Sex-Positive, Kink Allied Therapists in Raleigh, NC

Dr. Anna Smith
Psychologist, PsyD, MEd, MA
3 Endorsed
Online Only
My approach is warm, direct, and non-judgmental; I am proudly LGBTQAI, kink, and poly affirming and celebratory.
Do you care deeply about your relationship but feel stuck—emotionally, sexually, or both? Whether you're dealing with mismatched desire, sexual shame or anxiety, painful sex, or the aftermath of infidelity—whatever you're navigating, you deserve support in that place. I offer online sex therapy and couples counseling across North Carolina, New York, and 40+ other states through PsyPact. I'm Dr. Anna (she/her), a Licensed Psychologist and AASECT-Certified Sex Therapist specializing in couples counseling and sex therapy. I work with people who want deeper intimacy, more honest communication, and relationships that actually feel good.
My approach is warm, direct, and non-judgmental; I am proudly LGBTQAI, kink, and poly affirming and celebratory.
Do you care deeply about your relationship but feel stuck—emotionally, sexually, or both? Whether you're dealing with mismatched desire, sexual shame or anxiety, painful sex, or the aftermath of infidelity—whatever you're navigating, you deserve support in that place. I offer online sex therapy and couples counseling across North Carolina, New York, and 40+ other states through PsyPact. I'm Dr. Anna (she/her), a Licensed Psychologist and AASECT-Certified Sex Therapist specializing in couples counseling and sex therapy. I work with people who want deeper intimacy, more honest communication, and relationships that actually feel good.
(984) 205-5731 View (984) 205-5731
Kenneth Young
Clinical Social Work/Therapist, LCSW
Online Only
Give us grace to accept with serenity the things that cannot be changed, Courage to change the things which should be changed, and the Wisdom to distinguish the one from the other. - Reinhold Neibuhr
Give us grace to accept with serenity the things that cannot be changed, Courage to change the things which should be changed, and the Wisdom to distinguish the one from the other. - Reinhold Neibuhr
(984) 313-9234 View (984) 313-9234
Cassandra Calin
Clinical Social Work/Therapist, LCSW
Raleigh, NC 27604
In my relational work, I've offered tailored support to clients in polyamorous or kink-based relationship dynamics for five years.
Over the course of our lives, we are told stories about ourselves. Oftentimes those stories aren't true. Sometimes they're harmful. Usually they get in the way of us being able to truly understand ourselves and grow in the ways we want to. I work with clients to explore the stories they hold about themselves, their own definition of mental wellness, and the tools that might help them to move toward it. I am excited to offer individuals, partners, families, and friends a sacred, therapeutic space to sift through those stories, where they come from, and whether they serve you or block you from a fuller taste of joy.
In my relational work, I've offered tailored support to clients in polyamorous or kink-based relationship dynamics for five years.
Over the course of our lives, we are told stories about ourselves. Oftentimes those stories aren't true. Sometimes they're harmful. Usually they get in the way of us being able to truly understand ourselves and grow in the ways we want to. I work with clients to explore the stories they hold about themselves, their own definition of mental wellness, and the tools that might help them to move toward it. I am excited to offer individuals, partners, families, and friends a sacred, therapeutic space to sift through those stories, where they come from, and whether they serve you or block you from a fuller taste of joy.
(984) 265-8303 View (984) 265-8303
Kayla Williamson
Clinical Social Work/Therapist, MSW, LCSWA
Serves Area
A few of the many specific issues all CSWC therapists can help with, virtually and in person, are: relationship issues; sexual dysfunction; sexual orientation; gender identity; out of control sexual behavior/sex addiction; desire discrepancy; polyamorous and open relationships; kink acceptance and integration; sexual pain; healing from sexual trauma and abuse.
Many of us grew up with the idea that sex and gender identity are topics best kept quiet, creating silence and stigma around these issues. This often leaves people feeling alone or unsure of where to turn when they face challenges. That’s where sex therapy can make a difference. Imagine a space where you can openly talk about anything, including sexual health, relationships, intimacy, or gender identity, without fear of judgment. At Carolina Sexual Wellness Center, you’ll find a supportive environment designed to help you explore these important topics, gain valuable insights, and work towards a more fulfilling, connected life.
A few of the many specific issues all CSWC therapists can help with, virtually and in person, are: relationship issues; sexual dysfunction; sexual orientation; gender identity; out of control sexual behavior/sex addiction; desire discrepancy; polyamorous and open relationships; kink acceptance and integration; sexual pain; healing from sexual trauma and abuse.
Many of us grew up with the idea that sex and gender identity are topics best kept quiet, creating silence and stigma around these issues. This often leaves people feeling alone or unsure of where to turn when they face challenges. That’s where sex therapy can make a difference. Imagine a space where you can openly talk about anything, including sexual health, relationships, intimacy, or gender identity, without fear of judgment. At Carolina Sexual Wellness Center, you’ll find a supportive environment designed to help you explore these important topics, gain valuable insights, and work towards a more fulfilling, connected life.
(984) 217-5648 View (984) 217-5648
Jasmine Warren
Clinical Social Work/Therapist, MSW, LCSW
Serves Area
A few of the many specific issues all CSWC therapists can help with, virtually and in person, are: relationship issues; sexual dysfunction; sexual orientation; gender identity; out of control sexual behavior/sex addiction; desire discrepancy; polyamorous and open relationships; kink acceptance and integration; sexual pain; healing from sexual trauma and abuse.
Culture and faith shape us, but they don’t have to define our limits. I’m Jasmine Warren, and I’m passionate about helping individuals and couples reconnect with themselves, their identities, and their relationships. As an African-American woman raised in strict Christian, conservative spaces, I understand how those influences can impact self-worth. That’s why I’m passionate about helping support individuals as heal, grow, and embrace who they are. I also have experience in couples counseling, including LGBTQIA+ and polyamorous relationships, and am committed to offering poly-affirmative support to individuals & partners.
A few of the many specific issues all CSWC therapists can help with, virtually and in person, are: relationship issues; sexual dysfunction; sexual orientation; gender identity; out of control sexual behavior/sex addiction; desire discrepancy; polyamorous and open relationships; kink acceptance and integration; sexual pain; healing from sexual trauma and abuse.
Culture and faith shape us, but they don’t have to define our limits. I’m Jasmine Warren, and I’m passionate about helping individuals and couples reconnect with themselves, their identities, and their relationships. As an African-American woman raised in strict Christian, conservative spaces, I understand how those influences can impact self-worth. That’s why I’m passionate about helping support individuals as heal, grow, and embrace who they are. I also have experience in couples counseling, including LGBTQIA+ and polyamorous relationships, and am committed to offering poly-affirmative support to individuals & partners.
(984) 370-7158 View (984) 370-7158
Hannah Smith
Licensed Clinical Mental Health Counselor, MA, LCMHC, CST
1 Endorsed
Serves Area
For neurodivergent folx, the pressure to "mask" can make exploring your LGBTQ+ identity, Kink, or Polyamory feel overwhelming.
As a sex therapist specializing in ASD, I bridge the gap between neurodiversity and sexual wellness. I provide a neuro-affirming space where we address sensory processing, social communication, and the nuances of marginalized identities. Whether we are navigating kink dynamics, gender transitions, or polyamorous structures, my approach is tailored to how you
For neurodivergent folx, the pressure to "mask" can make exploring your LGBTQ+ identity, Kink, or Polyamory feel overwhelming.
As a sex therapist specializing in ASD, I bridge the gap between neurodiversity and sexual wellness. I provide a neuro-affirming space where we address sensory processing, social communication, and the nuances of marginalized identities. Whether we are navigating kink dynamics, gender transitions, or polyamorous structures, my approach is tailored to how you
(336) 518-6078 View (336) 518-6078
Kayla Reber
Counselor, LCMHC
Serves Area
As a therapist I am dedicated to LGBTQIA+, gender-affirming, and neurodivergent adults, I focus on providing neuroaffirmative and LGBTQIA+ affirmative care tailored to your unique experiences. I am passionate about creating a safe, welcoming space where we can explore sensitive topics without stigma. My approach combines evidence-based techniques with a strong emphasis on understanding the complexities of identity and neurodiversity. Together we will work to break down barriers, celebrate your individuality, and align our therapeutic journey with your specific needs, fostering growth and self-acceptance.
As a therapist I am dedicated to LGBTQIA+, gender-affirming, and neurodivergent adults, I focus on providing neuroaffirmative and LGBTQIA+ affirmative care tailored to your unique experiences. I am passionate about creating a safe, welcoming space where we can explore sensitive topics without stigma. My approach combines evidence-based techniques with a strong emphasis on understanding the complexities of identity and neurodiversity. Together we will work to break down barriers, celebrate your individuality, and align our therapeutic journey with your specific needs, fostering growth and self-acceptance.
(984) 224-7369 View (984) 224-7369
Christine Enderlin
Licensed Clinical Mental Health Counselor, LCMHC
Serves Area
Hello and welcome! I’m so glad you’re seeking support. I help clients navigate the stressors of life, including anxiety, relational issues, life transitions, grief, and trauma. I have extensive experience in perinatal and postpartum mental health, including infertility, pregnancy loss and birth trauma; as well as concerns related to aging, death, and dying. I also offer geriatric care and senior support. My therapeutic approach is tailored to each client’s unique needs, drawing from modalities such as Cognitive Behavioral Therapy (CBT), Attachment-based Therapy, and Solution-Focused Brief Therapy (SFBT).... 12/29/25
Hello and welcome! I’m so glad you’re seeking support. I help clients navigate the stressors of life, including anxiety, relational issues, life transitions, grief, and trauma. I have extensive experience in perinatal and postpartum mental health, including infertility, pregnancy loss and birth trauma; as well as concerns related to aging, death, and dying. I also offer geriatric care and senior support. My therapeutic approach is tailored to each client’s unique needs, drawing from modalities such as Cognitive Behavioral Therapy (CBT), Attachment-based Therapy, and Solution-Focused Brief Therapy (SFBT).... 12/29/25
(858) 334-7738 View (858) 334-7738
Jem Powell
Psychologist, PsyD, HSP-P, MA
Online Only
She works with individuals, families and couples struggling with a variety of issues, such as, oppression-based trauma and cultural concerns, dissociation, trauma, interpersonal difficulties, LGBTQ+ issues, Kink and Alternative lifestyles, ENM, polyamory, existential and meaning-making challenges, and terminal illness/end of life counsel.
7/14/26 Jem believes that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. Dr. Jem will encourage you to explore your joy and help you navigate challenge areas where you struggle to connect. The goal of her therapeutic approach is to increase your choice, recognize systemic and personal barriers, and, ultimately, create a path to a life full of resonance and enthusiasm. Jem strives for a practice that finds humor in life and helps clients ask themselves difficult questions.
She works with individuals, families and couples struggling with a variety of issues, such as, oppression-based trauma and cultural concerns, dissociation, trauma, interpersonal difficulties, LGBTQ+ issues, Kink and Alternative lifestyles, ENM, polyamory, existential and meaning-making challenges, and terminal illness/end of life counsel.
7/14/26 Jem believes that people want a life full of joy, challenge and deep connection with their loved ones and larger community. Unfortunately, many of us desire those qualities of life-but have trouble accessing them in the moment. Dr. Jem will encourage you to explore your joy and help you navigate challenge areas where you struggle to connect. The goal of her therapeutic approach is to increase your choice, recognize systemic and personal barriers, and, ultimately, create a path to a life full of resonance and enthusiasm. Jem strives for a practice that finds humor in life and helps clients ask themselves difficult questions.
(919) 391-7631 View (919) 391-7631
Sacred Spiral Counseling, PLLC
Clinical Social Work/Therapist
2 Endorsed
Online Only
Hello! I'm glad you're here. If you found my page, chances are you're seeking some kind of healing or change. Something in your life is not working for you. Maybe a big life event has happened, or it's a culmination of all the little things. It takes a lot of courage to seek help and can also leave you feeling vulnerable. Trying to figure out how exactly to start healing and finding the right therapist can be tough. I am here to support you with that process, whatever that may look like for you.
Hello! I'm glad you're here. If you found my page, chances are you're seeking some kind of healing or change. Something in your life is not working for you. Maybe a big life event has happened, or it's a culmination of all the little things. It takes a lot of courage to seek help and can also leave you feeling vulnerable. Trying to figure out how exactly to start healing and finding the right therapist can be tough. I am here to support you with that process, whatever that may look like for you.
(919) 213-8588 View (919) 213-8588
Juliana Schiano
LCSW Associate, LCSWA, MSW
Raleigh, NC 27615
Waitlist for new clients
Hi, I’m Juliana, or Jules! I work with adolescents, families, young adults, adults, and neurodivergent clients who want practical support and real change. I earned my Master of Social Work from UNC Chapel Hill and dual bachelor’s degrees from Elon University. My background includes Duke University student case management, gender-affirming care support for adults, and DBT-informed work with high-risk adolescents and families, leading group therapy, and collaborating with families to implement effective parenting strategies.
Hi, I’m Juliana, or Jules! I work with adolescents, families, young adults, adults, and neurodivergent clients who want practical support and real change. I earned my Master of Social Work from UNC Chapel Hill and dual bachelor’s degrees from Elon University. My background includes Duke University student case management, gender-affirming care support for adults, and DBT-informed work with high-risk adolescents and families, leading group therapy, and collaborating with families to implement effective parenting strategies.
(919) 759-5288 View (919) 759-5288
Rachel Burns
Licensed Clinical Mental Health Counselor, LCMHC
7 Endorsed
Raleigh, NC 27609
There are seasons when letting go feels impossible, when the unknown of transition asks more than you can hold alone. That's when it helps to have someone alongside you. I work from the understanding that your body communicates through sensation, emotion, and nervous system response. My role is to help you listen and notice what's actually true for you beneath the noise. You may be deconstructing beliefs, untangling from harmful relationships, or learning how to manage ADHD. Often, the body knows this before there are words. My work begins there.
There are seasons when letting go feels impossible, when the unknown of transition asks more than you can hold alone. That's when it helps to have someone alongside you. I work from the understanding that your body communicates through sensation, emotion, and nervous system response. My role is to help you listen and notice what's actually true for you beneath the noise. You may be deconstructing beliefs, untangling from harmful relationships, or learning how to manage ADHD. Often, the body knows this before there are words. My work begins there.
(919) 899-1619 View (919) 899-1619
Peace of Mind Solutions Counseling & Tutoring
Licensed Clinical Mental Health Counselor, MBA, MHA, LCMHC
Online Only
I also welcome people in polyamorous, ENM, kink/BDSM, swinging, sex-positive, LGBTQ+, and other alternative relationship and lifestyle communities.
Are you looking for a therapist who understands that relationships, sexuality, and family structures don’t always fit a traditional box? Or are you navigating chronic illness, ADHD, trauma, life transitions, or the effects of adversity? I offer a compassionate, affirming space for individuals and couples. My goal is to help you understand yourself, strengthen your relationships, and create a life that feels authentic—not one based on someone else’s idea of how you “should” live.
I also welcome people in polyamorous, ENM, kink/BDSM, swinging, sex-positive, LGBTQ+, and other alternative relationship and lifestyle communities.
Are you looking for a therapist who understands that relationships, sexuality, and family structures don’t always fit a traditional box? Or are you navigating chronic illness, ADHD, trauma, life transitions, or the effects of adversity? I offer a compassionate, affirming space for individuals and couples. My goal is to help you understand yourself, strengthen your relationships, and create a life that feels authentic—not one based on someone else’s idea of how you “should” live.
(984) 224-6294 View (984) 224-6294
Connie Horne
Verified Verified
7 Endorsed
Raleigh, NC 27616
I also work with folks in non-traditional relationships, including poly & kink communities.
Connie Horne, MA, LCMHCS, is a dedicated mental health professional committed to creating a safe, inclusive, and empowering space for healing. Trained in Cognitive Behavioral Therapy, mindfulness-based approaches, Motivational Interviewing, Person-Centered Therapy, and Solution-Focused Brief Therapy, she supports clients in building insight, developing practical skills, and creating meaningful change. As an affirming clinician with a strong commitment to the LGBTQIA+ community, Connie approaches therapy with cultural humility, respect, and deep awareness of the diverse identities and lived experiences clients bring into the room.
I also work with folks in non-traditional relationships, including poly & kink communities.
Connie Horne, MA, LCMHCS, is a dedicated mental health professional committed to creating a safe, inclusive, and empowering space for healing. Trained in Cognitive Behavioral Therapy, mindfulness-based approaches, Motivational Interviewing, Person-Centered Therapy, and Solution-Focused Brief Therapy, she supports clients in building insight, developing practical skills, and creating meaningful change. As an affirming clinician with a strong commitment to the LGBTQIA+ community, Connie approaches therapy with cultural humility, respect, and deep awareness of the diverse identities and lived experiences clients bring into the room.
(919) 948-3093 View (919) 948-3093
Emily Ann Dew-Adorno
Lic Clinical Mental Health Counselor Associate, LCMHC
2 Endorsed
Online Only
I specialize in working with trans and nonbinary individuals navigating the layered impacts of complex trauma—particularly trauma rooted in relationships, identity invalidation, and systemic oppression. Many of my clients come to therapy carrying the weight of early attachment wounds, chronic misattunement, boundary violations, and experiences of erasure or violence, both within their personal lives and the world at large. Trauma doesn’t just live in the past—it lives in the nervous system, in relationships, in the way we move through the world.
I specialize in working with trans and nonbinary individuals navigating the layered impacts of complex trauma—particularly trauma rooted in relationships, identity invalidation, and systemic oppression. Many of my clients come to therapy carrying the weight of early attachment wounds, chronic misattunement, boundary violations, and experiences of erasure or violence, both within their personal lives and the world at large. Trauma doesn’t just live in the past—it lives in the nervous system, in relationships, in the way we move through the world.
(984) 310-2567 View (984) 310-2567
Paige Tharrington
Counselor, LCMHC
1 Endorsed
Raleigh, NC 27605
I believe that the client/counselor relationship is crucial - especially elements such as mutual respect, cooperation and confidentiality. We will work together to better understand your thoughts, feelings and behaviors, while empowering you to think about and communicate more clearly your wants, needs and expectations. I offer both long and short-term therapy to adult individuals using a confidential, practical, positive approach.
I believe that the client/counselor relationship is crucial - especially elements such as mutual respect, cooperation and confidentiality. We will work together to better understand your thoughts, feelings and behaviors, while empowering you to think about and communicate more clearly your wants, needs and expectations. I offer both long and short-term therapy to adult individuals using a confidential, practical, positive approach.
(919) 407-8052 View (919) 407-8052
Amy D Wright
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Online Only
Accepting new clients! I believe all parts of you hold wisdom. I am here to help you discover the resources you have within and around you, so that you may better move toward the life you want. This may look like learning to hear the wisdom and underlying needs that are communicated by your anxiety or body tensions. Or it may look like acknowledging, grieving, and moving past trauma responses that once served you but are now keeping you stuck. Maybe you seek more connectedness with yourself, relationships, your work, your sense of purpose, or your spirituality. Or, perhaps you are neurodivergent and exploring a combination of these.
Accepting new clients! I believe all parts of you hold wisdom. I am here to help you discover the resources you have within and around you, so that you may better move toward the life you want. This may look like learning to hear the wisdom and underlying needs that are communicated by your anxiety or body tensions. Or it may look like acknowledging, grieving, and moving past trauma responses that once served you but are now keeping you stuck. Maybe you seek more connectedness with yourself, relationships, your work, your sense of purpose, or your spirituality. Or, perhaps you are neurodivergent and exploring a combination of these.
(984) 689-9538 View (984) 689-9538
Chiodera Drayton-Smith
Clinical Social Work/Therapist, LCSW, JD, CSSW
1 Endorsed
Online Only
Waitlist for new clients
I work with preteens, teens, and adults experiencing life’s challenges, primarily trauma, anxiety, depression, life transitions, and (my specialty) navigating ADHD and autism. While these are my primary focuses, they are not the only topics and concerns I work with. I have a strong history of working with individuals and their families through a variety of difficulties, such as divorce, separation, financial struggles, infidelity, and more. If you are hoping to work with me and don't see your concern mentioned here, you can still reach out. My goal is always to help.
I work with preteens, teens, and adults experiencing life’s challenges, primarily trauma, anxiety, depression, life transitions, and (my specialty) navigating ADHD and autism. While these are my primary focuses, they are not the only topics and concerns I work with. I have a strong history of working with individuals and their families through a variety of difficulties, such as divorce, separation, financial struggles, infidelity, and more. If you are hoping to work with me and don't see your concern mentioned here, you can still reach out. My goal is always to help.
(984) 468-8025 View (984) 468-8025
Katie Blasko
Marriage & Family Therapist, MS, LMFT
3 Endorsed
Raleigh, NC 27604
Your romantic relationship is one of the most important relationships you’ll have in life, yet relationship problems can feel overwhelming, unsolvable, and isolating. Some common but distressing problems include not feeling understood by your partner even when you try to explain yourself clearly, struggling to express your needs without upsetting your partner, questioning whether past trauma is playing a role in your relationship, not moving past a breach of trust, and feeling hopeless as old patterns continue in new relationships. I can help you make core-level changes in your patterns, whether you're single or partnered.
Your romantic relationship is one of the most important relationships you’ll have in life, yet relationship problems can feel overwhelming, unsolvable, and isolating. Some common but distressing problems include not feeling understood by your partner even when you try to explain yourself clearly, struggling to express your needs without upsetting your partner, questioning whether past trauma is playing a role in your relationship, not moving past a breach of trust, and feeling hopeless as old patterns continue in new relationships. I can help you make core-level changes in your patterns, whether you're single or partnered.
(984) 231-9287 View (984) 231-9287
Elizabeth Johnson, Anxiety/ Depression/ Self-Image
Counselor, EdD, LCMHCA, NCC
1 Endorsed
Raleigh, NC 27615
Currently accepting new clients! Are you experiencing anxiety, grief, or self esteem concerns? I strive to create a safe environment where you are empowered to discover the most authentic version of yourself. Realizing your true power comes from letting go of other people’s expectations, getting to know the voice within, and overcoming life's challenges.
Currently accepting new clients! Are you experiencing anxiety, grief, or self esteem concerns? I strive to create a safe environment where you are empowered to discover the most authentic version of yourself. Realizing your true power comes from letting go of other people’s expectations, getting to know the voice within, and overcoming life's challenges.
(919) 322-4620 View (919) 322-4620

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Sex-Positive, Kink Allied Therapists
Why might an individual want to see a sex-positive, kink-allied therapist?
A sex-positive or kinky individual may want to see a sex-positive, kink-allied therapist because the client may feel safer and more supported discussing their experiences and challenges. A therapist who identifies as kink-friendly will have experience with clients having diverse sexual preferences and will likely be nonjudgmental and supportive about issues brought to the table. It is important to note that sex-positive, kink-allied individuals may find equal success with therapists who do not have such specialized knowledge and background. The most important factor in the success of therapy is for the client and practitioner to form a strong, trusting bond.

Do therapists have special training to gain expertise in sex-positive, kink-allied treatment?
Generally, no. There are limited training programs and unofficial accreditations that therapists can pursue, but a therapist’s expertise will ultimately come from their previous experience with similar clients, their engagement with organizations that promote sex positivity or kink-allied lifestyles, and the importance they place on safety and cultural sensitivity.

How can individuals recognize a good sex-positive, kink-allied therapist?
An experienced therapist is able to help clients explore their sexual identity and expression and relieve any discomfort or stigma attached to discussing such matters and the client’s overall challenges. A therapist who is sex-positive and kink-allied is able to create an environment that honors a client’s experience and sexual preferences. To recognize a good therapist, clients can simply ask directly about topics and issues important to them and gauge their comfort level and connection with a clinician based on the responses.

Can clients benefit from having a therapist with a focus on sex positivity and alternative sexual lifestyles?
Some individuals may feel most comfortable knowing that the clinician they’re working with has a commitment to creating an atmosphere of sex positivity and has experience with relationship diversity and alternative relationship structures. Working with a sex-positive, kink-allied therapist may help clients respect their own challenges and improve identity-affirming treatment.