A place to talk about what can be hard to name.
Sex therapy is specialized talk therapy for concerns related to sexuality, sexual wellbeing, desire, and intimacy.
Sessions are fully clothed. They never involve sexual contact, therapist touch, physical examination, or observation of sexual activity. You decide what you are ready to discuss, and consent applies to the therapy process itself—not only to the topic.
- Talk therapy only
- Fully clothed
- Consent-centered
- Individuals & couples
Sexual concerns are often relational, emotional, physical—and human.
There is no single “normal” amount of desire, frequency, or way to experience intimacy. Difficulty may emerge from relationship patterns, stress, anxiety, beliefs learned about sexuality, trauma, medication, pain, hormonal change, illness, parenthood, aging, identity, or simple differences between partners. Therapy helps us get specific without treating you or your relationship as defective.
Desire & arousal differences
We explore what accelerates or inhibits interest, how pressure affects each person, what desire means in the relationship, and how to communicate differences without coercion or shame.
Performance anxiety
Attention can become organized around monitoring, expectation, or fear of disappointing a partner. Work may include education, cognitive and mindfulness strategies, and reducing the cycle of pressure and avoidance.
Intimacy & connection
After conflict, caregiving, betrayal, trauma, or a major transition, closeness can feel vulnerable. We may address emotional safety, affection, trust, boundaries, and gradual reconnection.
Communication & consent
We practice clearer language for wants, limits, uncertainty, pleasure, and change. Consent must be freely given, specific, informed, and reversible.
Trauma impacts
Trauma-informed care emphasizes choice, pacing, stabilization, and present-day safety. Disclosure is never forced, and trauma processing is not automatically the first step.
Life and medical changes
Pain, medication effects, pregnancy, postpartum adjustment, menopause, illness, disability, aging, and body changes may require both emotional support and appropriate medical collaboration.
How we may work
Clarify the concern
We discuss each person’s experience, goals, values, relevant health factors, relationship context, and what has already been tried.
Understand the cycle
Using family systems and Emotionally Focused Therapy perspectives, we examine how pressure, pursuit, avoidance, hurt, and protection reinforce one another.
Build practical options
Work may include education, communication practice, cognitive or mindfulness skills, boundaries, and privately completed exercises that never involve the therapist.
Coordinate when needed
With your permission, a physician, pelvic-health provider, or other specialist may help assess pain, function, medication effects, or medical contributors.
Inclusive, values-aware care
Sex therapy should respect identity, orientation, gender, culture, faith, ability, relationship agreements, and personal values. My role is not to prescribe a particular sex life or pressure anyone toward activity. We work toward informed, mutually respectful choices and a definition of wellbeing that belongs to you.
When couples work may not be appropriate
Sex therapy cannot make consent negotiable. When there is coercion, violence, ongoing abuse, or a serious safety concern, conjoint work may be unsafe or clinically inappropriate. Safety planning and specialized individual resources take priority.
Independent sources
You can ask the awkward question here.
We can talk privately about what is happening, what you want to be different, and whether my approach fits your needs.
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