Tammy Fisher

I’m Tammy Fisher, an AASECT Certified Sex Therapist, Licensed Professional Counselor, Licensed Marriage and Family Therapist, and Clinical Supervisor with nearly two decades of experience helping adults and couples create more honest, connected, and fulfilling relationships.

I specialize in the conversations many people find hardest to have—desire differences, sexual concerns, communication breakdowns, betrayal, shame, changing bodies, identity, consensual nonmonogamy, kink, and the loss of emotional or erotic connection. My work is inclusive, trauma-informed, sex-positive, and affirming of diverse identities and relationship structures.

Clients often describe my style as warm, direct, grounded, and disarmingly funny. I offer thoughtful clinical depth without treating you like a diagnosis or relying on generic advice. Together, we look beneath the surface, understand the patterns keeping you stuck, and build practical ways to communicate, reconnect, and move forward.

Online therapy is available to clients in Texas, Colorado, and Washington, and to Florida adults through my registered out-of-state telehealth provider status. Coaching and professional consultation are available more broadly where appropriate.