Sex Therapy
Support for desire, intimacy, sexual concerns, and conversations that are hard to have. In person in Issaquah. Telehealth across Washington, Utah, and Nevada.
What sex therapy can help with
Sex therapy is a place to talk directly about sexuality without having to minimize or explain why it matters.
We can look at desire, consent, sexual function, expectations, shame, values, and the relationship patterns around them.
Who it is for
- Individuals with questions or concerns about desire, arousal, sexuality, or sexual experiences
- Couples navigating desire differences, disconnection, or conflict around sex
- People whose experience of intimacy has changed with parenting, health, faith, or another life transition
- Clients who want a respectful place to talk about consent, fantasy, values, or expectations
Common concerns
Desire differences
You want different things, different amounts, or different timing, and the conversation has become difficult.
Shame or hesitation
Sex matters, but talking about it feels uncomfortable, loaded, or easy to avoid.
Repeating conversations
You can name the problem, but the discussion keeps ending in the same place.
Changes in intimacy
Stress, parenting, health, faith, and other transitions can change how sex and connection feel.
How Anastasia works
The work is structured, collaborative, and practical. Sessions may include mapping a pattern, psychoeducation, practicing language in session, or choosing a small step to try between sessions.
Availability
In-person sessions are available in Issaquah.
Telehealth is available across Washington, Utah, and Nevada.
When an Intensive may fit
If sexual or intimate concerns are part of a larger relationship pattern, a two-day Intensive can provide more time to work together without stopping after 55 minutes.
Common questions
Do I need a specific sexual problem to come to sex therapy?›
No. If sex or intimacy matters to your relationship, sense of self, or well-being, it is appropriate to talk about.
Is sex therapy only for couples?›
Sex therapy is available to individuals and couples. You can come on your own to discuss sexuality or intimacy; a partner does not need to attend.
Can we talk about consent, fantasy, or values?›
Yes. Consent, fantasy, and personal values can all be part of sex therapy. You can decide what feels relevant and how much detail to share.
Ready to talk?
A free 20-minute consult is the simplest way to discuss fit and availability.
Related
You can keep exploring if you want the broader therapy picture.
Couples Therapy
Read the companion page for partner work, common concerns, and next steps.
Intensive
Review the two-day Intensive if you want a more concentrated format.
Sex & Intimacy Intensive
Explore intensive work for sexual and intimacy concerns in couples.
All Therapy Services
See individual therapy, pre-commitment therapy, and links to every other service.