Services

Sex therapy in San Francisco

Maybe you want sex more, or far less, than your partner. Maybe your body doesn’t respond the way it used to, or you carry quiet shame around what actually turns you on.

Sex is rarely just about mechanics. It is bound up with how you attach, how you protect yourself, and how safe you feel being seen. Often, the struggle isn’t physical at all—it’s the exhaustion of being stuck in your head, constantly monitoring your performance or bracing for disappointment instead of actually feeling pleasure.

I provide a grounded, sex-positive, and kink-affirming space where desire is treated as a vital part of who you are, rather than an isolated problem to fix. We look closely at desire discrepancies, fading intimacy, consensual non-monogamy, and rebuilding after infidelity or broken agreements. I also work with performance anxiety, changes in physical arousal, BDSM and power dynamics, and sexual behaviors that feel compulsive or out of control.

When sexual habits feel overwhelming or distressing, the goal isn’t to judge or moralize; it’s to understand how sex has become a way to self-soothe stress, loneliness, or pressure, so you can build a relationship to pleasure that actually feels sustainable.

Here, you can speak candidly about what you want, what you fear, and what feels complicated, without having to filter yourself.