Sex-Positive, Kink Allied Therapists in Saint Louis, MO

Photo of Sophie Pellegrini, MSW, LCSW
Sophie Pellegrini
MSW, LCSW
Verified Verified
Saint Louis, MO 63118  (Online Only)
Waitlist for new clients
I am committed to anti-oppressive, non-pathologizing practice, and am LGBTQIA2S+ celebratory, sex positive, non-monogamy affirming, kink aware, sex worker affirming, and fat-positive.
I am a queer, neurodivergent therapist who is passionate about supporting clients as they uncover and connect with their most authentic, grounded selves. I specialize in working with queer, trans, and non-binary folks, with a focus on sexuality/asexuality, gender, neurodivergence, consensual non-monogamy, and trauma. My clients are often exploring emergent identities, unpacking relational patterns, learning to unmask, and seeking a greater sense of belonging. Our work together will likely be less focused on coping skills or quick solutions, but instead involve deep reflection, processing, and relationship building.
I am committed to anti-oppressive, non-pathologizing practice, and am LGBTQIA2S+ celebratory, sex positive, non-monogamy affirming, kink aware, sex worker affirming, and fat-positive.
I am a queer, neurodivergent therapist who is passionate about supporting clients as they uncover and connect with their most authentic, grounded selves. I specialize in working with queer, trans, and non-binary folks, with a focus on sexuality/asexuality, gender, neurodivergence, consensual non-monogamy, and trauma. My clients are often exploring emergent identities, unpacking relational patterns, learning to unmask, and seeking a greater sense of belonging. Our work together will likely be less focused on coping skills or quick solutions, but instead involve deep reflection, processing, and relationship building.
(314) 207-9104 View (314) 207-9104
Photo of Krissi Franzen, MA, LPC, NCC, Licensed Professional Counselor
Krissi Franzen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63106  (Online Only)
Most of my experience is working with the LGBTQIA+, kink, and poly communities, and I am a WPATH and IFS informed counselor! I like to use curiosity, expression, and experimentation to support you towards your goals!.
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
Most of my experience is working with the LGBTQIA+, kink, and poly communities, and I am a WPATH and IFS informed counselor! I like to use curiosity, expression, and experimentation to support you towards your goals!.
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
(314) 370-2758 View (314) 370-2758
Photo of Sara Blackwood, MA, MA, PLPC, PCA,NCC, CTMH-A, CTP, Counselor
Sara Blackwood
Counselor, MA, MA, PLPC, PCA,NCC, CTMH-A, CTP
Verified Verified
2 Endorsed
Saint Louis, MO 63108  (Online Only)
I am an LGBTQ+, ENM, and kink-affirming therapist.
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
I am an LGBTQ+, ENM, and kink-affirming therapist.
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
(314) 947-5640 View (314) 947-5640
Photo of Greg Tissi, MA Ed, PLPC, Pre-Licensed Professional
Greg Tissi
Pre-Licensed Professional, MA Ed, PLPC
Verified Verified
3 Endorsed
Saint Louis, MO 63141  (Online Only)
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
(314) 208-3566 View (314) 208-3566
Photo of Amy Studer - Alternative Access Counseling, MA, LPC, LCPC, Licensed Professional Counselor
Alternative Access Counseling
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63116  (Online Only)
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
(573) 577-3368 View (573) 577-3368
Photo of Brandi Hotop, LCSW, Clinical Social Work/Therapist
Brandi Hotop
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63128  (Online Only)
kink/fetish), communication challenges, family and relationship dynamics, issues related to sex and sexuality, low self-esteem, depression, and anxiety.
It feels like you're no longer connecting or not connecting in a way that feels fulfilling with yourself or your partner(s). You feel you have said everything you can to help the other person understand your needs and wants with hope that something will change. You don't know how it's gotten so painful. It's starting to feel a little helpless that you'll be able to have the connection you once hoped. You feel you need a safe place to explore current and past struggles to reunite the spark in yourself and/or together. Lets replace the ineffective strategies with new ways of seeing yourself and other important people in your life.
kink/fetish), communication challenges, family and relationship dynamics, issues related to sex and sexuality, low self-esteem, depression, and anxiety.
It feels like you're no longer connecting or not connecting in a way that feels fulfilling with yourself or your partner(s). You feel you have said everything you can to help the other person understand your needs and wants with hope that something will change. You don't know how it's gotten so painful. It's starting to feel a little helpless that you'll be able to have the connection you once hoped. You feel you need a safe place to explore current and past struggles to reunite the spark in yourself and/or together. Lets replace the ineffective strategies with new ways of seeing yourself and other important people in your life.
(833) 656-0872 View (833) 656-0872
Photo of Hanz Dismer - Psychosocial Services, LCSW, MSW, MPH, CSE, Clinical Social Work/Therapist
Psychosocial Services
Clinical Social Work/Therapist, LCSW, MSW, MPH, CSE
Verified Verified
Saint Louis, MO 63118
We work with individuals on a variety of different issues directly impacting their lives: pregnancy, abortion, sexuality, gender identity, relationships, and the intersection of these experiences with religion/spirituality. The things we most need to talk about are often the things that make us uncomfortable, challenge our worldview, or are deemed “socially unacceptable”. Exploring these issues and our feelings in a safe environment expands our horizons and helps us to better understand ourselves and the world around us. Learning allows us to grow and develop as human beings. Personal growth can help us heal.
We work with individuals on a variety of different issues directly impacting their lives: pregnancy, abortion, sexuality, gender identity, relationships, and the intersection of these experiences with religion/spirituality. The things we most need to talk about are often the things that make us uncomfortable, challenge our worldview, or are deemed “socially unacceptable”. Exploring these issues and our feelings in a safe environment expands our horizons and helps us to better understand ourselves and the world around us. Learning allows us to grow and develop as human beings. Personal growth can help us heal.
(618) 278-5010 View (618) 278-5010
Photo of Leah Crask-Ellis - Authentically You Counseling Services PLLC, LCPC, Licensed Professional Counselor
Authentically You Counseling Services PLLC
Licensed Professional Counselor, LCPC
Verified Verified
Saint Louis, MO 63118
I approach therapy from a body neutral, sex/bdsm/ kink positive, feminist, attachment, and trauma-informed lens and utilize an eclectic style drawing from several evidence-based models.
Welcome! I am a firm believer that the therapeutic journey is deeply personal, and I value the strength of the therapeutic relationship. You are an expert in your own life, and my role is to guide you back to your own expertise through self- exploration and growth while finding greater balance overall. I recognize a wide variety of healthy human desires, spiritual practices, relationship organizations, and identities and will meet you where you are at and respect your personal identities and goals. I have over 10 years working in mental health and come from a background in non-profit management, sexuality studies, and fine art.
I approach therapy from a body neutral, sex/bdsm/ kink positive, feminist, attachment, and trauma-informed lens and utilize an eclectic style drawing from several evidence-based models.
Welcome! I am a firm believer that the therapeutic journey is deeply personal, and I value the strength of the therapeutic relationship. You are an expert in your own life, and my role is to guide you back to your own expertise through self- exploration and growth while finding greater balance overall. I recognize a wide variety of healthy human desires, spiritual practices, relationship organizations, and identities and will meet you where you are at and respect your personal identities and goals. I have over 10 years working in mental health and come from a background in non-profit management, sexuality studies, and fine art.
(618) 353-0369 View (618) 353-0369
Photo of Kathryn (Kat) Weiss, PLPC, MEd, NCC, BC-HIS, Pre-Licensed Professional
Kathryn (Kat) Weiss
Pre-Licensed Professional, PLPC, MEd, NCC, BC-HIS
Verified Verified
2 Endorsed
Saint Louis, MO 63132
Sex is cool but what if you were able to speak about it freely in an authentically genuine, identity affirming, non judgmental and empathetic space. Perhaps you're trying to combat your internalized shame and societal beliefs of what sex should look like. Maybe you're seeking more self-pleasure and awareness. Are you navigating a new relationship dynamic or trying to combat intrusive thoughts around past sexual trauma? Let's find solutions and make achievable goals together.
Sex is cool but what if you were able to speak about it freely in an authentically genuine, identity affirming, non judgmental and empathetic space. Perhaps you're trying to combat your internalized shame and societal beliefs of what sex should look like. Maybe you're seeking more self-pleasure and awareness. Are you navigating a new relationship dynamic or trying to combat intrusive thoughts around past sexual trauma? Let's find solutions and make achievable goals together.
(314) 207-3082 View (314) 207-3082
Photo of Elizabeth A. Rastberger, MEd, LPC, Licensed Professional Counselor
Elizabeth A. Rastberger
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
Elizabeth works with adults on issues related to identity, relationships, attachment, anxiety, ENM, and pre/post-abortion. She helps clients improve their relationships with themselves and others, become more comfortable in their own skin, and unlearn unhelpful patterns. Elizabeth is blunt, authentic, and kind. With extensive life experience and a knack for challenging clients constructively, she might be the right fit to support your growth and well-being.
Elizabeth works with adults on issues related to identity, relationships, attachment, anxiety, ENM, and pre/post-abortion. She helps clients improve their relationships with themselves and others, become more comfortable in their own skin, and unlearn unhelpful patterns. Elizabeth is blunt, authentic, and kind. With extensive life experience and a knack for challenging clients constructively, she might be the right fit to support your growth and well-being.
(314) 897-4781 View (314) 897-4781
Photo of Mandy Bowlin, LCSW, Clinical Social Work/Therapist
Mandy Bowlin
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Saint Louis, MO 63127
Are you having difficulty with relationships and connecting with others? Are you impacted by trauma, stressful relationships such as caregiving, family members with substance use, your own substance use, or conflict in relationships? Is you history influencing your present day life? Are you looking for a therapeutic relationship that will be comfortable for you to explore your thoughts, feelings, and behaviors so you can begin to find peace, increased self-worth, better boundaries, and improved ability to feel joy and be present? If you relate to these concerns send me an email and lets talk.
Are you having difficulty with relationships and connecting with others? Are you impacted by trauma, stressful relationships such as caregiving, family members with substance use, your own substance use, or conflict in relationships? Is you history influencing your present day life? Are you looking for a therapeutic relationship that will be comfortable for you to explore your thoughts, feelings, and behaviors so you can begin to find peace, increased self-worth, better boundaries, and improved ability to feel joy and be present? If you relate to these concerns send me an email and lets talk.
(314) 274-6602 View (314) 274-6602
Photo of Brady Sullivan, PhD, LPC-S, NCC, Licensed Professional Counselor
Brady Sullivan
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
2 Endorsed
Saint Louis, MO 63118
Waitlist for new clients
*Yes, I am gay :)* I believe that therapy is for everyone, because everyone deserves this sacred space to look into the mirror and see themselves. Sometimes the reflection isn’t pretty. Sometimes there are things we wish we didn’t see. However, witnessing and recognizing the pain and sadness is the first part of moving through it. That’s where the therapist comes in, to stand by patiently and point out the behaviors, beliefs, thoughts, and feelings that are causing us pain. They are the person who helps us shed everything that is holding us back so that we can finally become the person we always knew we could be.
*Yes, I am gay :)* I believe that therapy is for everyone, because everyone deserves this sacred space to look into the mirror and see themselves. Sometimes the reflection isn’t pretty. Sometimes there are things we wish we didn’t see. However, witnessing and recognizing the pain and sadness is the first part of moving through it. That’s where the therapist comes in, to stand by patiently and point out the behaviors, beliefs, thoughts, and feelings that are causing us pain. They are the person who helps us shed everything that is holding us back so that we can finally become the person we always knew we could be.
(314) 208-2434 View (314) 208-2434
Photo of Erin Schnurbusch, MSW, LCSW, Clinical Social Work/Therapist
Erin Schnurbusch
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63146  (Online Only)
Sometimes, you just need someone to talk to. Not your mom, not your hairstylist, and even your friends might not want to be your therapist. I have the degree, license, and training to be a therapist, sure, but where I excel is in forming a relationship with YOU so I'm someone you look forward to chatting with on a regular basis. I am not a fan of anything stuffy or inauthentic, and connecting with clients and seeing real, positive change is my favorite part of the job. So whether it's anxiety, depression, or issues surrounding life changes like career decisions or having kids (or so many more things!), I'm your girl. Let's connect!
Sometimes, you just need someone to talk to. Not your mom, not your hairstylist, and even your friends might not want to be your therapist. I have the degree, license, and training to be a therapist, sure, but where I excel is in forming a relationship with YOU so I'm someone you look forward to chatting with on a regular basis. I am not a fan of anything stuffy or inauthentic, and connecting with clients and seeing real, positive change is my favorite part of the job. So whether it's anxiety, depression, or issues surrounding life changes like career decisions or having kids (or so many more things!), I'm your girl. Let's connect!
(314) 582-2248 View (314) 582-2248
Photo of Anna (Yue) Tan, LCSW, MSW, Clinical Social Work/Therapist
Anna (Yue) Tan
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Saint Louis, MO 63132
Hello there. Helping clients, and teaching them skills to empower themselves is my priority. I work with adolescents, adults, immigrants, and the BIPOC community. I specialize in school issues, emotional disturbances, life transitions, generational trauma, and more. I offer a sliding scale to accommodate clients' needs. I am committed to creating a just and compassionate society where everyone has easy access to the care they need to thrive.
Hello there. Helping clients, and teaching them skills to empower themselves is my priority. I work with adolescents, adults, immigrants, and the BIPOC community. I specialize in school issues, emotional disturbances, life transitions, generational trauma, and more. I offer a sliding scale to accommodate clients' needs. I am committed to creating a just and compassionate society where everyone has easy access to the care they need to thrive.
(314) 876-6235 View (314) 876-6235
Photo of Zachary Polk, MS, LMFT, Marriage & Family Therapist
Zachary Polk
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Louis, MO 63139
Do you catch yourself overthinking or being too critical? Do you often wonder if you have accomplished “enough”? We keep trying to change how we think and feel about ourselves, but nothing seems to work for very long. However, this '“trying” can often lead to familiar reactions such as anxiety, depression, and relationship stress. So how does it get better?
Do you catch yourself overthinking or being too critical? Do you often wonder if you have accomplished “enough”? We keep trying to change how we think and feel about ourselves, but nothing seems to work for very long. However, this '“trying” can often lead to familiar reactions such as anxiety, depression, and relationship stress. So how does it get better?
(314) 926-9610 View (314) 926-9610
Photo of Shawn G FitzWilliam, MA, LPC, Licensed Professional Counselor
Shawn G FitzWilliam
Licensed Professional Counselor, MA, LPC
Verified Verified
Saint Louis, MO 63103
Waitlist for new clients
I am proud to work with fellow healthcare professionals, individuals from different cultural backgrounds, individuals in the LGBTQ+ community, and anyone who is new to therapy or has tried therapy before but without success. My ideal client is any adult who currently struggles with anxiety, depression, PTSD or other trauma, OCD, burnout, or relationship concerns who is ready to commit to treatment. I believe in meeting clients where they are. I view my job as being your guide to better manage symptoms that represent barriers to you moving forward in your life, following a path determined by your personal values.
I am proud to work with fellow healthcare professionals, individuals from different cultural backgrounds, individuals in the LGBTQ+ community, and anyone who is new to therapy or has tried therapy before but without success. My ideal client is any adult who currently struggles with anxiety, depression, PTSD or other trauma, OCD, burnout, or relationship concerns who is ready to commit to treatment. I believe in meeting clients where they are. I view my job as being your guide to better manage symptoms that represent barriers to you moving forward in your life, following a path determined by your personal values.
(314) 648-8485 View (314) 648-8485
Photo of Jane Henderson Burnham, LMSW, Pre-Licensed Professional
Jane Henderson Burnham
Pre-Licensed Professional, LMSW
Verified Verified
Saint Louis, MO 63139  (Online Only)
I believe healing happens in relationships. This is why building an honest and intentional relationship with my clients is the foundation of my work. It takes so much courage to open up to someone, so I always meet my clients with compassion and transparency. I can't take your pain away, but I can walk alongside you in your journey as you detangle your experiences and grow through reflection. I am deeply committed to supporting queer & 2SLGBTQ+ clients, and I offer letter writing services for clients to access essential gender-affirming care.
I believe healing happens in relationships. This is why building an honest and intentional relationship with my clients is the foundation of my work. It takes so much courage to open up to someone, so I always meet my clients with compassion and transparency. I can't take your pain away, but I can walk alongside you in your journey as you detangle your experiences and grow through reflection. I am deeply committed to supporting queer & 2SLGBTQ+ clients, and I offer letter writing services for clients to access essential gender-affirming care.
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Photo of Meagan Vorce, MEd, P-LPC
Meagan Vorce
MEd, P-LPC
Verified Verified
1 Endorsed
Saint Louis, MO 63117  (Online Only)
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
Are you looking to make a change but keep getting stuck in old, unsatisfying patterns? Is there a life transition (for example, opening up a relationship or a later-in-life coming out) you're having trouble with? I'm a queer therapist passionate about working with people who want support in navigating life's complexities. Together, in a non-judgmental space, we will find approaches that work to repair attachment wounds, address past traumas, and get curious about limiting beliefs so you can live a more expansive and authentic life.
(314) 907-0258 View (314) 907-0258
Photo of Susan Matheis, MSEd, LPC, Licensed Professional Counselor
Susan Matheis
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Saint Louis, MO 63118
Waitlist for new clients
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
Hi there! Thanks for taking the time to reach out for support. I know it's not easy. I’d love to connect with you to help you learn to manage your emotions and identify coping skills that work for you. I’m an unbiased space that gives your room to explore, process emotions and challenges. Together we can figure out what’s not working and what can help you feel better. I want to see you improve and help you feel like yourself again. I treat therapy as a conversation and discussion regarding your anxieties, worries, stress and other topics. This can help to untangle, reorganize and make sense of your thoughts.
(314) 582-0364 View (314) 582-0364
Photo of Shannon Clark, PhD, Psychologist
Shannon Clark
Psychologist, PhD
Verified Verified
Saint Louis, MO 63117  (Online Only)
Do you suffer from pain or illness and can't get a clear answer why? Does family, work, or relationships make it hard to manage stress? Are you tired of getting by and want to cultivate more joy in life? It's time to do the deeper work.
Do you suffer from pain or illness and can't get a clear answer why? Does family, work, or relationships make it hard to manage stress? Are you tired of getting by and want to cultivate more joy in life? It's time to do the deeper work.
(314) 866-3957 View (314) 866-3957
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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.