About sexuality
On this page you will find therapists who list sexuality among their specialties, offering help with intimacy, desire, identity and sexual health concerns. Browse the therapist listings below to view profiles, approaches, languages, and areas of focus to help you identify a match.
What to compare in entries
| Credentials | A US state licence, or membership of a professional body such as BACP or NCPS. They are different kinds of thing; each profile shows what was supplied. |
|---|---|
| Focus | Whether sexuality is listed as a main focus or among the wider list of areas. Entries show both. |
| Way of working | The approaches named on the entry. Two people working with the same concern can describe very different sessions. |
| Time in practice | Years in practice, as supplied. A fact to weigh, not a ranking. |
| Language | The languages sessions can be held in, where that matters to you. |
Common questions
How were these entries chosen?
Everyone listed on this page has sexuality among the areas they told the platform they work with. They are not ranked, rated or endorsed by this directory, and the order is not a recommendation.
Do I need a referral to start?
No. You can contact a therapist through their entry directly. A GP referral is not required for independent online therapy.
What if the first therapist is not right?
Changing therapist is normal and expected, and can be done at any point. One session is a small sample of how someone works.
Entries for sexuality
Pietro (Pete) Martucci, LPCC
Ref 37848
Calm guidance for stress and life changes
Works with: Stress, Anxiety, LGBT, Trauma and abuse Languages: English
View listingAngela Neary, BACP
Ref 109659
Experienced person-centred counsellor with practical support
Works with: Addictions, Relationship, Trauma and abuse Languages: English
View listingRoseanne Jackson, LCSW, LCSW-R
Ref 54688
Compassionate, practical help for big life stressors
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English
View listingCleo Irish Zorrilla, BACP
Ref 258501
Compassionate, practical counselling for everyday struggles
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingAmanda Parry, BACP
Ref 142169
Therapist using integrative, exploratory approaches
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English
View listingSiyue Zhang, AASW
Ref 243585
Calm, practical therapy focused on real-life change
Works with: Stress, Anxiety, Relationship, Family Languages: English, Mandarin
View listingMary Smith Tyler, LCSW, CSW
Ref 170206
Supportive Georgia licensed social worker
Works with: Relationship, Family, Parenting Languages: English
View listingJennifer Hughes, NCPS
Ref 187476
Warm, practical therapy for stress and trauma
Works with: Stress, Anxiety, Addictions, Trauma and abuse Languages: English
View listingMalak Alsaidi, LCSW
Ref 203999
Supportive New York LCSW focused on healing
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingSorinthia Varnell, LPC
Ref 314722
Practical support for life changes and identity
Works with: Stress, Anxiety, Family, Grief Languages: English
View listingBianca Righetti, BACP
Ref 220095
Practical support for stress, anxiety and life change
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingBrittany Elledge, LPCC, LMHC
Ref 11729
Practical, client-centered support for life changes
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingEmma Skoglund, LCSW
Ref 342061
Evidence-based guidance for relationships and trauma
Works with: Relationship, Trauma and abuse, Self esteem Languages: English
View listingDebbie Griffin, NCPS
Ref 183398
Calm guidance for stress and life change
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingKatelyn McCrady, LPC
Ref 345230
Calm, practical counseling for life changes
Works with: Stress, Anxiety, Self esteem, Career Languages: English
View listingShannon Mott, LCSW
Ref 108724
Compassionate, practical therapy for life transitions
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingJessica Sullivan, BACP
Ref 94142
Compassionate counsellor focused on practical change
Works with: Relationship, Family, Trauma and abuse Languages: English
View listingShawn Alyea, LPC
Ref 14872
Compassionate counselor guiding practical change
Works with: Stress, Anxiety, Grief, Intimacy-related issues Languages: English
View listingClaire Lewis, BACP
Ref 287880
Supportive person-centred counselling
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingAnnie Taylor, NCPS
Ref 153305
Experienced client-centred counsellor
Works with: Stress, Anxiety, Trauma and abuse, Anger Languages: English
View listingAnna Gilmore, BACP
Ref 109642
Compassionate counsellor for complex life challenges
Works with: Trauma and abuse, Grief, Eating Languages: English
View listingKeith Chilton, LMFT
Ref 106189
Experienced marriage and family therapist
Works with: Stress, Anxiety, Addictions, Relationship Languages: English
View listingMarilee Frazier, LPC
Ref 257654
Compassionate counselor for adults seeking practical change
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English
View listingJill Malcolm, BACP
Ref 231136
Gentle practical support for everyday struggles
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingJennifer Mcpherson (Norman), BACP
Ref 161239
Experienced relationship and trauma counsellor
Works with: Relationship, Family, Trauma and abuse Languages: English
View listingMatt Lightfoot, NCPS
Ref 193161
Person-centred counsellor who values meaning and choice
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingMark McConnell, BACP
Ref 208651
Practical support for stress and change
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English
View listingDale Thompson, LCSW, CSW
Ref 341301
Practical, experienced help for stress and trauma
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English
View listingDarla McAdams, LPC
Ref 58935
Practical, person-focused counseling in Missouri
Works with: Stress, Anxiety, Addictions, LGBT Languages: English
View listingSuzanne Gregory, BACP
Ref 161266
Experienced UK counsellor focused on practical support
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English
View listingFaith Beaulieu, LCMHC
Ref 23986
Somatic-minded counselor for focused change
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingFarah Southwell, LPC
Ref 203059
Practical, experienced therapist for life’s hard moments
Works with: Stress, Anxiety, Relationship, Family Languages: English, Haitian Creole
View listingApril Vandiver, LPC
Ref 229121
Compassionate counselor helping people move forward
Works with: Stress, Anxiety, Relationship, Parenting Languages: English
View listingSally Smith, LPC
Ref 338970
Practical therapy for stress and relationships
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingStacey Sugar, MD, LCPC, LPCC
Ref 2629
Relationship-focused therapist who values authentic change
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingRutanya Simon, LICSW, LCSW
Ref 124510
Practical, compassionate therapy for real-life challenges
Works with: Stress, Anxiety, Addictions, Family Languages: English
View listingHarjit Kundi, BACP
Ref 183353
Practical, compassionate support for complex issues
Works with: Stress, Anxiety, Addictions, LGBT Languages: English, Punjabi
View listingKerrie McCabe, BACP
Ref 128546
Compassionate counsellor blending listening with practical tools
Works with: Stress, Anxiety, Addictions, Self esteem Languages: English
View listingStella Sacarello, BACP
Ref 261216
Person-centred counsellor for life transitions
Works with: Stress, Anxiety, LGBT, Grief Languages: English
View listingEmma-Louise Simpson, BACP
Ref 262671
Calm, person-centred counselling for everyday struggles
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingJosephine Sultana, AASW
Ref 309775
Compassionate social worker blending therapy and lifestyle care
Works with: Stress, Anxiety, Relationship, Sleeping Languages: English
View listingLoire Bennett, LMHC
Ref 25344
Experienced Florida LMHC focused on practical growth
Works with: Stress, Anxiety, Addictions, Grief Languages: English
View listingTracie McFerran, BACP
Ref 203104
Practical support for common life stresses
Works with: Stress, Anxiety, Parenting, Self esteem Languages: English
View listingSidonia Stiles, BACP
Ref 101572
Experienced counsellor for relationships and grief
Works with: Stress, Anxiety, Relationship, Grief Languages: English, Portuguese
View listingLouise Wood, BACP
Ref 128568
Support to manage stress, trauma and change
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingJulie Golding, BACP
Ref 269912
Calm, practical support for stress and life change
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingDr. Tyler Clarke, HCPC, BACP
Ref 235544
Help for anxiety, trauma and life change
Works with: Stress, Anxiety, Addictions, LGBT Languages: English
View listingDorcas Upshall, BACP
Ref 236086
Supportive counsellor for stress and relationship concerns
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingMore about sexuality
Understanding Sexuality and How It Can Affect You
Sexuality touches many parts of life - how you relate to your body, how you express desire, how you form intimate connections, and how you make sense of attraction and identity. For some people sexuality is a source of pleasure and connection. For others it is an area of confusion, frustration, or distress. Experiences can shift across the lifespan as relationships, health, culture and personal values change. You might find yourself questioning orientation, feeling mismatched with a partner, managing changes in desire, or coping with the emotional impact of a sexual incident. All of these are part of the human experience and can be addressed thoughtfully with a therapist who focuses on sexuality and relational health.
Sexuality is influenced by psychological factors, interpersonal dynamics, social messages and sometimes medical conditions. You do not need a medical label to seek support; often talking through patterns, expectations and emotions can help you make practical changes that feel meaningful. Therapy can also be a place to explore identity, boundaries and consent in a way that honors your values and helps you build healthier connections.
Signs You Might Benefit from Therapy for Sexuality
You might consider therapy if sexual concerns are affecting your mood, relationships or daily life. Common signs include persistent anxiety around sexual activity, a mismatch in desire with a partner that leaves you feeling disconnected, difficulty enjoying intimacy, distress about sexual identity or orientation, or recurring patterns that lead to shame or avoidance. Problems may show up as changes in arousal, difficulty with communication about sex, or feeling stuck after a sexual experience that felt violating or confusing.
If intimacy conversations lead to frequent conflict, or if you notice that sexual issues are influencing your self-esteem, work, or friendships, you may find it useful to create a space to explore those dynamics. Therapy can also help when you are negotiating nontraditional relationship structures, navigating kink or consensual erotic practices, or adjusting to life changes such as aging, illness or postpartum shifts. Seeking help does not mean something is wrong with you - it means you want guided support to understand and change patterns that matter to you.
What to Expect in Sessions Focused on Sexuality
When you begin therapy for sexuality-related concerns, expect an initial conversation about your goals, history and what you hope to change. Therapists often ask about relationship context, sexual history, medical factors that could affect sexual functioning, and the emotional reactions tied to sexual experiences. This intake phase helps create a roadmap for sessions and clarifies what matters most to you. Sessions are typically collaborative - you and your therapist will identify priorities and work toward concrete, realistic steps.
Therapy may include learning communication skills for discussing needs and boundaries, practicing mindfulness or body-awareness exercises to reduce anxiety, and exploring beliefs or narratives that shape your sexual expression. You might work on skills to regulate arousal or anxiety, or on reframing shame-based thoughts. For couples, sessions often focus on conversation patterns, mutual desire, and rediscovering intimacy in ways that feel authentic. Progress can look different depending on your goals - sometimes it is about symptom relief, and sometimes it is about deepening self-understanding and changing relational patterns.
Common Therapeutic Approaches Used for Sexuality
Therapists use a variety of approaches when working with sexuality, and different approaches suit different people and concerns. Some therapists integrate cognitive-behavioral techniques to address anxiety or unhelpful beliefs about sex, using behavioral experiments and skill-building exercises. Others draw on psychodynamic ideas to explore how early relationships and internalized messages influence current intimacy patterns. There are therapists who emphasize sensate focus and structural exercises to rebuild erotic connection within relationships, and there are those who incorporate mindfulness-based strategies to help you stay present with bodily sensations without judgment.
When you review therapist profiles, you may see different modalities listed. For example, some therapists list EMDR among their approaches and may use it when trauma is a relevant factor. Others list somatic or body-centered work to support regulation and embodiment. Sex-positive therapies aim to reduce shame and support consensual, pleasurable experiences while addressing safety and boundaries. It is common for therapists to blend several techniques to match your needs. Keep in mind that a listed approach reflects what a therapist says they use, and you can ask about how they apply those methods to issues like yours during a consultation conversation.
How Online Therapy Works for Sexuality and Practical Considerations
What online sessions feel like
Online therapy lets you meet with a therapist by video or sometimes by phone, and many people find it convenient for maintaining continuity of care. For sexuality work, online sessions can provide a comfortable setting where you feel at ease talking about personal topics from your own home. Some people appreciate the anonymity that comes from being in a familiar environment, while others may prefer the focus of an in-person setting. You may begin with an intake session over video to map goals and then continue with regular sessions that include discussion, skill practice and guided exercises.
Practicalities and boundaries
Before starting online therapy, consider how you will create a reliable space for conversations - a place where you can speak openly without being overheard and where you can attend to body-based exercises if needed. You may need to plan for privacy, choose a stable internet connection, and decide whether you prefer headphones for audio clarity. Some therapeutic activities involve guided breathing, grounding techniques or homework to practice between sessions. Online work can accommodate these elements, though the exact nature of exercises will depend on your comfort and the therapist's approach.
Tips for Choosing the Right Therapist for Sexuality
Selecting a therapist is a personal decision and it helps to approach it with clarity about what you want to address. Start by identifying your primary goals - whether that is improving communication with a partner, exploring sexual identity, working through low desire, addressing the aftermath of a sexual experience, or learning to enjoy intimacy more fully. Look for profiles that mention relevant focus areas and languages you prefer. Read descriptions to see how therapists frame their work and what kind of clients they describe working with, paying attention to statements about approach rather than claims about credentials alone.
Consider practical elements such as whether you want someone who works with individuals, couples, or both, and whether you prefer therapists who list certain approaches among their methods. If trauma is a factor, look for a therapist who discusses trauma-informed care and how they collaborate with medical providers if a physical issue may be influencing sexual functioning. When you contact a therapist for an initial conversation, you can ask about their experience with issues like yours, how they structure sessions, and what a typical course of therapy might involve. Trust your comfort level and give yourself permission to try a different therapist if the fit does not feel right - the therapeutic relationship is central to making progress.
Ultimately, therapy for sexuality is about creating a space where you can explore your desires, boundaries and relationships with clarity and compassion. Whether you are seeking relief from distress, practical strategies to improve intimacy, or deeper understanding of your sexual identity, informed and collaborative therapeutic work can help you move toward goals that matter to you. Use the listings above to read therapist profiles, note approaches and areas of focus, and reach out to professionals whose descriptions resonate with your needs.