top of page
William Macaulay Counselling Perth logo

William Macaulay

LGBT Counsellor & Psychotherapist

Perth, Western Australia

Phone 0401 316 977

for enquiries or appointments

LGBT Counselling Perth
(Lesbian, Gay, Bisexual, Transgender)

Anxiety, depression and low self-esteem are mental health issues that can impact anyone, regardless of one's sexual orientation or gender identity. However, for individuals who identify as lesbian, gay, bisexual and transgender, the sources of mental distress are much higher. Coming to terms with one's sexuality or gender identity, dealing with homophobia, transphobia and discrimination, and being rejected by the people we love are all aspects that have the potential to cause significant emotional and psychological distress. These issues can impact many aspects of our life, including mental health, self-worth, relationships, alcohol and drug use, and physical health.


Conveniently located north and south of the river in Perth, I specialise in providing professional LGBT counselling and psychotherapy services covering a wide range of sexuality and gender issues. See details below. My aim is to support you to develop healthy and satisfying relationships, and to feel positive about your sexual orientation and/or gender identity.

Gay Issues
Gay Rainbow Flag.png

Gay Counselling Perth

I have a keen interest in working with and supporting the gay community. Talking through the difficulties you face with a trained gay therapist in a safe, non-judgemental and confidential environment, can lead to new possibilities, strategies and skills to overcome your concerns.

Uncomfortable with your sexual orientation?

Individuals who are uncomfortable identifying as gay, lesbian or bisexual come to see me with a range of issues, such as uncertainty about their sexual orientation, navigating the 'coming out' process, sexual concerns, religious concerns, social acceptance and self-acceptance. If you are currently questioning your sexuality, I offer a warm and accepting space to explore your thoughts and feelings.

Comfortable with your sexual orientation?

Same-sex attracted individuals also seek gay counselling services concerning a variety of other issues that can affect each and every one of us, regardless of sexual orientation. These include relationship issues such as dating, fidelity, jealousy, trust and abuse, alcohol and drug issues, mental health issues such as anxiety, depression, past trauma and low self-esteem, and sexual health issues.

How can gay counselling help?

  • Offers you a supportive, confidential and non-judgemental environment in which to discuss your concerns, emotions and feelings.

  • Teaches you coping strategies and skills to overcome any discrimination and homophobia that you may encounter.

  • With evidence-based techniques such as cognitive behaviour therapy (CBT), you can learn how to diminish, manage and resolve any anxiety and depression symptoms, and build a healthy self-esteem.

  • Offers you a safe environment to explore and resolve sex or relationship issues.

  • Provides guidance and support, by someone who understands you, with the difficult process of 'coming out' to friends, family and work colleagues.

  • Helps you to achieve your goals in resolving any alcohol or drug concerns.


Transgender Counselling Perth

Transgender Flag.jpg

Are you clear about your gender identity, yet suffer from stress, anxiety or depression caused by the reactions of others? Or are you unclear about your gender identity and what this means for you? I have a specialist interest in working with and compassionately supporting people belonging to the gender diverse community.

How can talking to a gender therapist help?


Here are some of the gender issues I work on with people in my practice:


Having a gender identity which conflicts with your body can be tough. If you need support with how best to work through an issue, please contact me to schedule an appointment. Together we can explore the best way forward to overcome your concerns and achieve your goal to live a more fulfilled and enriched life.

Trans and Gender Counselling Services

LGBT concerned families

I am particularly passionate about helping families support their lesbian, gay, bisexual and transgender (LGBT) children. Family acceptance can have a hugely positive impact on the overall well-being of people who identify as lesbian, gay, bisexual or transgender.


I offer guidance on how to support a loved one who may be struggling with anxiety, depression, alcohol and drug misuse, or suicidal ideation as a result of 'being different'. I also provide information, guidance and support to family members who are struggling to understand or accept that their loved one identifies as LGBT.

Featured LGBT+ videos

The following LGB link contains a selection of informative YouTube videos covering a wide variety of gay, lesbian and bisexual topics. The second link contains a good selection of videos covering a broad range of transgender, non-binary and gender diverse issues. These videos may also be helpful for friends and family members to gain a greater understanding of a variety of LGBT+ issues.

Featured LGBT articles

I have written the following same-sex attracted and transgender themed articles. You may find them helpful to obtain a greater understanding and awareness of a particular area of interest or concern.


Addressing the common objections to same sex relationships.

Is being same sex attracted immoral, unnatural or harmful?

Does the Bible condemn it?

Bisexual flag

Understanding bisexuality.

Relationship issues.

Social challenges and discrimination.

Mental Health.

Perth Bisexual counselling.

Bisexual flag
Coming out as LGBT

Things to consider.

The benefits of coming out.

The risks of coming out.

The coming out journey.

LGBT+ counselling and support.

Coming out as LGBT
Gay rainbow flag

Gay social challenges and discrimination.

Same-sex relationship issues.

Gay Mental health.

Gay & Lesbian Counselling in Perth.

Gay rainbow flag
Transgender flag

What is gender?

Confused about your gender?

Social & medical transitioning.

Mental health.

Gender counselling in Perth.

Transgender flag
bottom of page