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 (LGBT), 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 offer professional counselling and psychotherapy services covering a wide range of LGBT issues. See details below. My aim is to support you to develop healthy and satisfying relationships, and to feel positive about your sexual orientation or gender identity.


🏳️‍🌈  Gay Counselling Perth  🏳️‍🌈

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.


Comfortable with your sexual orientation?

Same-sex attracted individuals also seek counselling 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 and trust, alcohol and drug issues, and mental health issues such as anxiety, depression, past trauma and low self-esteem.


Gay Counselling & Support:

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


🏳️‍⚧  Transgender Counselling Perth  🏳️‍⚧


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 transgender community.


How can I help?

Here are some of the 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.

Benefits of LGBT Counselling

How can counselling and psychotherapy help with lesbian, gay, bisexual and transgender issues?

  • 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 / transphobia that you may encounter.

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

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

  • Provides support with the difficult process of ‘coming out’ to friends and family.

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

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 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, disgusting or harmful?

Does the Bible condemn it?

Bisexual flag

Understanding bisexuality

Relationship issues

Social challenges and discrimination

Mental Health

Bisexual support

Bisexual flag
Coming out as LGBT

Things to consider

Benefits of coming out

Risks of coming out

The coming out journey

Lesbian, Gay, Bi & Transgender support

Coming out as LGBT
Gay rainbow flag

Social challenges and discrimination


Same sex relationship issues

Mental health

Gay & Lesbian support

Gay rainbow flag
Transgender flag

What is gender?

Confused about your gender?

Social & medical transitioning

Mental health

Transgender support

Transgender flag