Sex Therapist in Madison, WI

There are many reasons people come to me. Maybe there’s a libido gap between you and your partner. Maybe you used to have more and better sex and then something happened. Maybe you and your partner are considering non-monogamy and want a trusted guide to help you get there. Maybe you’ve gone through a significant change like having a baby or processing illness or grief and need help reconnecting to yourself or your partner. Maybe you’re experiencing performance anxiety and want to overcome it.

I believe that being in touch with your sexuality is key to your overall mental health and well-being. I love talking about sex so much that my entire Substack is about sex!

Whatever brought you to my site, I’m glad you’re here. I’ve helped people in your shoes before. You’re in the right place.

What we actually work on

What sex therapy can help with

I’m certified in sex therapy through the California Institute of Integral Studies (CIIS), and this is the part of my practice where the clinical training meets zero judgment and a lot of directness. Some of what shows up in this work:

Desire discrepancy. One of you wants it more than the other. This is one of the most common reasons couples end up in my office, and it is very treatable.

Painful sex. If sex hurts, that is not something to white knuckle through. We work on this with real clinical tools, not vague reassurance. I also coordinate care with other providers, as appropriate.

Erectile dysfunction. Including working with the anxiety loop that is frequently part of ED.

Performance anxiety. Making you the best at sex that you can be… and lessening the pressure that you are putting yourself under.

Difficulty orgasming. I help you understand what may be coming up for you emotionally and physically when it comes to orgasm. I also help you define sex in a way that is satisfying to you.

ENM and open relationships. I work with folks navigating ethical non-monogamy without trying to talk you out of your relationship structure.

Postpartum intimacy. Your body did something enormous. Your desire doesn’t just snap back because the pediatrician cleared you for exercise.

ADHD and desire. Executive function and arousal are more connected than most people realize, and most sex therapists never ask about it. More on ADHD.

Asexuality and the ace spectrum. You deserve a therapist who knows the difference between low desire and asexuality, and won’t pathologize either one.

Sexual trauma. I was a trauma therapist first and then a sex therapist. I work with sexual trauma of many kinds, on many levels, including through somatic therapy.

Shame. The quiet undercurrent beneath almost everything on this list. We name it so it loses its grip.

Sex therapy for individuals and couples

Sex is never just about sex

It’s about safety, resentment, exhaustion, old stories about your body or what sex “should” be, unspoken expectations, and a hundred small moments where you didn’t feel like you could say the true thing. Sex therapy is where we untangle that, with actual clinical structure behind it, not just a box of tissues and vibes.

I believe in the work I do and, transparently, charge a premium as a result. Therapy is an investment. It is also, reliably, a fraction of the cost of a breakup or a divorce, financially, emotionally, and in the sheer number of hours you’ll spend rebuilding a life instead of repairing the one you already have.

You deserve to be happier. Your sexuality is a huge part of that.

Questions

Sex therapy questions answered

What happens in a sex therapy session?

Sex therapy is talk therapy. You stay fully clothed and there is never any physical contact. We talk about what’s going on, what you want instead, and how to get there. There’s nothing you can say that will shock me.

Do I need to bring my partner?

No. I work with individuals and with couples. Plenty of people start on their own, and some bring a partner in later.

Do you offer sex therapy online?

Yes. I see clients in person in Madison, WI, and online anywhere in Wisconsin, California and Colorado.

How do I get started?

Book a free consultation. We’ll talk for 15 minutes so you can tell me what brings you in and we can see if we’re a good fit.

Sex therapy in Madison, WI