Alysondra Duke
Counselor, PhD
Verified by Psychology Today Verified by Psychology Today
2 Endorsed
Connect with Alysondra Duke

Sex and Relationship therapy for better relationships! Couples often reach out when communication has become painful, intimacy has faded, or conflict feels impossible to resolve. I work with couples and individuals who want deeper connection, stronger communication, and more fulfilling emotional and sexual relationships. My practice supports clients navigating desire differences, intimacy challenges, trust issues, and relationship transitions. I offer sex-positive, affirming therapy and welcome LGBTQ+ and queer clients seeking a space where identity, relationships, and sexuality are respected and understood.
My approach is eclectic, integrating feminist and psychodynamic perspectives with somatic awareness, and sex-positive frameworks. As a Board-Certified Sexologist, I help clients understand relationship patterns, rebuild emotional safety, and deepen intimacy and sexual connection.
Clients often tell me they appreciate the balance of warmth, insight, and direct guidance in our work together. Therapy is collaborative, thoughtful, and focused on real change. If you’re ready to invest in a more connected relationship or a more fulfilling intimate life, I invite you to reach out!
Email Alysondra Duke now for a free 15 minute consultation
Connect with Alysondra Duke

Finances
Fees
- Individual Sessions $185
- Couple Sessions $210
- Sliding scale: apply if you may be eligible
Payment Methods
ACH Bank transfer, American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Paypal, VisaInsurance
- Premera Blue Cross
- Regence
- Out of Network
Alysondra Duke
Counselor, PhD
Email me for a free 15 minute consultation now.
Qualifications
- Verified by Psychology Today Licensed by State of Washington / LH60550709 Alysondra Duke
- In Practice for 14 years
- Certificate from The American Board of Sexology 23174 / 2023
Education and Years In Practice
Additional Credentials
Alysondra Duke
Counselor, PhD
Email me for a free 15 minute consultation now.
Specialties and Expertise
Top Specialties
- Women's Issues
- Sex Therapy
- Relationship Issues
Expertise
- ADHD
- Anxiety
- Bisexual
- Body Image
- Codependency
- Coping Skills
- Emotional Disturbance
- Empowerment
- Family Conflict
- Lesbian
- LGBTQ+
- Life Coaching
- Life Transitions
- Marital and Premarital
- Peer Relationships
- Self Esteem
- Sex-Positive & Kink Friendly
- Spirituality
- Stress
- Transgender
Alysondra Duke
Counselor, PhD
Email me for a free 15 minute consultation now.
Client Focus
Age
Adults
Participants
Individuals ,
Couples
Communities
Bisexual Allied ,
Gay Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Sex Worker Allied ,
Transgender Allied
Age
Adults
Participants
Individuals ,
Couples
Communities
Bisexual Allied ,
Gay Allied ,
Lesbian Allied ,
Non-Binary Allied ,
Queer Allied ,
Sex Worker Allied ,
Transgender Allied
Treatment Approach
Types of Therapy
- Coaching
- Cross-Cultural
- Eclectic
- Feminist
- Humanistic
- Interpersonal
- Psychodynamic
- Relational
Alysondra Duke
Counselor, PhD
Email me for a free 15 minute consultation now.
Location
Nearby Areas
Neighborhoods
Alysondra Duke
Counselor, PhD