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Sex & Relationship Therapy

Very few of us were given the tools and affirmation needed to navigate sex, identity, and relationships, despite these things being a fundamental part of our humanity. I am a sex & relationship therapist passionate about reducing sexual shame, fostering a lens of curiosity and self-acceptance in sexuality, building a sense of playfulness and confidence, developing a personal acumen of sexual values, and unlearning messages of sex-negative cultures.

I approach therapy from a relational, psychodynamic perspective, which means seeking to understand patterns that shape emotions, thoughts, and behavior and how these things have been influenced by our history, culture, and experiences.

I am a queer and trans-identified therapist licensed in Ohio, Wisconsin, Iowa, & California and am trained by the Sexual Health Alliance.

  • See “Areas of Focus” page for information on my work and common issues that bring someone to therapy.

  • See the “Sex Therapy FAQs” page for more information about sex therapy.

  • I work with individuals age 18+ on an individual and/or couples/relationship basis.

  • Therapy is typically conducted in weekly, 50-minute sessions.

  • My standard rate is $150 per 50-minute session, though I utilize a sliding scale between $100 and $150 on an as-needed basis. (I am very informal about the sliding scale - there is no application or verification process. If $100 or $120 or $140 makes therapy more accessible for you, I take your word for it.)

  • I maintain a small number of low-fee slots for those who cannot access therapy within that fee range.

  • I offer longer sessions on as-needed or by-request basis. These are typically 75 or 90 minutes long, at $225 or $270 respectively.

  • I am not an in-network insurance provider, but can provide documentation for insurance reimbursement as an out-of-network provider.

  • I am licensed to work with residents of California, Ohio, Iowa, and Wisconsin.

  • My current standard hours for scheduling sessions are between 9am-4pm CT (7am-2pm PT / 10am-5pm ET), Monday through Thursday. I reserve Fridays for make-up sessions and consultations.

  • I will consider scheduling recurring sessions during non-standard hours on a case by case basis at a higher fee rate.

  • If you are interested in therapy, the first step is a free, 15 minute (individuals) or 30 minute (couples/relationships) consultation appointment. You can schedule an appointment online by clicking the “Contact” button below.

Sex-positive

LGBTQ+ affirming

Kink/fetish-positive

Sex work-positive

Non-monogamy/polyamory-positive

Body-positive

Sexual exploration is a lifelong journey; embrace the unknown and approach it with a sense of adventure and curiosity.
— Emily Nagowski, Ph.D.