Sex Therapists in Saint Louis, MO

Nigel Cook
Clinical Social Work/Therapist, MSW, LCSW, CST
6 Endorsed
Saint Louis, MO 63130
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.
(539) 245-6060 View (539) 245-6060
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.
(314) 682-4859 View (314) 682-4859
Keegan Esping
Licensed Professional Counselor, MA, LPC
1 Endorsed
Saint Louis, MO 63118
I also work closely with individuals who want to talk about sexual challenges or explore their sexuality more fully.
The journey that leads someone to counseling is rarely simple. You may have been pouring yourself into others for so long that your own needs feel distant. Or maybe you’ve been navigating storms for so long that peace has become a distant memory. Have life’s challenges left you in survival mode, unsure of the last time you felt calm or steady? Whatever has guided you to this moment, your choice to enter this space is profoundly courageous. Together, we’ll explore your inner landscape—your emotions, your history, your relationships—and find the pathways that help you feel more connected and at ease.
I also work closely with individuals who want to talk about sexual challenges or explore their sexuality more fully.
The journey that leads someone to counseling is rarely simple. You may have been pouring yourself into others for so long that your own needs feel distant. Or maybe you’ve been navigating storms for so long that peace has become a distant memory. Have life’s challenges left you in survival mode, unsure of the last time you felt calm or steady? Whatever has guided you to this moment, your choice to enter this space is profoundly courageous. Together, we’ll explore your inner landscape—your emotions, your history, your relationships—and find the pathways that help you feel more connected and at ease.
(314) 907-0874 View (314) 907-0874
Leah Polk
Clinical Social Work/Therapist, LCSW
4 Endorsed
Saint Louis, MO 63139
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.
(314) 794-5846 View (314) 794-5846
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 for sexuality concerns and relationship difficulties.
My experience as a sex therapist spans more than 30 years. I was trained by the Masters & Johnson team- the folks who invented short term sex therapy. So besides experience, I bring the gift of helping people become comfortable talking about emotional and sexual intimacy. please visit my website, Sex Therapist St. Louis for more information about me.
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 for sexuality concerns and relationship difficulties.
My experience as a sex therapist spans more than 30 years. I was trained by the Masters & Johnson team- the folks who invented short term sex therapy. So besides experience, I bring the gift of helping people become comfortable talking about emotional and sexual intimacy. please visit my website, Sex Therapist St. Louis for more information about me.
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Dean Berry
Pre-Licensed Professional
2 Endorsed
Saint Louis, MO 63105
Topics that often arise out of this include religion/spirituality, sexuality, substance use, internet use, and family & peer relationships.
I believe in humans, on a practical, spiritual, and emotional level. We are amazing creatures, capable of tremendous achievements and unbelievable change. Despite this, we all fail at some point or find ourselves lost. When this happens, it’s important to remember that we cannot only survive, but thrive. Our failures are the building blocks of our success.
Topics that often arise out of this include religion/spirituality, sexuality, substance use, internet use, and family & peer relationships.
I believe in humans, on a practical, spiritual, and emotional level. We are amazing creatures, capable of tremendous achievements and unbelievable change. Despite this, we all fail at some point or find ourselves lost. When this happens, it’s important to remember that we cannot only survive, but thrive. Our failures are the building blocks of our success.
(314) 271-6362 View (314) 271-6362
Eric Jones
Verified Verified
1 Endorsed
Saint Louis, MO 63108
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.
(314) 876-7357 View (314) 876-7357
Kathryn Louise Manley
Licensed Professional Counselor, MSEd, LPC, CST
Saint Louis, MO 63122
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 disordered eating, anxiety and OCD. For couples, Kathryn provides research based Gottman techniques to teach conflict management, increase friendship, and shared goals. She has also been trained under Dr. David Schnarch, author of The Passionate Marriage.
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 disordered eating, anxiety and OCD. For couples, Kathryn provides research based Gottman techniques to teach conflict management, increase friendship, and shared goals. She has also been trained under Dr. David Schnarch, author of The Passionate Marriage.
(636) 205-1296 View (636) 205-1296
Shameless Therapy
Licensed Professional Counselor, MEd, LPC
3 Endorsed
Online Only
Waitlist for new clients
If you are experiencing erectile dysfunction, sexual fear/anxiety, premature ejaculation, vaginal pain during sex, or your relationship’s sex life needs support, you don’t have to resign yourself to living with those things forever.
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.
If you are experiencing erectile dysfunction, sexual fear/anxiety, premature ejaculation, vaginal pain during sex, or your relationship’s sex life needs support, you don’t have to resign yourself to living with those things forever.
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.
(314) 470-9831 View (314) 470-9831
Kat Seal
Clinical Social Work/Therapist, LCSW
1 Endorsed
Saint Louis, MO 63108
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.
(314) 897-4049 View (314) 897-4049
Writers' BloQ Therapeutic Solutions, LLC
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.
(314) 931-1931 View (314) 931-1931
Sydney I Jones-Owens
Provisional Licensed Professional Counselor, MA, PLPC
Saint Louis, MO 63126
I offer individual therapy specializing in bipolar disorder, depression, sexuality and intimacy, adjustment to health and disability-related changes, childhood and sexual trauma, and religion and spirituality.
I am passionate about creating a welcoming, affirming, and safe space where individuals and couples feel supported, understood, and empowered. My goal is to foster a collaborative therapeutic relationship built on curiosity, compassion, respect, and authenticity while helping clients navigate challenges, discover strengths, and create meaningful change.
I offer individual therapy specializing in bipolar disorder, depression, sexuality and intimacy, adjustment to health and disability-related changes, childhood and sexual trauma, and religion and spirituality.
I am passionate about creating a welcoming, affirming, and safe space where individuals and couples feel supported, understood, and empowered. My goal is to foster a collaborative therapeutic relationship built on curiosity, compassion, respect, and authenticity while helping clients navigate challenges, discover strengths, and create meaningful change.
(314) 228-5863 View (314) 228-5863
Astonish Fann
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
If you are feeling like a puzzle piece that can’t find its place in the bigger picture, you may find a place to fit in with me. Sexual shame, identity confusion, body image, communication issues (and more!) are all topics I would love to explore with you! I want to support you in finding yourself outside of society’s expectations. Through taking steps to deconstruct societal norms, to making action plans towards desirable change, wherever you want to be, we can get there together. I hope we can create an affirming space where you can feel safe to be completely you!
If you are feeling like a puzzle piece that can’t find its place in the bigger picture, you may find a place to fit in with me. Sexual shame, identity confusion, body image, communication issues (and more!) are all topics I would love to explore with you! I want to support you in finding yourself outside of society’s expectations. Through taking steps to deconstruct societal norms, to making action plans towards desirable change, wherever you want to be, we can get there together. I hope we can create an affirming space where you can feel safe to be completely you!
(314) 501-5571 View (314) 501-5571
Rachel Benson
Verified Verified
2 Endorsed
Online Only
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.
(314) 526-3920 View (314) 526-3920
Brittany Jacobson
Psychologist, PhD, CST
2 Endorsed
Saint Louis, MO 63108
Additionally, my training as a certified sex therapist, hypnotherapist, meditation teacher, and yoga teacher allows me to offer a more holistic approach to healing.
You understand why you feel the way you do, but you still can't seem to change it. Your mind may know you're safe, yet your body stays on edge. You may find yourself repeating painful relationship patterns, questioning your needs, or exhausted from being so hard on yourself. When insight alone hasn't been enough, I help you create deeper, lasting change. Rather than simply managing symptoms, we’ll identify and address the root cause so you can find true, lasting relief. Sometimes the root of the patterns keeping you stuck live deeper– in your nervous system, body, subconscious, and protective relationship habits.
Additionally, my training as a certified sex therapist, hypnotherapist, meditation teacher, and yoga teacher allows me to offer a more holistic approach to healing.
You understand why you feel the way you do, but you still can't seem to change it. Your mind may know you're safe, yet your body stays on edge. You may find yourself repeating painful relationship patterns, questioning your needs, or exhausted from being so hard on yourself. When insight alone hasn't been enough, I help you create deeper, lasting change. Rather than simply managing symptoms, we’ll identify and address the root cause so you can find true, lasting relief. Sometimes the root of the patterns keeping you stuck live deeper– in your nervous system, body, subconscious, and protective relationship habits.
(314) 501-6474 View (314) 501-6474
Kyla Hadenfeldt
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
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 a recent life change 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 create 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 a recent life change 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 create a life of meaning, pleasure, and authenticity. I also enjoy working with folks on identity, life transitions, personal growth, and sexual self-empowerment.
(314) 207-7894 View (314) 207-7894
Melony Crayton
Licensed Professional Counselor, LPC
1 Endorsed
Saint Louis, MO 63108
Using Somatic Experiencing, IFS, sex therapy, and sound healing, you'll practice new ways of connecting so that change becomes something you feel and not just something you understand.
You feel responsible for holding everything together. You learned to be low-maintenance to be loved. You're seen for what you give, not who you are. And somewhere along the way, you stopped prioritizing you. So, you started doing the work: years of therapy, books, and self-reflection. You can name your attachment style and trace your wounds back to childhood. But, understanding your pain and healing from it are not the same thing. You still feel stuck in the same patterns, still afraid of being hurt, and still losing yourself in relationships. But, there’s a part of you that hopes for deep connections and that part brought you here.
Using Somatic Experiencing, IFS, sex therapy, and sound healing, you'll practice new ways of connecting so that change becomes something you feel and not just something you understand.
You feel responsible for holding everything together. You learned to be low-maintenance to be loved. You're seen for what you give, not who you are. And somewhere along the way, you stopped prioritizing you. So, you started doing the work: years of therapy, books, and self-reflection. You can name your attachment style and trace your wounds back to childhood. But, understanding your pain and healing from it are not the same thing. You still feel stuck in the same patterns, still afraid of being hurt, and still losing yourself in relationships. But, there’s a part of you that hopes for deep connections and that part brought you here.
(314) 912-2581 View (314) 912-2581
David T Koch
Licensed Professional Counselor, MA, LPC
4 Endorsed
Saint Louis, MO 63141
Waitlist for new clients
I am thrilled to offer a sex therapy specialty and use the EIS Model, an evidence-based sex therapy approach incorporating elements of education, conversations about sensuality & sex, and sensate focus to increase relational & sexual satisfaction and to address specific diagnosis of sexual dysfunctions.
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!
I am thrilled to offer a sex therapy specialty and use the EIS Model, an evidence-based sex therapy approach incorporating elements of education, conversations about sensuality & sex, and sensate focus to increase relational & sexual satisfaction and to address specific diagnosis of sexual dysfunctions.
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!
(314) 403-7588 View (314) 403-7588
Rafaella Smith-Fiallo
Clinical Social Work/Therapist, MSW, LCSW, CST
Saint Louis, MO 63108
I specialize in relationship, sex, and trauma work!
You may look functional on the outside but feel stuck inside, struggling with intimacy, trust, communication, or repeating relationship patterns. You might carry trauma or attachment wounds and feel emotionally overwhelmed at times. You want deeper, healthier connections without losing yourself. Your goal is healing, clarity, and relationships rooted in safety, choice, and authenticity.
I specialize in relationship, sex, and trauma work!
You may look functional on the outside but feel stuck inside, struggling with intimacy, trust, communication, or repeating relationship patterns. You might carry trauma or attachment wounds and feel emotionally overwhelmed at times. You want deeper, healthier connections without losing yourself. Your goal is healing, clarity, and relationships rooted in safety, choice, and authenticity.
(314) 593-2416 View (314) 593-2416
Genevieve Friedmann
Clinical Social Work/Therapist, MSW, LCSW, CST
4 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.
(636) 200-6871 View (636) 200-6871

See more therapy options for Saint Louis

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.