Sex Therapy
Private support for desire, intimacy, sexual concerns, and the conversations that keep getting avoided. In person in Issaquah, WA. Telehealth across WA, UT, and NV.
Sex Therapy
The topic of sex is welcome here. We often start with reviewing your history and naming what matters currently. I support clients in identifying and living into their values while maintaining curiosity.
We practice the language of consent, knowing one's own capacity, how to foster or manage desire, and untangle messy myths and messaging about sexuality.
Good fit for desire concerns, sexual dysfunction questions, missing connection, compulsive sexual behavior concerns, and the intersection of parenthood and sexuality.
What sex therapy is
Sex therapy gives you a place to talk about sexuality with less guessing and more structure. We slow things down, name what matters, and look at the patterns around desire, consent, meaning, and communication.
You do not need a perfect reason to bring it up. If sex or intimacy affects your relationship, self trust, or sense of ease, it belongs in the room.
Who it is for
- Individuals who want a steadier place to sort through desire, arousal, or uncertainty about sex.
- Couples who get stuck in silence, mismatch, or quick conflict around sex and intimacy.
- People navigating parenthood, faith shifts, or other transitions that change how intimacy feels.
- Clients who want a respectful place to talk about consent, fantasy, values, or sexual expectations.
Common concerns people bring
Desire mismatch
One person wants more, less, or different timing than the other, and the conversation keeps looping.
Shame or hesitation
It feels hard to speak plainly about sex, even when it matters to the relationship.
The same script keeps repeating
You can describe the problem, but the conversation shuts down before anything changes.
Life changes that shift intimacy
Stress, parenting, faith changes, and big transitions can change how sex feels and what feels possible.
How Anastasia works
Anastasia keeps the work structured, collaborative, and practical. She listens for the pattern, names what is happening, and helps you slow down enough to make the conversation usable.
Sessions may include psychoeducation, mapping the cycle on a whiteboard, and practice with language that fits your values.
- Clear structure
- Pacing that keeps the topic manageable
- Practical takeaways or homework when useful
Availability
In person sessions are available in Issaquah, WA.
Telehealth is available across WA, UT, and NV.
If the topic is best handled in person or online, a consult is the simplest way to sort that out.
How this relates to the intensive
If the intimacy issue is part of a larger relationship pattern, the two day intensive can create more time and structure to work on it.
Sex and intimacy can be part of intensive work when that is the right container.
Sex Therapy FAQs
Do I need a specific reason to bring this up?
No. If sex or intimacy affects your relationship, self trust, or sense of ease, it belongs in the room.
Is sex therapy only for couples?
No. Sex therapy can support individuals and couples who want a steadier place to talk about desire, consent, and expectations.
Can we talk about consent, fantasy, or values?
Yes. The work can include consent, fantasy, values, and sexual expectations when those topics matter to you.
What to do next
Book a free consult if you want to talk through fit, availability, and the best next step.
Related pages
You can keep exploring if you want the broader therapy picture.