Sex-Positive, Kink Allied Therapists in California
Dexter
Clinical Social Work/Therapist, MSW, LCSW, ABS, CHT
28 Endorsed
San Francisco, CA 94132
Waitlist for new 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.
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.
I am a Registered Associate Marriage Family Therapist supervised and employed by Susan Levin LMFT 47760. I center agency and humanity in my work with clients. My approach is deeply relational and I want to know what you need to feel safe and seen to co-create our work around your goals. As a biracial, bisexual, genderqueer therapist grounded in liberation and narrative therapy, I see healing as a process of remembering yourself and finding meaning in what you’ve survived. In learning to move with it, not against it we reclaim your voice, agency, and the possibility of living with greater freedom, connection, and truth.
I am a Registered Associate Marriage Family Therapist supervised and employed by Susan Levin LMFT 47760. I center agency and humanity in my work with clients. My approach is deeply relational and I want to know what you need to feel safe and seen to co-create our work around your goals. As a biracial, bisexual, genderqueer therapist grounded in liberation and narrative therapy, I see healing as a process of remembering yourself and finding meaning in what you’ve survived. In learning to move with it, not against it we reclaim your voice, agency, and the possibility of living with greater freedom, connection, and truth.
Whether you’re curious about or actively practicing ethical non-monogamy, interested in exploring kink or simply seeking deeper connection, I provide a safe, nonjudgmental space to talk openly about your needs, desires and challenges so as to find what truly works for you.
My approach is collaborative: you are the expert on your own life, and I bring expertise in helping people navigate emotional struggles, shift unhelpful patterns and overcome relationship roadblocks. Together, we’ll challenge limiting beliefs, expand your options, and create new ways of relating—to yourself and to others—that feel authentic and fulfilling.
Whether you’re curious about or actively practicing ethical non-monogamy, interested in exploring kink or simply seeking deeper connection, I provide a safe, nonjudgmental space to talk openly about your needs, desires and challenges so as to find what truly works for you.
My approach is collaborative: you are the expert on your own life, and I bring expertise in helping people navigate emotional struggles, shift unhelpful patterns and overcome relationship roadblocks. Together, we’ll challenge limiting beliefs, expand your options, and create new ways of relating—to yourself and to others—that feel authentic and fulfilling.
Struggling to find your place and move forward in a political landscape that seems to grow more hostile to your very existence every day? As a queer-affirming, neurodiversity-affirming and culturally responsive therapist, I help clients navigate their intersectional identities and find a way forward that works for them.
Are you an avid gamer or geek tired of being told your hobbies are childish, or simply sensing that people don’t ‘get’ it? Gaming, fandom, and the stories therein are powerful tools, and I am a therapist who would love to lean into that with clients for whom it resonates.
Struggling to find your place and move forward in a political landscape that seems to grow more hostile to your very existence every day? As a queer-affirming, neurodiversity-affirming and culturally responsive therapist, I help clients navigate their intersectional identities and find a way forward that works for them.
Are you an avid gamer or geek tired of being told your hobbies are childish, or simply sensing that people don’t ‘get’ it? Gaming, fandom, and the stories therein are powerful tools, and I am a therapist who would love to lean into that with clients for whom it resonates.
My ideal clients are self-aware, growth-oriented individuals who feel ready for more—more alignment, more expression, and more ease. I often work with artists, athletes, entrepreneurs, and leaders who are navigating high performance, creativity, and visibility. Many of my clients are neurodivergent and experience both intensity and excitement for life’s possibilities. They may come in feeling overwhelmed, blocked, or disconnected from themselves or their relationships, while also knowing there is a deeper level of clarity, confidence, and fulfillment available to them.
My ideal clients are self-aware, growth-oriented individuals who feel ready for more—more alignment, more expression, and more ease. I often work with artists, athletes, entrepreneurs, and leaders who are navigating high performance, creativity, and visibility. Many of my clients are neurodivergent and experience both intensity and excitement for life’s possibilities. They may come in feeling overwhelmed, blocked, or disconnected from themselves or their relationships, while also knowing there is a deeper level of clarity, confidence, and fulfillment available to them.
Hello, and welcome! I am an individual therapist and I specialize in helping individuals working through difficult trauma, sex therapy issues, complex relationship issues, and the impacts of Narcissistic Personality Disorder on relationships. I work closely with individuals struggling with different forms of mental disorders and help my clients forge a new path forward toward healing and wholeness. My passion is in therapy, and I am humbled and grateful when people invite me to play a meaningful role in their lives.
Hello, and welcome! I am an individual therapist and I specialize in helping individuals working through difficult trauma, sex therapy issues, complex relationship issues, and the impacts of Narcissistic Personality Disorder on relationships. I work closely with individuals struggling with different forms of mental disorders and help my clients forge a new path forward toward healing and wholeness. My passion is in therapy, and I am humbled and grateful when people invite me to play a meaningful role in their lives.
Laura Goossens
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Online Only
Waitlist for new clients
Communities I belong to and serve: disabled/chronic illness, sex positive, kink/polyam/alt lifestyle, genderqueer, fat positive, and neurodivergent folks.
I am passionate about trauma therapy, high-conflict couples' work, and deep healing rather than band-aid solutions. An integrated approach: non-gaslighting CBT, EMDR, IFS, and somatic/mind-body techniques. Anti-classism, anti-racism, harm-reduction, intersectional feminism, & disability-informed and trauma-informed care. Ask more in a free consult!
Communities I belong to and serve: disabled/chronic illness, sex positive, kink/polyam/alt lifestyle, genderqueer, fat positive, and neurodivergent folks.
I am passionate about trauma therapy, high-conflict couples' work, and deep healing rather than band-aid solutions. An integrated approach: non-gaslighting CBT, EMDR, IFS, and somatic/mind-body techniques. Anti-classism, anti-racism, harm-reduction, intersectional feminism, & disability-informed and trauma-informed care. Ask more in a free consult!
Please email an introduction and to set up a consult call.
Do you want a healthier and more fulfilling sex life? Many people are impacted by insufficient sexual education, shame from cultural taboos, and past experiences that leave them feeling confused or hurt. I help people recover from sexual oppression, repression, shame and sexual expectations from societal, familial, cultural or religious systems. Whether you are navigating your needs individually or in partnership(s), sex therapy with can help you achieve your goals.
Please email an introduction and to set up a consult call.
Do you want a healthier and more fulfilling sex life? Many people are impacted by insufficient sexual education, shame from cultural taboos, and past experiences that leave them feeling confused or hurt. I help people recover from sexual oppression, repression, shame and sexual expectations from societal, familial, cultural or religious systems. Whether you are navigating your needs individually or in partnership(s), sex therapy with can help you achieve your goals.
Therapy looks different for different people. I believe that the most effective form of therapy is one where the therapist and the client can have a collaborative, authentic relationship. I work from a holistic, integral model of therapy. I incorporate a psychoeducational approach into my practice, offering an individualized collection of resources and interventions. I am passionate about facilitating client insight and well-being. It is my privilege to be welcomed into your world and to become a partner in your healing.
Therapy looks different for different people. I believe that the most effective form of therapy is one where the therapist and the client can have a collaborative, authentic relationship. I work from a holistic, integral model of therapy. I incorporate a psychoeducational approach into my practice, offering an individualized collection of resources and interventions. I am passionate about facilitating client insight and well-being. It is my privilege to be welcomed into your world and to become a partner in your healing.
Are you navigating open relationships, polyamory, or kink and finding that the emotional terrain is harder than expected?
I use CBT with a systemic lens — meaning we look at both your thought patterns and the relational dynamics shaping them. Sessions are direct, non-judgmental, and structured around building emotional awareness and communication skills. I specialize in nontraditional dynamics and sexual health. No explaining your lifestyle here.
Are you navigating open relationships, polyamory, or kink and finding that the emotional terrain is harder than expected?
I use CBT with a systemic lens — meaning we look at both your thought patterns and the relational dynamics shaping them. Sessions are direct, non-judgmental, and structured around building emotional awareness and communication skills. I specialize in nontraditional dynamics and sexual health. No explaining your lifestyle here.
Updated:10/2/25 I believe that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. I am here to encourage you to explore your joy, challenge areas where you struggle to connect and create a path to a life that is full of resonance and enthusiasm. If your goal is to address issues related to society and culture or have someone who deeply understands alternative lifestyles, those are my favorite types of clients. You can rely on my approach to be practical, candid and relatable.
Updated:10/2/25 I believe that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. I am here to encourage you to explore your joy, challenge areas where you struggle to connect and create a path to a life that is full of resonance and enthusiasm. If your goal is to address issues related to society and culture or have someone who deeply understands alternative lifestyles, those are my favorite types of clients. You can rely on my approach to be practical, candid and relatable.
I specialize in financial therapy for adults, particularly neurodivergent people and creatives, who feel overwhelmed, ashamed, avoidant, or stuck when it comes to money, work, and life in general. As both a therapist and a CPA, I help you address the emotional roots of financial stress while also building practical systems that actually work for your brain.
I specialize in financial therapy for adults, particularly neurodivergent people and creatives, who feel overwhelmed, ashamed, avoidant, or stuck when it comes to money, work, and life in general. As both a therapist and a CPA, I help you address the emotional roots of financial stress while also building practical systems that actually work for your brain.
With both clinical and lived experience, I can help guide you on that road from a sex positive, trauma informed perspective.
As a sex positive trauma therapist, I use EMDR, 4 Blinks, IFS and Somatic Psychotherapy to help decrease your pain. I use the PACT model with couples to transform the conflict cycle in your relationship, and incorporate EDSE's sex education principles to establish or enhance a connection to your own sexual energy.
With both clinical and lived experience, I can help guide you on that road from a sex positive, trauma informed perspective.
As a sex positive trauma therapist, I use EMDR, 4 Blinks, IFS and Somatic Psychotherapy to help decrease your pain. I use the PACT model with couples to transform the conflict cycle in your relationship, and incorporate EDSE's sex education principles to establish or enhance a connection to your own sexual energy.
I'm ENM, Poly, LS/BDSM/ Kink aligned.
Are you longing for a deeper sense of self and struggling to identify or voice your own needs? Falling back into old patterns of thinking or behaving that derails your relationships or trigger diminished feelings of self worth? Are you struggling to connect intimately with your partner and can't find the words to talk it about it without shame, blame or conflict? Do you struggle to feel connected to people in your life, feel isolated, or overly anxious? When trauma or past experiences are the building blocks of unhelpful core beliefs, it's time to get to know and decenter the parts of you that hold you back from being truly self-led
I'm ENM, Poly, LS/BDSM/ Kink aligned.
Are you longing for a deeper sense of self and struggling to identify or voice your own needs? Falling back into old patterns of thinking or behaving that derails your relationships or trigger diminished feelings of self worth? Are you struggling to connect intimately with your partner and can't find the words to talk it about it without shame, blame or conflict? Do you struggle to feel connected to people in your life, feel isolated, or overly anxious? When trauma or past experiences are the building blocks of unhelpful core beliefs, it's time to get to know and decenter the parts of you that hold you back from being truly self-led
If your mind feels like it never shuts off, you overthink everything, replay conversations, or get stuck in negative thought loops, you’re not alone. Many of my clients come in feeling anxious, drained, or disconnected from themselves, despite their best efforts. I work with LGBTQ+ and neurodivergent individuals navigating anxiety and depression, especially those who feel like their brain just works differently. These clients are insightful, self-aware, and still feel stuck repeating the same emotional cycles. Together, we’ll identify the patterns that are keeping you stuck and build tools to shift these thinking patterns.
If your mind feels like it never shuts off, you overthink everything, replay conversations, or get stuck in negative thought loops, you’re not alone. Many of my clients come in feeling anxious, drained, or disconnected from themselves, despite their best efforts. I work with LGBTQ+ and neurodivergent individuals navigating anxiety and depression, especially those who feel like their brain just works differently. These clients are insightful, self-aware, and still feel stuck repeating the same emotional cycles. Together, we’ll identify the patterns that are keeping you stuck and build tools to shift these thinking patterns.
Ashley Ramos, Certified Sex
Marriage & Family Therapist, MA, LMFT, CST
1 Endorsed
Online Only
Waitlist for new clients
For couples, I provide support in bridging differences in sexual desire, improving communication, and navigating transitions like ethical non-monogamy or BDSM/ kink dynamics with trust and openness.
Are you feeling disconnected from your body, your desires, or your partner? At Insightful Intimacy Therapy, I specialize in helping individuals and couples rebuild intimacy and explore their relationships. I am ready to support you through the difficult journey of examining relationship patterns, confronting insecurities, and prioritizing your values. I’ll help you address communication breakdowns, set boundaries, and strengthen emotional connections one relationship at a time. Together, we’ll uncover what’s been holding you back, empowering you to engage more fully with yourself and the people who matter most.
For couples, I provide support in bridging differences in sexual desire, improving communication, and navigating transitions like ethical non-monogamy or BDSM/ kink dynamics with trust and openness.
Are you feeling disconnected from your body, your desires, or your partner? At Insightful Intimacy Therapy, I specialize in helping individuals and couples rebuild intimacy and explore their relationships. I am ready to support you through the difficult journey of examining relationship patterns, confronting insecurities, and prioritizing your values. I’ll help you address communication breakdowns, set boundaries, and strengthen emotional connections one relationship at a time. Together, we’ll uncover what’s been holding you back, empowering you to engage more fully with yourself and the people who matter most.
Hello! I'm Nathan Aish, a Licensed Clinical Social Worker, with over 28 years of healthcare leadership experience, including 10 years providing therapy to individuals, couples, and families. I hold a Master of Public Health (MPH) degree from The Ohio State University, and a Master of Social Work (MSW) degree from San Diego State University. I am also certified to work as a K-12 school social worker. My core values are servitude and continuous improvement, and my approach to care integrates person-centered, trauma-informed, strength-based, harm-reduction, gender-responsive, and cultural humility practices.
Hello! I'm Nathan Aish, a Licensed Clinical Social Worker, with over 28 years of healthcare leadership experience, including 10 years providing therapy to individuals, couples, and families. I hold a Master of Public Health (MPH) degree from The Ohio State University, and a Master of Social Work (MSW) degree from San Diego State University. I am also certified to work as a K-12 school social worker. My core values are servitude and continuous improvement, and my approach to care integrates person-centered, trauma-informed, strength-based, harm-reduction, gender-responsive, and cultural humility practices.
Dr. Nik views therapy as a collaborative and creative process to help clients become their best selves, improve adaptive patterns, and navigate difficult environments. We can often get stuck in patterns that are only partially successful and need more effective tools to improve our health and well-being. He believes therapy works best when there is a trusting and supportive relationship, clear goals, and hope for the future.
Dr. Nik views therapy as a collaborative and creative process to help clients become their best selves, improve adaptive patterns, and navigate difficult environments. We can often get stuck in patterns that are only partially successful and need more effective tools to improve our health and well-being. He believes therapy works best when there is a trusting and supportive relationship, clear goals, and hope for the future.
Are you struggling with intimacy, codependency, and disconnection or carrying the weight of old trauma while stuck in painful patterns? You might be longing for a more genuine connection, but are overwhelmed by anxiety or low-self esteem that leaves you feeling isolated and lonely. Whether you are single, dating, or in a long term relationship, perhaps you are ready to feel more connected and empowered to become your truest self. For couples, this often looks like rebuilding trust, improving intimacy, and creating a more secure and fulfilling relationship for both of you.
Are you struggling with intimacy, codependency, and disconnection or carrying the weight of old trauma while stuck in painful patterns? You might be longing for a more genuine connection, but are overwhelmed by anxiety or low-self esteem that leaves you feeling isolated and lonely. Whether you are single, dating, or in a long term relationship, perhaps you are ready to feel more connected and empowered to become your truest self. For couples, this often looks like rebuilding trust, improving intimacy, and creating a more secure and fulfilling relationship for both of you.
My practice is grounded in racial sensitivity, cultural humility, and kink-affirming care.
I have a passion for working with couples at all stages of the life cycle. Premaritals, cohabiting couples, couples with young children seeking to balance parenting with time for self and partner, couples needing support around sexuality and infidelity.
My practice is grounded in racial sensitivity, cultural humility, and kink-affirming care.
I have a passion for working with couples at all stages of the life cycle. Premaritals, cohabiting couples, couples with young children seeking to balance parenting with time for self and partner, couples needing support around sexuality and infidelity.
