Ali Rose Lesakowski
LMSW, MA, CASAC (she, they)
Verified by Psychology Today Verified by Psychology Today
2 Endorsed
Let's Connect (716) 592-6453

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 Email Ali Rose Lesakowski now for a free 15 minute consultation - (716) 592-6453
Let's Connect (716) 592-6453

Finances
Fees
- Individual Sessions $150
- Couple Sessions $200
- Sliding scale: apply if you may be eligible
Payment Methods
American Express, Discover, Mastercard, Visa
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or Email me 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
- In Practice for 5 years
- Attended University at Buffalo, MSW, Graduated 2025
- Degree/Diploma from University at Buffalo MSW / 2025
Education and Years In Practice
Additional Credentials
Ali Rose Lesakowski
LMSW, MA, CASAC
Feel free to ask about qualifications and training experience. Email 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
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or Email me for a free 15 minute consultation now - (716) 592-6453
2 Endorsements
Part of The Expansive Group
View PracticeClient 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
Ali Rose Lesakowski
LMSW, MA, CASAC
Call or Email me for a free 15 minute consultation now - (716) 592-6453