Hello and welcome to my website! My name is Andy Matzner, and I’m a psychotherapist who specializes in LGBTQ-affirming mental health services. I work with individuals, couples and families, as well as with the polyamorous and kink communities. One of my specialties is providing gender evaluations for transgender clients who are seeking hormones or surgery (please click here for more info).

I am licensed as a clinical social worker in both Virginia and California. If you live in southwest Virginia (my office is located in Roanoke), I am happy to see you in person. Otherwise, we can meet via Skype.

My heartfelt commitment is to create a safe and empowering space in which you can:

  • Explore your gender and/or sexual identity
  • Navigate transition
  • Gain confidence in coming out to family, friends and school/work
  • Feel good about yourself
  • Address relationship issues
  • Strengthen a partnership
  • Discover how to manage compulsive or addictive behavior
  • Learn how to alleviate stress, anxiety and depression
  • Heal from loss
  • Find balance in your life

Relationship Issues and Couples Counseling

Helping partners improve their relationship is another of my specialties. My goal is to assist couples (as well as partners in poly relationships) with deepening their connection, managing conflict, improving communication, and re-creating that sense of love and joy that can drain from a partnership over time. As a therapist, my commitment is to the relationship, and partnership counseling is a valuable opportunity to take a step back in order to explore what needs to happen next. Sometimes it is time for a relationship to end, and I can assist with that transition. On the other hand, counseling can provide the opportunity to take your relationship to that next level of love and commitment.


Counseling appointments are $80 for a 55 minute session. I am able to accept cash, check or charge. For distance services, I will email you an invoice using Paypal, which you can pay using a credit card. I do not accept insurance but am happy to write a receipt as an “out of network provider” if necessary.

Please don’t hesitate to contact me by phone or email for more information!

540-819-0429 / andymatzner@gmail.com / se habla español