Sex Therapists in Saint Louis, MO
These experiences often arise from systemic oppression, sex-negative messaging, or attachment wounds.
Together, we create a collaborative, nonjudgmental space to reconnect with your body, identity, and values. I integrate parts work and somatic tools through a feminist and attachment-based lens to help you feel more whole, grounded, and relationally empowered. Humor and humanity are always welcome in the room.
These experiences often arise from systemic oppression, sex-negative messaging, or attachment wounds.
Together, we create a collaborative, nonjudgmental space to reconnect with your body, identity, and values. I integrate parts work and somatic tools through a feminist and attachment-based lens to help you feel more whole, grounded, and relationally empowered. Humor and humanity are always welcome in the room.
I work with clients who may be struggling with family stress, relationship struggles, and gender and sexuality identity questions.
Do you feel like you're treading water, barely holding it together, or sinking under stress, anxiety, or emotional exhaustion? Maybe you're worn out from pretending to be okay when you're not. You might be the caretaker, the strong one, the peacekeeper and always showing up for others but neglecting yourself. Deep down, you want to feel whole again, to reconnect with the vibrant, authentic version of you that’s been buried under pain, pressure, or past trauma. You deserve to come home to yourself.
I work with clients who may be struggling with family stress, relationship struggles, and gender and sexuality identity questions.
Do you feel like you're treading water, barely holding it together, or sinking under stress, anxiety, or emotional exhaustion? Maybe you're worn out from pretending to be okay when you're not. You might be the caretaker, the strong one, the peacekeeper and always showing up for others but neglecting yourself. Deep down, you want to feel whole again, to reconnect with the vibrant, authentic version of you that’s been buried under pain, pressure, or past trauma. You deserve to come home to yourself.
David T Koch
Licensed Professional Counselor, MA, LPC
3 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. Ideally, we can clear the wreckage of our past and work to flourish personally and relationally. 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 & are feeling 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. Ideally, we can clear the wreckage of our past and work to flourish personally and relationally. 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 & are feeling anxious or hopeless, you are not alone!
My previous training includes cognitive-behavioral therapies, relational-cultural therapy, mindfulness, self-compassion, and sexuality.
Hello! 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.
Hello! 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.
As a 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.
My approach is rooted in attachment, neurobiology, and differentiation, as well as somatic approaches, modern psychodynamic theory, and intersectional queer theory. I aspire to provide a validating, non-judgmental, and liberatory space for people to explore how past experiences have shaped current beliefs and patterns.
As a 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.
My approach is rooted in attachment, neurobiology, and differentiation, as well as somatic approaches, modern psychodynamic theory, and intersectional queer theory. I aspire to provide a validating, non-judgmental, and liberatory space for people to explore how past experiences have shaped current beliefs and patterns.
Trained as a trauma-focused sex therapist, I primarily help people discover and reclaim what sexuality means for them but I enjoy supporting clients navigate other mental health issues as well.
I work best with clients who identify as LGBTQ+ or exist along the queer spectrum! I believe taking an integrative approach to care and working collaboratively with clients makes for the most enriching therapy experiences. If you think you might benefit from exposure to a healthy masculine presence, I invite you to reach out.
Trained as a trauma-focused sex therapist, I primarily help people discover and reclaim what sexuality means for them but I enjoy supporting clients navigate other mental health issues as well.
I work best with clients who identify as LGBTQ+ or exist along the queer spectrum! I believe taking an integrative approach to care and working collaboratively with clients makes for the most enriching therapy experiences. If you think you might benefit from exposure to a healthy masculine presence, I invite you to reach out.
Genevieve Friedmann
Clinical Social Work/Therapist, MSW, LCSW, CST
5 Endorsed
Saint Louis, MO 63139
Waitlist for new clients
I work with couples and individuals who are navigating relationship difficulties, especially sex and intimacy concerns and communication struggles.
You and your partner are facing challenges that feel isolating, even when you’re together. Life pulls you both in a million directions, and it’s easy to lose sight of your own needs—and each other’s. Maybe making a real connection feels harder than it used to, leaving you feeling like you've lost a spark that was once there. You can’t seem to get on the same page when it comes to making decisions and finding the time and energy to nurture and change your relationship just isn’t happening. You want to enjoy your time together and you long for your relationship to be a source of support, understanding, and peace.
I work with couples and individuals who are navigating relationship difficulties, especially sex and intimacy concerns and communication struggles.
You and your partner are facing challenges that feel isolating, even when you’re together. Life pulls you both in a million directions, and it’s easy to lose sight of your own needs—and each other’s. Maybe making a real connection feels harder than it used to, leaving you feeling like you've lost a spark that was once there. You can’t seem to get on the same page when it comes to making decisions and finding the time and energy to nurture and change your relationship just isn’t happening. You want to enjoy your time together and you long for your relationship to be a source of support, understanding, and peace.
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist.
In addition to relationship and sex therapy, Kathryn has a strong background in the treatment of depression, anxiety, OCD, anger, codependent behavior, boundaries, grief, life adjustments and premarital counseling.
Kathryn Manley is a seasoned licensed mental health practitioner and licensed AASECT sex therapist.
In addition to relationship and sex therapy, Kathryn has a strong background in the treatment of depression, anxiety, OCD, anger, codependent behavior, boundaries, grief, life adjustments and premarital counseling.
Have you ever wanted to begin counseling, but didn’t feel like your problems were big enough? Or, have you ever ghosted a therapist because you didn’t feel helped? Me too. So, we go it alone - doing everything to change ourselves and our relationships. We continuously find ourselves stuck between what we want to do and what we “should” do. This dilemma often shows up as anxiety, depression, and relationship problems. That’s why it’s my mission to provide approachable counseling that works.
Have you ever wanted to begin counseling, but didn’t feel like your problems were big enough? Or, have you ever ghosted a therapist because you didn’t feel helped? Me too. So, we go it alone - doing everything to change ourselves and our relationships. We continuously find ourselves stuck between what we want to do and what we “should” do. This dilemma often shows up as anxiety, depression, and relationship problems. That’s why it’s my mission to provide approachable counseling that works.
Maybe you're navigating friction in a non-monogamous relationship, exploring your sexuality, or carrying trauma while appearing “put together
We create a brave, affirming space where you can unpack your story at your own pace. Using approaches rooted in relational, somatic, and expressive therapies, we help you reconnect with yourself, navigate stuck patterns, and move toward the life and relationships you want: authentic, grounded, and fully your own.
Maybe you're navigating friction in a non-monogamous relationship, exploring your sexuality, or carrying trauma while appearing “put together
We create a brave, affirming space where you can unpack your story at your own pace. Using approaches rooted in relational, somatic, and expressive therapies, we help you reconnect with yourself, navigate stuck patterns, and move toward the life and relationships you want: authentic, grounded, and fully your own.
Dr. A. P. Carmichael
Marriage & Family Therapist, PhD, MEd, MA, LMFT
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.
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.
Keegan shows up as a counselor and fellow traveler, inviting you into an environment of curiosity and empathy with the hope it will become a safe place for you to process the stories that have most affected you in the past and present.
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.
Keegan shows up as a counselor and fellow traveler, inviting you into an environment of curiosity and empathy with the hope it will become a safe place for you to process the stories that have most affected you in the past and present.
More specifically, if you're seeking healing from sexual trauma, have questions about identity formulation, or are simply curious about your sexuality, we may be a great fit!
I am trained in Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization & Reprocessing (EMDR), and Somatic Movement Healing practices. My approach is informed by Relational Cultural Theory, which emphasizes the importance of relationships and community connection in the healing process.
More specifically, if you're seeking healing from sexual trauma, have questions about identity formulation, or are simply curious about your sexuality, we may be a great fit!
I am trained in Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization & Reprocessing (EMDR), and Somatic Movement Healing practices. My approach is informed by Relational Cultural Theory, which emphasizes the importance of relationships and community connection in the healing process.
I specialize in supporting queer clients who are facing challenges related to sexuality, relationships, identity, and self-esteem.
I help adults and couples build empowered relationships to their identities, sexualites, and partners. My clients often reach out when they feel abandoned, unworthy, or stuck. They tell me they crave growth but feel unable to step out of harmful or unfulfilling roles that once protected them. They reach out because they are ready to step into relationships and roles that bring them joy and pleasure rather than anxiety or fear. My clients are ready to learn about their emotions, bodies, and attachments and build the compassion and curiosity required to make a change.
I specialize in supporting queer clients who are facing challenges related to sexuality, relationships, identity, and self-esteem.
I help adults and couples build empowered relationships to their identities, sexualites, and partners. My clients often reach out when they feel abandoned, unworthy, or stuck. They tell me they crave growth but feel unable to step out of harmful or unfulfilling roles that once protected them. They reach out because they are ready to step into relationships and roles that bring them joy and pleasure rather than anxiety or fear. My clients are ready to learn about their emotions, bodies, and attachments and build the compassion and curiosity required to make a change.
With a background in sex education and reproductive health, I bring curiosity, care, and openness to every session.
If you feel like a puzzle piece that doesn’t quite fit, you're not alone – and you don’t have to figure it out by yourself. Maybe you’re carrying sexual shame, questioning your identity, feeling stuck in relationships, or struggling with body image. You might be unpacking long-held beliefs or exploring who you are outside of societal expectations. I specialize in working with clients navigating identity, relationships, and self-worth. Together, we can explore what’s holding you back and help you build a life rooted in authenticity and self-trust.
With a background in sex education and reproductive health, I bring curiosity, care, and openness to every session.
If you feel like a puzzle piece that doesn’t quite fit, you're not alone – and you don’t have to figure it out by yourself. Maybe you’re carrying sexual shame, questioning your identity, feeling stuck in relationships, or struggling with body image. You might be unpacking long-held beliefs or exploring who you are outside of societal expectations. I specialize in working with clients navigating identity, relationships, and self-worth. Together, we can explore what’s holding you back and help you build a life rooted in authenticity and self-trust.
Linda Weiner
Clinical Social Work/Therapist, MSW, LCSW
Saint Louis, MO 63117
Waitlist for new clients
As a sex positive Diplomate in Sex Therapy ( AASECT) I know your sexuality is a legitimate concern and believe that it's your right to receive expert help when seeking assistance for sexuality concerns and relationship difficulties.
please visit my website, Sex Therapist St. Louis
As a sex positive Diplomate in Sex Therapy ( AASECT) I know your sexuality is a legitimate concern and believe that it's your right to receive expert help when seeking assistance for sexuality concerns and relationship difficulties.
please visit my website, Sex Therapist St. Louis
Writers' BloQ Therapeutic Solutions,
Licensed Professional Counselor, LPC, NCC, CFT
Saint Louis, MO 63110
I am a sex therapist and Licensed Professional Counselor (LPC) in Missouri and Virginia, who is a National Board Certified Counselor (NCC), and a Certified Family Counselor (CFT).
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), and a Certified Family Counselor (CFT).
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.
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.
I draw from Somatic Experiencing, IFS, sex therapy, and relational frameworks to help you build new experiences of safety, trust, and intimacy, in and beyond the therapy room.
You may feel stuck in cycles of disconnection. Craving intimacy but feeling blocked by fear, past wounds, or protective walls. You hold back, pull away, or stay silent when closeness feels too risky. These patterns are exhausting, and deep down, you long for safe, nourishing, and real connection. Whether you’re healing from relational trauma, struggling with communication, or feeling disconnected from yourself or a partner, you're here because something in you still hopes for repair and intimacy, and that hope matters.
I draw from Somatic Experiencing, IFS, sex therapy, and relational frameworks to help you build new experiences of safety, trust, and intimacy, in and beyond the therapy room.
You may feel stuck in cycles of disconnection. Craving intimacy but feeling blocked by fear, past wounds, or protective walls. You hold back, pull away, or stay silent when closeness feels too risky. These patterns are exhausting, and deep down, you long for safe, nourishing, and real connection. Whether you’re healing from relational trauma, struggling with communication, or feeling disconnected from yourself or a partner, you're here because something in you still hopes for repair and intimacy, and that hope matters.
Shameless Therapy
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Online Only
Waitlist for new clients
” You’ve been told that your gender, your sexuality, and even your sexual desires and fantasies are shameful, leaving you feeling isolated and trapped and unsure where to turn.
Old traumas and “taboo” topics are often ignored or suppressed creating space for shame. I prioritize making my space affirming, safe, and comfortable regardless of kinks/BDSM, sexual experiences, gender, sexuality, and relationship style (poly, c/enm). I understand how much you need that space to heal and explore yourself comfortably and without judgement.
” You’ve been told that your gender, your sexuality, and even your sexual desires and fantasies are shameful, leaving you feeling isolated and trapped and unsure where to turn.
Old traumas and “taboo” topics are often ignored or suppressed creating space for shame. I prioritize making my space affirming, safe, and comfortable regardless of kinks/BDSM, sexual experiences, gender, sexuality, and relationship style (poly, c/enm). I understand how much you need that space to heal and explore yourself comfortably and without judgement.
See more therapy options for Saint Louis
Nearby Sex Therapy Searches for Saint Louis
- Brentwood
- Clayton
- Creve Coeur
- Des Peres
- Florissant
- Kirkwood
- Ladue
- Maplewood
- Oakville
- Richmond Heights
- University City
- Webster Groves
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.