Therapists in Conshohocken, PA
Allison Beer
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Conshohocken, PA 19428
My clients range in age, from teens to older adults, each with a unique voice and story. With all my clients, I aim to build a relationship built on trust and warmth so that everyone feels seen, heard, and valued. My clients are navigating challenges related to depression, anxiety, trauma, grief and loss, physical illness, life transitions, school stress, relationship changes, perinatal distress, and more. These stressors in life can be exhausting and can leave anyone with a sense of being stuck. In our sessions together, we will sort through these challenges, find meaning, and new paths forward.
My clients range in age, from teens to older adults, each with a unique voice and story. With all my clients, I aim to build a relationship built on trust and warmth so that everyone feels seen, heard, and valued. My clients are navigating challenges related to depression, anxiety, trauma, grief and loss, physical illness, life transitions, school stress, relationship changes, perinatal distress, and more. These stressors in life can be exhausting and can leave anyone with a sense of being stuck. In our sessions together, we will sort through these challenges, find meaning, and new paths forward.
Sean Dinan
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Conshohocken, PA 19428
I am a Licensed Social Worker specializing in working with teens and adults experiencing issues around substance abuse, depression, anxiety, life stage transitions, and interpersonal difficulties. I enjoy meeting with clients who are motivated and willing to work collaboratively to address various life challenges. I have extensive experience working with clients in all levels of care with a focus on mental health issues including addiction, trauma, depression, and anxiety. My therapeutic focus is to use motivational interviewing and a humanistic approach to help empower clients to reach their true potential.
I am a Licensed Social Worker specializing in working with teens and adults experiencing issues around substance abuse, depression, anxiety, life stage transitions, and interpersonal difficulties. I enjoy meeting with clients who are motivated and willing to work collaboratively to address various life challenges. I have extensive experience working with clients in all levels of care with a focus on mental health issues including addiction, trauma, depression, and anxiety. My therapeutic focus is to use motivational interviewing and a humanistic approach to help empower clients to reach their true potential.
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Jacquelyn M. Matotek
Licensed Professional Counselor, MA, NCC, LPC, CCTP
Verified Verified
1 Endorsed
Gladwyne, PA 19035 (Online Only)
I take a Sex Positive approach to all my sessions while examining attachment and relationship styles.
As a trauma, sex/intimacy, and relationship therapist, I bring a unique approach to the therapy process. Sex and intimacy can be challenging because of the history we bring with us into our relationships. Traumas from childhood, past relationships, trust issues, sexuality/gender struggles, anxiety, shame, stress can inhibit the development of deep intimate relationship with others. I have a passion for supporting my clients through healing and reconnection to their bodies, their own pleasure in order connect intimately in a healthy way with the people in their lives.
I take a Sex Positive approach to all my sessions while examining attachment and relationship styles.
As a trauma, sex/intimacy, and relationship therapist, I bring a unique approach to the therapy process. Sex and intimacy can be challenging because of the history we bring with us into our relationships. Traumas from childhood, past relationships, trust issues, sexuality/gender struggles, anxiety, shame, stress can inhibit the development of deep intimate relationship with others. I have a passion for supporting my clients through healing and reconnection to their bodies, their own pleasure in order connect intimately in a healthy way with the people in their lives.
Samantha Palmisano
Pre-Licensed Professional, MA, NCC
Verified Verified
Philadelphia, PA 19119
Additionally, I am sex positive, kink and BDSM-affirming, queer and gender-affirming, as well as polyamory and consensual non monogamy-affirming.
As a counselor, I remain true to myself in the sense that I am direct, warm, honest, compassionate, and expressive with my reactions. I tend to be casual in my approach, so if something is funny, I will laugh with you, and if something is sad or distressing, I will share those feelings with you as well. While it is important to me that I remain as objective as possible, I firmly believe that the therapist themself serves as a tool that contributes to your therapeutic process. For that reason, I believe our connection must be fostered collaboratively and authentically.
Additionally, I am sex positive, kink and BDSM-affirming, queer and gender-affirming, as well as polyamory and consensual non monogamy-affirming.
As a counselor, I remain true to myself in the sense that I am direct, warm, honest, compassionate, and expressive with my reactions. I tend to be casual in my approach, so if something is funny, I will laugh with you, and if something is sad or distressing, I will share those feelings with you as well. While it is important to me that I remain as objective as possible, I firmly believe that the therapist themself serves as a tool that contributes to your therapeutic process. For that reason, I believe our connection must be fostered collaboratively and authentically.
Dr. Jacob Glickman
Psychologist, PsyD, MA, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19104 (Online Only)
Jacob specializes in providing mental healthcare for people who identify as transgender/non-binary/gender expansive, as well as the larger LGBTQIA+ communities and their families; additionally, he maintains an anti-racist, sex positive, kink positive, and poly-aware practice. In collaboration with individuals, families, and people in relationships, Jacob's identities inform his past decade of work as a feminist therapist with a focus in Acceptance and Commitment Therapy.
Jacob specializes in providing mental healthcare for people who identify as transgender/non-binary/gender expansive, as well as the larger LGBTQIA+ communities and their families; additionally, he maintains an anti-racist, sex positive, kink positive, and poly-aware practice. In collaboration with individuals, families, and people in relationships, Jacob's identities inform his past decade of work as a feminist therapist with a focus in Acceptance and Commitment Therapy.
Katie Schank
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19129 (Online Only)
Katie works primarily with individuals and couples and has extensive experience with the LGBTQ+ community. She is also competent working with folks who identify as Polyamorous, open and/or engage in BDSM and kink. Katie has extensive experience working with people around addiction, depression/anxiety, complex/chronic PTSD, and relationship issues. Katie uses an anti-racist feminist, trauma informed, psychodynamic and relational approach to therapy sessions while also utilizing aspects of CBT, DBT, eco-therapy and mindfulness practice. She is also certified in EMDR (Eye Movement Desensitization Reprocessing).
Katie works primarily with individuals and couples and has extensive experience with the LGBTQ+ community. She is also competent working with folks who identify as Polyamorous, open and/or engage in BDSM and kink. Katie has extensive experience working with people around addiction, depression/anxiety, complex/chronic PTSD, and relationship issues. Katie uses an anti-racist feminist, trauma informed, psychodynamic and relational approach to therapy sessions while also utilizing aspects of CBT, DBT, eco-therapy and mindfulness practice. She is also certified in EMDR (Eye Movement Desensitization Reprocessing).
Sage Stevens
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Philadelphia, PA 19104 (Online Only)
I work with the LGBTQIA+ community, eating disorders, chronic pain, kink/poly/sex workers, PTSD, self-harm, and suicidality.
I’m glad you found my page! My name is Sage (they/them). Have you ever felt outcast from those around you, or less than others based on the intersectionality of your identities and how you present yourself? You may feel that nobody will understand that coming out later in life is possible- you are not alone. As a non-binary, pan, ace, neurodivergent and disabled therapist, I have lived experience with where you are right now. When you come to see me, you will be met with non-judgment, empathy, connection, and compassion. You are always welcome to come as you are. Outside the therapy room I love nature, dance, and fostering animals!
I work with the LGBTQIA+ community, eating disorders, chronic pain, kink/poly/sex workers, PTSD, self-harm, and suicidality.
I’m glad you found my page! My name is Sage (they/them). Have you ever felt outcast from those around you, or less than others based on the intersectionality of your identities and how you present yourself? You may feel that nobody will understand that coming out later in life is possible- you are not alone. As a non-binary, pan, ace, neurodivergent and disabled therapist, I have lived experience with where you are right now. When you come to see me, you will be met with non-judgment, empathy, connection, and compassion. You are always welcome to come as you are. Outside the therapy room I love nature, dance, and fostering animals!
Queer Poly Coach LLC
Psychologist, PsyD, MEd
Verified Verified
Philadelphia, PA 19141 (Online Only)
Kink-informed and nonmonogamy-informed!.
Hi, my name is Jenn DiBartolomeo! At Queer Poly Coach, I am dedicated to providing my clients with the tools and guidance needed to build healthy and thriving relationships. My ideal client is a member of the LGBTQ+ and/or Polyamorous communities and is looking to explore their sexuality in an open and non-judgmental environment. Whether you're exploring your sexuality, seeking to create meaningful connections, or looking to deepen your existing relationships, I'm here to support you every step of the way!
Kink-informed and nonmonogamy-informed!.
Hi, my name is Jenn DiBartolomeo! At Queer Poly Coach, I am dedicated to providing my clients with the tools and guidance needed to build healthy and thriving relationships. My ideal client is a member of the LGBTQ+ and/or Polyamorous communities and is looking to explore their sexuality in an open and non-judgmental environment. Whether you're exploring your sexuality, seeking to create meaningful connections, or looking to deepen your existing relationships, I'm here to support you every step of the way!
Rachel Oristano
Pre-Licensed Professional, DSCM, MSEd
Verified Verified
1 Endorsed
Philadelphia, PA 19129
In addition to my professional training, I have over 15 years of lived experience engaging as a member of and advocating for the LGBTQIA/Kink community.
We are connective, social beings, and we all need a support system to help guide us out of the ruts in which we find ourselves. I want to empower you to harness your own strengths, meet the world on your own terms, and make your needs heard, even if you're having trouble finding your voice.
In addition to my professional training, I have over 15 years of lived experience engaging as a member of and advocating for the LGBTQIA/Kink community.
We are connective, social beings, and we all need a support system to help guide us out of the ruts in which we find ourselves. I want to empower you to harness your own strengths, meet the world on your own terms, and make your needs heard, even if you're having trouble finding your voice.
Hadley Roberts-Donnelly
LPC Intern, MSEd
Verified Verified
2 Endorsed
Philadelphia, PA 19104
I prioritize creating an inclusive, open-minded space and am LGBTQIA+- and sex/kink-affirming.
We all need space to feel heard and understood. Whether we are managing a relationship conflict, a loss, a career change, or are just feeling generally crappy, we all deserve to feel supported in our journeys to find contentment. If you're struggling to make sense of your mind, we can work together to make better understandings of you, your wants, and your needs.
I prioritize creating an inclusive, open-minded space and am LGBTQIA+- and sex/kink-affirming.
We all need space to feel heard and understood. Whether we are managing a relationship conflict, a loss, a career change, or are just feeling generally crappy, we all deserve to feel supported in our journeys to find contentment. If you're struggling to make sense of your mind, we can work together to make better understandings of you, your wants, and your needs.
Tia Pinkson-Burke
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
2 Endorsed
Philadelphia, PA 19151
My specialties include: sexuality/gender identity development, LGBTQIA+, emerging adulthood, young adults, trauma, survivors of sexual violence, kink/BDSM, non-traditional relationship and family structures, family of origin concerns, chronic health and pain concerns, sex work(ers), radical fat liberation, and positive body esteem development.
I utilize an eclectic, psychoanalytic, and relational approach while employing a strong racial justice, feminist, and queer theory lens. I practice from a fat-lib, sex-positive, and intersectional feminist perspective. I believe that one's past informs how they interact with and experience the world. Healing takes place as one fosters empathy and consideration for their past and present selves. The therapeutic relationship allows for gaining deeper perspective and understanding of oneself. I strive to build genuine and earnest rapport with my clients by being deeply nonjudgmental and always practicing with respect.
My specialties include: sexuality/gender identity development, LGBTQIA+, emerging adulthood, young adults, trauma, survivors of sexual violence, kink/BDSM, non-traditional relationship and family structures, family of origin concerns, chronic health and pain concerns, sex work(ers), radical fat liberation, and positive body esteem development.
I utilize an eclectic, psychoanalytic, and relational approach while employing a strong racial justice, feminist, and queer theory lens. I practice from a fat-lib, sex-positive, and intersectional feminist perspective. I believe that one's past informs how they interact with and experience the world. Healing takes place as one fosters empathy and consideration for their past and present selves. The therapeutic relationship allows for gaining deeper perspective and understanding of oneself. I strive to build genuine and earnest rapport with my clients by being deeply nonjudgmental and always practicing with respect.
Ryan O'Laughlin
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
3 Endorsed
Gladwyne, PA 19035
I help those who are feeling stuck, trapped, confused & need help making sense of everything that is going on so that they can put it into words and grow. My therapy is a safe space for those who need support. My practice is trauma informed and non judgemental. My practice is also anti racist, sex positive, LGBTQIA+ competent, and gender affirming. I work with artists, college students, mothers, sex workers, nuerodivergent idividuals, queer and trans community, & people who struggle with anxiety & trauma. I also offer gender affirming surgery letters.
I help those who are feeling stuck, trapped, confused & need help making sense of everything that is going on so that they can put it into words and grow. My therapy is a safe space for those who need support. My practice is trauma informed and non judgemental. My practice is also anti racist, sex positive, LGBTQIA+ competent, and gender affirming. I work with artists, college students, mothers, sex workers, nuerodivergent idividuals, queer and trans community, & people who struggle with anxiety & trauma. I also offer gender affirming surgery letters.
Randy A Baird
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
6 Endorsed
Philadelphia, PA 19119
I am a highly experienced Board Certified, Licensed Clinical Social Worker and I am EMDR trained to certification level. I am LBGTQI, sex positive and kink friendly. Since 1989 I have assisted people in making important changes in their life. I understand the process necessary for change and how to support the process in others. Many clients feel powerless to change a situation they feel stuck in. I know how to help you be more successful in your efforts. I am a licensed therapist specializing in multiple treatment techniques and am ready to provide you with a method that is best suited to your needs.
I am a highly experienced Board Certified, Licensed Clinical Social Worker and I am EMDR trained to certification level. I am LBGTQI, sex positive and kink friendly. Since 1989 I have assisted people in making important changes in their life. I understand the process necessary for change and how to support the process in others. Many clients feel powerless to change a situation they feel stuck in. I know how to help you be more successful in your efforts. I am a licensed therapist specializing in multiple treatment techniques and am ready to provide you with a method that is best suited to your needs.
Jeanae M. Hopgood
Marriage & Family Therapist, LMFT, MEd, PMH-C, CAGCS
Verified Verified
4 Endorsed
Plymouth Meeting, PA 19462 (Online Only)
Sex positive, kink-aware, sex and disabilities, sexual health & wellness for all ages, sex workers, polyamory & non-monogamy, body awareness & body-positivity, black feminist perspective, intersectionality, perinatal loss.
Are you having difficulty in your interpersonal relationships? Struggling to communicate concerns about identity, sexual orientation, gender identity or any intersection of these areas? Are you & your partner(s) in need of support around improved communication? Are you having fertility challenges & need help sorting through options & feelings? Have you experienced perinatal loss? If you are challenged by life's transitions and are looking for help processing & planning, contact me. I am a couple & family therapist specializing in sexuality, relational patterns, perinatal mental health, and grief & loss .
Sex positive, kink-aware, sex and disabilities, sexual health & wellness for all ages, sex workers, polyamory & non-monogamy, body awareness & body-positivity, black feminist perspective, intersectionality, perinatal loss.
Are you having difficulty in your interpersonal relationships? Struggling to communicate concerns about identity, sexual orientation, gender identity or any intersection of these areas? Are you & your partner(s) in need of support around improved communication? Are you having fertility challenges & need help sorting through options & feelings? Have you experienced perinatal loss? If you are challenged by life's transitions and are looking for help processing & planning, contact me. I am a couple & family therapist specializing in sexuality, relational patterns, perinatal mental health, and grief & loss .
Molly Johnston
Clinical Social Work/Therapist, LCSW
Verified Verified
King Of Prussia, PA 19406 (Online Only)
Along with traditional therapeutic models such as CBT, DBT, MI, and psychodynamics, I also have experience integrating additional concepts including trauma, self-esteem and compassion, healthy relationships, kink and poly-friendly, diet culture recovery / Health At Every Size, and spirituality.
I think that therapy doesn’t have to be complicated. As a client you can expect to highlight your strengths, speak to your individual experience in a non-judgmental environment, receive unconditional support from someone you trust, and learn new ways to lessen your pain. Therapy is a wonderfully transformative venture, where two people collaborate on how to navigate the human experience. My approach is strengths-based, person-first, and multifaceted to meet your specific needs.
Along with traditional therapeutic models such as CBT, DBT, MI, and psychodynamics, I also have experience integrating additional concepts including trauma, self-esteem and compassion, healthy relationships, kink and poly-friendly, diet culture recovery / Health At Every Size, and spirituality.
I think that therapy doesn’t have to be complicated. As a client you can expect to highlight your strengths, speak to your individual experience in a non-judgmental environment, receive unconditional support from someone you trust, and learn new ways to lessen your pain. Therapy is a wonderfully transformative venture, where two people collaborate on how to navigate the human experience. My approach is strengths-based, person-first, and multifaceted to meet your specific needs.
Elizabeth Miner-Worland
Pre-Licensed Professional, MFT
Verified Verified
1 Endorsed
Philadelphia, PA 19104
Supportive Ally for: Health at Every Size; LGBTQAI+ Community; Black Lives Matter; Polyamory/Kink/Non-monogamy communities.
My approach to therapy is based on the belief that every person has the strength and resilience within them to overcome challenges and create change in their lives. By exploring the stories we tell ourselves and others about our experiences, we can gain a deeper understanding of ourselves and our relationships. Through this process we can create new narratives that empower us to live more fulfilling lives.
Supportive Ally for: Health at Every Size; LGBTQAI+ Community; Black Lives Matter; Polyamory/Kink/Non-monogamy communities.
My approach to therapy is based on the belief that every person has the strength and resilience within them to overcome challenges and create change in their lives. By exploring the stories we tell ourselves and others about our experiences, we can gain a deeper understanding of ourselves and our relationships. Through this process we can create new narratives that empower us to live more fulfilling lives.
Kaitlin DiGiacinto
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
3 Endorsed
Philadelphia, PA 19104 (Online Only)
I am LGBTQAI-affirming as well as kink-aware and poly friendly.
Welcome! Congratulations on taking the first step on this adventure. I know finding the right therapist can be hard and a grueling process. For many clients this is the first time they have asked for help. I am passionate about creating a space for clients that is safe, freeing & nonjudgmental. I hope to do this through my multicultural background, interest in the client's perspective and the therapeutic relationship built. I operate from a systems & contextual framework where I believe clients are stuck, not sick. I work with clients to create goals and plans that are collaborative and empowering.
I am LGBTQAI-affirming as well as kink-aware and poly friendly.
Welcome! Congratulations on taking the first step on this adventure. I know finding the right therapist can be hard and a grueling process. For many clients this is the first time they have asked for help. I am passionate about creating a space for clients that is safe, freeing & nonjudgmental. I hope to do this through my multicultural background, interest in the client's perspective and the therapeutic relationship built. I operate from a systems & contextual framework where I believe clients are stuck, not sick. I work with clients to create goals and plans that are collaborative and empowering.
Angelique Frazier
Pre-Licensed Professional, MEd
Verified Verified
1 Endorsed
Philadelphia, PA 19104
I affirm diverse sexual orientations, gender identities, relationship configurations, and sexual practices, including but not limited to: Lesbian, Gay, Bisexual, Queer, Asexual, Aromantic, Transgender, Genderqueer, Non-Binary, Polyamory, Kink and Sex Work.
While starting therapy can seem intimidating or daunting, I want you to know that you always deserve to take up space in therapy. I aim to help clients uncover the strengths they already possess. My work with clients involves the following: celebrating culture, acknowledging marginalization & privilege, multiracial identities, interracial couples, navigating cishet-white spaces, balancing conflicting expectations, processing current events, challenging anxious thoughts, separating me (the person) from anxiety (the fear and uncertainty), unpacking past events, reducing miscommunication, and feeling seen/heard.
I affirm diverse sexual orientations, gender identities, relationship configurations, and sexual practices, including but not limited to: Lesbian, Gay, Bisexual, Queer, Asexual, Aromantic, Transgender, Genderqueer, Non-Binary, Polyamory, Kink and Sex Work.
While starting therapy can seem intimidating or daunting, I want you to know that you always deserve to take up space in therapy. I aim to help clients uncover the strengths they already possess. My work with clients involves the following: celebrating culture, acknowledging marginalization & privilege, multiracial identities, interracial couples, navigating cishet-white spaces, balancing conflicting expectations, processing current events, challenging anxious thoughts, separating me (the person) from anxiety (the fear and uncertainty), unpacking past events, reducing miscommunication, and feeling seen/heard.
Katie Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Lansdowne, PA 19050 (Online Only)
Therapy can be difficult to begin and I recognize the courage it takes to make this commitment to yourself. In this process, I am committed to a practice of non-judgment and empathy as we explore stressors and difficulties you are experiencing. We will work collaboratively to bring self-acceptance, creativity, and compassion into your everyday struggles. I work with adults experiencing a range of life challenges in the areas of anxiety, depression, stress, grief and loss, trauma, issues with alcohol and other substances, relationships, sexuality, gender identity, non-monogamy, polyamory, kink and others.
Therapy can be difficult to begin and I recognize the courage it takes to make this commitment to yourself. In this process, I am committed to a practice of non-judgment and empathy as we explore stressors and difficulties you are experiencing. We will work collaboratively to bring self-acceptance, creativity, and compassion into your everyday struggles. I work with adults experiencing a range of life challenges in the areas of anxiety, depression, stress, grief and loss, trauma, issues with alcohol and other substances, relationships, sexuality, gender identity, non-monogamy, polyamory, kink and others.
Elizabeth Byrne
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19119
As a CNM/Poly/Kink friendly provider, I create safe spaces for nuanced needs.
True lasting healing requires safety & trust in relationships. I am a collaborative therapist providing warmth, caring & guidance as you work to reach your goals. My clients describe me as an invested therapist who remembers the smallest details & plays an active role in helping facilitate the change you want to make. I specialize in life transitions and the self talk/beliefs & communication skills that affect positive change. I’m most passionate about helping you live as your true self, beginning/ending relationships, regaining connection with & prioritizing oneself, and helping people navigate changes in their health & well-being.
As a CNM/Poly/Kink friendly provider, I create safe spaces for nuanced needs.
True lasting healing requires safety & trust in relationships. I am a collaborative therapist providing warmth, caring & guidance as you work to reach your goals. My clients describe me as an invested therapist who remembers the smallest details & plays an active role in helping facilitate the change you want to make. I specialize in life transitions and the self talk/beliefs & communication skills that affect positive change. I’m most passionate about helping you live as your true self, beginning/ending relationships, regaining connection with & prioritizing oneself, and helping people navigate changes in their health & well-being.
See more therapy options for Conshohocken
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.