Online Sex Therapy & Couples Counseling in New York.
Feeling like roommates instead of partners? Couples therapy can change that. Improve your relationship with yourself, your partner, and your sexuality.
New York has no shortage of therapists — but finding a therapist who is AASECT Certified in Sex Therapy and deeply specialized in couples and intimacy work is a different matter. I'm Dr. Anna Smith, a Licensed Psychologist and AASECT Certified Sex Therapist offering online sessions to clients across New York, including New York City, Brooklyn, Manhattan, Queens, Buffalo, Albany, and Rochester.
All sessions are conducted via secure, HIPAA-compliant telehealth — meaning you can access specialized, expert-level sex and couples therapy from anywhere in the state, on a schedule that works for you.
From emotional disconnect, desire discrepancy or sexual dysfunction, to communication breakdowns, trust issues, or life transitions, and the stuff that’s hard to talk about with a therapist who doesn’t get it. You’ve come to the right place.
Services available in New York
What I offer:
Online sex therapy for individuals and couples
Online couples therapy using Emotionally Focused Therapy (EFT)
Individual therapy for relationship patterns, identity, and intimacy
Therapy intensives for concentrated, accelerated progress
Kink-affirming, trans-affirming, and ENM-affirming care
Why telehealth works:
Sessions from the privacy and comfort of your own home
No commute, no waiting rooms, no logistical barriers
Same quality of care — research confirms telehealth therapy is as effective as in-person
HIPAA-compliant, fully secure video platform
Flexible scheduling to fit your life
Who I work with:
Individuals exploring sexuality, identity, desire, or relational patterns
Couples dealing with conflict, distance, or sexual disconnection
People processing sexual trauma or harmful messages about sex
Those in non-traditional relationship structures (ENM, polyamory, kink)
Trans and non-binary individuals seeking affirming, specialized care
How to get started
Your first step is a free 20-minute phone or video consultation. We'll talk about what's bringing you in, answer any questions you have, and make sure we're a good fit before you commit to anything. I currently have availability for new clients in New York.
Frequently asked questions
Q: Do you offer in-person sessions in New York?
A: All sessions are online via telehealth. This makes specialized care accessible statewide — without the cost, commute, or logistical complexity of in-person therapy.
Q: Do you take insurance?
A: I am an out-of-network provider. Many clients use their out-of-network benefits or FSA/HSA accounts. I provide superbills for insurance reimbursement upon request.
Q: What are your fees?
A: My fees for a 90-minute couple’s intake are $360, a 55-minute individual intake is $225, and all subsequent sessions (couples OR individual) are $225.
Q: Are you licensed to see clients in this state?
A: Yes. I hold licensure to practice in both New York and North Carolina.
Q: How long does therapy take?
A: Many clients experience meaningful shifts within 6–10 sessions. Others prefer longer-term work or even intensives. You're always in control of the pace and duration of our work together.