Practice Areas

What is Sex Therapy

Sex therapy offers space for people to improve communication, heal from trauma, and cultivate intimacy. In our therapeutic work, we address the barriers you may be experiencing that prevent you from an active, fulfilling, and pleasurable sex life. Based in Seattle, our sex therapy offers you support to navigate sexual health concerns and relationship ruptures, all while enhancing intimacy, pleasure, and eroticism.

Within Sex Therapy We Offer:

Sex Therapy – In this work, we navigate self-awareness, encourage sexual agency, and explore sexual values. Sex Therapy can help heal pelvic floor pain (Vaginismus, Dyspareunia) erectile concerns, painful sex, kink/BDSM, gender identity and exploration, libido, sexual interest, arousal, and desire. 

Couples or Relationship Therapy – Relationships often lose their connection, intimacy, and eroticism. In couples therapy, we work with you to co-create the relationship you desire that may have been impacted by infidelity, trauma, and everyday life stressors. Reach out to us today and let us help you cultivate eroticism, desire, connection, pleasure, and play.

Individual Counseling – Our practice is client-centered. This makes individual therapy unique and shaped by your own personal goals. Our work focuses on current life stressors, sexual health concerns, emotion regulation, trauma processing, and healing.

Common Issues:

We help individuals, couples, and relational systems with a wide variety of issues, including:

● Sexual health (Vaginismus, erectile concerns, desire discrepancy, low libido, issues with erections and ejaculation, eroticism)

● Conflict and resentment

● Self-acceptance and esteem building

● Exploring sexual, relationship, and gender identity/orientation (LGBTQIA+ affirming)

● Kink and BDSM

● Trauma healing and processing 

● Infertility


What Is Marathon Therapy

Marathon Therapy is an innovative form of therapeutic care that originates from Systemic Marriage and Family Therapy. These intensives are an opportunity for individuals and relationships to experience a deep therapeutic dive into a specific issue. This model supports relational systems to achieve reoccurring-change that permeates your holistic health rather than focusing on the minutiae of everyday stressors.

Marathon Therapy sessions range from 3 to 5 hours.  

In some cases, an intensive/MT session might be only one 3 hour session; in other cases, clients may choose to schedule an intensive on a quarterly basis or a few times a year. We’ll work together to decide what you’d like to do in your complimentary phone consultation call. 

What are the benefits of Marathon Therapy?

There are numerous benefits to Marathon Therapy. MT offers an opportunity to consolidate your therapeutic work by gathering extensive information up front rather than across multiple sessions, which could take weeks/months. 

Should you decide to do MT co-therapy (with a therapist from the PNW Sex Therapy Collective and Mia), together we will develop a unique treatment plan specific to your goals. Follow-up MT sessions offer dedicated time to explore a specific issue impacting you. After the initial intensive, you may pursue ongoing therapy with the co-therapist and Mia will continue to offer you support as your therapist’s clinical supervisor. The Marathon Therapy model is the essence of collaborative, holistic, and systemic therapeutic care.

If you’re interested in joining the waitlist for an intensive, email or fill out the contact me form.

What is Couples Counseling

Whether you’re navigating a marriage or other intimate relationships, there will be storms to weather. When these storms become overwhelming, a helping hand can be a lifeline.

However, storms aren’t always necessary when seeking help. With or without struggle, therapy can nourish and maintain healthy, intimate, and loving relationships.

The couples counseling we offer in Seattle centers around navigating conflict resolution, co-creating trust, and improving communication. Whether your relationship is strong or on the rocks, these are useful skills.

Infidelity, trauma, and the pressures of everyday life impact all relationships and connections we have with people we love. In our relationship therapy sessions, we work together to establish the relationship you desire. Our mission is to help cultivate eroticism and intimacy that may have dwindled over time by exploring desire, enhancing connection, and encouraging pleasure and play.

Common Issues we address:

● Communication skill-building

● Conflict and resentment management

● Erotic mismatch (desire discrepancy, BDSM dynamics)

● Infidelity and personal/relational accountability

● Self-acceptance and esteem building

● Sexual health and dysfunction (arousal, libido, interest, desire)

Non-monogamy/polyamory/open relationships/multiple relationships/swinger lifestyle/relationship anarchy 

Important note regarding couples therapy:
Insurance companies will often not cover couples/relational therapy for in or out-of-network benefits, where the relationship is the client. An important coverage question to ask your insurance company is the following, “is the CPT code 90847 with an ICD-10 diagnostic code of Z63.0 covered under my plan where the relationship is the client, not an individual within the relationship”? If the couple/relationship is the client, we are unable to name one individual as the “identified client”. We encourage you to ask questions about this, if you have any before relational sessions start to avoid unexpected bills or lack of reimbursement from your insurance.

What Is Marathon Therapy

Sexual Concerns

  • understanding and navigating sexual health concerns/dysfunction

  • addressing sexual shame and guilt

  • processing through sexual abuse and trauma in childhood or adulthood

  • exploring sexual orientation 

  • exploring bondage / discipline / dominance / submission / sadomasochism (BDSM)

  • addressing interest and the practice of kink and fetish-related behaviors

  • problematic sexual behaviors within the relationship or experienced by the individual

  • guidance in dating, and more specifically addressing how to date when kinky

  • LGBTQIA+ individuals and relationships

  • address difficulties with intimacy and connection

  • increasing sexual desire

  • marginalized communities and individuals including sex workers

  • low desire, issues with lubrication and arousal, orgasm difficulty, pelvic pain, pain during sex

  • rapid ejaculation, delayed ejaculation, erectile difficulties

  • navigating desire discrepancy 

  • understanding and shifting sexual boredom 

  • growing a sense of sexual agency

  • understanding and increasing sexual curiosity and excitement 

  • identifying your sexual values and sharing/living those within your relationship(s)

Relational Concerns

  • navigating non-traditional relational structures (non-monogamy)

  • conflict and resentment management and skill building

  • communication skill building

  • exploring and regaining trust

  • healing from infidelity

  • creating a shared vision for the relationship

  • building healthy and secure attachments

  • navigating codependency and problematic relational cycles

  • addressing and processing consent incidents

  • building playfulness, fondness, and admiration

  • increasing relationship resiliency

  • creating shared values and personal/interpersonal accountability

Individual Concerns

  • developing a purpose-driven life

  • affect regulation/mood management

  • developing a deeper capacity for intimacy and vulnerability 

  • self acceptance, esteem building, and creating a set of values

  • stress and anxiety management

  • building confidence and assertiveness

  • strategizing career development from a systems perspective 

  • understanding and applying boundaries 

  • addressing and sharpening effective decision-making skills

  • personal accountability

  • trauma processing/healing

  • social skill and community building techniques

  • processing consent incidents

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