Sex Therapists in Saint Louis, MO
David T Koch
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Saint Louis, MO 63141
Waitlist for new clients
My clinical passions include sex therapy - treating Genito-Pelvic Pain/Penetration Disorders (GPPPD), erectile dysfunction, premature/delayed ejaculation & low sexual desire (HSDD) - anxiety, navigating church hurt & spiritual questions, and emotional giftedness.
If you are anything like me, you have had a moment in your life when you asked yourself "How can I make the pain stop?" For me, therapy is one option for hurting individuals who want to work through pain to find answers to life's experiences & questions. I have had the privilege & challenge to walk alongside individuals, couples and families working to initiate the road to recovery that is so often littered with significant loss & conflict. If you are thinking of starting therapy and are feeling really anxious or hopeless, you are not alone!
My clinical passions include sex therapy - treating Genito-Pelvic Pain/Penetration Disorders (GPPPD), erectile dysfunction, premature/delayed ejaculation & low sexual desire (HSDD) - anxiety, navigating church hurt & spiritual questions, and emotional giftedness.
If you are anything like me, you have had a moment in your life when you asked yourself "How can I make the pain stop?" For me, therapy is one option for hurting individuals who want to work through pain to find answers to life's experiences & questions. I have had the privilege & challenge to walk alongside individuals, couples and families working to initiate the road to recovery that is so often littered with significant loss & conflict. If you are thinking of starting therapy and are feeling really anxious or hopeless, you are not alone!
Sexual Behavior Analysis (SBA) is an evidence-based and humanistic approach which uses empirically-sound practices from Sex Therapy and Sexuality Education.
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
Sexual Behavior Analysis (SBA) is an evidence-based and humanistic approach which uses empirically-sound practices from Sex Therapy and Sexuality Education.
I work with clients of all backgrounds, sexualities, genders and relationship dynamics. Utilizing effective methodology, I work with clients on sexual and/or sociosexual concerns, including low desire, vaginal pain, poor impulsivity control, coming out, inner shame and exploring new dynamics and/or kinks.
Jessica Naslund
Clinical Social Work/Therapist, LCSW, CSE
Verified Verified
1 Endorsed
Saint Louis, MO 63132
I have supported individuals with intellectual disabilities in a variety of professionals roles concerning sexuality and trauma issues.
I am an AASECT Certified Sexuality Educator Supervisor and Licensed Clinical Social Worker specializing in working with individuals of all abilities in areas of sexuality, gender identity, relationship building, intimacy, communication and trauma.
I have supported individuals with intellectual disabilities in a variety of professionals roles concerning sexuality and trauma issues.
I am an AASECT Certified Sexuality Educator Supervisor and Licensed Clinical Social Worker specializing in working with individuals of all abilities in areas of sexuality, gender identity, relationship building, intimacy, communication and trauma.
Marina Klier
Clinical Social Work/Therapist, LCSW, MSW, MEd
Verified Verified
1 Endorsed
Saint Louis, MO 63139
If you are navigating sexual, romantic, or emotional difficulties I am here to help. Struggling with identity and authenticity in a sex negative, stigmatizing society can be an isolating experience. You and any partners need an affirming space to explore the full bounds of your potential. A validating and inclusive space can help you feel comfortable questioning the social constructs and relational education you’ve received that may no longer serve you. You will receive guidance in existing confidently and finding the connection you seek. You deserve someone who is on your side, rooting for your success, whatever that may look like.
If you are navigating sexual, romantic, or emotional difficulties I am here to help. Struggling with identity and authenticity in a sex negative, stigmatizing society can be an isolating experience. You and any partners need an affirming space to explore the full bounds of your potential. A validating and inclusive space can help you feel comfortable questioning the social constructs and relational education you’ve received that may no longer serve you. You will receive guidance in existing confidently and finding the connection you seek. You deserve someone who is on your side, rooting for your success, whatever that may look like.
Megan MacKenzie
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63108
As a couples, relationship, and sexuality therapist, I'm here to help you to create more intimacy and connection in your relationships, explore your identities, and recalibrate toward a more authentic and compassionate life. I am particularly passionate about supporting LGBTQ+ folks in exploring and healing from internalized homophobia and transphobia as they often manifest in anxiety, depression, and low self-esteem.
As a couples, relationship, and sexuality therapist, I'm here to help you to create more intimacy and connection in your relationships, explore your identities, and recalibrate toward a more authentic and compassionate life. I am particularly passionate about supporting LGBTQ+ folks in exploring and healing from internalized homophobia and transphobia as they often manifest in anxiety, depression, and low self-esteem.
My previous training includes cognitive-behavioral therapies, relational-cultural therapy, mindfulness, self-compassion, and sexuality.
Welcome! I'm glad you're here. Are you struggling with painful thoughts and emotions? Maybe the pandemic has created some new problems for you, or brought up old stuff. Or perhaps, you're doing okay in your day-to-day life, but have been wondering if therapy could help you do some deeper work. In any case, I'm here to help. I support folks in learning more effective ways to work through their emotional struggles, and creating a life of meaning, pleasure, and authenticity. I also enjoy working with folks on identity, life transitions, personal growth, and sexual self-empowerment.
My previous training includes cognitive-behavioral therapies, relational-cultural therapy, mindfulness, self-compassion, and sexuality.
Welcome! I'm glad you're here. Are you struggling with painful thoughts and emotions? Maybe the pandemic has created some new problems for you, or brought up old stuff. Or perhaps, you're doing okay in your day-to-day life, but have been wondering if therapy could help you do some deeper work. In any case, I'm here to help. I support folks in learning more effective ways to work through their emotional struggles, and creating a life of meaning, pleasure, and authenticity. I also enjoy working with folks on identity, life transitions, personal growth, and sexual self-empowerment.
Nicholas Maio-Aether
MAMFT, MSPSY, LBA, CSC, IBA
Verified Verified
Online Only
Waitlist for new clients
Sexual Behavior Analysis (SBA) is an evidence-based and humanistic approach in which empirically-sound best practices from Sex Therapy, Sexuality Education, and Couple's Work are combined and presented within the simple, effective, and practical framework of Behavior Analysis (BA).
NOTE: I do have a waitlist, currently, but I am Clinical Director/Supervisor of some amazing clinicians who adhere to the same models and philosophy as I. Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
Sexual Behavior Analysis (SBA) is an evidence-based and humanistic approach in which empirically-sound best practices from Sex Therapy, Sexuality Education, and Couple's Work are combined and presented within the simple, effective, and practical framework of Behavior Analysis (BA).
NOTE: I do have a waitlist, currently, but I am Clinical Director/Supervisor of some amazing clinicians who adhere to the same models and philosophy as I. Utilizing systemic principles and effective methodology, I work with clients of all backgrounds, sexualities, genders, and relationship dynamics. Clients come to me to work on sexual and/or sociosexual concerns, including low desire, infidelity, lack of partnership skills, poor impulsivity control, coming out, inner shame, exploring new dynamics and/or kinks, and also for vaginal pain and erectile dysfunction.
Nigel Cook
Clinical Social Work/Therapist, MSW, LCSW, CST
Verified Verified
3 Endorsed
Saint Louis, MO 63130
My specialty area is working with survivors of sexual violence to reclaim their sexuality as they process how their trauma might be impacting their sense of self, current relationships, or other areas.
Sexuality should be celebrated! Society often makes it difficult for people to express themselves in this way, and therefore I try to offer a space for clients to freely explore all aspects of their sexuality without judgement. In my practice, I work collaboratively with clients to develop sexual communication skills, process shame associated with sexuality, and learn how to practice safer (more pleasurable) sex. I have experience with many types of clients, including LGBTQ+ people, femme-people, sex workers, and people discovering themselves later in life.
My specialty area is working with survivors of sexual violence to reclaim their sexuality as they process how their trauma might be impacting their sense of self, current relationships, or other areas.
Sexuality should be celebrated! Society often makes it difficult for people to express themselves in this way, and therefore I try to offer a space for clients to freely explore all aspects of their sexuality without judgement. In my practice, I work collaboratively with clients to develop sexual communication skills, process shame associated with sexuality, and learn how to practice safer (more pleasurable) sex. I have experience with many types of clients, including LGBTQ+ people, femme-people, sex workers, and people discovering themselves later in life.
Kathryn Louise Manley
Licensed Professional Counselor, MSEd, LPC, CST
Verified Verified
Saint Louis, MO 63122
In addition to relationship and sex therapy, Kathryn treats a variety of concerns including depression, anxiety, anger, parenting struggles, codependent behavior, grief and life adjustments.
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist. For nearly 25 years, she has helped individuals and couples navigate difficult issues relating to communication skills, sexuality, autonomy, and attachment. Kathryn understands the importance of having a safe and trustworthy clinician. Sex therapy can include the many physiological and emotional aspects of intimacy encountered during seasons of life including postpartum depression, differences in sexual desire, infidelity, betrayal trauma, erectile dysfunction, pain, sexless marriage and difficulty with orgasm.
In addition to relationship and sex therapy, Kathryn treats a variety of concerns including depression, anxiety, anger, parenting struggles, codependent behavior, grief and life adjustments.
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist. For nearly 25 years, she has helped individuals and couples navigate difficult issues relating to communication skills, sexuality, autonomy, and attachment. Kathryn understands the importance of having a safe and trustworthy clinician. Sex therapy can include the many physiological and emotional aspects of intimacy encountered during seasons of life including postpartum depression, differences in sexual desire, infidelity, betrayal trauma, erectile dysfunction, pain, sexless marriage and difficulty with orgasm.
Keegan Esping
Pre-Licensed Professional, MA, PLPC
Verified Verified
1 Endorsed
Saint Louis, MO 63118
Keegan knows the road that leads you into the counseling room can be difficult and painful. Whether the catalyst is some form of trauma, abuse, grief, challenges involving sex and sexuality or a desire to seek greater health and self-awareness, this decision is courageous. In counseling, Keegan blends elements of person-centered theory, internal family systems and knowledge about trauma, attachment and family dynamics into an integrative holistic approach.
Keegan knows the road that leads you into the counseling room can be difficult and painful. Whether the catalyst is some form of trauma, abuse, grief, challenges involving sex and sexuality or a desire to seek greater health and self-awareness, this decision is courageous. In counseling, Keegan blends elements of person-centered theory, internal family systems and knowledge about trauma, attachment and family dynamics into an integrative holistic approach.
Linda Weiner
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63130
Waitlist for new clients
As a certified Diplomate in Sex Therapy (AASECT) I know your sexuality is a legitimate concern and believe that it's your right to receive expert knowledge when seeking assistance for sexuality concerns and relationship difficulties. I offer individual therapy, relationship coaching, couples' counseling and couples intensives as well as educational opportunities for professionals and groups. My individual and couples' therapy is designed to meet your goals and is a mutual undertaking between us. My goal is to support sexual health and intimacy in your relationship through mind/body connection and heart-centered relationship skills.
As a certified Diplomate in Sex Therapy (AASECT) I know your sexuality is a legitimate concern and believe that it's your right to receive expert knowledge when seeking assistance for sexuality concerns and relationship difficulties. I offer individual therapy, relationship coaching, couples' counseling and couples intensives as well as educational opportunities for professionals and groups. My individual and couples' therapy is designed to meet your goals and is a mutual undertaking between us. My goal is to support sexual health and intimacy in your relationship through mind/body connection and heart-centered relationship skills.
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Dr. A. P. Carmichael
Marriage & Family Therapist, PhD, MEd, MA, LMFT
Verified Verified
2 Endorsed
Saint Louis, MO 63108
I hold a PhD in Human Sexuality Research as well as a master’s degree in Human Sexuality Education from Widener University in Philadelphia.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
I hold a PhD in Human Sexuality Research as well as a master’s degree in Human Sexuality Education from Widener University in Philadelphia.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Saint Louis, MO 63108
In addition to traditional therapy, we provide expressive arts therapy, sound therapy, sexuality education, and sex/life coaching because healing can include more than talk therapy.
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
In addition to traditional therapy, we provide expressive arts therapy, sound therapy, sexuality education, and sex/life coaching because healing can include more than talk therapy.
Are you ready to set healthy boundaries in your relationships? Have you been wanting to explore your sexuality but didn't know where to start? Is your non-monogamous relationship experiencing friction? Maybe you are the survivor, strong friend, and problem solver who appears to have it all together. Yet on the inside you feel overwhelmed while also wondering, "Is this worth going to therapy for?" If your boundaries leave you questioning yourself, if you want to explore your sexuality, or if you and your partner(s) want support, it's worth going to therapy for. Our relationship, sexuality, and trauma experts are here for you.
Feeling fractured from your once-strong sense of self can be confusing, isolating, and painful. Oftentimes these feelings can arise from societal pressures to conform, living in a sex-negative society, or relationship and systemic trauma. Sex & relationship therapy can be a good fit for improving the relational quality of your life and accessing desire as a tool for living well. I specialize in supporting individuals and relationships (of all styles) who struggle to access authenticity and wholeness in their daily lives. I work best with engaged clients who practice active self reflection.
Feeling fractured from your once-strong sense of self can be confusing, isolating, and painful. Oftentimes these feelings can arise from societal pressures to conform, living in a sex-negative society, or relationship and systemic trauma. Sex & relationship therapy can be a good fit for improving the relational quality of your life and accessing desire as a tool for living well. I specialize in supporting individuals and relationships (of all styles) who struggle to access authenticity and wholeness in their daily lives. I work best with engaged clients who practice active self reflection.
I am a sex therapist and Licensed Professional Counselor (LPC) in Missouri and Virginia, who is a National Board Certified Counselor (NCC), a Certified Family Counselor (CFT), and a Certified Grief Counseling Specialist (CGCS).
As we live, we write the stories of our lives. Sometimes the pen gets too heavy. Sometimes we don’t know where to start… or how to continue. And then there’s writer’s block, the faltering of the creative process somewhere in our hearts, our minds, our bodies producing dis-orders and dis-eases. Maybe you have lost a Loved one. Maybe you’re starting a new relationship. Maybe you want a new job. Maybe you just want change. I believe the remedy is in the beliefs/feelings, thoughts, and behaviors fueling the writer’s block or dis-ease, and I am a dis-ease specialist.
I am a sex therapist and Licensed Professional Counselor (LPC) in Missouri and Virginia, who is a National Board Certified Counselor (NCC), a Certified Family Counselor (CFT), and a Certified Grief Counseling Specialist (CGCS).
As we live, we write the stories of our lives. Sometimes the pen gets too heavy. Sometimes we don’t know where to start… or how to continue. And then there’s writer’s block, the faltering of the creative process somewhere in our hearts, our minds, our bodies producing dis-orders and dis-eases. Maybe you have lost a Loved one. Maybe you’re starting a new relationship. Maybe you want a new job. Maybe you just want change. I believe the remedy is in the beliefs/feelings, thoughts, and behaviors fueling the writer’s block or dis-ease, and I am a dis-ease specialist.
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 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, exploration of ones identity, and relationship building
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 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, exploration of ones identity, and relationship building
Sexual Behavior Analysis (SBA) is an evidence-based approach in which empirically-sound best practices from Sex Therapy, Sexuality Education, and Couple's Work are combined and presented within the simple, effective, and practical framework of Behavior Analysis (BA).
Behavior Analysis is a powerful science based modality that examines the behaviors that we all engage in on a daily basis. Being rooted deeply in science, that means we leave dreams and horoscopes at the door. Treatment is focused and purposeful, addressing both behavioral deficits and/or excesses. I offer specialization specifically in sexual behaviors (low desire, infidelity, impulse control etc). Clients will be asked to take data, which helps to ensure progress towards goals, and ensures skills developed in sessions are generalized outside of sessions, allowing you to be able to live your best life, even when services end.
Sexual Behavior Analysis (SBA) is an evidence-based approach in which empirically-sound best practices from Sex Therapy, Sexuality Education, and Couple's Work are combined and presented within the simple, effective, and practical framework of Behavior Analysis (BA).
Behavior Analysis is a powerful science based modality that examines the behaviors that we all engage in on a daily basis. Being rooted deeply in science, that means we leave dreams and horoscopes at the door. Treatment is focused and purposeful, addressing both behavioral deficits and/or excesses. I offer specialization specifically in sexual behaviors (low desire, infidelity, impulse control etc). Clients will be asked to take data, which helps to ensure progress towards goals, and ensures skills developed in sessions are generalized outside of sessions, allowing you to be able to live your best life, even when services end.
I’m a lifelong learner - I stay up to date with the most effective relationship therapy techniques as a CEU consumer and adjunct instructor - I teach master’s level sex and couples therapy courses at UMKC.
I’m a trained sex-positive relationship therapist. I use evidenced-based relationship therapy techniques to support my clients in actualizing their interpersonal potential while honoring their individuality in the context of their relationships. I also practice Gottman Couples therapy, which integrates empirical evidence on what makes love last. Based on 40+ years of relationship research, the Gottman approach takes the guesswork out of how we can cultivate strong & lasting relationships
I’m a lifelong learner - I stay up to date with the most effective relationship therapy techniques as a CEU consumer and adjunct instructor - I teach master’s level sex and couples therapy courses at UMKC.
I’m a trained sex-positive relationship therapist. I use evidenced-based relationship therapy techniques to support my clients in actualizing their interpersonal potential while honoring their individuality in the context of their relationships. I also practice Gottman Couples therapy, which integrates empirical evidence on what makes love last. Based on 40+ years of relationship research, the Gottman approach takes the guesswork out of how we can cultivate strong & lasting relationships
Natasha Ceballos
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
2 Endorsed
Saint Louis, MO 63118
I’ve received specialized training in Sex Therapy, Somatic Therapy, Emotion Focused Therapy, Ego-State/IFS Therapy, and EMDR.
Eroticism is adult play: ideally it is expansive, vibrant, joyful, and stress-free. Living in a sex-shaming society damages our ability to have a loving, easy relationship to our erotic, sensual, and sexual identities. Sometimes that damage can lead to conflict and disconnection with ourselves and our intimate others. Our relational health is a necessary ingredient in our overall life satisfaction and we long for our relationships to be a safe haven from the stress, overwhelm, and chaos of our lives. When that isn’t the case, it can lead us to feel lost, uneasy, and wondering how to find our way back to a feeling of security.
I’ve received specialized training in Sex Therapy, Somatic Therapy, Emotion Focused Therapy, Ego-State/IFS Therapy, and EMDR.
Eroticism is adult play: ideally it is expansive, vibrant, joyful, and stress-free. Living in a sex-shaming society damages our ability to have a loving, easy relationship to our erotic, sensual, and sexual identities. Sometimes that damage can lead to conflict and disconnection with ourselves and our intimate others. Our relational health is a necessary ingredient in our overall life satisfaction and we long for our relationships to be a safe haven from the stress, overwhelm, and chaos of our lives. When that isn’t the case, it can lead us to feel lost, uneasy, and wondering how to find our way back to a feeling of security.
In my practice, I blend effective therapies like CBT, EMDR, Solution-Focused Therapy, Sex Therapy, and Motivational Interviewing—each chosen to support your unique path to healing.
Feeling caught up in emotional uncertainty? Inclusive Therapy and Consulting Services, led by Nick Harper, offers supportive, trauma-informed therapy with a focus on LGBTQ+ needs. I’m here to provide a safe, sex-positive space where you can grow and explore. With over twelve years of experience as a licensed clinical social worker, I specialize in trauma-informed care and affirming approaches to sexuality. Here, therapy isn’t just a service—it’s a personalized journey towards healing and self-acceptance.
In my practice, I blend effective therapies like CBT, EMDR, Solution-Focused Therapy, Sex Therapy, and Motivational Interviewing—each chosen to support your unique path to healing.
Feeling caught up in emotional uncertainty? Inclusive Therapy and Consulting Services, led by Nick Harper, offers supportive, trauma-informed therapy with a focus on LGBTQ+ needs. I’m here to provide a safe, sex-positive space where you can grow and explore. With over twelve years of experience as a licensed clinical social worker, I specialize in trauma-informed care and affirming approaches to sexuality. Here, therapy isn’t just a service—it’s a personalized journey towards healing and self-acceptance.
See more therapy options for Saint Louis
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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.