Sex-Positive, Kink Allied Therapists in Brighton, MA

Photo of Carmen Pullella, LICSW, MSW, Clinical Social Work/Therapist
Carmen Pullella
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Brighton, MA 02135  (Online Only)
Therapy is one of the most loving practices we can gift ourselves. It is brave and powerful to look inwards, meet parts of ourselves we’ve tucked away, and share our inner world. We all have parts of us that resist change, uncomfortable emotions, vulnerability, and owning our truths. And we also have parts of us that are yearning to speak up, to be free, and to feel confident in our ability to manage life’s many ebbs and flows. I join you in the process of growth and self-reflection with warmth, empowerment, and acceptance as we discover the most authentic versions of you.
Therapy is one of the most loving practices we can gift ourselves. It is brave and powerful to look inwards, meet parts of ourselves we’ve tucked away, and share our inner world. We all have parts of us that resist change, uncomfortable emotions, vulnerability, and owning our truths. And we also have parts of us that are yearning to speak up, to be free, and to feel confident in our ability to manage life’s many ebbs and flows. I join you in the process of growth and self-reflection with warmth, empowerment, and acceptance as we discover the most authentic versions of you.
(617) 982-0436 View (617) 982-0436
Photo of LillieJane Smith, LICSW, Clinical Social Work/Therapist
LillieJane Smith
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Brighton, MA 02135  (Online Only)
As a relationship therapist, I am dedicated to helping you build healthier connections. In this space, your anxiety, self-doubt, and relationship stress will be met with understanding. We will work together to foster self-acceptance and form more fulfilling relationships - whether with a partner, family member, or friend. My focus is on empowering clients to set healthy boundaries, enhance communication, and find clarity in their anxiety, relationships, and life transitions.
As a relationship therapist, I am dedicated to helping you build healthier connections. In this space, your anxiety, self-doubt, and relationship stress will be met with understanding. We will work together to foster self-acceptance and form more fulfilling relationships - whether with a partner, family member, or friend. My focus is on empowering clients to set healthy boundaries, enhance communication, and find clarity in their anxiety, relationships, and life transitions.
(857) 392-6643 View (857) 392-6643
Photo of Jennifer Brindley, LMHC, Counselor
Jennifer Brindley
Counselor, LMHC
Verified Verified
5 Endorsed
Brighton, MA 02135
I strive to help people find strength during difficult times - to keep going, build supports, and focus on finding solutions. I can help identify ways to find more energy and appreciation in your life, and increase insight into sources of distress. Together we can work to identify your natural supports and improve on your strengths, as well as build coping skills and healthy ways to process difficult feelings. I specialize in EMDR and have advanced training in using EMDR for anxiety, OCD, PTSD, and complex PTSD.
I strive to help people find strength during difficult times - to keep going, build supports, and focus on finding solutions. I can help identify ways to find more energy and appreciation in your life, and increase insight into sources of distress. Together we can work to identify your natural supports and improve on your strengths, as well as build coping skills and healthy ways to process difficult feelings. I specialize in EMDR and have advanced training in using EMDR for anxiety, OCD, PTSD, and complex PTSD.
(857) 271-4125 View (857) 271-4125
Photo of Felicia M. Romano, MA, MHC, Pre-Licensed Professional
Felicia M. Romano
Pre-Licensed Professional, MA, MHC
Verified Verified
8 Endorsed
Brighton, MA 02135  (Online Only)
It is strange and often hard to be a human being. I walk alongside my clients amidst life's chaos to demystify each person's unique inner world. I encourage getting curious about symptoms rather than judging or condemning them. I am passionate about couples work in particular - this is my current specialty/focus. I earned my MA in Counseling Psychology from Pacifica Graduate Institute in Santa Barbara, CA, where I studied dream/imaginal work & unconscious processes. My work is primarily psychodynamic & depth-oriented - striving to uncover what has been forgotten, digging deep, & viewing all parts of self as valuable
It is strange and often hard to be a human being. I walk alongside my clients amidst life's chaos to demystify each person's unique inner world. I encourage getting curious about symptoms rather than judging or condemning them. I am passionate about couples work in particular - this is my current specialty/focus. I earned my MA in Counseling Psychology from Pacifica Graduate Institute in Santa Barbara, CA, where I studied dream/imaginal work & unconscious processes. My work is primarily psychodynamic & depth-oriented - striving to uncover what has been forgotten, digging deep, & viewing all parts of self as valuable
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Photo of Shirin Sajadi, PsyaD
Shirin Sajadi
PsyaD
Verified Verified
4 Endorsed
Brighton, MA 02135
"A year from now, you may wish you started today." - K. Lamb. It is normal to view the process of beginning therapy as daunting, however recognizing the need for help is a sign of strength and motivation. There is nothing harder than starting every day with the feeling that nothing is ever going to change and what's the use in trying? Therapy can and will help you address obstacles, create meaningful relationships, and learn ways to develop better insight. Whether you are experiencing depressed feelings, overwhelming anxiety, unbearable life transitions, or struggles in your relationships, it can get better.
"A year from now, you may wish you started today." - K. Lamb. It is normal to view the process of beginning therapy as daunting, however recognizing the need for help is a sign of strength and motivation. There is nothing harder than starting every day with the feeling that nothing is ever going to change and what's the use in trying? Therapy can and will help you address obstacles, create meaningful relationships, and learn ways to develop better insight. Whether you are experiencing depressed feelings, overwhelming anxiety, unbearable life transitions, or struggles in your relationships, it can get better.
(617) 401-9670 View (617) 401-9670
Photo of Sabiha Zaman, LICSW, Clinical Social Work/Therapist
Sabiha Zaman
Clinical Social Work/Therapist, LICSW
Verified Verified
Brighton, MA 02135  (Online Only)
Navigating mental health can be intimidating, confusing, and exhausting. I commend you for taking the first steps and am here to support you along the way! Therapy is not one-size fits all— my approach is culturally sensitive, trauma-informed, and collaborative to prioritize each client's specific needs. I believe in the importance of building genuine therapeutic-relationships with clients to help them feel understood and empowered. I value your feedback to make sure we are working towards your goals. I hope to create a space that is warm, inviting, and celebrates your authentic self.
Navigating mental health can be intimidating, confusing, and exhausting. I commend you for taking the first steps and am here to support you along the way! Therapy is not one-size fits all— my approach is culturally sensitive, trauma-informed, and collaborative to prioritize each client's specific needs. I believe in the importance of building genuine therapeutic-relationships with clients to help them feel understood and empowered. I value your feedback to make sure we are working towards your goals. I hope to create a space that is warm, inviting, and celebrates your authentic self.
(617) 958-6141 View (617) 958-6141
Photo of Candace Gaeta, LICSW, Clinical Social Work/Therapist
Candace Gaeta
Clinical Social Work/Therapist, LICSW
Verified Verified
Brighton, MA 02135
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into making change, you will discover a new sense of well-being and make a positive change in your life.
What does your typical day look like? What has been a roadblock that’s prevented you from feeling happy? Are you willing to set goals to achieve a new sense of happiness? Change is hard, and you will face new challenges that will test your ability to try something new. When you put the work and effort into making change, you will discover a new sense of well-being and make a positive change in your life.
(617) 958-5582 View (617) 958-5582
Photo of Selina Lang, LMHC, Counselor
Selina Lang
Counselor, LMHC
Verified Verified
1 Endorsed
Brighton, MA 02135
I am an independent Licensed Mental Health Counselor in Massachusetts. I received my Master of Arts degree in Clinical Mental Health Counseling with a specialization in Art Therapy from Lesley University. I have worked with adolescents and adults in a multitude of settings. I have extensive experience working with individuals having difficulty navigating LGBTQIA2S+ related challenges, anxiety, depression, substance misuse, low self-esteem, life transitions, and trauma. I am LGBTQIA2S+ affirming and antiracist, and I am dedicated to creating a therapeutic space where clients feel safe and empowered.
I am an independent Licensed Mental Health Counselor in Massachusetts. I received my Master of Arts degree in Clinical Mental Health Counseling with a specialization in Art Therapy from Lesley University. I have worked with adolescents and adults in a multitude of settings. I have extensive experience working with individuals having difficulty navigating LGBTQIA2S+ related challenges, anxiety, depression, substance misuse, low self-esteem, life transitions, and trauma. I am LGBTQIA2S+ affirming and antiracist, and I am dedicated to creating a therapeutic space where clients feel safe and empowered.
(781) 678-7398 View (781) 678-7398
Photo of Stephen Grigelevich, LICSW, Clinical Social Work/Therapist
Stephen Grigelevich
Clinical Social Work/Therapist, LICSW
Verified Verified
Brighton, MA 02135
There is not a singular source to our suffering. Turmoil can originate in, and travel through, our bodies, minds, communities, families, and sociopolitical systems. Often, we respond to inner turmoil in two extreme ways. We may excessively worry, attempt to control, develop repetitive, troubling thoughts, or just obsess about our lives. Or we may do the opposite; avoid, isolate, refuse contact with situations we perceive to be dangerous or distressing, or say 'it is hopeless,' and check out. Therapy can help us gain access to our grief and pain while developing the wisdom that comes with renewed commitment to our lives.
There is not a singular source to our suffering. Turmoil can originate in, and travel through, our bodies, minds, communities, families, and sociopolitical systems. Often, we respond to inner turmoil in two extreme ways. We may excessively worry, attempt to control, develop repetitive, troubling thoughts, or just obsess about our lives. Or we may do the opposite; avoid, isolate, refuse contact with situations we perceive to be dangerous or distressing, or say 'it is hopeless,' and check out. Therapy can help us gain access to our grief and pain while developing the wisdom that comes with renewed commitment to our lives.
(857) 226-4749 View (857) 226-4749
Photo of Lindsey Angione, MA, LMHC, Counselor
Lindsey Angione
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Brighton, MA 02135
I specialize in working with individuals who are perfectionists, people in high-stress careers, and high achievers. I work with clients who are struggling with anxiety, burnout, feeling overwhelmed or disconnected to themselves and others. I help my clients get back in touch with their purpose and meaning. With a strengths-based approach and a blend of skill, curiosity, humor, and empathy, I support clients in increasing their confidence, maximizing joy, supporting well being and reducing anxiety. I fully believe therapy can help ease the fear of change and be a catalyst to embrace new possibilities.
I specialize in working with individuals who are perfectionists, people in high-stress careers, and high achievers. I work with clients who are struggling with anxiety, burnout, feeling overwhelmed or disconnected to themselves and others. I help my clients get back in touch with their purpose and meaning. With a strengths-based approach and a blend of skill, curiosity, humor, and empathy, I support clients in increasing their confidence, maximizing joy, supporting well being and reducing anxiety. I fully believe therapy can help ease the fear of change and be a catalyst to embrace new possibilities.
(617) 917-3520 View (617) 917-3520
Photo of Molly Weinberg, LMHC, NCC, RDT, Counselor
Molly Weinberg
Counselor, LMHC, NCC, RDT
Verified Verified
6 Endorsed
Brighton, MA 02135
Life is inherently uncertain, and with that comes challenges. You're not alone in navigating those challenges and I am here to help support you along the way. I am a Licensed Mental Health Counselor, National Certified Counselor, and Registered Drama Therapist. Drama Therapy uses your story, the roles you play in your life, and metaphor to help process topics beyond just talking about them. I work with adults and couples with anxiety, depression, women’s issues, OCD, relationship challenges, life transitions, work/life balance, and family issues. Book a complimentary 15 minute consult by reaching out to me here on Psychology Today.
Life is inherently uncertain, and with that comes challenges. You're not alone in navigating those challenges and I am here to help support you along the way. I am a Licensed Mental Health Counselor, National Certified Counselor, and Registered Drama Therapist. Drama Therapy uses your story, the roles you play in your life, and metaphor to help process topics beyond just talking about them. I work with adults and couples with anxiety, depression, women’s issues, OCD, relationship challenges, life transitions, work/life balance, and family issues. Book a complimentary 15 minute consult by reaching out to me here on Psychology Today.
(774) 214-2346 View (774) 214-2346
Photo of Bryan Harnsberger, PsyD, Psychologist
Bryan Harnsberger
Psychologist, PsyD
Verified Verified
Brighton, MA 02135
Dr. Harnsberger's Group Practice, Wellesley Counseling and Wellness, is accepting new referrals at wellesleycw.com. My job is to help individuals and families navigate complex living situations. I do so by creating a safe place for individuals to explore their inner thoughts and actions, and guide them to better understand their roles and opportunities in the world. I specialize in working with the adolescent, college-aged and adult populations, and the challenges that come from it, particularly anxiety, academic stress, adjustment issues, relationship issues, depression and ADHD.
Dr. Harnsberger's Group Practice, Wellesley Counseling and Wellness, is accepting new referrals at wellesleycw.com. My job is to help individuals and families navigate complex living situations. I do so by creating a safe place for individuals to explore their inner thoughts and actions, and guide them to better understand their roles and opportunities in the world. I specialize in working with the adolescent, college-aged and adult populations, and the challenges that come from it, particularly anxiety, academic stress, adjustment issues, relationship issues, depression and ADHD.
(617) 870-6694 View (617) 870-6694
Photo of Brianna Dachisen, LICSW, Clinical Social Work/Therapist
Brianna Dachisen
Clinical Social Work/Therapist, LICSW
Verified Verified
Brighton, MA 02135  (Online Only)
Not accepting new clients
Brianna has an extensive history supporting individuals anxiety disorders, depression, personality disorders, psychosis, eating disorders, OCD, PTSD (including C-PTSD) and a variance of emotional and mental health challenges. Her services are intended to help individuals who are prepared to identify the work that begins with them. Brianna facilitates a non-judgmental space that encourages the individual to freely express their thoughts, feelings, and whatever else may be relevant to their personal experience.
Brianna has an extensive history supporting individuals anxiety disorders, depression, personality disorders, psychosis, eating disorders, OCD, PTSD (including C-PTSD) and a variance of emotional and mental health challenges. Her services are intended to help individuals who are prepared to identify the work that begins with them. Brianna facilitates a non-judgmental space that encourages the individual to freely express their thoughts, feelings, and whatever else may be relevant to their personal experience.
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Photo of Lau Zocchi Fennessey, LICSW, Clinical Social Work/Therapist
Lau Zocchi Fennessey
Clinical Social Work/Therapist, LICSW
Verified Verified
Brighton, MA 02135  (Online Only)
Not accepting new clients
I believe all individuals are capable of healing and growth. Having a safe, trusting relationship with a therapist can be an important part of that process. In my practice, I aim to create an open space for us to work towards your goals while allowing you to feel heard, cared for, and accepted.
I believe all individuals are capable of healing and growth. Having a safe, trusting relationship with a therapist can be an important part of that process. In my practice, I aim to create an open space for us to work towards your goals while allowing you to feel heard, cared for, and accepted.
(508) 475-5899 View (508) 475-5899

More Therapists Nearby

Photo of Patrick J. Lillis, MA, LMHC, LMT
Patrick J. Lillis
MA, LMHC, LMT
Verified Verified
Brookline, MA 02446  (Online Only)
If you identify as queer or unclear/unidentified along the sexual orientation/gender spectrum; have struggles with self-esteem, depression, anxiety, grief/loss, mid/end-of-life, sex offender history or inter-generational fantasy, nudist or kink/fetish proclivity, you are welcome.
Whether the origin of your struggle is fuzzy or clear to you, I invite you to come begin the journey of clearing the roadblocks that have become obstacles to being your whole, joyous, and most effective self. I commit to creating a safe and sacred space for you to be yourself - to risk, receive and integrate new skills into your life to obtain the outcome you seek, and beyond. We are equal travelers on this planet and it is from this place where you will always be greeted by me; human first, therapist 2nd - with respect, dignity, and non-judgment always being at the center of our time together.
If you identify as queer or unclear/unidentified along the sexual orientation/gender spectrum; have struggles with self-esteem, depression, anxiety, grief/loss, mid/end-of-life, sex offender history or inter-generational fantasy, nudist or kink/fetish proclivity, you are welcome.
Whether the origin of your struggle is fuzzy or clear to you, I invite you to come begin the journey of clearing the roadblocks that have become obstacles to being your whole, joyous, and most effective self. I commit to creating a safe and sacred space for you to be yourself - to risk, receive and integrate new skills into your life to obtain the outcome you seek, and beyond. We are equal travelers on this planet and it is from this place where you will always be greeted by me; human first, therapist 2nd - with respect, dignity, and non-judgment always being at the center of our time together.
(617) 622-5922 View (617) 622-5922
Photo of Ashley DeMenna, LICSW, Clinical Social Work/Therapist
Ashley DeMenna
Clinical Social Work/Therapist, LICSW
Verified Verified
Cambridge, MA 02138
Are you struggling with your relationship? Have you tried to figure it out yourself, but keep getting stuck? I can help! I am a therapist who specializes in relationships, sex, LGBTQ, and other mental health concerns. Managing relationships, sexual identity, and/or sexual concerns can be really difficult. You want to find a therapist who has the expertise and strategies to help you navigate this difficult time. At Rhode Island Sex Therapy, all of our therapists understand this complexity so you can be assured we are the top sex therapy practice in New England.
Are you struggling with your relationship? Have you tried to figure it out yourself, but keep getting stuck? I can help! I am a therapist who specializes in relationships, sex, LGBTQ, and other mental health concerns. Managing relationships, sexual identity, and/or sexual concerns can be really difficult. You want to find a therapist who has the expertise and strategies to help you navigate this difficult time. At Rhode Island Sex Therapy, all of our therapists understand this complexity so you can be assured we are the top sex therapy practice in New England.
(339) 330-1054 View (339) 330-1054
Photo of Haley Mazzarella, PsyD, Psychologist
Haley Mazzarella
Psychologist, PsyD
Verified Verified
Cambridge, MA 02138
I welcome people of all cultural and religious backgrounds, LGBTQQIA+ folks, people who are a part of BDSM and kink communities, and those who are in polyamorous relationships.
Sometimes we need help resolving painful and difficult experiences, strengthening our emotional muscles, and finding new paths in our lives. I am dedicated to helping people live their lives in a way that best reflects and supports who they are and who they want to be. I consider it a special trust to listen—as an unbiased third party—and help others process their thoughts, feelings, and experiences so that they can move forward. I use my training in clinical psychology to carefully consider the complexities of life’s challenges and help people see themselves and their choices in new ways.
I welcome people of all cultural and religious backgrounds, LGBTQQIA+ folks, people who are a part of BDSM and kink communities, and those who are in polyamorous relationships.
Sometimes we need help resolving painful and difficult experiences, strengthening our emotional muscles, and finding new paths in our lives. I am dedicated to helping people live their lives in a way that best reflects and supports who they are and who they want to be. I consider it a special trust to listen—as an unbiased third party—and help others process their thoughts, feelings, and experiences so that they can move forward. I use my training in clinical psychology to carefully consider the complexities of life’s challenges and help people see themselves and their choices in new ways.
(617) 440-4875 View (617) 440-4875
Photo of Dr. Danielle Armour - Dr. Danielle Armour, Sex & Relationship Therapist, PhD, LICSW, LCSW, CST, Clinical Social Work/Therapist
Dr. Danielle Armour, Sex & Relationship Therapist
Clinical Social Work/Therapist, PhD, LICSW, LCSW, CST
Verified Verified
8 Endorsed
Cambridge, MA 02138  (Online Only)
A few things to note: I am queer identified, kink-positive & ENM/poly aware.
I specialize in sexual health, intimacy, and relationships, especially the one we have with self. I am passionate about helping you and yours enrich your lives—by empowering you to unpack what’s preventing you from fully embracing all of life’s pleasures. I believe that we all have the intrinsic ability to heal ourselves. In my practice, psychotherapy is a journey of self healing, with me as your guide. Connection is one of our most powerful tools, and through connecting with me, together, we will cultivate transformation and uncover the peace that lies within you.
A few things to note: I am queer identified, kink-positive & ENM/poly aware.
I specialize in sexual health, intimacy, and relationships, especially the one we have with self. I am passionate about helping you and yours enrich your lives—by empowering you to unpack what’s preventing you from fully embracing all of life’s pleasures. I believe that we all have the intrinsic ability to heal ourselves. In my practice, psychotherapy is a journey of self healing, with me as your guide. Connection is one of our most powerful tools, and through connecting with me, together, we will cultivate transformation and uncover the peace that lies within you.
(508) 456-5762 View (508) 456-5762
Photo of Cassidy Bingham - Cassidy Bingham-The Therapy Space LLC, LMHC, Counselor
Cassidy Bingham-The Therapy Space LLC
Counselor, LMHC
Verified Verified
1 Endorsed
Cambridge, MA 02138  (Online Only)
I offer knowledgeable and affirming relationship and identity support to queer, trans, kinky, and polyamorous clients. I'm a nonbinary lesbian who is passionate about serving LGBTQIA+ clients. I come from a sex-positive, trauma-informed, and pleasure-focused perspective. I value the mind-body connection and can use a body-oriented approach to help you navigate how mental health symptoms manifest in the body, how trauma shows up in a dysregulated nervous system, and how we can cultivate relationships with our bodies to reconnect with the present through mindfulness, imagination, and play.
I offer knowledgeable and affirming relationship and identity support to queer, trans, kinky, and polyamorous clients. I'm a nonbinary lesbian who is passionate about serving LGBTQIA+ clients. I come from a sex-positive, trauma-informed, and pleasure-focused perspective. I value the mind-body connection and can use a body-oriented approach to help you navigate how mental health symptoms manifest in the body, how trauma shows up in a dysregulated nervous system, and how we can cultivate relationships with our bodies to reconnect with the present through mindfulness, imagination, and play.
(781) 678-8133 View (781) 678-8133
Photo of Eric M Garrison, DLSHTM, DACS, FRSPH, CSC-S
Eric M Garrison
DLSHTM, DACS, FRSPH, CSC-S
Verified Verified
Boston, MA 02134
My international sex counseling clients have included West End and Broadway actors, Wall Street traders, waitresses, construction workers, and homemakers, all seeking a trauma-responsive, kink-friendly environment to address their sexual concerns. They aim to overcome STIs, erectile, ejaculatory & orgasmic challenges. On their own or with a referral from their healthcare providers, my clients desire enhanced pleasure, improved intimacy, and a satisfying sex life through self-exploration & tailored guidance, free from the constraints of DSM-5 diagnostic criteria. In those situations, they know I will make the appropriate referrals.
My international sex counseling clients have included West End and Broadway actors, Wall Street traders, waitresses, construction workers, and homemakers, all seeking a trauma-responsive, kink-friendly environment to address their sexual concerns. They aim to overcome STIs, erectile, ejaculatory & orgasmic challenges. On their own or with a referral from their healthcare providers, my clients desire enhanced pleasure, improved intimacy, and a satisfying sex life through self-exploration & tailored guidance, free from the constraints of DSM-5 diagnostic criteria. In those situations, they know I will make the appropriate referrals.
(804) 531-5590 View (804) 531-5590
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.