Online sex therapy with an AASECT Certified Sex Therapist.

Sex is one of the most intimate and vulnerable parts of being human — and one of the least talked about, even in therapy. If you've ever felt like your concerns about desire, pleasure, or intimacy were too embarrassing, too complicated, or "not serious enough" to bring to a therapist, I want you to know: you're in exactly the right place.

I'm Dr. Anna Smith, a Licensed Psychologist and AASECT Certified Sex Therapist. AASECT certification means I've completed specialized training, supervision, and continuing education specifically in human sexuality — not just general therapy. I work with individuals and couples across a wide range of sexual concerns, identities, body types, and relationship structures, entirely via secure telehealth.

Sex is a real part of who you are and it deserves real attention that honors and includes. I work with people across identities, body types, and relationship structures to help you actually enjoy your sex life, not just talk around it.

What we could work on together:

Sex therapy is talk therapy— there is no physical touching or nudity in our sessions. I get to know you and your struggle and help you move through it at a pace that feels right for you. Here’s a closer look at what we can address and work on:

• Low Libido: Lost interest in sex? There’s usually a reason, and it’s usually fixable.

• Performance Anxiety: When you’re stuck in your head during sex, I help you get out of it.

• Orgasm Difficulties: Trouble with orgasm — whether it’s too fast, too slow, or not happening — is more common than you’d think.

• Mismatched Desires: When you and your partner want different things sexually, I can help you talk about it honestly.

• Affirming Sexual Interests: Your desires are yours. I’ll help you get comfortable with them.

• Painful Intercourse: Pain during sex is common and treatable (whether from vaginismus, vulvodynia, penetration anxiety, or other causes). Let’s figure out what’s going on.

• Trauma & Abuse Recovery: Past experiences can show up in the bedroom. We work through that at your pace.

• Kink, BDSM, and non-tradition sexuality: Your interests are yours, talk with a therapist who won’t pathologize what you’re into.

• Gender and Trans-Affirming Care: Gender & sexuality are deeply intertwined; I provide support for all those exploring their sexuality identity at any stage of the journey.
  

How Sex Therapy Works:

Many people imagine sex therapy involves awkward homework assignments or being told what to do. It doesn't. Sex therapy is first and foremost therapy — we talk. We explore your history, your relationships, your body, and your desires. We look at what gets in the way of the sex life you want and start building something better.

Our sessions are 55 minutes for individuals or 90 minutes for couples, held via secure video. Most clients start noticing real shifts within 6–8 sessions, though the pace is always yours to set.

Sex therapy works because it gives you a place to be honest about what’s not working. Maybe it’s shame you’ve carried for years. Maybe it’s anxiety that shows up every time things get intimate. Maybe your relationship has hit a wall and you don’t know how to talk about sex anymore. Whatever it is, I’ve heard it before, and I can help you move through it.

Is sex therapy right for you?

Sex therapy is a great fit if you:

• Have concerns about desire, arousal, orgasm, or pain that aren't being addressed elsewhere

• Feel shame or anxiety around sexuality that impacts your self-esteem or relationships

• Are navigating sexual identity, orientation, or gender questions

• Want to improve intimacy and connection with a partner

• Are processing individual difficulties like past sexual trauma or harmful messages about sex

• Simply want a more satisfying, authentic, and pleasurable sex life

Your first step is a free 20-minute consultation — no pressure, no commitment, just a conversation to make sure we're a good fit. I'd love to meet you.

I get it, I know how anxious you might feel talking about this intimate subject with a near-stranger. Even though it might not be easy to talk about this stuff, please know that concerns about sex are common, and it’s great that you are considering addressing them! It’s okay if you don’t have it figured out. We can figure it out together, and my hope is to help you create pleasurable, satisfying, and authentic sexual experiences that leave you feeling good about yourself and your relationship(s).

You deserve to enjoy your sex life and it’s okay to ask for help in getting there!