing), which is particularly effective for processing identity-based trauma, experiences of discrimination, and sexual trauma by working directly with how those memories are stored in the body. I also draw on IFS (Internal Family Systems), which helps clients understand and work with the protective parts of themselves, the inner critic, the part that shuts down, the part that learned to hide, with curiosity rather than shame. I am a registered mental health social worker (AASW #468686) and have been working with LGBTQIA+ adults since 2012.

  • My session fee is $260. As a registered mental health social worker, I offer Medicare rebates to clients with a valid Mental Health Care Plan from their GP. The rebate is currently $87, leaving an out-of-pocket gap of $173 per session. Medicare rebates apply to both in-person and online sessions, and cover up to 10 sessions per calendar year. You don't need a specific diagnosis; a general mental health referral from your GP 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 before you book.

  • Everything discussed in our sessions is confidential. Session notes are stored securely in accordance with AASW professional standards and Australian privacy law. There are legal limits to confidentiality. If I have serious concerns about your safety or the safety of others, I am required to take appropriate action, but I will always discuss this with you openly rather than acting without your knowledge where possible. If you have specific questions about how your information is stored or managed, please ask me directly, I'm happy to walk you through it.

  • Look for specific experience, not just stated values. Ask whether the therapist has worked in LGBTQIA+ community organisations, whether they identify as part of the community, and whether they have training in trauma, since many LGBTQIA+ adults carry trauma that general therapists may not be equipped to work with. Check that they are registered with a professional body (AHPRA for psychologists, AASW for mental health social workers) so their credentials are verifiable. And have a brief initial conversation before booking a full session, the therapeutic relationship is everything, and a good fit matters more than any credential. I offer a free 30-minute check-in for exactly this reason.

  • 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.

 
 

Connect with your inner wisdom

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Healing from the inside out