Sex-Positive, Kink Allied Therapists in Milwaukee, WI

Photo of Joseph G Pikalek, LMFT, Marriage & Family Therapist
Joseph G Pikalek
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Milwaukee, WI 53212
My therapeutic experiences include working with: Depression - Anxiety - Relationship support (monogamy, ethical non-monogamy, kink) - Sexuality & Sex support (I am a sex positive psychotherapist) - Grief & Loss support - LGBTQ+ support - Persons committed to life-changing psychotherapy in conjunction with spiritual/mindfulness/non-dual wisdom practices.
It's important to me that my clients feel welcome and safe enough to show up exactly as they are. I do my best to attend to my clients in a fully present and available way so that I can deeply witness, listen, and respond with clarity, non-judgment, and compassion. I believe that psychotherapy can be a powerful vehicle for self-discovery, self-acceptance, and transformation. I draw on my own experiences of joy and suffering to be with my clients in a human way. I identify as Queer and Non-Binary and have been practicing Buddhism and psychotherapy for 20+ years.
My therapeutic experiences include working with: Depression - Anxiety - Relationship support (monogamy, ethical non-monogamy, kink) - Sexuality & Sex support (I am a sex positive psychotherapist) - Grief & Loss support - LGBTQ+ support - Persons committed to life-changing psychotherapy in conjunction with spiritual/mindfulness/non-dual wisdom practices.
It's important to me that my clients feel welcome and safe enough to show up exactly as they are. I do my best to attend to my clients in a fully present and available way so that I can deeply witness, listen, and respond with clarity, non-judgment, and compassion. I believe that psychotherapy can be a powerful vehicle for self-discovery, self-acceptance, and transformation. I draw on my own experiences of joy and suffering to be with my clients in a human way. I identify as Queer and Non-Binary and have been practicing Buddhism and psychotherapy for 20+ years.
(414) 982-1440 View (414) 982-1440
Photo of Valerie Wesp, MS, LPC, Counselor
Valerie Wesp
Counselor, MS, LPC
Verified Verified
1 Endorsed
Milwaukee, WI 53212
Boundaries create connection, and connection is at the heart of healing. Join me in a brave space where you can build your skills to navigate the challenges of relating, and figure out how you want to be in relationships and step into your potential. I am most passionate about working with adults who want to build self-acceptance, heal traumatic stress, and establish a foundation for healthy relationships. I am sex-positive and passionate about providing affirming care to the LGBTQ+ and ethically non-monogamous communities, and hope to provide a shared understanding of what it is like to live with these identities.
Boundaries create connection, and connection is at the heart of healing. Join me in a brave space where you can build your skills to navigate the challenges of relating, and figure out how you want to be in relationships and step into your potential. I am most passionate about working with adults who want to build self-acceptance, heal traumatic stress, and establish a foundation for healthy relationships. I am sex-positive and passionate about providing affirming care to the LGBTQ+ and ethically non-monogamous communities, and hope to provide a shared understanding of what it is like to live with these identities.
(414) 441-1658 View (414) 441-1658
Photo of Sam Troemel, LMFT, Marriage & Family Therapist
Sam Troemel
Marriage & Family Therapist, LMFT
Verified Verified
Milwaukee, WI 53222
I help partners in queer, polyamorous, and kink communities cultivate strong relationships, disrupt harmful patterns, and build community more effectively. With expertise in sex therapy and a deep understanding of the beauty of queer relationships, my goal is to help partners feel more secure, intimate, and connected, one conversation at a time.
I help partners in queer, polyamorous, and kink communities cultivate strong relationships, disrupt harmful patterns, and build community more effectively. With expertise in sex therapy and a deep understanding of the beauty of queer relationships, my goal is to help partners feel more secure, intimate, and connected, one conversation at a time.
(414) 736-7483 View (414) 736-7483
Photo of Jessica J. Davis, LCSW, CST, Clinical Social Work/Therapist
Jessica J. Davis
Clinical Social Work/Therapist, LCSW, CST
Verified Verified
1 Endorsed
Milwaukee, WI 53217  (Online Only)
The therapeutic relationship can be a very important one and, like any other healthy relationship, it is based on mutual respect, trust and commitment. I approach our work together with a nonjudgmental stance. I will meet you wherever you are in your life's journey and honor your unique strengths. I support clients in creating their most fulfilling lives, in line with their values and goals. I incorporate mindfulness into a collaborative and client-centered process and employ an honest, direct communication style combined with warmth, compassion, and humor. I strive for a balance of embracing both change and acceptance.
The therapeutic relationship can be a very important one and, like any other healthy relationship, it is based on mutual respect, trust and commitment. I approach our work together with a nonjudgmental stance. I will meet you wherever you are in your life's journey and honor your unique strengths. I support clients in creating their most fulfilling lives, in line with their values and goals. I incorporate mindfulness into a collaborative and client-centered process and employ an honest, direct communication style combined with warmth, compassion, and humor. I strive for a balance of embracing both change and acceptance.
(262) 214-3769 View (262) 214-3769
Photo of Jennifer Webster, LPC, Licensed Professional Counselor
Jennifer Webster
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Milwaukee, WI 53208  (Online Only)
I also have experience working with anxiety, depression, exploring sexuality and gender identity, trauma work, significant life changes, and supporting individuals from the polyam, LGBTQIA+, and kink communities.
I believe it is my role as a therapist to help support you in facilitating change in a nonjudgmental environment that offers accountability. We are a therapeutic team - you being the expert of your own experience and me being a sounding board for thoughts, feelings, and emotions. My therapeutic approach combines person centered therapy with aspects of cognitive behavioral (CBT), solutions focused, and dialectical-behavioral (DBT) therapies. This means we will implement skills for emotion regulation, communication, and facing anxiety while also making space to talk about your experiences.
I also have experience working with anxiety, depression, exploring sexuality and gender identity, trauma work, significant life changes, and supporting individuals from the polyam, LGBTQIA+, and kink communities.
I believe it is my role as a therapist to help support you in facilitating change in a nonjudgmental environment that offers accountability. We are a therapeutic team - you being the expert of your own experience and me being a sounding board for thoughts, feelings, and emotions. My therapeutic approach combines person centered therapy with aspects of cognitive behavioral (CBT), solutions focused, and dialectical-behavioral (DBT) therapies. This means we will implement skills for emotion regulation, communication, and facing anxiety while also making space to talk about your experiences.
(414) 207-6837 View (414) 207-6837
Photo of Jess Nicholas Laird, LCSW, Clinical Social Work/Therapist
Jess Nicholas Laird
Clinical Social Work/Therapist, LCSW
Verified Verified
Milwaukee, WI 53209  (Online Only)
I am LGBTQ+ affirming, sex work-positive, body-positive, kink-positive, neurodivergent-positive, non-monogamy/polyamory-positive.
Very few of us were given the tools and affirmation needed to navigate sex, despite it being a fundamental part of our humanity. I am a sex therapist passionate about reducing sexual shame, fostering a lens of curiosity and self-acceptance in sexuality, building a sense of playfulness and confidence, developing a personal acumen of sexual values, and unlearning messages of sex-negative cultures. I approach therapy from a relational, psychodynamic perspective, which means seeking to understand patterns that shape emotions, thoughts, and behavior and how these things have been influenced by our history, culture, and experiences.
I am LGBTQ+ affirming, sex work-positive, body-positive, kink-positive, neurodivergent-positive, non-monogamy/polyamory-positive.
Very few of us were given the tools and affirmation needed to navigate sex, despite it being a fundamental part of our humanity. I am a sex therapist passionate about reducing sexual shame, fostering a lens of curiosity and self-acceptance in sexuality, building a sense of playfulness and confidence, developing a personal acumen of sexual values, and unlearning messages of sex-negative cultures. I approach therapy from a relational, psychodynamic perspective, which means seeking to understand patterns that shape emotions, thoughts, and behavior and how these things have been influenced by our history, culture, and experiences.
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Photo of Caitlin Myles Weber, MS, LMFT, CST, Marriage & Family Therapist
Caitlin Myles Weber
Marriage & Family Therapist, MS, LMFT, CST
Verified Verified
3 Endorsed
Milwaukee, WI 53202
I practice sex therapy, individual therapy, and couples therapy in southeastern Wisconsin. I also specialize in family building, queer families, pregnancy, postpartum, and parenting. I help clients ages 15-75 with issues in individual mental health, sex and sexuality, relationships, and family dynamics. Areas in sexuality I help people with include dissatisfaction with sex, sexual pain, desire and arousal issues, out of control sexual behavior, difficulty with orgasm, healthy sex after trauma, polyamory, swinging, kink, gender & orientation discovery. Health at Every Size aligned, ace spectrum affirming, neurodivergence specialized.
I practice sex therapy, individual therapy, and couples therapy in southeastern Wisconsin. I also specialize in family building, queer families, pregnancy, postpartum, and parenting. I help clients ages 15-75 with issues in individual mental health, sex and sexuality, relationships, and family dynamics. Areas in sexuality I help people with include dissatisfaction with sex, sexual pain, desire and arousal issues, out of control sexual behavior, difficulty with orgasm, healthy sex after trauma, polyamory, swinging, kink, gender & orientation discovery. Health at Every Size aligned, ace spectrum affirming, neurodivergence specialized.
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Photo of Heather Brose, LCSW, Clinical Social Work/Therapist
Heather Brose
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Milwaukee, WI 53201
Prioritizing self-pay clients due to current availability. I specialize in working with adults struggling with anxiety, relationship difficulties, low self-esteem, and adjustment. LGBTQ+ adults struggling with issues related to their identity and sexuality are my ideal clients. I am also familiar and comfortable with working with those in non-traditional relationship types - non-monogamy (ENM, Polyamory, Swinging), BDSM/ Kink, blended families, etc.
Prioritizing self-pay clients due to current availability. I specialize in working with adults struggling with anxiety, relationship difficulties, low self-esteem, and adjustment. LGBTQ+ adults struggling with issues related to their identity and sexuality are my ideal clients. I am also familiar and comfortable with working with those in non-traditional relationship types - non-monogamy (ENM, Polyamory, Swinging), BDSM/ Kink, blended families, etc.
(414) 441-5221 View (414) 441-5221
Photo of Mariessa Robles, PsyD, Psychologist
Mariessa Robles
Psychologist, PsyD
Verified Verified
1 Endorsed
Milwaukee, WI 53213  (Online Only)
I am committed to providing sensitive and affirming psychotherapy to folks of varying genders and sexualities, who are non-monogamous, or who are kink involved.
I am currently accepting new clients (last updated Sept 2024). I work mostly with LGBTQ+ folks, whether exploring identity is the main focus of therapy or someone is seeking an affirming and knowledgeable provider to address a different concern. My approach is warm, nurturing, and exploratory, to help my clients identify and better understand the problems in their lives and the roles they take in relationships. I also work with parents and siblings of LGBTQ individuals who are processing and adjusting to a family member's newly disclosed identity.
I am committed to providing sensitive and affirming psychotherapy to folks of varying genders and sexualities, who are non-monogamous, or who are kink involved.
I am currently accepting new clients (last updated Sept 2024). I work mostly with LGBTQ+ folks, whether exploring identity is the main focus of therapy or someone is seeking an affirming and knowledgeable provider to address a different concern. My approach is warm, nurturing, and exploratory, to help my clients identify and better understand the problems in their lives and the roles they take in relationships. I also work with parents and siblings of LGBTQ individuals who are processing and adjusting to a family member's newly disclosed identity.
(608) 616-9755 View (608) 616-9755
Photo of Amy M Schloer (Diaz), MA, LCPC
Amy M Schloer (Diaz)
Licensed Clinical Professional Counselor, MA, LCPC
Verified Verified
Milwaukee, WI 53206
She also identifies as sex-worker positive, kink/poly aware, LGBTQIA2S+ aware, and affirmative of consensual relationships.
Amy has a master’s degree in forensic psychology and she has been practicing in the field for over 13 years. Her clinical expertise includes having worked in a variety of clinical settings such as residential, community mental health centers, hospitals, and correctional settings. Amy has experience working with adolescents, emerging adults and adults who present with life stressors/changes, depression, anxiety, substance abuse, binge eating disorder, bariatric patients, issues related to legal issues/incarceration, trauma, domestic violence, sexual abuse, and sex and sexuality concerns.
She also identifies as sex-worker positive, kink/poly aware, LGBTQIA2S+ aware, and affirmative of consensual relationships.
Amy has a master’s degree in forensic psychology and she has been practicing in the field for over 13 years. Her clinical expertise includes having worked in a variety of clinical settings such as residential, community mental health centers, hospitals, and correctional settings. Amy has experience working with adolescents, emerging adults and adults who present with life stressors/changes, depression, anxiety, substance abuse, binge eating disorder, bariatric patients, issues related to legal issues/incarceration, trauma, domestic violence, sexual abuse, and sex and sexuality concerns.
(224) 421-6235 View (224) 421-6235
Photo of Ashley Floyd, LMFT, Marriage & Family Therapist
Ashley Floyd
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Milwaukee, WI 53207  (Online Only)
My space is LGBTQIA+ affirming, kink affirming, and non-monogamy affirming.
My clients often want to gain deep insights into themselves and use these insights to see shifts such as greater self-compassion, less anxiety, and more fulfillment and authenticity. Whether processing trauma or difficult relationships, navigating their sexual identity (queer, non-monogamous, kinky, etc.), or working through everyday struggles, my clients seek an understanding, informed, and non-judgmental place that can help them truly get to know themselves.
My space is LGBTQIA+ affirming, kink affirming, and non-monogamy affirming.
My clients often want to gain deep insights into themselves and use these insights to see shifts such as greater self-compassion, less anxiety, and more fulfillment and authenticity. Whether processing trauma or difficult relationships, navigating their sexual identity (queer, non-monogamous, kinky, etc.), or working through everyday struggles, my clients seek an understanding, informed, and non-judgmental place that can help them truly get to know themselves.
(608) 447-6997 View (608) 447-6997
Photo of Peter Hindley, ALMFT, Marriage & Family Therapist Associate
Peter Hindley
Marriage & Family Therapist Associate, ALMFT
Verified Verified
1 Endorsed
Milwaukee, WI 53204
My focus is working with couples and individuals looking to improve the quality of their relationships. I am passionate about sex positivity and working to unlearn shame and embarrassment that may be ingrained from past experiences. I aim to facilitate open communication between couples to ensure both parties are getting their needs met. When working with individual clients, I can help guide you in advocating for what you need in your relationships with others. I am a member of the LGBTQIA+ community, and specialize in working with queer individuals and couples. I am kink, poly, and sex-worker affirming.
My focus is working with couples and individuals looking to improve the quality of their relationships. I am passionate about sex positivity and working to unlearn shame and embarrassment that may be ingrained from past experiences. I aim to facilitate open communication between couples to ensure both parties are getting their needs met. When working with individual clients, I can help guide you in advocating for what you need in your relationships with others. I am a member of the LGBTQIA+ community, and specialize in working with queer individuals and couples. I am kink, poly, and sex-worker affirming.
(773) 839-9524 View (773) 839-9524
Photo of Maia Easley, MA, LMFT, CST, Marriage & Family Therapist
Maia Easley
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
5 Endorsed
Milwaukee, WI 53216  (Online Only)
Essentially my goal as a culturally aware LMFT and AASECT certified sex therapist is to help people navigate their relationships with themselves, others, and their identity. When I founded Bare Conversations, I wanted clients to be able to see themselves in me and feel understood by someone who can relate. I am proudly sex-positive, LGBTQIA+, Kink, BDSM, and polyamory-affirming. Bare Conversations is a safe and welcoming space where clients can feel comfortable sharing their true identities and innermost thoughts. If you're ready to dig deep and make some big changes, I'm the therapist for you.
Essentially my goal as a culturally aware LMFT and AASECT certified sex therapist is to help people navigate their relationships with themselves, others, and their identity. When I founded Bare Conversations, I wanted clients to be able to see themselves in me and feel understood by someone who can relate. I am proudly sex-positive, LGBTQIA+, Kink, BDSM, and polyamory-affirming. Bare Conversations is a safe and welcoming space where clients can feel comfortable sharing their true identities and innermost thoughts. If you're ready to dig deep and make some big changes, I'm the therapist for you.
(312) 465-4604 View (312) 465-4604
Photo of Mikki Guerra- Trauma Therapist- Emotional Processing Work, LCSW, Clinical Social Work/Therapist
Mikki Guerra- Trauma Therapist- Emotional Processing Work
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Milwaukee, WI 53202  (Online Only)
I support women ages 30 to 50 understand & release the debris of their emotional pain. My clients have healed from wounds of: chronic worrying, perfectionistic people-pleasing, childhood emotional abuse/neglect, and other stressful experiences such as sexual assault and domestic violence.
I support women ages 30 to 50 understand & release the debris of their emotional pain. My clients have healed from wounds of: chronic worrying, perfectionistic people-pleasing, childhood emotional abuse/neglect, and other stressful experiences such as sexual assault and domestic violence.
(715) 260-3098 View (715) 260-3098
Photo of Marc Caron, MA, LPC, Licensed Professional Counselor
Marc Caron
Licensed Professional Counselor, MA, LPC
Verified Verified
Milwaukee, WI 53207  (Online Only)
To me, the best clients are those looking to make changes in their life or get a new perspective on things, are open to feedback, and have a great sense of humor! I tell clients all the time- therapy only works if someone genuinely wants change, and if that fundamental part is true than than no matter how slow progress seems there will always be a path towards success. I strive to be a safe and often fun outlet for clients- sometimes therapy is just about having a neutral third party there to listen to you vent and provide feedback. It doesn't always have to be complicated!
To me, the best clients are those looking to make changes in their life or get a new perspective on things, are open to feedback, and have a great sense of humor! I tell clients all the time- therapy only works if someone genuinely wants change, and if that fundamental part is true than than no matter how slow progress seems there will always be a path towards success. I strive to be a safe and often fun outlet for clients- sometimes therapy is just about having a neutral third party there to listen to you vent and provide feedback. It doesn't always have to be complicated!
(414) 310-1805 View (414) 310-1805
Photo of Tessa Stevenson, MS, LPC, Licensed Professional Counselor
Tessa Stevenson
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
Milwaukee, WI 53202
Hello! I'm Tessa (she/they) and I provide therapy for adults (18+) who are experiencing a wide variety of mental health concerns including depression, anxiety, grief, trauma, life transitions, interpersonal issues, and more. As a queer therapist, I am especially passionate about working with individuals who identify within the LGBTQ+ community. In my sessions, I help my clients explore how their own self-concept influences how they interact with the world, as well as understanding the external and internal influences that may be impacting your mental health.
Hello! I'm Tessa (she/they) and I provide therapy for adults (18+) who are experiencing a wide variety of mental health concerns including depression, anxiety, grief, trauma, life transitions, interpersonal issues, and more. As a queer therapist, I am especially passionate about working with individuals who identify within the LGBTQ+ community. In my sessions, I help my clients explore how their own self-concept influences how they interact with the world, as well as understanding the external and internal influences that may be impacting your mental health.
(414) 348-0415 x502 View (414) 348-0415 x502
Photo of Krystal Buchanan, MS, LPC, NCC, Licensed Professional Counselor
Krystal Buchanan
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Milwaukee, WI 53202  (Online Only)
I take a person-centered, strengths-based approach to meet clients where they are and address what they feel is impacting their lives the most. I believe building a strong relationship is the foundation of therapy, this is done by maintaining a non-judgmental stance and unconditional positive regard. The thing I love most about being a therapist is watching my clients grow and having the opportunity to be part of their journey. I pride myself on the passion I have for what I do, and how that translates into my ability to advocate for my clients.
I take a person-centered, strengths-based approach to meet clients where they are and address what they feel is impacting their lives the most. I believe building a strong relationship is the foundation of therapy, this is done by maintaining a non-judgmental stance and unconditional positive regard. The thing I love most about being a therapist is watching my clients grow and having the opportunity to be part of their journey. I pride myself on the passion I have for what I do, and how that translates into my ability to advocate for my clients.
(414) 240-8720 View (414) 240-8720
Photo of Cara Mastin, MS, LPC-IT, Counselor
Cara Mastin
Counselor, MS, LPC-IT
Verified Verified
Milwaukee, WI 53210
My ideal client is a teen, adult, or couple that is in need of communication work, reframing and refocusing thoughts, or in need of asssistance with anxiety. I enjoy working with individuals who are motivated on their journey to healthier mental practices and those seeking assistance.
My ideal client is a teen, adult, or couple that is in need of communication work, reframing and refocusing thoughts, or in need of asssistance with anxiety. I enjoy working with individuals who are motivated on their journey to healthier mental practices and those seeking assistance.
(414) 600-1504 View (414) 600-1504
Photo of Shana Koch, MS, LPC-IT, Counselor
Shana Koch
Counselor, MS, LPC-IT
Verified Verified
4 Endorsed
Milwaukee, WI 53224
I am dedicated to helping you through mental health, family, relationship, and health difficulties with empathy. It can be difficult to make impactful, long-lasting changes. I understand the importance of wanting to find that immediate relief, as well as identifying and treating the root of the problem. By collaborating closely together, you and I will define and work towards realistic goals in order to maximize your time in counseling. I enjoy working with children, teens, and adults.
I am dedicated to helping you through mental health, family, relationship, and health difficulties with empathy. It can be difficult to make impactful, long-lasting changes. I understand the importance of wanting to find that immediate relief, as well as identifying and treating the root of the problem. By collaborating closely together, you and I will define and work towards realistic goals in order to maximize your time in counseling. I enjoy working with children, teens, and adults.
(262) 456-5132 View (262) 456-5132
Photo of Gretchen Mead, LCSW, CYT
Gretchen Mead
LCSW, CYT
Verified Verified
Milwaukee, WI 53211
Currently accepting clients for ketamine assisted psychotherapy and psychedelic integration and psychotherapy. I would like the opportunity support you in reaching your fullest potential. By helping you reduce your symptoms of sadness, anxiety, anger, lethargy, and trauma, then replacing those symptoms with a life filled with health, wellness, joy, love, creativity, relationships and passion. As a uniquely trained ecotherapist, psychedelic integration specialist and yoga teacher, I bring a holistic perspective to mental health - including deeply connecting to our own mind, body and spirit, others, the earth, and a larger purpose.
Currently accepting clients for ketamine assisted psychotherapy and psychedelic integration and psychotherapy. I would like the opportunity support you in reaching your fullest potential. By helping you reduce your symptoms of sadness, anxiety, anger, lethargy, and trauma, then replacing those symptoms with a life filled with health, wellness, joy, love, creativity, relationships and passion. As a uniquely trained ecotherapist, psychedelic integration specialist and yoga teacher, I bring a holistic perspective to mental health - including deeply connecting to our own mind, body and spirit, others, the earth, and a larger purpose.
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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.