Photo of Rena Marie Brisentine, Counselor in Seattle, WA
Rena Marie Brisentine
Counselor, MS, LPC, LMHC, CST
Verified Verified
Seattle, WA 98122  (Online Only)
Waitlist for new clients
I am here to talk about all things sex, gender and relationship.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
I am here to talk about all things sex, gender and relationship.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
(360) 382-2894 View (360) 382-2894
Photo of Spencer Wallis, Marriage & Family Therapist in Seattle, WA
Spencer Wallis
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98105
Waitlist for new clients
I work with couples and individuals who wish to address emotional, relational, and identity conflict. This involves tailoring my treatment approach to the unique needs of each client. In my couple and family work, I aim to nurture clients' skills related to intimacy, shared understanding, communication, and connectedness, while respecting each partner's need for independent growth. I believe in the healing power of human connection, and that this bond can be a path to fulfillment and meaning in everyday life. My work with individuals addresses issues related to anxiety, depression, self-esteem, grief, sexuality, dating, and career.
I work with couples and individuals who wish to address emotional, relational, and identity conflict. This involves tailoring my treatment approach to the unique needs of each client. In my couple and family work, I aim to nurture clients' skills related to intimacy, shared understanding, communication, and connectedness, while respecting each partner's need for independent growth. I believe in the healing power of human connection, and that this bond can be a path to fulfillment and meaning in everyday life. My work with individuals addresses issues related to anxiety, depression, self-esteem, grief, sexuality, dating, and career.
(253) 509-7168 View (253) 509-7168
Photo of John Paul Gaylor, Counselor in Seattle, WA
John Paul Gaylor
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Seattle, WA 98101
As an individual, couples, and sex therapist, my passion lies in helping people to confront and tackle the challenges which deeply impact their personal and relational lives and leave them feeling stuck. Whether you are struggling to cope with anxiety, grief, or depression, navigating conflict or resentment in your relationship, or facing concerns about your sexual health or identity, I strive to create a non-judgmental and supportive space where clients can explore their thoughts, emotions, and experiences without fear of rejection.
As an individual, couples, and sex therapist, my passion lies in helping people to confront and tackle the challenges which deeply impact their personal and relational lives and leave them feeling stuck. Whether you are struggling to cope with anxiety, grief, or depression, navigating conflict or resentment in your relationship, or facing concerns about your sexual health or identity, I strive to create a non-judgmental and supportive space where clients can explore their thoughts, emotions, and experiences without fear of rejection.
(206) 472-1678 View (206) 472-1678
Photo of Dr. Britt Lindon, Psychologist in Seattle, WA
Dr. Britt Lindon
Psychologist, PhD, Anxiety, Couples, Trauma
Verified Verified
Seattle, WA 98107
I am a psychoanalyst & sex therapist comfortable working with kinks, non-traditional relationships, and poly people (including couples where one person is gung-ho and the partner is oh-no).
Modern relationships are HARD. It’s a struggle to find the right person OR to wonder if your current partner is possibly the wrong person. It’s tough when you feel burned by or totally confused about your path. Maybe you’ve even made choices or overlooked things you now regret. Or, maybe it’s a relationship with a boss or coworkers who undervalue you or play favorites with others. Your work ethic and good ideas have long taken a backseat to putting out fires or just avoiding things way more than you should. You’re past thinking that life’s fair. But, you never thought that things could go THIS wrong or get under your skin THIS much.
I am a psychoanalyst & sex therapist comfortable working with kinks, non-traditional relationships, and poly people (including couples where one person is gung-ho and the partner is oh-no).
Modern relationships are HARD. It’s a struggle to find the right person OR to wonder if your current partner is possibly the wrong person. It’s tough when you feel burned by or totally confused about your path. Maybe you’ve even made choices or overlooked things you now regret. Or, maybe it’s a relationship with a boss or coworkers who undervalue you or play favorites with others. Your work ethic and good ideas have long taken a backseat to putting out fires or just avoiding things way more than you should. You’re past thinking that life’s fair. But, you never thought that things could go THIS wrong or get under your skin THIS much.
(206) 759-8955 View (206) 759-8955
Photo of Hirsch Counseling & Consulting, Clinical Social Work/Therapist in Seattle, WA
Hirsch Counseling & Consulting
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98105
I've over 20 years experience helping couples and individuals with relationship issues, depression, sexual issues, including porn and sex addiction, and stress management. I have a holistic approach, helping clients examine what they do from when they awake to when they go to bed - what is helpful for their growth and well-being and what would be a better way to handle the challenges of their lives. Life is very challenging. It can be a hard school. Give yourself the gift of receiving compassionate, straightforward guidance.
I've over 20 years experience helping couples and individuals with relationship issues, depression, sexual issues, including porn and sex addiction, and stress management. I have a holistic approach, helping clients examine what they do from when they awake to when they go to bed - what is helpful for their growth and well-being and what would be a better way to handle the challenges of their lives. Life is very challenging. It can be a hard school. Give yourself the gift of receiving compassionate, straightforward guidance.
(844) 938-0994 View (844) 938-0994
Photo of Kali Shilvock, Marriage & Family Therapist Associate in Seattle, WA
Kali Shilvock
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98109  (Online Only)
I work with both individuals and relationship units on issues and concerns related to anxiety/depression, relationship communication and skill-building, sex and sexuality, trauma/PTSD, and self-regulation.
I believe that one of the greatest ways that we can empower ourselves to navigate a wide variety of issues is by developing self-awareness and self-compassion. I enjoy working with clients who want a collaborative relationship with their therapist and are willing to approach our work with curiosity and an open mind. I also love to empower individuals and partners with the tools they need to create the changes they seek in their own lives, which requires a mutual investment in and commitment to our work together.
I work with both individuals and relationship units on issues and concerns related to anxiety/depression, relationship communication and skill-building, sex and sexuality, trauma/PTSD, and self-regulation.
I believe that one of the greatest ways that we can empower ourselves to navigate a wide variety of issues is by developing self-awareness and self-compassion. I enjoy working with clients who want a collaborative relationship with their therapist and are willing to approach our work with curiosity and an open mind. I also love to empower individuals and partners with the tools they need to create the changes they seek in their own lives, which requires a mutual investment in and commitment to our work together.
(206) 944-3698 View (206) 944-3698
Photo of Nolan Giesbers, Marriage & Family Therapist in Seattle, WA
Nolan Giesbers
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Seattle, WA 98103
Currently, I am working toward my certification as a sex therapist but have done extensive training around compulsive sexual behaviors and provide individual and group treatment.
A large part of why I have chosen to be a counselor is to simply help those in need. Many people come to therapy wanting relief from life’s challenges, answers to hard questions, or simply to be seen by and connected to another. My hope is that by choosing to engage in therapy, you will be able to experience all the goodness that comes from being respected, valued, and cared for in a truly meaningful way.
Currently, I am working toward my certification as a sex therapist but have done extensive training around compulsive sexual behaviors and provide individual and group treatment.
A large part of why I have chosen to be a counselor is to simply help those in need. Many people come to therapy wanting relief from life’s challenges, answers to hard questions, or simply to be seen by and connected to another. My hope is that by choosing to engage in therapy, you will be able to experience all the goodness that comes from being respected, valued, and cared for in a truly meaningful way.
(425) 212-1364 View (425) 212-1364
Photo of Changing Stories Counseling, Marriage & Family Therapist in Seattle, WA
Changing Stories Counseling
Marriage & Family Therapist, MFA, MA, LMFT
Verified Verified
2 Endorsed
Seattle, WA 98118
Waitlist for new clients
I am an anti-racist, queer, sex and kink-positive therapist and human.
UPDATE: I have room for 2-3 new clients that can pay out of pocket (I hate writing this, but it's the reality for therapists in the world of managed care).However, I am also diversifying my career and and am open to many clients as a trauma writing mentor/editor and more. Writing through healing is at least of equal value to psychotherapy. If you are interested in these services, visit me at www.elihastings.com) - I would be so delighted to work in tandem with other therapists, so please do consider if your clients might benefit!
I am an anti-racist, queer, sex and kink-positive therapist and human.
UPDATE: I have room for 2-3 new clients that can pay out of pocket (I hate writing this, but it's the reality for therapists in the world of managed care).However, I am also diversifying my career and and am open to many clients as a trauma writing mentor/editor and more. Writing through healing is at least of equal value to psychotherapy. If you are interested in these services, visit me at www.elihastings.com) - I would be so delighted to work in tandem with other therapists, so please do consider if your clients might benefit!
(206) 535-1958 View (206) 535-1958
Photo of Matthew Fregoso, Counselor in Seattle, WA
Matthew Fregoso
Counselor, MEd, LMHC
Verified Verified
Seattle, WA 98136
I have focused experience working with men's issues, sex-based issues, and relationship trauma.
Everything from the anxieties of imposter syndrome, the unknowns of new relationships, to struggles understanding gender/sexual identity; life can be so difficult to navigate while staying true to oneself. It can be even more difficult to find spaces that don't stigmatize and shame. Inside us all, we carry a capacity for change and a unspoken need for growth. Therapy is a journey to develop a greater sense of self to move foward in more meaningful directions.
I have focused experience working with men's issues, sex-based issues, and relationship trauma.
Everything from the anxieties of imposter syndrome, the unknowns of new relationships, to struggles understanding gender/sexual identity; life can be so difficult to navigate while staying true to oneself. It can be even more difficult to find spaces that don't stigmatize and shame. Inside us all, we carry a capacity for change and a unspoken need for growth. Therapy is a journey to develop a greater sense of self to move foward in more meaningful directions.
View
Photo of Jorge Molinero - Centered Mind Counseling, Marriage & Family Therapist Associate in Seattle, WA
Jorge Molinero - Centered Mind Counseling
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98122
I am a Gottman Certified (Level 1 & 2) Therapist. I believe that change happens when people are provided with a safe place to better understand their problems and learn how to best move forward. I aim to create a space with openness, curiosity, and thoughtfulness. I see the therapy process as collaborative, I am the professional and my clients are the experts of their lives. I enjoy working with couples, and adults struggling with anxiety, relationship issues, depression, grief, queer-related problems, and life-transitions. I am sex-positive, queer-affirming and trans-affirming, and kink and polyam affirming.
I am a Gottman Certified (Level 1 & 2) Therapist. I believe that change happens when people are provided with a safe place to better understand their problems and learn how to best move forward. I aim to create a space with openness, curiosity, and thoughtfulness. I see the therapy process as collaborative, I am the professional and my clients are the experts of their lives. I enjoy working with couples, and adults struggling with anxiety, relationship issues, depression, grief, queer-related problems, and life-transitions. I am sex-positive, queer-affirming and trans-affirming, and kink and polyam affirming.
(425) 269-3277 View (425) 269-3277
Photo of Aspire Behavioral Health, Michelle Newton, Counselor in Seattle, WA
Aspire Behavioral Health, Michelle Newton
Counselor, MA, MFT, LMHC, CMHS, QMHP
Verified Verified
3 Endorsed
Seattle, WA 98103
I specialize in individual therapy; couples therapy; family therapy; ADHD, Aspergers, and Autism; Trauma & PTSD; anxiety; fear; depression; human sexuality & gender (LGBTQ); drug & alcohol.
"Life is what happens to you while you're busy making other plans". With over 18 years in the field, I am an experienced clinician. Challenges in your relationship as a couple, dealing with an explosive child or teenager, depression, anxiety, trauma, and struggling to have a healthier, happier relationship as a couple, family or individual? Here's where you can take your first step. There is hope and things can change. I am a down-to-earth therapist with a warm and caring nature. I provide an empathetic and safe place where you can be yourself without fear of judgment.
I specialize in individual therapy; couples therapy; family therapy; ADHD, Aspergers, and Autism; Trauma & PTSD; anxiety; fear; depression; human sexuality & gender (LGBTQ); drug & alcohol.
"Life is what happens to you while you're busy making other plans". With over 18 years in the field, I am an experienced clinician. Challenges in your relationship as a couple, dealing with an explosive child or teenager, depression, anxiety, trauma, and struggling to have a healthier, happier relationship as a couple, family or individual? Here's where you can take your first step. There is hope and things can change. I am a down-to-earth therapist with a warm and caring nature. I provide an empathetic and safe place where you can be yourself without fear of judgment.
(360) 633-2300 View (360) 633-2300
Photo of Jeffery J Goff, Counselor in Seattle, WA
Jeffery J Goff
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98104
I work with those who struggle with anger. Often times the anger is brought on by unmet expectations and merely a symptom of deeper issues under the surface. It's my job to metaphorically stand in a place you can not see, and point you in the right direction as to the cause of what is contributing to the anger. By doing so, you can receive insight that will enrich your life and change it for the better.
I work with those who struggle with anger. Often times the anger is brought on by unmet expectations and merely a symptom of deeper issues under the surface. It's my job to metaphorically stand in a place you can not see, and point you in the right direction as to the cause of what is contributing to the anger. By doing so, you can receive insight that will enrich your life and change it for the better.
(206) 673-5349 View (206) 673-5349
Photo of Gina Guddat Counseling, Counselor in Seattle, WA
Gina Guddat Counseling
Counselor, BA, MA
Verified Verified
1 Endorsed
Seattle, WA 98119
The best is yet to be! I strive to offer a positive atmosphere for real personal change. Helping people learn to manage and cope with emotions like, fear, frustration, sadness and worry is my specialty. Self defeating behavioral patterns that involve anger, phobias, procrastination, or poor impulse control can also be addressed. I assists individuals and couples by providing skills-based counseling so they can live life more peacefully and productively.
The best is yet to be! I strive to offer a positive atmosphere for real personal change. Helping people learn to manage and cope with emotions like, fear, frustration, sadness and worry is my specialty. Self defeating behavioral patterns that involve anger, phobias, procrastination, or poor impulse control can also be addressed. I assists individuals and couples by providing skills-based counseling so they can live life more peacefully and productively.
(855) 848-5968 View (855) 848-5968
Photo of Alagna Valsesia, Marriage & Family Therapist Associate in Seattle, WA
Alagna Valsesia
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
Hi, my name is Alagna (pronounced Ah-lah-nya), I work with individuals, adolescents, couples, and families interested in finding meaningful support as they navigate personal and relational challenges. I take a deeply systemic approach to therapy, considering you as an individual and conceptualizing the influence of familial and social systems in your life. I view healing as a holistic journey encompassing awareness, reflection, and embodiment. I take special pride in working with folks who have experienced complex family trauma, or sexual trauma, or feel a sense of existential meaninglessness in their life.
Hi, my name is Alagna (pronounced Ah-lah-nya), I work with individuals, adolescents, couples, and families interested in finding meaningful support as they navigate personal and relational challenges. I take a deeply systemic approach to therapy, considering you as an individual and conceptualizing the influence of familial and social systems in your life. I view healing as a holistic journey encompassing awareness, reflection, and embodiment. I take special pride in working with folks who have experienced complex family trauma, or sexual trauma, or feel a sense of existential meaninglessness in their life.
(206) 594-5325 View (206) 594-5325
Photo of Sierra Osmers, Marriage & Family Therapist Associate in Seattle, WA
Sierra Osmers
Marriage & Family Therapist Associate, MA
Verified Verified
Seattle, WA 98109
My purpose is to help individuals, couples, and families overcome adversity in their lives and relationships. I use a solution-focused approach to understand each person’s unique set of values, and direction. Together, we will strengthen and heal your relationships with yourself, and the people important to you. We will find meaning out of your past experiences, and use this to create a change for your future. To identify what is truly important to you.
My purpose is to help individuals, couples, and families overcome adversity in their lives and relationships. I use a solution-focused approach to understand each person’s unique set of values, and direction. Together, we will strengthen and heal your relationships with yourself, and the people important to you. We will find meaning out of your past experiences, and use this to create a change for your future. To identify what is truly important to you.
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Photo of Alina Tovar, Counselor in Seattle, WA
Alina Tovar
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98119
Sometimes life can feel a bit overwhelming and cause you to feel alone. I believe that asking for help takes courage and is a powerful move in making a difference in your life. You do not have to go through the struggles of life alone. I view counseling as a collaborative process, where you are the master of your life, and I am joining along for the ride. I hope we can work together to find the answers you may be looking for within you. I am here to help with any life challenges you may be going through.
Sometimes life can feel a bit overwhelming and cause you to feel alone. I believe that asking for help takes courage and is a powerful move in making a difference in your life. You do not have to go through the struggles of life alone. I view counseling as a collaborative process, where you are the master of your life, and I am joining along for the ride. I hope we can work together to find the answers you may be looking for within you. I am here to help with any life challenges you may be going through.
(206) 752-3697 View (206) 752-3697
Photo of Elizabeth Speranza, Mental Health Counselor in Seattle, WA
Elizabeth Speranza
Mental Health Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Creating change in your life can be exciting, scary, hopeful, and challenging. Whether you are experiencing relational distress, going through a crisis or significant life change, or simply feel that you are not living the life you would like to be living, my goal is to create a supportive, non-judgmental and collaborative client/therapist relationship in which you can begin to effect real change. My hope is that you will find more peace, joy, and balance in life — and greater fulfillment and connection in your relationships.
Creating change in your life can be exciting, scary, hopeful, and challenging. Whether you are experiencing relational distress, going through a crisis or significant life change, or simply feel that you are not living the life you would like to be living, my goal is to create a supportive, non-judgmental and collaborative client/therapist relationship in which you can begin to effect real change. My hope is that you will find more peace, joy, and balance in life — and greater fulfillment and connection in your relationships.
(425) 440-3179 View (425) 440-3179
Photo of John Schwab, PhD, Psychologist in Seattle, WA
John Schwab, PhD
Psychologist, PhD
Verified Verified
Seattle, WA 98104
I am a Licensed Clinical Psychologist treating individuals, couples and families with a wide range of concerns including depression, anxiety, relationship issues, sexual concerns and career challenges. I work to establish a place where people can disclose and pursue their most personal challenges openly and truthfully. Therapy is a kind of 'second chance', an opportunity to 'correct' behaviors that may have been necessary in the past.
I am a Licensed Clinical Psychologist treating individuals, couples and families with a wide range of concerns including depression, anxiety, relationship issues, sexual concerns and career challenges. I work to establish a place where people can disclose and pursue their most personal challenges openly and truthfully. Therapy is a kind of 'second chance', an opportunity to 'correct' behaviors that may have been necessary in the past.
(206) 922-8244 View (206) 922-8244
Photo of Ismael E Gerena, Counselor in Seattle, WA
Ismael E Gerena
Counselor, ThD, MA, LMHC, CCHT
Verified Verified
12 Endorsed
Seattle, WA 98112
I work with individuals and with non-traditional relationships including polyamory, ethical non-monogamy and I have over 20 years of experience serving the QUILTBAG (queer or questioning, undecided, intersex, lesbian, trans, bisexual, asexual or allied, gay or gender diverse). I don't name issues and disorders because labels are important to the people who pay the bills. Help, Support, and Knowledge from a person willing to stand with you when life is becoming hard and solutions aren't easy to see are more important then any diagnostic name or code for what ails you.
I work with individuals and with non-traditional relationships including polyamory, ethical non-monogamy and I have over 20 years of experience serving the QUILTBAG (queer or questioning, undecided, intersex, lesbian, trans, bisexual, asexual or allied, gay or gender diverse). I don't name issues and disorders because labels are important to the people who pay the bills. Help, Support, and Knowledge from a person willing to stand with you when life is becoming hard and solutions aren't easy to see are more important then any diagnostic name or code for what ails you.
(206) 535-1544 View (206) 535-1544
Photo of Greenlake Wellness Group, Counselor in Seattle, WA
Greenlake Wellness Group
Counselor, LMHC
Verified Verified
5 Endorsed
Seattle, WA 98103
Greenlake Wellness Group is a collaborative licensed therapists and associates meeting a range of patient needs in a unique, inspiring atmosphere. Depression, anxiety, and trauma can slow us down, but they don't have to stop us. We provide emotional support around relational stress, transitional needs, and the places where you feel stuck. If you're ready to learn about how these symptoms are actually working to tell you something more about yourself, then we can help. We work with highly motivated, hard working clients as they reach for their goals.
Greenlake Wellness Group is a collaborative licensed therapists and associates meeting a range of patient needs in a unique, inspiring atmosphere. Depression, anxiety, and trauma can slow us down, but they don't have to stop us. We provide emotional support around relational stress, transitional needs, and the places where you feel stuck. If you're ready to learn about how these symptoms are actually working to tell you something more about yourself, then we can help. We work with highly motivated, hard working clients as they reach for their goals.
(206) 981-5051 View (206) 981-5051
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.