Photo of Ethan Schwab, PhD, LMFT, CST, Marriage & Family Therapist
Ethan Schwab
Marriage & Family Therapist, PhD, LMFT, CST
Verified Verified
5 Endorsed
Seattle, WA 98109
As a relationship and sex therapist, my background and training are in relationship treatment as well as sexuality therapy. I work with heterosexual, lesbian, gay, bisexual, queer, asexual, and transgender individuals, couples, and partnerships to heal and find fulfillment. I see adults on a variety of discomforts that affect individuals, partnerships, and sexuality (e.g., orgasmic issues, erectile issues, desire issues, sexual pain). Additionally, I see couples for a myriad of relational issues. I am LGBTIQA, kink, and poly friendly and knowledgeable.
As a relationship and sex therapist, my background and training are in relationship treatment as well as sexuality therapy. I work with heterosexual, lesbian, gay, bisexual, queer, asexual, and transgender individuals, couples, and partnerships to heal and find fulfillment. I see adults on a variety of discomforts that affect individuals, partnerships, and sexuality (e.g., orgasmic issues, erectile issues, desire issues, sexual pain). Additionally, I see couples for a myriad of relational issues. I am LGBTIQA, kink, and poly friendly and knowledgeable.
(425) 998-9432 View (425) 998-9432
Photo of Sean Orpen, MS, LMFT-S, CST-S, Marriage & Family Therapist
Sean Orpen
Marriage & Family Therapist, MS, LMFT-S, CST-S
Verified Verified
2 Endorsed
Seattle, WA 98109
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
(360) 529-4728 View (360) 529-4728
Photo of Randy Marinez, MS, LMHC, Counselor
Randy Marinez
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98104
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
(206) 745-5831 View (206) 745-5831
Photo of John Paul Gaylor, MA, LMHCA, Counselor
John Paul Gaylor
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Seattle, WA 98101
Waitlist for new clients
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 Cody McCall, MA, LMHC, Counselor
Cody McCall
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112  (Online Only)
Waitlist for new clients
I am what you can call a narrative sex therapist.
Relationships are hard work. Navigating what you want from life while considering what your partner/partners may wish to do can be daunting. Having questions about your relationship? How about your sex life? Has the excitement of your relationship and sex life turned into a mundane list of chores to cross off? Wait ... what about passion!? Or Intimacy!? Or heaven forbid you might ask, "What if I want to try that new thing ...?" You are far from being alone with these thoughts. Most people ask these questions when they are in a relationship with others. That's why I am here: to help answer these questions in a supportive space.
I am what you can call a narrative sex therapist.
Relationships are hard work. Navigating what you want from life while considering what your partner/partners may wish to do can be daunting. Having questions about your relationship? How about your sex life? Has the excitement of your relationship and sex life turned into a mundane list of chores to cross off? Wait ... what about passion!? Or Intimacy!? Or heaven forbid you might ask, "What if I want to try that new thing ...?" You are far from being alone with these thoughts. Most people ask these questions when they are in a relationship with others. That's why I am here: to help answer these questions in a supportive space.
(206) 752-4140 View (206) 752-4140
Photo of Dr. James Dillon, PhD, LPsy, Psychologist
Dr. James Dillon
Psychologist, PhD, LPsy
Verified Verified
2 Endorsed
Seattle, WA 98105
Do your sexual behaviors feel out of control? Are you concerned that you might be addicted to sex or porn? Has infidelity harmed your relationship? Perhaps you are struggling with sexual concerns like ED? If it's hard for you to stop problematic sexual behaviors on your own, it's time to see a specialist. I understand the impact compulsive sexual behavior can have on one's life and the toll of betrayal trauma on your relationship. I am committed to walking alongside my clients as they navigate their path to recovery. I am passionate about helping individuals achieve healthy intimacy, heal from trauma, and live a fulfilling life.
Do your sexual behaviors feel out of control? Are you concerned that you might be addicted to sex or porn? Has infidelity harmed your relationship? Perhaps you are struggling with sexual concerns like ED? If it's hard for you to stop problematic sexual behaviors on your own, it's time to see a specialist. I understand the impact compulsive sexual behavior can have on one's life and the toll of betrayal trauma on your relationship. I am committed to walking alongside my clients as they navigate their path to recovery. I am passionate about helping individuals achieve healthy intimacy, heal from trauma, and live a fulfilling life.
(425) 966-2275 View (425) 966-2275
Photo of Chris G Perry, MA, LMHC, Counselor
Chris G Perry
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98122
Are you overwhelmed by life’s struggles, trauma, relationship or attachment issues? Maybe you have been wondering about autism or ADHD as a something you are experiencing? Do you have questions about gender or sexuality, and a general need to examine where you exist within an increasingly challenging society and how you are impacted by it? These are the issues that I enjoy navigating with my clients as we find a new, securely attached, unmasked, and comfortable way of living freely. If you are hurting and do not know where to start I can help. If you feel that you are at the end, we can find a new beginning.
Are you overwhelmed by life’s struggles, trauma, relationship or attachment issues? Maybe you have been wondering about autism or ADHD as a something you are experiencing? Do you have questions about gender or sexuality, and a general need to examine where you exist within an increasingly challenging society and how you are impacted by it? These are the issues that I enjoy navigating with my clients as we find a new, securely attached, unmasked, and comfortable way of living freely. If you are hurting and do not know where to start I can help. If you feel that you are at the end, we can find a new beginning.
(206) 312-6272 View (206) 312-6272
Photo of Andrew Duffy Fontana, LMHC, MA, Counselor
Andrew Duffy Fontana
Counselor, LMHC, MA
Verified Verified
3 Endorsed
Seattle, WA 98102
Therapy offers something unique: a space set aside for the sole purpose of getting to know your life. Many seek therapy out of the desire for change. As hopeless as a life or relationship can feel, the desire for change is enough to begin working towards something new. Therapy can be a great aid in this effort. Your struggles with anxiety, depression, sexuality, relationships, feeling lost and disconnected - are overwhelming to face alone. Through therapy, I believe these struggles can be bridges of connection, to life and those you love.
Therapy offers something unique: a space set aside for the sole purpose of getting to know your life. Many seek therapy out of the desire for change. As hopeless as a life or relationship can feel, the desire for change is enough to begin working towards something new. Therapy can be a great aid in this effort. Your struggles with anxiety, depression, sexuality, relationships, feeling lost and disconnected - are overwhelming to face alone. Through therapy, I believe these struggles can be bridges of connection, to life and those you love.
(206) 429-6829 View (206) 429-6829
Photo of Michael Forrester, MA, LMHCA, Counselor
Michael Forrester
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98103
My practice focuses on working with men around issues concerning identity, relationships, and sexuality.
I believe that therapy can help us see the unconscious patterns of behavior that we unknowingly live our lives within; that it can help us find some distance from our up-close feelings, and see ourselves with kindness; that it can bring vitality to stagnation, and enliven our sense of creativity; that it can help us pursue our desires; that it can be a place where we wrestle with the things we thought were true, and find comfort in the midst of uncertainty; that it can reveal something about the relationships we seek; and that it can teach us how to grieve our yesterdays, find gratitude for today, and hope for tomorrow.
My practice focuses on working with men around issues concerning identity, relationships, and sexuality.
I believe that therapy can help us see the unconscious patterns of behavior that we unknowingly live our lives within; that it can help us find some distance from our up-close feelings, and see ourselves with kindness; that it can bring vitality to stagnation, and enliven our sense of creativity; that it can help us pursue our desires; that it can be a place where we wrestle with the things we thought were true, and find comfort in the midst of uncertainty; that it can reveal something about the relationships we seek; and that it can teach us how to grieve our yesterdays, find gratitude for today, and hope for tomorrow.
(206) 752-4629 View (206) 752-4629
Photo of Sean Carvey, LMFT, Marriage & Family Therapist
Sean Carvey
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
I strive to always bring my own sense of authenticity to every session as I believe that therapy at its core is successful due to the relationship between clinician and client. As your therapist I will promise to be consistently present, challenge you gently but firmly when you need me to, and to empathetically and truly care about what you have to say. I have fourteen years of experience in the mental health field addressing issues ranging from depression and anxiety to substance use to feelings around gender and sexuality. I work with individuals and families but also have a strong passion working with couples and relationships
I strive to always bring my own sense of authenticity to every session as I believe that therapy at its core is successful due to the relationship between clinician and client. As your therapist I will promise to be consistently present, challenge you gently but firmly when you need me to, and to empathetically and truly care about what you have to say. I have fourteen years of experience in the mental health field addressing issues ranging from depression and anxiety to substance use to feelings around gender and sexuality. I work with individuals and families but also have a strong passion working with couples and relationships
(206) 207-8215 View (206) 207-8215
Photo of Eli Hastings - Changing Stories Counseling, MFA, MA, LMFT, Marriage & Family Therapist
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 Donovan R Bigelow, JD, LLM, MA, (LMHC), Counselor
Donovan R Bigelow
Counselor, JD, LLM, MA, (LMHC)
Verified Verified
1 Endorsed
Seattle, WA 98101
The Only Cure Is Strength. Our work together will focus on your needs. Psychoanalytic Therapy, integrated with other perspectives, is a powerful and effective way to help individuals and couples address life's most urgent issues. Together we can work through, overcome, or improve: Depression, stress and anxiety, Love and intimate relationships, Family conflict resolution, Sexuality and body image, Parent-child conflicts, Drug abuse and eating disorders, Balancing work and personal life, Managing emotions effectively, Strengthening the will/ego, Artistic and athletic creativity, and Creation of meaning. Every effort in therapy should be focused on achieving an aesthetic self-creation.
The Only Cure Is Strength. Our work together will focus on your needs. Psychoanalytic Therapy, integrated with other perspectives, is a powerful and effective way to help individuals and couples address life's most urgent issues. Together we can work through, overcome, or improve: Depression, stress and anxiety, Love and intimate relationships, Family conflict resolution, Sexuality and body image, Parent-child conflicts, Drug abuse and eating disorders, Balancing work and personal life, Managing emotions effectively, Strengthening the will/ego, Artistic and athletic creativity, and Creation of meaning. Every effort in therapy should be focused on achieving an aesthetic self-creation.
(206) 940-6732 View (206) 940-6732
Photo of Justin Gladney, LCSWIA, Pre-Licensed Professional
Justin Gladney
Pre-Licensed Professional, LCSWIA
Verified Verified
Seattle, WA 98102  (Online Only)
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
I am a passionate and dedicated queer therapist with a specialization in LGBTQ-related issues, substance use disorders, trauma, chemsex, sex, and men with sexual dysfunction. My focus is on providing tailored support and guidance to individuals, including gay and bisexual men, MSM (men who have sex with men), and straight men, in their journey towards achieving their mental health goals.
(509) 631-8445 View (509) 631-8445
Photo of Caleb Abrams, CSAT, CCTP, CLC, MA
Caleb Abrams
CSAT, CCTP, CLC, MA
Verified Verified
Seattle, WA 98109  (Online Only)
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
Caleb is Certified in the Treatment of Sexual Addiction, is a Certified Clinical Trauma Professional, Ordained Minister, Certified Life Coach, with a Masters of Psychology in Counseling and a Bachelors of Arts in Psychology. Caleb specializes in helping men work through sex addiction but provides counseling services for all kinds of addictions. He also works with clients that are struggling with anxiety, addictive behaviors, depression, PTSD, emotional abuse, mental abuse and trauma of various kinds. His passion is to provide a safe space for his clients and to walk hand-in-hand with them, guiding them through the healing process.
(619) 503-0482 View (619) 503-0482
Photo of Matthew Fregoso, MEd, LMHC, Counselor
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.
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Photo of Matt Gullett, MA, LMHC, CSAT, CPTT, Counselor
Matt Gullett
Counselor, MA, LMHC, CSAT, CPTT
Verified Verified
11 Endorsed
Seattle, WA 98164
If you struggle with sexuality, addiction, anxiety, or issues related to trauma, I understand the many, unique challenges you might face.
This may not be the time or place you thought or wanted to be in your life right now, and that can be a sad, frustrating and heartbreaking reality. In that reality, you need someone who can listen, understand and help you sift through the problems of a sexual/porn compulsion/addiction and/or the betrayal trauma from the reveal of your partner’s hidden sexual life, and I offer that service. I've worked for the past 8 years with men in their recovery from active sex/porn addiction, and for the past 5 years I've been working with partners/spouses who've been traumatized by such hidden behavior, and its relational damage.
If you struggle with sexuality, addiction, anxiety, or issues related to trauma, I understand the many, unique challenges you might face.
This may not be the time or place you thought or wanted to be in your life right now, and that can be a sad, frustrating and heartbreaking reality. In that reality, you need someone who can listen, understand and help you sift through the problems of a sexual/porn compulsion/addiction and/or the betrayal trauma from the reveal of your partner’s hidden sexual life, and I offer that service. I've worked for the past 8 years with men in their recovery from active sex/porn addiction, and for the past 5 years I've been working with partners/spouses who've been traumatized by such hidden behavior, and its relational damage.
(253) 693-3267 View (253) 693-3267
Photo of Jeffery J Goff, MA, LMHC, Counselor
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 Brandon Gibs, MA, LMHC, Counselor
Brandon Gibs
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
We will explore your own “inner dialogue” and/or “parts,” as well as important narratives (aka the stories you tell yourself about yourself and the world around you). I encourage your evaluation, adaptation and/or complete overhaul of these sometimes unhelpful thoughts and stories in favor of newer, healthier, and more useful ones that we develop together!
(206) 752-5057 View (206) 752-5057
Photo of Mel LaBelle III, MA, LMHC, Counselor
Mel LaBelle III
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98112  (Online Only)
Waitlist for new clients
Are you experiencing difficulty managing emotions? Do you notice increasing problems within areas of your life that used to be more manageable? Especially with today's world events it can be difficult to keep up with each passing day. If you are looking to gain more control over your life and learn new skills to master areas of your world we might be a match to work together.
Are you experiencing difficulty managing emotions? Do you notice increasing problems within areas of your life that used to be more manageable? Especially with today's world events it can be difficult to keep up with each passing day. If you are looking to gain more control over your life and learn new skills to master areas of your world we might be a match to work together.
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Photo of Kirk Webb, PhD, MA, Psychologist
Kirk Webb
Psychologist, PhD, MA
Verified Verified
Seattle, WA 98115
All matters that bring us to counseling inevitably result in dissatisfying relationships. I work to address both the problem that brings you to counseling and the inevitable relational strain. We will work together to help you find relief from emotional and relational pain and dissatisfaction, and we will work to give you hope for a more meaningful and satisfying life.
All matters that bring us to counseling inevitably result in dissatisfying relationships. I work to address both the problem that brings you to counseling and the inevitable relational strain. We will work together to help you find relief from emotional and relational pain and dissatisfaction, and we will work to give you hope for a more meaningful and satisfying life.
(425) 292-6357 View (425) 292-6357
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.