Online Sex Therapy & Couples Counseling in Pennsylvania.

 Feeling like roommates instead of partners? Couples therapy can change that. Improve your relationship with yourself, your partner, and your sexuality.

Finding a sex therapist in Pennsylvania who is both AASECT certified and experienced in couples therapy can feel overwhelming. I'm Dr. Anna Smith, a Licensed Psychologist and AASECT Certified Sex Therapist offering online sessions to clients throughout Pennsylvania — including Philadelphia, Pittsburgh, Lancaster, Harrisburg, Allentown, and beyond — via secure, HIPAA-compliant telehealth.

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.

Minimalist line drawing of a couple embracing, with one person’s hand on the other's lower back and the other on their thigh, and their bodies close together.

Services available in Pennysylvania

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 Pennsylvania.

Frequently asked questions

Q: Do you offer in-person sessions in Pennsylvania?

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: Are you licensed to see clients in this state?

A: Yes — I hold licensure to practice in Pennsylvania through PsyPact, which allows me to provide psychology services across participating states via telehealth.

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.

Whether you're recovering from betrayal, navigating a sexless marriage, or simply feeling stuck, couples therapy creates space to slow down, understand what's happening beneath the surface, and build a stronger foundation for your relationship. Couples therapy isn't about assigning blame—it's about learning how to communicate differently, respond with intention, and rebuild a partnership that feels secure, connected, and resilient.

Through our work together, we’ll set the foundation for connection and growth for each person in the relationship and the relationship as a whole.