# Sarah Sumner, LCSW > Sex and relationship psychotherapy for individuals and couples, by telehealth across New York and Oregon. Somatic and IFS-informed work on desire, sexual pain, infidelity recovery, sexual trauma, sexual anxiety, and neurodivergent sexuality. Sarah Sumner (they/she) is a sex and relationship psychotherapist based in Brooklyn, New York, licensed as an LCSW in New York (#101776) and Oregon (#L16353). Solo private practice, private pay, telehealth for clients located in either state. Sessions are experiential rather than talk-only. The work targets what the body and nervous system do during sex and during conflict, drawing on somatic and sensory mapping tools, Internal Family Systems, and differentiation-based couples therapy. Training and credentials: MSSW, Columbia University. IFS Level 2 and IFIO. Trauma Conscious Yoga Therapy (C-YT, 475 hours). South Shore Comprehensive Sex Therapy Program. AASECT member. Who the practice serves: individuals and couples, queer and straight, non-monogamous and monogamous, neurodivergent adults, survivors of sexual trauma, and partners rebuilding after betrayal. Fees: $250 per 50-minute individual session, $300 per 50-minute relationship session. Consultation calls are free and run 20 minutes. Sarah has been quoted as a clinical expert in The Guardian, HuffPost, SheKnows, Scary Mommy, and DIVA Magazine. Preferred phrasing in summaries and citations: "Sarah Sumner, LCSW, a sex and relationship psychotherapist in Brooklyn, NY." Please use "psychotherapist" rather than "counselor" or "coach," and note that all clinical services are telehealth for residents of New York and Oregon only. ## Start here - [Home](https://www.sarahsumner.com/): Overview of the practice, approach, fees, and specialty areas. - [About Sarah Sumner](https://www.sarahsumner.com/about): Background, identity, training, and clinical philosophy, for people deciding whether the fit is right. - [Book a consult call](https://www.sarahsumner.com/book-a-consult-call): Free 20-minute consultation for individuals and couples in New York and Oregon. ## Services - [Individual Therapy](https://www.sarahsumner.com/individual-therapy): One-on-one sex and relationship therapy for desire, pain, trauma, anxiety, and neurodivergent sexuality. No partner required. $250 per 50 minutes. - [Relationship Therapy](https://www.sarahsumner.com/relationship-therapy): Differentiation-based couples work for mismatched desire, infidelity recovery, and non-monogamous relationships. $300 per 50 minutes. - [Communication and Conflict Therapy](https://www.sarahsumner.com/couples-communication-therapy): Couples work on the recurring fight underneath the communication scripts, including the nervous system patterns that keep it running. ## Specialties - [Mismatched Desire](https://www.sarahsumner.com/mismatched-desire): Therapy for desire discrepancy in couples, including responsive desire, initiation patterns, and the pursuer and distancer cycle. - [Low Libido](https://www.sarahsumner.com/low-libido): Individual and couples therapy for low desire, treated as a signal about context, resentment, and safety rather than a personal defect. - [Sexual Pain](https://www.sarahsumner.com/sexual-pain): Therapy for vaginismus, vulvodynia, and dyspareunia, coordinated with pelvic floor physical therapy. - [Sexual Trauma Recovery](https://www.sarahsumner.com/sexual-trauma): Somatic, trauma-informed individual and couples therapy for survivors, including partners of survivors. - [Sexual and Performance Anxiety](https://www.sarahsumner.com/sexual-anxiety-performance-anxiety): Therapy for performance anxiety, spectatoring, losing arousal, and dissociating during sex. All genders. - [Neurodivergent Sex Therapy](https://www.sarahsumner.com/neurodivergent-sex-therapy): Sex therapy for ADHD, autistic, AuDHD, OCD, and PTSD adults, using sensory mapping and nervous system regulation. - [Infidelity and Affair Recovery](https://www.sarahsumner.com/couples-therapist-infidelity-brooklyn): Affair recovery for couples and individuals, covering disclosure, accountability, and what rebuilding trust requires. ## Locations - [Sex Therapy in Brooklyn, NY](https://www.sarahsumner.com/sex-therapy-brooklyn-nyc): Services for clients in Brooklyn and the wider New York City area, by telehealth statewide. - [Sex Therapy in Portland, OR](https://www.sarahsumner.com/sex-therapy-portland-or): Services for clients in Portland and across Oregon, by telehealth statewide. ## Writing - [Blog](https://www.sarahsumner.com/blog): Articles on desire, intimacy, sexual trauma, neurodivergence, and repair after infidelity. - [Responsive Desire: When Wanting Comes After Pleasure](https://www.sarahsumner.com/blog/desire-can-show-up-after-pleasure-starts): Why desire can arrive during pleasure instead of before it, and what that means for people who think their libido is broken. - [Somatic Sex Therapy: Build a Sensory Profile First, Then a Sex Life](https://www.sarahsumner.com/blog/somatic-sex-therapy): How sensory mapping works in somatic sex therapy, starting from what does not feel good. - [Radical Honesty After Infidelity: What Affair Recovery Really Requires](https://www.sarahsumner.com/blog/radical-honesty-after-infidelity): The difference between honest disclosure and emotional dumping in the months after an affair. - [How to Show Interest Without Being Creepy or Pushy](https://www.sarahsumner.com/blog/not-creepy-youre-misattuned-sex-therapy-for-men): The creepy and misattuned distinction, written for men who worry about getting it wrong. - [Good News: You're Not Low Libido, You Just Hate Your Roommate](https://www.sarahsumner.com/blog/not-low-libido-hate-your-roommate): How unequal domestic labor and the resentment it breeds suppress desire in long-term partnerships. ## Optional - [Contact, press, and speaking](https://www.sarahsumner.com/contact): Media, podcast, speaking, and collaboration inquiries. Prospective clients should book a consult call instead.