Sexual Health Consultation

Desire, function, and erotic change are not only medical questions. They are often relational, psychological, cultural, and embodied.

Expert Guidance for Sexual Health Questions

Some people come once with a specific question. Others find this is the beginning of a longer conversation. Both are welcome.

Sexual health consultations are short-term, focused sessions — 30 to 40 minutes — designed for people who have specific questions about desire, arousal, sexual pain, hormonal changes, medication effects, or erotic wellness, and who want a knowledgeable, shame-free space to explore them.

Sexual Health Consultations are not therapy. They are an opportunity for expert guidance from a certified sex therapist who understands the psychological, relational, and erotic dimensions of sexual health — the parts that don't show up in lab results and don't fit into a fifteen-minute medical appointment.

Whereas Sex therapy is available to clients in California, where appropriate, Sexual health coaching and consultation is available nationally and internationally.

HSA and FSA cards are accepted across all services. California-based therapy clients may request a superbill — a detailed receipt you can submit to your insurance company for potential reimbursement through your out-of-network mental health benefits.

Sexual health consultations are available at $95 per session or $270 for a package of three.

Click Here to Schedule An Appointment

For Medical Providers: A Trusted Referral Resource

If you work with patients navigating sexual health concerns that fall outside your scope of practice — desire changes, arousal, sexual pain, medication effects, hormonal transitions, erotic grief, or the psychological dimensions of gynecological or urological conditions — I offer a discreet, professional referral pathway.

I am a Licensed Marriage and Family Therapist and Certified Sex Therapist, and AASECT member, based in Arcata, CA, with nearly a decade of clinical experience and ongoing coursework through the International Society for Sexual Medicine (ISSM), and continued AASECT CST supervision. I work collaboratively with medical providers and can communicate with your team when appropriate and with client consent.

To discuss a referral or learn more about how we might work together, schedule a consultationor email me to reach out directly.

Reach Out Directly

Frequently Asked Questions

Desire changes after starting a new medication. Arousal concerns after a hormonal shift. Sexual pain that has a medical explanation but no emotional support around it. Questions about pleasure, fantasy, or erotic identity that felt too specific for a doctor's office. Anything in the territory of sexuality and the body that needs a knowledgeable, unhurried conversation.
No. You can reach out directly. Referrals from medical providers are welcome but not required.
Yes. HSA and FSA cards are accepted for all services. If you are a California-based therapy client and would like a superbill for potential out-of-network insurance reimbursement, just ask — I provide them as a matter of course.
Yes. Medication-related sexual effects are among the most underaddressed concerns in mental health. Therapy can help you understand what's changed, explore options including conversations with your prescriber, and develop a realistic relationship with your current erotic experience.
Yes. Hormonal transitions affect erotic experience in ways that medicine often underexplains and therapy rarely addresses directly. I work with this territory with specificity.
Yes. Psychedelic integration — particularly experiences that touched sexuality, spirituality, or erotic identity — is a specific area of this practice, informed by my advisory role with the NOWAK Society.
Yes. Hormone therapy affects the body in ways that extend well beyond the physical — desire, arousal, sensation, erotic identity, and the relationship to one's own body can all shift significantly during and after transition. These changes can go unaddressed in medical appointments. I have the training to hold them with specificity, including mindful and consensual use of diagnostic language in a shifting political landscape.
Often, yes — though what that means depends on what is actually happening. Desire shifts have many causes: relational, physiological, psychological, contextual. We would start by understanding the landscape.
Yes. Sexual health consultations are available by telehealth to clients outside California.