Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
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Photo of Ali Rose Lesakowski, LMSW, MA, CASAC

Ali Rose Lesakowski

LMSW, MA, CASAC (she, they)

Verified by Psychology Today Verified by Psychology Today
2 Endorsed
Call Me
Let's Connect (716) 592-6453
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Available both in-person and online
West Seneca, NY 14224
I work with adults and partners who want more honest, connected, and expansive relationships with themselves and others, including folks who are questioning, and those in LGBTQIA+, kink/BDSM, and consensual non-monogamous communities. Starting therapy around sex, relationships, or identity can feel vulnerable—and you don’t have to navigate it alone. My approach is collaborative, affirming, and rooted in curiosity and compassion. I work from a trauma-informed, Internal Family Systems (IFS) lens, integrating somatic based practices to help you build deeper connection to yourself and work with protective parts with compassion.
Together we can move through shame and challenge, toward a more authentic expression of desire, pleasure, and relational freedom. I aim to create a space that is warm, direct, and nonjudgmental—where all parts of you are welcome, and where we move at a pace that honors both safety and discomfort, while together finding a healthy edge for growth.
Our first session is a space to get to know each other, explore what’s bringing you in, and begin shaping what you want more of in your relationships, your sexuality, and your life. I believe people deserve spaces where their desires, identities, and relational choices are met with respect and care. If this resonates, I welcome you to reach out.
Call or Ali Rose Lesakowski now for a free 15 minute consultation - (716) 592-6453

My Practice at a Glance

Available both in-person and online

West Seneca, NY 14224

(716) 592-6453
My website
I offer virtual therapy Monday through Friday
I specialize in Sex Therapy, Trauma and PTSD and Spirituality 
$150 Per Session  
Individual one-on-one therapy 
Let's Connect (716) 592-6453
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC

My Practice at a Glance

Available both in-person and online

West Seneca, NY 14224

(716) 592-6453
My website
I offer virtual therapy Monday through Friday
I specialize in Sex Therapy, Trauma and PTSD and Spirituality 
$150 Per Session  
Individual one-on-one therapy 

Finances

Fees

  • Individual Sessions $150
  • Couple Sessions $200
  • Sliding scale: apply if you may be eligible

Payment Methods

American Express, Discover, Mastercard, Visa
"
I currently do not accept insurance
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453
"
I currently do not accept insurance
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453

Qualifications

  • Verified by Psychology Today Licensed by State of New York / 129262-01 Alison Lesakowski
  • Education and Years In Practice

  • In Practice for 5 years
  • Attended University at Buffalo, MSW, Graduated 2025
  • Additional Credentials

  • Degree/Diploma from University at Buffalo MSW / 2025
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Feel free to ask about qualifications and training experience. or (716) 592-6453
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Feel free to ask about qualifications and training experience. or (716) 592-6453

Specialties and Expertise

Top Specialties

  • Sex Therapy
  • Trauma and PTSD
  • Spirituality

Expertise

  • Addiction
  • Anxiety
  • Behavioral Issues
  • Body Image
  • Codependency
  • Coping Skills
  • Depression
  • Dissociative Disorders (DID)
  • Domestic Violence
  • Dual Diagnosis
  • Family Conflict
  • Grief
  • LGBTQ+
  • Life Coaching
  • Polyamory & ENM
  • Polyamory/ENM Relationships
  • Relationship Issues
  • Self Esteem
  • Sex-Positive & Kink Friendly
  • Sexual Abuse
  • Sexual Addiction
  • Women's Issues
"
American Board of Sexology Certified counselor, specializing in gender, sexuality, relationships, trauma, and substance use, grounded in Internal Family Systems (IFS), embodiment, and anti-oppressive practice. My work is rooted in compassion, liberation, and community accountability, with a strong commitment to sex-positive, pleasure advocacy, and person-centered care.
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453
"
American Board of Sexology Certified counselor, specializing in gender, sexuality, relationships, trauma, and substance use, grounded in Internal Family Systems (IFS), embodiment, and anti-oppressive practice. My work is rooted in compassion, liberation, and community accountability, with a strong commitment to sex-positive, pleasure advocacy, and person-centered care.
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453

2 Endorsements

Jenna Witkowski
Jenna Witkowski
Clinical Social Work/Therapist, LCSW-R
I have the privilege of knowing Ali as a clinician who brings warmth, compassion, and a truly welcoming presence to her work. Ali has a gift for helping people feel deeply seen and understood, creating a safe space for healing and growth.

Client Focus

Age

Adults

Participants

Individuals

Communities

Bisexual Allied , 
Blind Allied , 
HIV / AIDS Allied , 
Intersex Allied , 
Non-Binary Allied , 
Queer Allied , 
Racial Justice Allied , 
Sex Worker Allied , 
Single Parent , 
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Age

Adults

Participants

Individuals

Communities

Bisexual Allied , 
Blind Allied , 
HIV / AIDS Allied , 
Intersex Allied , 
Non-Binary Allied , 
Queer Allied , 
Racial Justice Allied , 
Sex Worker Allied , 
Single Parent , 
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Treatment Approach

Types of Therapy

  • Coaching
  • Compassion Focused
  • Dialectical Behavior (DBT)
  • Internal Family Systems (IFS)
  • Mindfulness-Based (MBCT)
  • Motivational Interviewing
  • Psychosynthesis
  • Sex and Relationships
  • Transpersonal
"
I am certified by The American Board of Sexologist and trained in Internal Family Systems therapy from the Internal Family Systems Institute.
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453
"
I am certified by The American Board of Sexologist and trained in Internal Family Systems therapy from the Internal Family Systems Institute.
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or for a free 15 minute consultation now - (716) 592-6453

Location

Primary Location

West Seneca, NY 14224

(716) 592-6453

Group Practice

The Expansive Group
"
I offer virtual therapy Monday through Friday
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call for a free consultation now - (716) 592-6453
"
I offer virtual therapy Monday through Friday
Photo of Ali Rose Lesakowski, LMSW, MA, CASAC
Ali Rose Lesakowski
LMSW, MA, CASAC
Call for a free consultation now - (716) 592-6453