Therapy for Sex Workers, Adult Industry Professionals, their partners, and their clients

This practice has been in service to sex workers since it was founded

“Is it slow for everyone right now, or just me?”

Sound Familiar?

“How long can I actually be in this industry?”
“I wonder how long before my regulars notice I'm transitioning on HRT?”
“Why did that photo get denied? Again!?”
“My regular wants to know my real name, should I give him the first letter?”
“What do I do with this cash under the bed?”
“Is it safe to be intoxicated around this client?”
“Everybody else seems to be doing so well on X…meanwhile, I…”
“What happens if I tell the person I’m dating about my work?”
“How am I supposed to explain this “gap in my resume?”
“How do I keep my kids safe, and with me?”
Or maybe, it’s…
“Our plans got cancelled for her work…again. The phone is always on. How do I bring it up?”
“His client can afford front-row seats; I can't; why would he want to be with me?”
“We haven’t had sex much recently, how do I say I think their clients get the best of them?”

Or, perhaps…

“Does she really like me, or am I just a client?”

Different lives, same late-night questions: is this real, how much do I say, and what is it costing me?

* Crafts a reply to an entitled regular that's polite enough he'll never know how frustrated I actually am *

Sex work is work.

It is skilled labor with its own economics, culture, community, risks, and rewards. Workers in this varied industry navigate the intersections of money, sex, and power with a specificity and sophistication that deserves to be held and recognized.

Folks find me when work and personal life have gotten tangled, sometimes in ways that are hard to name. When dating as a worker gets complicated. When burnout arrives. When partners need support. When the labor itself — its boundaries, its meaning, its financial life — deserve witness and tending to.

If you work in the sex industries — full-service, webcam, adult content creation, stripping, adult film, fetish work, BDSM services, pro-domme work, or adjacent fields — you are welcome here as a professional whose work deserves the same thoughtful, discretionary support as any other skilled practitioner.

If you are a partner, spouse, or family member of someone in the sex industries navigating disclosure, family life, intimacy, or care — you are also welcome here.

Digital collage of various objects including banknotes, coins, a framed photo of leather handcuffs, red lipstick, a makeup brush, glittery high heel shoes, a webcam, and scattered dollar bills.

Best known for establishing the first private psychotherapy practice to explicitly center sex workers — 2016.

I Support:

Sex workers across all sectors and modalities
Partners and spouses navigating disclosure, jealousy, intimacy, and relational change
People entering or exiting sex work
Adult industry professionals managing burnout, labor identity, and professional sustainability
Power dynamics in professional BDSM
Navigating sex work alongside parenting, immigration, disability, or chronic illness
Relational structures shaped by the work — I support clients of sex workers, community organizers, and platform managers
Navigate compartmentalization, intimacy, and boundary maintenance
The physical and emotional cost of saying yes when the body says no
The financial complexity of sex work — rates, negotiation, financial identity, and money as power
Legal and privacy concerns intersecting with mental health, including the impacts of SESTA-FOSTA, the EARN it act, and shifting policy implications.

Sessions are confidential. I do not discuss your work or your life outside of sessions without your explicit consent.

I am a listed provider with Pineapple Support and a recognized allied professional within BAWS — Bay Area Workers Support. I am listed with KAP— Kink Aware Professionals.

Book a Consultation

Your Questions, Answered

No. I do not require exit-orientation, recovery framing, or any particular relationship to the work. If you are working and want support, I am here for you.
Yes. Partners navigating disclosure, jealousy, intimacy shifts, or the particular complexity of loving someone in the sex industries are welcome here — with or without their partner present.
Yes. Couples and constellations where one or more people work in the sex industries are a significant part of this practice. I understand the relational dynamics specific to this work — compartmentalization, intimacy, money, power, visibility — and I don't need them explained from scratch.
Yes. People navigating their relationship to purchasing sexual services — desire, disclosure, partnership, navigating finances, or the meaning you make of this part of your life are all welcome here.
Individual and couples therapy is available to people located in California. For sex workers outside California, coaching and consultation are available.
Yes, please inquire. A limited number of reduced-fee spaces are available.
Yes. OnlyFans creators, cam workers, and adult content producers navigating the specific labor, privacy, financial, and relational dimensions of that work are welcome here.
Yes. I am familiar with SESTA-FOSTA and its implications, the specific privacy concerns sex workers carry, and the ways criminalization and stigma shape mental health. You will not need to educate me on the basics.
Yes. The impact of that chapter doesn't end when the work does — the relationship to money, identity, disclosure, and intimacy it shaped often stays present long after. This work is just as relevant for integrating that history as it is for those currently active in the industry.
If you're asking this at 2am, you already know the hard part: there's often few to ask. In other industries there are water coolers and coworkers; in this one, the question tends to circle alone. I can't tell you what the market is doing in any given month — but I can tell you that this question is one of the most common things my clients carry, and it's rarely just about money. It's about working without a reference point, and what that isolation does over time. That's something we can actually work with.

**Past Groups — PROS and SQ*IRT**

“We cannot change the world alone. To heal ourselves, to restore the earth to life, to create the situations in which freedom can flourish, we must work together in groups.” - Starhawk

From 2021-2025 I ran two groups for people in the sex industries.

PROS group for adult industry professionals facilitated by Elliott Sequoia Endre LMFT CST

PROS flyer- 2021

“In other industries there are water coolers and company retreats. Much of the work we do is isolated.

PROS was built for that gap. A private, supportive, non-competitive virtual space for folks actively working in the various adult industries — to organize, process, and celebrate professional goals in a circle of peers who get it.

Encrypted. International. All genders welcome. Anonymous — no legal or work names used.”

PROS flyer- 2022

SQ*IRT was a California-based therapeutic support group for sex workers — a space for community healing with the guidance of a trained psychotherapist. Also small, also anonymous, also encrypted.

*Neither group is currently running. If you'd like to be notified if either returns, mention it when you reach out.*