Sex Therapists in San Francisco, CA

We need sex-positive, body-positive support for ourselves, our families, and our communities.
Perhaps this is your first experience with ethical monogamy; maybe you've been polyamorous for years but are navigating the transition to include new partners into a shared household. Maybe it's time to explain it to the kids. If there are relationship discrepancies in income, power, or sexual desire, I can offer support tending to the balance.
We need sex-positive, body-positive support for ourselves, our families, and our communities.
Perhaps this is your first experience with ethical monogamy; maybe you've been polyamorous for years but are navigating the transition to include new partners into a shared household. Maybe it's time to explain it to the kids. If there are relationship discrepancies in income, power, or sexual desire, I can offer support tending to the balance.

Sexual Addiction Sex Misbehavior Infidelity Expert
Clinical Social Work/Therapist, LCSW, SOTS
1 Endorsed
San Francisco, CA 94102
Main issues I help clients with is needing an experienced clinical expert with 27 years in correcting the thinking and behaviors of infidelity cheating, paid sex, "seeking arrangements", and countless other types of sexual addiction type behaviors so that destructive choices are not repeated.
I will help you protect the life you love from these self destructive choices. Sexual addiction elite level expert 28 years 45k hours sexual misbehavior specialist psychotherapy provided. You and I will use evidence based research oriented methods on the Infidelity Cheating Affairs, Prostitution, Seeking Arrangements, Sugar Daddy, Strip Clubs, Massage Parlors, OnlyFans, Certified Specialist. I created government funded sexual misbehavior programs utilizing highly effective clinical models and use the most up to date understandings to change distorted thinking and end these misbehaviors, heal your relationships, and enjoy your life.
Main issues I help clients with is needing an experienced clinical expert with 27 years in correcting the thinking and behaviors of infidelity cheating, paid sex, "seeking arrangements", and countless other types of sexual addiction type behaviors so that destructive choices are not repeated.
I will help you protect the life you love from these self destructive choices. Sexual addiction elite level expert 28 years 45k hours sexual misbehavior specialist psychotherapy provided. You and I will use evidence based research oriented methods on the Infidelity Cheating Affairs, Prostitution, Seeking Arrangements, Sugar Daddy, Strip Clubs, Massage Parlors, OnlyFans, Certified Specialist. I created government funded sexual misbehavior programs utilizing highly effective clinical models and use the most up to date understandings to change distorted thinking and end these misbehaviors, heal your relationships, and enjoy your life.

My ideal client may be exploring non-monogamy, healing religious or racial trauma, or seeking sex-positive, kink-affirming support.
I offer LGBTQ+, BIPOC, and sex-positive therapy for adults in California. Specializing in trauma, non-monogamy, kink, religious harm, and identity exploration, I provide virtual, affirming care rooted in decolonial and relational approaches. Together, we’ll build trust, process pain, and support your healing and self-acceptance
My ideal client may be exploring non-monogamy, healing religious or racial trauma, or seeking sex-positive, kink-affirming support.
I offer LGBTQ+, BIPOC, and sex-positive therapy for adults in California. Specializing in trauma, non-monogamy, kink, religious harm, and identity exploration, I provide virtual, affirming care rooted in decolonial and relational approaches. Together, we’ll build trust, process pain, and support your healing and self-acceptance

My belief in the power of connection informs my interest in both sex therapy and perinatal therapy.
I am a trauma-informed Humanistic therapist, meaning that I understand the importance of the therapeutic relationship. I value authenticity, collaboration, and non-judgment within the therapy space. I use sex therapy and perinatal mental health therapy to support couples and individuals, along with tools from DBT, Systems, and Narrative Therapies.
My belief in the power of connection informs my interest in both sex therapy and perinatal therapy.
I am a trauma-informed Humanistic therapist, meaning that I understand the importance of the therapeutic relationship. I value authenticity, collaboration, and non-judgment within the therapy space. I use sex therapy and perinatal mental health therapy to support couples and individuals, along with tools from DBT, Systems, and Narrative Therapies.

I also offer sex therapy for restoring or expanding pleasure in your relationship.
Life is full of many challenges that distance us from our true selves at times. If there is any part of you that feels stuck, confused, anxious, depressed, broken; If you are having doubtful, fearful, or critical thoughts that are weighing you down or interfering with your contentment in your relationships or family or work, therapy can help. I guide you to connect to your inner wisdom, the “true you” that knows what is right and best for you. We work to unburden you from unhelpful thoughts and behaviors so that you can live a more free and fulfilled life.
I also offer sex therapy for restoring or expanding pleasure in your relationship.
Life is full of many challenges that distance us from our true selves at times. If there is any part of you that feels stuck, confused, anxious, depressed, broken; If you are having doubtful, fearful, or critical thoughts that are weighing you down or interfering with your contentment in your relationships or family or work, therapy can help. I guide you to connect to your inner wisdom, the “true you” that knows what is right and best for you. We work to unburden you from unhelpful thoughts and behaviors so that you can live a more free and fulfilled life.

Identity and shame come up regularly in sessions, and I facilitate an exploration of sex, kink, and pleasure.
I foster a safe space to explore what comes up by building a strong relationship. We'll examine patterns that no longer serve you by using interventions from many traditions, including mindful embodiment. I'll use a trauma-informed, antiracist, and harm reduction lens. I offer warmth and compassion - an empathetic ear and an open heart.
Identity and shame come up regularly in sessions, and I facilitate an exploration of sex, kink, and pleasure.
I foster a safe space to explore what comes up by building a strong relationship. We'll examine patterns that no longer serve you by using interventions from many traditions, including mindful embodiment. I'll use a trauma-informed, antiracist, and harm reduction lens. I offer warmth and compassion - an empathetic ear and an open heart.

Somatic Psychotherapy, Marriage & Family Therapy, Couples, Sex and Intimacy, Corporate and Executive Career Coaching
I’m a licensed Somatic Psychologist and Marriage and Family Therapist in California and Tennessee with over 25 years of experience. I've seen 15,000 couples and 17,000 individuals. I teach holistic mind-body-spirit techniques that treat stress, anxiety, depression, and PTSD. My clients include artists, musicians, executives, and entrepreneurs as well as provide career counseling, executive coaching, and short-term therapy tailored to meet your exact goals. I treat sexual trauma, teach mindfulness and help women and men achieve sexual freedom and pleasure in their relationships. LGBTQIA+, Alternative Lifestyles, Transgender folks.
Somatic Psychotherapy, Marriage & Family Therapy, Couples, Sex and Intimacy, Corporate and Executive Career Coaching
I’m a licensed Somatic Psychologist and Marriage and Family Therapist in California and Tennessee with over 25 years of experience. I've seen 15,000 couples and 17,000 individuals. I teach holistic mind-body-spirit techniques that treat stress, anxiety, depression, and PTSD. My clients include artists, musicians, executives, and entrepreneurs as well as provide career counseling, executive coaching, and short-term therapy tailored to meet your exact goals. I treat sexual trauma, teach mindfulness and help women and men achieve sexual freedom and pleasure in their relationships. LGBTQIA+, Alternative Lifestyles, Transgender folks.

Seth Prosterman brings over 25 years of experience helping individuals and couples overcome sex, intimacy and relationship issues.
You will be able to comfortably discuss your most intimate concerns. My goal is to help you reach your goals quickly as possible. I have expertise working with individuals and couples of all genders, sexual orientations and lifestyles.
Seth Prosterman brings over 25 years of experience helping individuals and couples overcome sex, intimacy and relationship issues.
You will be able to comfortably discuss your most intimate concerns. My goal is to help you reach your goals quickly as possible. I have expertise working with individuals and couples of all genders, sexual orientations and lifestyles.

Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret.
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.
Maybe you keep attracting narcissistic or borderline partners, or you’re battling sex or porn addiction in secret.
As an attachment-focused therapist, I work with those struggling with compulsive sexual behaviors, the fallout of abusive or manipulative relationships, and deep-rooted emotional pain that’s been ignored for too long. My approach is direct, unfiltered, and often infused with dark humor, because therapy should be real-not just polite conversation.

Whether it be depression, anxiety, addiction, trauma, sexuality or life transitions, we can create a space for healing to begin.
As a therapist, my goals are to have a space of nonjudgement to help you feel supported, heard and validated. Through demonstrating compassion and helping you develop self-compassion, I hope to help people find a happier and more fulfilling life.
Whether it be depression, anxiety, addiction, trauma, sexuality or life transitions, we can create a space for healing to begin.
As a therapist, my goals are to have a space of nonjudgement to help you feel supported, heard and validated. Through demonstrating compassion and helping you develop self-compassion, I hope to help people find a happier and more fulfilling life.

My sex therapy approach addresses challenges while emphasizing that sexual health is essential to wellbeing and overcoming shame is crucial for authentic connection.
My life calling is facilitating healing and transformation through authentic connection and communication skills. With 12+ years as a therapist—and background in hospice and meditation centers—I bring a deep understanding of human resilience, communication patterns, and personal growth.
My approach integrates meditation practices and wisdom teachings with evidence-based therapeutic methods.
My sex therapy approach addresses challenges while emphasizing that sexual health is essential to wellbeing and overcoming shame is crucial for authentic connection.
My life calling is facilitating healing and transformation through authentic connection and communication skills. With 12+ years as a therapist—and background in hospice and meditation centers—I bring a deep understanding of human resilience, communication patterns, and personal growth.
My approach integrates meditation practices and wisdom teachings with evidence-based therapeutic methods.

Aimee Rozen
Marriage & Family Therapist, MS, LMFT, CST
7 Endorsed
San Francisco, CA 94131
Waitlist for new clients
Working in the realm of sexuality, sexual expression and sexual identity for all is my true passion.
I offer a genuine, compassionate and respectful relationship with my clients, so they can reach greater self-awareness and insight. My goal is to help each person I work with reach greater satisfaction with the overall quality of their life and attain the personal tools needed to strengthen intimate relationships. I view mental health similarly to physical health: when there's an injury or illness, seeking professional intervention, guidance and support can improve overall wellness.
Working in the realm of sexuality, sexual expression and sexual identity for all is my true passion.
I offer a genuine, compassionate and respectful relationship with my clients, so they can reach greater self-awareness and insight. My goal is to help each person I work with reach greater satisfaction with the overall quality of their life and attain the personal tools needed to strengthen intimate relationships. I view mental health similarly to physical health: when there's an injury or illness, seeking professional intervention, guidance and support can improve overall wellness.

Deva Segal
Marriage & Family Therapist, LMFT, CST
3 Endorsed
San Francisco, CA 94104
Waitlist for new clients
Sex has become an problem, and it's causing issues in your life or partnership.
As a certified sex therapist, I specialize in helping individuals and couples to feel more confident with themselves. I welcome all genders, sexual identities, and relational agreements in my practice. I also have advanced competence in kink practices. Aligning with my own background, I often work with clients of mixed identities and BIPOC clients.
Sex has become an problem, and it's causing issues in your life or partnership.
As a certified sex therapist, I specialize in helping individuals and couples to feel more confident with themselves. I welcome all genders, sexual identities, and relational agreements in my practice. I also have advanced competence in kink practices. Aligning with my own background, I often work with clients of mixed identities and BIPOC clients.

I am a certified sex and dating coach who helps individuals and couples of all kinds overcome sexual concerns like mismatched desire, low desire and sexual communication difficulties.
My focus as a sex coach is on the sexual aspects of your relationships. I am not a licensed therapist and do not diagnose or treat mental health issues. Sex coaching is a way to deeply explore your sexual value system and gain clarity about what you want. We use goal-setting and assignments to move you from a state of sexual distress to sexual empowerment.
I am a certified sex and dating coach who helps individuals and couples of all kinds overcome sexual concerns like mismatched desire, low desire and sexual communication difficulties.
My focus as a sex coach is on the sexual aspects of your relationships. I am not a licensed therapist and do not diagnose or treat mental health issues. Sex coaching is a way to deeply explore your sexual value system and gain clarity about what you want. We use goal-setting and assignments to move you from a state of sexual distress to sexual empowerment.

In addition to couples counseling, I also offer couples intimacy coaching for performance anxiety, sex addiction, sexuality, and open relationships.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
In addition to couples counseling, I also offer couples intimacy coaching for performance anxiety, sex addiction, sexuality, and open relationships.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.

Maybe you want a more fulfilling sex life - solo, or with your partner.
Sex Therapy / Sexual Health: I assist couples in discovering ways to create variety & passion in long term relationships, address low desire or desire descrepency. Medical issues, having children, cancer survivors, performance concerns or painful intercourse. Sex-positive environment for individuals & couples, alternative lifestyles. LBGTQ welcome.
Maybe you want a more fulfilling sex life - solo, or with your partner.
Sex Therapy / Sexual Health: I assist couples in discovering ways to create variety & passion in long term relationships, address low desire or desire descrepency. Medical issues, having children, cancer survivors, performance concerns or painful intercourse. Sex-positive environment for individuals & couples, alternative lifestyles. LBGTQ welcome.

If you are seeking a therapist who is: social justice minded, an anti-racist ally, sex positive, body positive, feminist, and bisexual+ affirming, who has experience working with professionals in tech, medicine, and science, let’s connect.
Are you a person of color, LGBTQ, or woman-identified professional in a high demand field? Have you been wearing that superhero cape for far too long? Ready to feel more peace in your life? You’ve come to the right place. I’m Dr. Lindsey Brooks and I work with underrepresented achievers. I’ll help you feel more grounded, balanced, and resilient. You might be thinking to yourself: "I need to keep it all together”, “If I just work harder and push myself more, then everything will be okay”, or “I have to stay strong for my family”. Everyone around you sees you as a success, yet something still feels like it’s missing.
If you are seeking a therapist who is: social justice minded, an anti-racist ally, sex positive, body positive, feminist, and bisexual+ affirming, who has experience working with professionals in tech, medicine, and science, let’s connect.
Are you a person of color, LGBTQ, or woman-identified professional in a high demand field? Have you been wearing that superhero cape for far too long? Ready to feel more peace in your life? You’ve come to the right place. I’m Dr. Lindsey Brooks and I work with underrepresented achievers. I’ll help you feel more grounded, balanced, and resilient. You might be thinking to yourself: "I need to keep it all together”, “If I just work harder and push myself more, then everything will be okay”, or “I have to stay strong for my family”. Everyone around you sees you as a success, yet something still feels like it’s missing.

You Rule Therapy | sex, drugs + therapy
Marriage & Family Therapist, LMFT, CST
1 Endorsed
San Francisco, CA 94110
You Rule Therapy (YRT) offers treatment from a Harm Reduction perspective that allows you to: set short and long-term goals regarding substance use; learn about the substances that you would like to change your relationship to; design a plan to change the way you use substances; explore sex- and drug- linked behavior.
Cynthia and the team of YRT Associates at specialize in substance use harm reduction, sex therapy, and treating compulsive/"out of control" sexual behavior. We enthusiastically welcome clients across gender and sexuality spectrums, as well as those who engage in consensual sexual behaviors including, but not limited to, kink and polyamory.
You Rule Therapy (YRT) offers treatment from a Harm Reduction perspective that allows you to: set short and long-term goals regarding substance use; learn about the substances that you would like to change your relationship to; design a plan to change the way you use substances; explore sex- and drug- linked behavior.
Cynthia and the team of YRT Associates at specialize in substance use harm reduction, sex therapy, and treating compulsive/"out of control" sexual behavior. We enthusiastically welcome clients across gender and sexuality spectrums, as well as those who engage in consensual sexual behaviors including, but not limited to, kink and polyamory.

In addition to couples counseling, I also offer couples intimacy coaching for performance anxiety, sex addiction, sexuality, and open relationships.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
In addition to couples counseling, I also offer couples intimacy coaching for performance anxiety, sex addiction, sexuality, and open relationships.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.

I am a relationship therapist, advance trained in EMDR, Assessing and Treating Sex Issues in Psychotherapy, EFT couples therapy, and expressive arts Therapy.
Many of my clients reach out for therapy amidst a "dark night of the soul", no longer driven by whatever motivated them in the past; now they don’t know what they want. I work with a lot of "good girls” and boys and people who have burned out from life-long perfectionism. I work with tons of gifted folks with childhood trauma who want to break out of painfully familiar relationship patterns and to trust and believe in themselves...Perhaps you are also someone who knows that you need to make a change. Maybe you are super self sufficient and believe you should be able to think your way through this on your own. Hmm, anxious much?
I am a relationship therapist, advance trained in EMDR, Assessing and Treating Sex Issues in Psychotherapy, EFT couples therapy, and expressive arts Therapy.
Many of my clients reach out for therapy amidst a "dark night of the soul", no longer driven by whatever motivated them in the past; now they don’t know what they want. I work with a lot of "good girls” and boys and people who have burned out from life-long perfectionism. I work with tons of gifted folks with childhood trauma who want to break out of painfully familiar relationship patterns and to trust and believe in themselves...Perhaps you are also someone who knows that you need to make a change. Maybe you are super self sufficient and believe you should be able to think your way through this on your own. Hmm, anxious much?
See more therapy options for San Francisco
Nearby Sex Therapy Searches for San Francisco
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- Piedmont
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Sex Therapy
Who is sex therapy for?
Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.
Why do people need sex therapy?
Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.
What happens in sex therapy?
People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.
What kinds of problems do sex therapists treat?
Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.