How I Work
What Sex Therapy Is and Is Not
A confidential conversation about desire, shame, pleasure, and closeness, without sexual contact or physical activity.
Plainly Stated
This Is Talk Therapy
Sex therapy is talk therapy and never involves sexual contact or physical sexual activity. The work is conversation, reflection, and, when useful, agreed-upon things to notice or discuss in your own life between appointments.
You might be concerned about desire that has changed, anxiety during intimacy, a painful message you absorbed growing up, or a disagreement with a partner that you cannot discuss without shutting down. You do not have to use perfect language. Andrea has specialized training in sex therapy and can help you name what is happening without treating the subject as embarrassing.
What Comes Up
The Context Around Intimacy
A first session may look at when a concern began, what happens before and after it, and what you have already tried. You might talk about stress, relationship agreements, body image, beliefs about what you should want, or a history that changes how closeness feels. Andrea asks questions to understand your experience; she does not decide what a healthy relationship or sexuality should look like for you.
Kink, non-monogamy, and LGBTQIA+ identities are not problems to be fixed. If your concern includes a physical symptom, Andrea may recommend that you also speak with a medical provider. Psychotherapy can address the fear, communication, or meaning around a symptom, but it does not replace medical evaluation.
Alone or Together
Different Ways to Enter the Conversation
You can attend individually if you want to understand your own relationship with desire, shame, or anxiety. Partners can attend together if the pattern lives in the space between you: one person raises a concern, the other feels blamed, and both leave the conversation feeling farther apart. Andrea will ask what each person hopes to address and whether joint work is appropriate.
Sex Therapy is $250 for a 50-minute individual session. Couples and Sex Therapy is $300 for 50 minutes. The focus can change as you understand more about the concern; you are not required to describe everything at the first meeting. Sessions are by secure telehealth for clients located in Texas, Colorado, or Idaho at the time of the appointment.
A Practical Next Step
Begin with What Is Difficult to Say
You may have a question you have never asked out loud, or a conversation that starts and stops every time you try to have it at home. You can begin with what happens just before it becomes hard to speak. Andrea can help distinguish a personal concern from a couple pattern, and notice where pressure, avoidance, or assumptions about desire are keeping you stuck.
There is no requirement to arrive with a label. If a longer conversation is appropriate, a 90-minute Extended Specialty Session is $395. A $100 consultation can help clarify whether individual, couples, or extended work fits. The $100 is credited in full toward your first paid session or intensive. What you share can be direct and ordinary; it does not need to be a polished story.
Questions
Frequently Asked Questions
Does anything sexual happen in a sex therapy session?
No. Sex therapy is talk therapy only. There is never sexual contact or physical sexual activity in a session.
Can I come without my partner?
Yes. Individual Sex Therapy is available for $250 per 50-minute session; partners can also attend Couples and Sex Therapy together.
What if I think the concern is physical?
A medical provider can evaluate physical concerns. Andrea can work with the anxiety, communication, or relationship context alongside appropriate medical care.
Keep Exploring
Related Paths
The subject can be said plainly here.
Start with a $100 consultation. The $100 is credited in full toward your first paid session or intensive.