Is this sex therapy? What does that mean?

Sex therapy is talk therapy that specifically addresses sexual concerns—desire, arousal, pain, shame, disconnection. We don't do anything physical in session. I'm trained in somatic and nervous system-based approaches, which means we pay attention to what's happening in your body, but everything stays within the bounds of a normal therapy session. Think of it as therapy that doesn't skip over the sexual stuff.

Do you work with individuals or just couples?

Both. Some people come in on their own to work on their relationship to their body, desire, or sexuality. Some come as a couple. And sometimes we start with one and add the other later. It depends on what makes sense for where you are.

How is your approach different from traditional therapy?

Most of my clients have already done therapy. They can name their patterns, explain where they come from. What hasn't shifted is the body-level stuff—the freeze, the shutdown, the performance mode that kicks in during intimacy. I work with your nervous system and protective parts in real time, not just the story about them. If you've been stuck in insight without change, that's what I'm here for.

Do you accept insurance?

I'm private pay. I don't accept insurance because insurance companies get to define what counts as a diagnosable sexual concern, and I disagree with most of their definitions. I can provide superbills for out-of-network reimbursement—many clients get a portion back.

I'm not sure which service I need.

That's what the consult is for. Book a free 20-minute call and we'll figure out together whether individual, couples, or sex therapy (or some combination) makes sense for what you're dealing with.

you want relationships that feel authentic and alive,

not just functional.

SEX & RELATIONSHIP

THERAPY

in Brooklyn, NY
& Portland, OR

BOOK A CONSULTATION

You’re probably here because…

Close-up of broad, long green and beige variegated leaves of a houseplant in front of a translucent window with a metal grid.

You get why you shut down during sex, but your body still does it anyway
Communicating what you want feels selfish if it might impact your partner
Your sex life doesn't reflect who you are
You want deeper intimacy but something in you pulls back the moment you're really seen
You're rebuilding trust after a betrayal and need more than "just communicate better"
Sex is uncomfortable and you want more access to pleasure
You want a therapist who is anti-racist, non-pathologizing, actively engaged and won’t judge you for your choices
You've done therapy before. You're ready for something different.

Identities: mixed-race, Jewish, neurodivergent, & queer.

Hi, I’m Sarah.

pronouns: they/she

You can name the pattern, maybe explain where it comes from. And your body still does the thing. I help people move from insight into embodiment.

I'll notice when you start tracking your partner's reaction instead of staying connected to your own experience, and we'll slow it down. I'll ask what's happening in your body when you say "I'm fine." I'm direct, engaged, playful, and I'll hold you accountable to your values even when it's annoying. I value authenticity and transparency; when it comes to your care, you’ll know what I’m thinking and why.

I’m informed by both lived experience and clinical expertise. Trained in Internal Family Systems (IFS Level 2), sex therapy, somatic and nervous system-based approaches, and differentiation-based couples therapy. I am inspired by Esther Perel, David Schnarch, Terry Real, Emily Nagoski, art & poetry.

ABOUT SARAH

featured PRESS

THE DIFFERENCE

01 / EXPERIENTIAL

A typical session won’t only involve talking, but creating a somatic map of what we’re working on. That means we will be feeling, sensing, and noticing how those themes show up for you, so you can identify it throughout the week.
02/ MULTICULTURAL

Growing up outside American hyper-individualistic culture gives me a keen eye in noticing social scripts. I’ll help you make conscious choices based on the cultures you’re a part of and the ones you hope to create in your relationships.
03/ PRACTICAL

No worksheets or busy-work, but personalized practices that will help you actualize the changes you want to make. We’ll work together to make it as fun and applicable as possible.

FAQs

Sex therapy integrates sexual health with therapy to address sexual concerns, like intimacy, desire, arousal, pain, or shame. Everything stays within the bounds of a normal therapy session, so I don't touch or watch. Think of it as therapy that doesn't skip over the sexual stuff.
Both. Some people come in on their own to work on their relationship to their body, desire, or sexuality. Some come as a couple. It depends on what makes sense for where you are.
Most of my clients have already done therapy. They can name their patterns, explain where they come from. What hasn't shifted is the body-level stuff, like the freeze, shutdown, or performance mode that kicks in during intimacy. I work with your nervous system and protective parts in real time, not just the story about them.
I'm private pay only. I can provide superbills for out-of-network reimbursement. I can send you a list of questions to ask your insurance company to find out about your benefits. Many clients get a portion back.
That's what the consult is for. Book a free intro call and we'll figure out together whether individual or relationship therapy makes sense for what you're dealing with.
Individual therapy: $250 for 50 minutes
Relationship therapy: $300 for 50 minutes
Reduced rate available upon request
We’ll meet virtually via a HIPPA-secure video platform. If you’re local to NYC, in-person sessions are available coming soon.

For more info on LOCATION & services

Sex & Relationship Therapy NYC

Sex & Relationship Therapy PDX

Are you ready to grow?

Free 20-minute consult.

Let’s see if it’s a fit.

BOOK

Rates & Services

$250 50-min individual therapy

$300 50-min relationship Therapy

Longer sessions available by request for a pro-rated fee.

I hold a few reduced rate spots to increase access to care. Ask on our phone consult or make a note on your inquiry form to be put on the waitlist for one of these spots.