Sex-Positive, Kink Allied Therapists in San Francisco, CA
Some of the issues I help clients with include anxiety, identity, sex and sexuality, consensual non-monogamy, polyamory, kink, aging, substance use and recovery, relationship challenges, and work stress.
Weekend availability! Reach out about specific days and times. If you’re struggling with relationships, work, emotions, or just existing in the world, you’re not alone. If you want to change, our work together can help you find a path forward. My approach is relational and person-centered, which means I believe you have the capacity to find resolutions inside yourself, and I'll support you as we explore together.
Some of the issues I help clients with include anxiety, identity, sex and sexuality, consensual non-monogamy, polyamory, kink, aging, substance use and recovery, relationship challenges, and work stress.
Weekend availability! Reach out about specific days and times. If you’re struggling with relationships, work, emotions, or just existing in the world, you’re not alone. If you want to change, our work together can help you find a path forward. My approach is relational and person-centered, which means I believe you have the capacity to find resolutions inside yourself, and I'll support you as we explore together.
You’re craving closeness but feel miles apart—from your partner, from your body, or from the calm you remember having. Maybe mismatched desire has turned into avoided conversations, anxiety about sexual performance shows up at the worst moments, or a breakup has left you questioning your worth. You want clear answers and real change: ease instead of worry, intimacy that feels natural, and relationships that are warm, honest, and satisfying. Your goal is to understand what’s getting in the way and replace it with confidence, connection, and a sex life that actually works for you both.
You’re craving closeness but feel miles apart—from your partner, from your body, or from the calm you remember having. Maybe mismatched desire has turned into avoided conversations, anxiety about sexual performance shows up at the worst moments, or a breakup has left you questioning your worth. You want clear answers and real change: ease instead of worry, intimacy that feels natural, and relationships that are warm, honest, and satisfying. Your goal is to understand what’s getting in the way and replace it with confidence, connection, and a sex life that actually works for you both.
When was the last time you felt TRULY happy? Are you feeling overwhelmed by life? Have past traumas left you feeling stressed and anxious? Or maybe you're on a journey to better understand yourself and find lasting happiness. If any of this resonates with you, I can help. As a Taiwanese American who immigrated to the United States at a young age, I know firsthand the struggles faced by individuals from AAPI and immigrant communities. I also recognize the unique challenges the LGBTQ+ community faces, and I'm committed to creating a safe and inclusive environment for all my clients.
When was the last time you felt TRULY happy? Are you feeling overwhelmed by life? Have past traumas left you feeling stressed and anxious? Or maybe you're on a journey to better understand yourself and find lasting happiness. If any of this resonates with you, I can help. As a Taiwanese American who immigrated to the United States at a young age, I know firsthand the struggles faced by individuals from AAPI and immigrant communities. I also recognize the unique challenges the LGBTQ+ community faces, and I'm committed to creating a safe and inclusive environment for all my clients.
You’re a gay man in mid-life.
You’ve done the work. You’ve built a life with depth, identity, and probably a few scars.
You’ve found strength in community—maybe in leather, chosen family, or relationships that don’t fit the mainstream mold.
And yet… certain patterns still show up. Emotional walls. Disconnection. That old feeling like something’s missing—or still running the show.
Daddy Issues Therapy is built for you.
We take your lived experience seriously and use evidence-based tools to help you heal, grow, and lead with emotional clarity—on your own terms.
You’re a gay man in mid-life.
You’ve done the work. You’ve built a life with depth, identity, and probably a few scars.
You’ve found strength in community—maybe in leather, chosen family, or relationships that don’t fit the mainstream mold.
And yet… certain patterns still show up. Emotional walls. Disconnection. That old feeling like something’s missing—or still running the show.
Daddy Issues Therapy is built for you.
We take your lived experience seriously and use evidence-based tools to help you heal, grow, and lead with emotional clarity—on your own terms.
Hi! My name is Gianna and I’m honored to be doing this work together. I fully believe that therapy does not have to be stiff and intense all the time - there is a ton of value in infusing lightness and humor into the process of making sense of our human experience, who we have been, and who we wish to be!
Hi! My name is Gianna and I’m honored to be doing this work together. I fully believe that therapy does not have to be stiff and intense all the time - there is a ton of value in infusing lightness and humor into the process of making sense of our human experience, who we have been, and who we wish to be!
Do you ever feel trapped by societal expectations about how relationships "should" work, whether that's pressure to find "the one," get married, have kids, or maintain relationships that feel restrictive?
Experience anxiety around disclosure—constantly calculating what parts of yourself are safe to reveal in different contexts?
Have a pattern of people-pleasing or code-switching that leaves you exhausted and unsure of your own desires?
Question your sexuality, relationship orientation, or other aspects of identity but fear the consequences of exploration?
Feel isolated, unseen, or misunderstood despite having social connections?
Do you ever feel trapped by societal expectations about how relationships "should" work, whether that's pressure to find "the one," get married, have kids, or maintain relationships that feel restrictive?
Experience anxiety around disclosure—constantly calculating what parts of yourself are safe to reveal in different contexts?
Have a pattern of people-pleasing or code-switching that leaves you exhausted and unsure of your own desires?
Question your sexuality, relationship orientation, or other aspects of identity but fear the consequences of exploration?
Feel isolated, unseen, or misunderstood despite having social connections?
My ideal client feels stuck—looping through anxiety, depression, relationship conflict, perfectionism, or major life transitions—and wants deeper change than quick fixes. You may be high-functioning yet overwhelmed, repeating patterns that don’t make sense. In therapy, we slow down, get curious about unconscious dynamics, and trace how early experiences shape today’s emotions, choices, and boundaries. Using psychodynamic, psychoanalytic, and trauma-informed care, I help you build insight, nervous-system regulation, and more freedom to love, work, and create a life that feels authentic and whole.
My ideal client feels stuck—looping through anxiety, depression, relationship conflict, perfectionism, or major life transitions—and wants deeper change than quick fixes. You may be high-functioning yet overwhelmed, repeating patterns that don’t make sense. In therapy, we slow down, get curious about unconscious dynamics, and trace how early experiences shape today’s emotions, choices, and boundaries. Using psychodynamic, psychoanalytic, and trauma-informed care, I help you build insight, nervous-system regulation, and more freedom to love, work, and create a life that feels authentic and whole.
My clients include queer, trans, and nonbinary folks, artists, long-term survivors, and people in polyamorous or kink-centered relationships.
I offer queer-affirming, liberation-based therapy that integrates talk, movement, creativity, and somatic awareness. I work with teens and adults navigating gender identity, trauma, chronic illness, or nontraditional relationships. My approach draws from expressive arts, somatic psychology, and mindfulness—always shaped by your needs.
My clients include queer, trans, and nonbinary folks, artists, long-term survivors, and people in polyamorous or kink-centered relationships.
I offer queer-affirming, liberation-based therapy that integrates talk, movement, creativity, and somatic awareness. I work with teens and adults navigating gender identity, trauma, chronic illness, or nontraditional relationships. My approach draws from expressive arts, somatic psychology, and mindfulness—always shaped by your needs.
Our suffering and our joy can feel like mysteries to us; why do I feel this way, why do I keep making certain choices, and how do I change the things I want to change? My belief is that at our root, we are exactly who we are supposed to be, and that changes we desire come incrementally through a process of self-acceptance, compassion, and relating to one another. My approach centers the relationship in the room while making space for your full context. I have a particular passion for working with sex workers, organizers, LGBTQ+ and kinky people, non-monogamous people, teens, and men deconstructing masculinity.
Our suffering and our joy can feel like mysteries to us; why do I feel this way, why do I keep making certain choices, and how do I change the things I want to change? My belief is that at our root, we are exactly who we are supposed to be, and that changes we desire come incrementally through a process of self-acceptance, compassion, and relating to one another. My approach centers the relationship in the room while making space for your full context. I have a particular passion for working with sex workers, organizers, LGBTQ+ and kinky people, non-monogamous people, teens, and men deconstructing masculinity.
I am in or am familiar with the following populations: poly, queer, kink, pagan, atheist, neurodivergent.
Get out of your own way!
I work with individuals, couples, teens, and tweens using a nonjudgmental and straightforward style. I use a combination of Dialectical Behavior Therapy and psychodynamic therapy in order to help you get from where you are to where you want to be. DBT can be a concrete road map for daily activities and psychodynamic therapy will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way.
I have Saturday appointment spots available.
I am in or am familiar with the following populations: poly, queer, kink, pagan, atheist, neurodivergent.
Get out of your own way!
I work with individuals, couples, teens, and tweens using a nonjudgmental and straightforward style. I use a combination of Dialectical Behavior Therapy and psychodynamic therapy in order to help you get from where you are to where you want to be. DBT can be a concrete road map for daily activities and psychodynamic therapy will help you gain the insight into yourself and find the deep strength that will give you resiliency for everything that comes your way.
I have Saturday appointment spots available.
I am trauma focused, a member of the LGBTQ community, and KINK / poly positive and affirming.
Creativity is at the core of how I support clients. I believe everyone is inherently creative – and for many, creativity is not just a passion, but a vital way of processing experience, especially when it comes to trauma, identity, and complex emotions.
I am trauma focused, a member of the LGBTQ community, and KINK / poly positive and affirming.
Creativity is at the core of how I support clients. I believe everyone is inherently creative – and for many, creativity is not just a passion, but a vital way of processing experience, especially when it comes to trauma, identity, and complex emotions.
The core of human suffering lies in the resistance to what is... - John J. Prendergast.
Life can often feel like it's moving at a relentless pace, leaving us little room to slow down and give ourselves the care and attention we need. Therapy provides the space to pause, reflect, and be with what is happening in your life. In this space, we can compassionately shed what no longer serves you and nurture what does.
If you're feeling disconnected from yourself, struggling to find meaning, or if you're overwhelmed and isolated, you’re not alone. It’s often in these moments that we most need support.
The core of human suffering lies in the resistance to what is... - John J. Prendergast.
Life can often feel like it's moving at a relentless pace, leaving us little room to slow down and give ourselves the care and attention we need. Therapy provides the space to pause, reflect, and be with what is happening in your life. In this space, we can compassionately shed what no longer serves you and nurture what does.
If you're feeling disconnected from yourself, struggling to find meaning, or if you're overwhelmed and isolated, you’re not alone. It’s often in these moments that we most need support.
An ideal client would be a person who is interested in improving their relationship to others and themselves. They are interested in centering pleasure and joy into their life so they can have better sex, romantic relationships, and friendships while also improving their own self-image and self esteem.
An ideal client would be a person who is interested in improving their relationship to others and themselves. They are interested in centering pleasure and joy into their life so they can have better sex, romantic relationships, and friendships while also improving their own self-image and self esteem.
Many of my clients are LGBTQIA+, nonmonogamous, neurodivergent, kinky, or otherwise living outside the cultural script; often they’re looking for a therapist with lived experience, who doesn’t need a glossary to understand where they’re coming from. Some of these clients are unpacking gender stories written by other people. Some are preparing for or adjusting to medical transition. Others are grappling with the complex intersections of identity, fertility, and family-making — exploring paths to parenting, navigating caregiver burnout, or facing questions about what legacy, lineage, and chosen family mean in queer life.
Many of my clients are LGBTQIA+, nonmonogamous, neurodivergent, kinky, or otherwise living outside the cultural script; often they’re looking for a therapist with lived experience, who doesn’t need a glossary to understand where they’re coming from. Some of these clients are unpacking gender stories written by other people. Some are preparing for or adjusting to medical transition. Others are grappling with the complex intersections of identity, fertility, and family-making — exploring paths to parenting, navigating caregiver burnout, or facing questions about what legacy, lineage, and chosen family mean in queer life.
The longest relationship you’ve ever had is the one you have with yourself. Understanding who you are to your core is life’s greatest adventure. Identity and expression of that identity is what makes you, YOU.
Many people have never had the chance to dissect their desires and learn about their authentic selves. You may not be happy with the way you feel about your body, your gender or identity expression, or maybe you feel inexperienced and nervous about the topic of sexuality; There is room for all of these feelings to be explored. Sexuality is a spectrum, and all of the colors of the wheel are welcome and deserve therapy.
The longest relationship you’ve ever had is the one you have with yourself. Understanding who you are to your core is life’s greatest adventure. Identity and expression of that identity is what makes you, YOU.
Many people have never had the chance to dissect their desires and learn about their authentic selves. You may not be happy with the way you feel about your body, your gender or identity expression, or maybe you feel inexperienced and nervous about the topic of sexuality; There is room for all of these feelings to be explored. Sexuality is a spectrum, and all of the colors of the wheel are welcome and deserve therapy.
Are you ready to heal, reconnect, and grow?
Whether you're working through sexual trauma, exploring your sexuality, navigating grief, relationships, or life transitions, you're in the right place. I offer holistic therapy that blends talk therapy, embodiment practices, and creative exercises to support healing on all levels—mind, body, and spirit.
My approach is non-pathologizing, curious, direct and creative. I tailor the therapy process to your unique needs and pace. Together, we’ll work toward your goals—whether that’s healing from past wounds, deepening self-awareness, or embracing lost parts of yourself.
Are you ready to heal, reconnect, and grow?
Whether you're working through sexual trauma, exploring your sexuality, navigating grief, relationships, or life transitions, you're in the right place. I offer holistic therapy that blends talk therapy, embodiment practices, and creative exercises to support healing on all levels—mind, body, and spirit.
My approach is non-pathologizing, curious, direct and creative. I tailor the therapy process to your unique needs and pace. Together, we’ll work toward your goals—whether that’s healing from past wounds, deepening self-awareness, or embracing lost parts of yourself.
You’ve been carrying more than you let on—stress, anxious loops, old hurts that still shape how you show up at home, at work, and with the people you love. You may feel stuck in patterns that once kept you safe but now keep you small. You want a therapist who truly listens, helps you see your struggle from a new angle, and walks beside you as you build steadier, healthier ways of being. Your goals: understand what’s underneath the pain, feel more choice in how you respond, and create a more harmonious life and relationships that reflect who you are becoming.
You’ve been carrying more than you let on—stress, anxious loops, old hurts that still shape how you show up at home, at work, and with the people you love. You may feel stuck in patterns that once kept you safe but now keep you small. You want a therapist who truly listens, helps you see your struggle from a new angle, and walks beside you as you build steadier, healthier ways of being. Your goals: understand what’s underneath the pain, feel more choice in how you respond, and create a more harmonious life and relationships that reflect who you are becoming.
You’ve read all the books and did all the research, but being in an open relationship is more complicated than it sounded. You thought you had it all figured out, but it turns out you’re just as lost as before. It was supposed to be an exciting time to explore and spice things up, but right now you’re overwhelmed with anxiety and fear. You’re scared this will ruin your relationship and jealousy has become a familiar presence. Something has to change.
You’ve read all the books and did all the research, but being in an open relationship is more complicated than it sounded. You thought you had it all figured out, but it turns out you’re just as lost as before. It was supposed to be an exciting time to explore and spice things up, but right now you’re overwhelmed with anxiety and fear. You’re scared this will ruin your relationship and jealousy has become a familiar presence. Something has to change.
I provide sex-positive, trauma informed, kink-affirming, and ND-affirming therapy, grounded in Internal Family Systems (IFS).
I’m a Certified Sex Therapist with extensive training in sexual health. I help people reconnect with pleasure, heal shame, people-pleasing, and complex trauma, addiction, explore identity and navigate relationships especially related to mixed neuro-types, non monogamy and BDSM dynamics. My style is straight forward, creative, nonjudgemental and relational.
I provide sex-positive, trauma informed, kink-affirming, and ND-affirming therapy, grounded in Internal Family Systems (IFS).
I’m a Certified Sex Therapist with extensive training in sexual health. I help people reconnect with pleasure, heal shame, people-pleasing, and complex trauma, addiction, explore identity and navigate relationships especially related to mixed neuro-types, non monogamy and BDSM dynamics. My style is straight forward, creative, nonjudgemental and relational.
Life can get complicated and there is no handbook on how to handle things like depression, anxiety, addiction and relationship problems. It is important to know two things: 1. you are not alone, 2. challenges are always opportunities to grow and change your life. You are probably here because it's time to "do something different." Let us help guide you through this journey!
Life can get complicated and there is no handbook on how to handle things like depression, anxiety, addiction and relationship problems. It is important to know two things: 1. you are not alone, 2. challenges are always opportunities to grow and change your life. You are probably here because it's time to "do something different." Let us help guide you through this journey!
See more therapy options for San Francisco
Nearby Sex-Positive, Kink Allied Therapists Searches for San Francisco
- Alameda
- Albany
- Belvedere Tiburon
- Berkeley
- Daly City
- Emeryville
- Mill Valley
- Oakland
- Piedmont
- San Bruno
- Sausalito
- South San Francisco
Sex-Positive, Kink Allied Therapists
Why might an individual want to see a sex-positive, kink-allied therapist?
A sex-positive or kinky individual may want to see a sex-positive, kink-allied therapist because the client may feel safer and more supported discussing their experiences and challenges. A therapist who identifies as kink-friendly will have experience with clients having diverse sexual preferences and will likely be nonjudgmental and supportive about issues brought to the table. It is important to note that sex-positive, kink-allied individuals may find equal success with therapists who do not have such specialized knowledge and background. The most important factor in the success of therapy is for the client and practitioner to form a strong, trusting bond.
Do therapists have special training to gain expertise in sex-positive, kink-allied treatment?
Generally, no. There are limited training programs and unofficial accreditations that therapists can pursue, but a therapist’s expertise will ultimately come from their previous experience with similar clients, their engagement with organizations that promote sex positivity or kink-allied lifestyles, and the importance they place on safety and cultural sensitivity.
How can individuals recognize a good sex-positive, kink-allied therapist?
An experienced therapist is able to help clients explore their sexual identity and expression and relieve any discomfort or stigma attached to discussing such matters and the client’s overall challenges. A therapist who is sex-positive and kink-allied is able to create an environment that honors a client’s experience and sexual preferences. To recognize a good therapist, clients can simply ask directly about topics and issues important to them and gauge their comfort level and connection with a clinician based on the responses.
Can clients benefit from having a therapist with a focus on sex positivity and alternative sexual lifestyles?
Some individuals may feel most comfortable knowing that the clinician they’re working with has a commitment to creating an atmosphere of sex positivity and has experience with relationship diversity and alternative relationship structures. Working with a sex-positive, kink-allied therapist may help clients respect their own challenges and improve identity-affirming treatment.