Sex and relationship therapy that works alongside your care
For physicians, prescribers, pelvic health specialists, therapists, and other healthcare professionals.
Collaborative care
Therafox works with adults and couples when medical, physical, psychiatric, or relational concerns affect sexuality, intimacy, or the relationship.
Anastasia Fox, LMFT, CST, welcomes coordination with other members of a patient's care team when the patient authorizes it.
When to refer
A referral may be helpful when your patient is experiencing:
- Pain, fear, or anxiety related to sexual activity
- Desire differences or loss of sexual interest
- Arousal or orgasm concerns
- Erectile or ejaculatory difficulties
- Sexual side effects associated with medication
- Changes related to pregnancy, postpartum recovery, menopause, illness, or medical treatment
- Avoidance following pain, surgery, childbirth, or medical trauma
- Shame, performance anxiety, or difficulty communicating about sex
- Relationship distress connected to a sexual health concern
- A physical concern that is improving while fear, avoidance, or partner tension continues
Patients do not need a formal sexual dysfunction diagnosis before contacting Therafox.
Care that complements yours
Medical care may address pain, hormones, medication effects, illness, or physical function while emotional and relational patterns continue to affect the patient's experience.
Sex therapy can help patients and partners understand those interactions, communicate more directly, reduce avoidance or performance pressure, and adapt to changes in health or life stage.
- Understand how physical, psychological, and relational factors interact
- Reduce fear, shame, avoidance, and performance pressure
- Communicate about pain, desire, boundaries, and expectations
- Rebuild intimacy at a pace that supports safety and trust
- Practice new ways of responding outside the therapy room
- Adapt to changes in health, medication, identity, or life stage
Sex therapy does not replace medical evaluation or treatment.
Common referral partners
I regularly welcome referrals from:
- OB/GYN clinicians
- Psychiatrists and psychiatric nurse practitioners
- Primary care clinicians
- Pelvic-floor physical therapists
- Urologists and urogynecologists
- Menopause and sexual-medicine specialists
- Fertility and reproductive-health clinicians
- Postpartum care professionals
- Oncology and survivorship teams
- Other therapists seeking specialized sex-therapy support
Therapy options
These pages outline the main starting points for patients and couples.
Sex Therapy
Individual or couples therapy for sexuality, sexual function, intimacy, communication, and connection.
Couples Therapy
Relationship therapy for conflict, disconnection, trust concerns, transitions, and repeating patterns.
Two-day Intensive
Focused work for couples who need more time than weekly sessions provide.
How to refer
Choose the next step that fits the situation.
Send a patient directly
Patients can request a free 20-minute consultation online.
Patient consultationTalk with Anastasia
For questions about fit, coordination, or your patient population, request a provider consultation.
Provider consultationReferral information by specialty
Therapist referrals
For therapists collaborating on relationship and sexual health concerns.
Learn morePsychiatrist referrals
For psychiatrists managing medication and mental health alongside therapy.
Learn moreOB/GYN referrals
For obstetricians and gynecologists addressing reproductive and sexual health.
Learn morePelvic floor therapy referrals
For pelvic floor physical therapists addressing pain and function.
Learn morePrimary care referrals
For primary care physicians managing general health and medication effects.
Learn moreProvider consultation
Do not include a patient’s name, date of birth, diagnosis, or other protected health information in this form.
Practice information
In-person care is available in Issaquah, Washington.
Telehealth is available across Washington, Utah, and Nevada.
Therafox is an out-of-network practice. Clients pay directly and can request superbills for possible reimbursement.
Therafox is not an emergency or crisis service.
I can coordinate with care teams when the patient authorizes it and the discussion is relevant to treatment planning.
About Anastasia
Anastasia Fox, LMFT, CST, is a Licensed Marriage and Family Therapist and AASECT Certified Sex Therapist specializing in sexuality, intimacy, and relationship dynamics.
- Licensed Marriage and Family Therapist
- AASECT Certified Sex Therapist
- Advanced Developmental Model training
- MA in Couples and Family Therapy, Antioch University Seattle
Start a conversation
Have a patient population that could benefit from specialized sex or relationship therapy? Let’s discuss how Therafox can support your work.
Practice location
371 NE Gilman Blvd, Suite 160, Issaquah, WA 98027
425-961-9767