Sex Therapy in Saint Louis, MO

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.

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.

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.

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.

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.

As a queer therapist, I know what it’s like to navigate concerns around identity and sexuality . You don’t have to do it alone. You deserve an affirming space where you can release any shame and move towards a life that feels truly fulfilling to you. I love helping clients work through struggles related to emotional and sexual intimacy, consensual non-monogamy, communication and conflict resolution, religious trauma, imposter syndrome, and LGBTQ+ and gender identity.

Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist. For over 20 years, she has helped individuals and couples navigate difficult issues relating to relationships, sexuality , abandonment fears, depression, and anxiety. 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. Some of these might include postpartum depression, differences in sexual desire, erectile dysfunction, sexual pain, sexless marriage, infidelity, and difficulty with orgasm.

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, from the outside, has it all together. But on the inside you feel overwhelmed, yet you sometimes wonder, "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 is worth going to therapy for. Your wellness is absolutely worth it.

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!

Trauma and sex therapy are my primary areas of practice which allows me to work with people on a variety of issues. Typically, I work with people wanting to build their self-esteem, improve their relationships and communication skills, or understand their sexual interests or identities. My main area of expertise is in working with survivors of sexual and relationship violence as they process their trauma and how those experiences might be impacting their current relationships or sense of self. Ultimately, my goal is to help people discover clarity within the chaos.

All you have to know is that you want your life to be different, and we can figure out next steps together. We will explore obstacles that are keeping you from living your best life in a warm, nonjudgmental space. I know you're tired of hurting; I will support you while you grow and gain new skills to feel better and change your life. I often work with depression, anxiety, painful relationships, and trauma. I have a special focus on matters related to sex and gender, which I began during my doctoral training at the Kinsey Institute and continue to deepen my expertise as a full time LGBTQ+ specialist and kink-aware clinician.

Negative events, unhealthy relationship patterns, self-destructive behaviors and an overall sense of feeling "stuck" can hold you back. Through customized and collaborative therapy, we will explore current issues of concern and relevant past experiences to help put the missing pieces of the puzzle back together for a happier, healthier you. I will always create a safe space for you, and ask that in return we work together towards your goals with honesty, vulnerability and commitment.

Our clients often identify as LGBTQIA+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri. 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.