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Sex therapy is talk therapy focused on sexual concerns, intimacy, desire, communication, pleasure, and relationship patterns. Sessions are fully clothed, and there is no sexual touching or activity with the therapist. We will identify what is keeping you stuck, understand the emotional, relational, physical, and cultural factors involved, and build practical ways forward. Visit the Sex Therapy page for more information.
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You and your partner join a secure video session from a private location. We slow down recurring patterns, help each person communicate more clearly, and address trust, conflict, emotional connection, and sexual intimacy without taking sides. Online couples therapy is available when clients are physically located in Texas, Colorado, Washington, or Florida.
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You can still begin individually. Individual therapy can help you understand your needs, boundaries, communication patterns, sexual concerns, and choices even if your partner is not ready to participate. If your partner later wants to join, we can discuss whether couples therapy is clinically appropriate.
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Yes. Desire differences are among the most common reasons people seek sex therapy. We may explore stress, resentment, communication, hormones, health, medication, sexual scripts, pressure, pleasure, and relationship history. The goal is not to force equal desire; it is to create understanding, choice, and a more collaborative intimate relationship.
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No. My approach is sex-positive, LGBTQ+ affirming, kink-aware, and relationship-structure neutral. You will not be asked to defend your identity or relationship model. We will focus on the concerns that brought you to therapy, including consent, communication, boundaries, trust, shame, desire, and connection.
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Private-pay therapy allows our work to remain focused on your goals rather than being shaped by an insurance diagnosis or treatment restrictions. It also allows access to specialized sex and relationship therapy, 90-minute couples sessions, and focused intensives. Superbills are available for possible out-of-network reimbursement. Current fees are listed on the Therapy & Coaching Rates page.
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Therapy can diagnose and treat mental-health concerns and may include trauma, emotional distress, and deeper clinical treatment. Coaching is forward-focused, goal-oriented, and does not diagnose or treat mental-health conditions. Therapy is available in Texas, Colorado, Washington, and Florida; coaching is available more broadly. If you are unsure which service fits, begin with the Start Here page.