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Sex and Intimacy Therapy
Compassionate Sex Therapy for Individuals and Couples in Seattle

Ready to feel closer, more confident, and more connected? Our Certified Sex Therapists provide affirming, nonjudgmental support in person or online across Washington.

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Sex Therapy and Intimacy Counseling in Seattle and Online Across WA

Sexual disconnection can feel so isolating...whether it’s a drop in desire, tension around touch, or misaligned needs, sex and intimacy therapy can help you understand what’s happening, and then create meaningful, satisfying change.

You might be struggling with desire, mismatched libido, pleasure, shame, anxiety, past trauma, or simply feeling like the spark has faded. Whatever you're navigating, therapy (good therapy) provides a safe, nonjudgmental place to explore those patterns with someone who gets it, through compassionate sex therapy and intimacy counseling from a Certified Sex Therapist.

At Clarity, we support individuals and couples of all sexual identities and orientations. Whether your challenges are emotional, relational, physical, or all of the above, we’re here to help you feel closer, more confident, and more connected again.

Our clinicians are also frequently invited to contribute to national conversations about intimacy and desire, including recent coverage in The New York Times on how couples cultivate sexual desire in long-term relationships.

We’re also periodically invited to speak with graduate counseling programs in the Seattle area about becoming a sex therapist and the clinical realities of working with sexuality in therapy (including desire discrepancy, sexual avoidance, and rebuilding intimacy). Read a recent example from Bastyr University.

What is sex and intimacy therapy?

Sex therapy is talk therapy that helps individuals and couples address the emotional, relational, and psychological aspects of sexuality and physical connection. It’s not about performance or judgment...it’s about getting curious, feeling safe, and finding what works for you.

We work with clients facing issues such as:

  • Desire discrepancy in long-term relationships
  • Low or absent sexual desire (by the way, the focus should be much more about pleasure than desire, but that's a discussion for another time)
  • Performance anxiety, shame, or fear of rejection
  • Difficulty with arousal, orgasm, or sexual satisfaction
  • Impact of trauma on intimacy or body connection
  • Changes due to aging, pregnancy, postpartum, or menopause
  • Aversion to touch
  • Loss of emotional closeness

What can you expect from sex therapy at Clarity Counseling Seattle?

You don’t have to explain everything from scratch. At Clarity, our sex therapists are trained to hold space for sensitive topics with compassion and skill. We’re LGBTQIA+ affirming, kink-aware, and deeply respectful of every client’s boundaries, pace, and goals.

Sex therapy isn’t prescriptive. We don’t tell you what “normal” looks like...we help you define what’s fulfilling and meaningful for you.

Meet our sex and intimacy therapists

We’re often invited to speak publicly about intimacy, desire, and emotional connection. If you’d like to see how our practice contributes to these broader conversations, you can explore the topics we’ve been interviewed about on our Media & Press page.

Do we both need to attend therapy?

You actually don't. We work with individuals, couples, and polycules: whether you want to explore intimacy solo, as a couple or polycule, or as a starting point while your partner or partners warm up to the idea. If your partner isn’t ready yet, couples therapy for one can be an effective path forward as well.

How can therapy improve intimacy?

  • Feel more comfortable in your body and with your desires
  • Bring a focus on pleasure back into the mix
  • Develop language to express needs, boundaries, and turn-ons
  • Move past anxiety or shame about sex
  • Reconnect emotionally and physically with your partner(s)
  • Understand and heal from sexual trauma or avoidance patterns

Intimacy is more than sex, and sex is more than a checklist. We’ll help you find your way back to connection, confidence, and closeness.

Some couples prefer a more structured and guided approach when working through desire differences or reconnection. If you’re curious about what that looks like, we also offer a research-informed Couples Sex Therapy Group based on the Optimal Sexual Experiences model. Even when a group is not actively running, the exercises and insights from this approach can be blended into your individual or couples sex therapy sessions.

You deserve a relationship that includes physical and emotional closeness

We offer sex therapy in Seattle - both in person and through secure online therapy across Washington. Whether you're just starting to explore these topics or have been struggling for years, now is a good time to begin.

Start sex and intimacy therapy with us
Learn about Couples Therapy
Explore Marriage Counseling

Can sex therapy really help our relationship?

Yes! Sex therapy can absolutely help you understand patterns, repair disconnection, and find new ways to experience closeness, both emotionally and physically. For many couples, it’s an extremely powerful turning point. But in order to help we first need to know you're out there, so please do get in touch.

How Sex and Intimacy Therapy at Clarity Counseling Seattle Can Help You Reconnect and Rekindle Desire

Sexual intimacy is more than a physical act — it’s a deeply personal way of feeling seen, desired, and connected. Our Seattle sex therapists create a supportive, informed space for individuals, couples, and polycules to address sexual challenges, explore desire, and strengthen emotional closeness. Whether you’re navigating mismatched libido, healing from sexual trauma, or simply longing for more connection, we’re here to help you rediscover a fulfilling intimate life.

Specialized Expertise in Sexual Concerns

From desire discrepancies to pain during sex, from sexual avoidance to the impact of past trauma, our therapists are trained to address a full spectrum of intimacy challenges. We integrate evidence-based methods like the Gottman Method with specialized sex therapy techniques, ensuring that you receive both relational and sexual health guidance tailored to your unique needs.

An Inclusive, Sex-Positive Approach

We welcome individuals and partners of all genders, sexual orientations, and relationship structures, including LGBTQIA+ clients and those in polyamorous or kink relationships. Our sex-positive, queer-affirming, and kink-aware stance means you can talk openly about your experiences without fear of judgment — and work toward intimacy goals that honor your values and desires.

Holistic Support for Emotional and Physical Connection

We recognize that sexual satisfaction is deeply linked to emotional closeness. Our sessions address both the physical and relational aspects of intimacy, using conversation, education, mindfulness, and body-awareness techniques to help you and your partner(s) reconnect in a way that feels authentic and sustainable.

Guidance That Respects Your Pace and Comfort

Talking about sex can feel vulnerable — and we honor that. Therapy moves at a pace that feels safe for you, whether that means starting with emotional trust-building, learning new ways to communicate about sex, or gradually exploring physical reconnection. You set the boundaries; we provide the expertise, empathy, and tools to support your journey.

Justin Pere is one of my top referrals for men and couples in Seattle.

I have worked with many women who have seen Justin as part of couples counseling and they have felt his support and guidance were extremely helpful for their relationship. Justin is a kind, compassionate and highly experienced therapist who I would recommend without hesitation!

Meet Our Therapists :

Justin Pere | Clarity Counseling Seattle

Justin Pere LMHC-S, CST, CGT
Founder, Clinical Director & Lead Therapist

(he/him pronouns)

Sessions with Justin are available in person in Seattle and through telehealth.
Session fee: $195 for individual clients, $215 for couples/relationship clients

I’m a Certified Sex ...

Rosa Nicole Booker, LMFTA - Seattle Therapist

Rosa Booker MS, LMFTA
Licensed Marriage and Family Therapist Associate

(she/her pronouns)

Sessions with Rosa are available in person in Seattle or through telehealth.
Session fee: $195 for individual and couples/relationship clients

Many couples come to me when their ...

Lindsey Pepperoni, MA, LMFT CST therapist in Seattle, WA

Lindsey Pepperoni MA, LMFT, CST
Licensed Marriage and Family Therapist

(she/her pronouns)

Sessions with Lindsey are available in-person in Seattle or through telehealth.
Session fee: $195 for individual and couples/relationship clients

I work with individuals and couples navigating disconnection, ...

Misa Mattson, MA, LMFTA sex therapist in Seattle, WA

Misa Mattson MA, LMFTA
Licensed Marriage and Family Therapist Associate

(she/her pronouns)

Sessions with Misa are held through telehealth.
Session fee: $185 for individual clients, $195 for couples/relationship clients

I work with individuals, couples, and polycules who want to ...

Corey-Thompson, MA, LMHC therapist in Seattle, WA

Corey Thompson MA, LMHC
Licensed Mental Health Counselor

(he/him pronouns)

Sessions with Corey are held exclusively through telehealth.
Session fee: $185 for individual clients, $195 for couples/relationship clients

Many of the individuals, couples, and polycules I support ...

Lisa Stewart, LICSW Gottman couples therapist in Seattle, WA

Lisa Stewart MSW, MJ, LICSW, SUDPT
Licensed Clinical Social Worker

(she/her pronouns)

Sessions with Lisa are available in-person in Seattle on Saturday or through telehealth.
Session fee: $185 for individual clients, $195 for couples/relationship clients

I work with ...

Featured Blog Posts - Sex and Intimacy Therapy

February 21, 2026

Speaking at Bastyr University: Becoming a Sex Therapist and the Realities of Couples Work

Students listening to panel discussion in Seattle

Over the past few years, I’ve been invited to speak with graduate counseling programs in the Seattle area about two topics that students are often deeply curious about: what it takes to become a sex therapist, and how different theoretical approaches to couples therapy actually play out in real clinical ...

February 20, 2026

When Sex Feels Like Pressure Instead of Connection

Couple holding hands

At some point in many long-term relationships, sex can quietly shift.

What once felt spontaneous or playful starts to feel loaded. There’s an unspoken question in the room. A subtle pressure. A sense that something is supposed to happen...and if it doesn’t, it means something.

For some couples, that pressure shows up ...

January 22, 2026

Why Desire Often Follows Initiative (Not the Other Way Around)

Couple walking outdoors holding hands, representing connection and initiative in a long-term relatio

Many people assume sexual desire works like a green light: first you feel desire, then you act on it. When desire is low or inconsistent, people often wait—sometimes for weeks or months—for that feeling to return before initiating intimacy.

In long-term relationships, that sequence often flips.

Rather than desire leading the way, ...

Frequently Asked Questions

Relationship coaches and couples therapists can both support relationships, but their training, scope of practice, and approach are often quite different.

Relationship coaches typically focus on guidance, accountability, communication strategies, goal-setting, or helping people move toward desired outcomes in their relationships. Coaching can sometimes be helpful for couples looking for structure, encouragement, or practical tools.

Couples therapists, on the other hand, are licensed mental health professionals with clinical training in emotional and relational dynamics. Therapy often goes deeper into areas such as attachment patterns, conflict cycles, trauma, betrayal, anxiety, emotional regulation, intimacy concerns, family-of-origin influences, and longstanding relational pain.

Therapists are also trained to assess for mental health concerns that may be affecting the relationship and are required to follow professional ethics, confidentiality standards, licensing regulations, and continuing education requirements.

Another important difference is that couples therapy is often less focused on simply giving advice and more focused on helping partners understand the underlying emotional patterns driving conflict and disconnection. This can involve slowing conversations down, increasing emotional awareness, improving communication, rebuilding trust, and helping couples relate to each other differently in real time.

Many couples seek therapy when they feel stuck in recurring arguments, emotional distance, resentment, intimacy struggles, communication breakdowns, or uncertainty about the future of the relationship. In those situations, working with a licensed therapist trained in relationship work is often more appropriate than coaching alone.

If you’re interested in couples therapy, marriage counseling, or sex and intimacy therapy, our intake coordinator can help you explore what kind of support may fit your situation best.

No. You do not need to be in a relationship to benefit from sex therapy. Many people seek therapy around sexuality, intimacy, desire, arousal, shame, identity, confidence, dating patterns, emotional connection, or sexual functioning while single.

Sexuality and intimacy are deeply personal experiences that exist whether or not someone is currently partnered. In fact, individual therapy can sometimes create more space to explore these topics openly without the pressure or complexity of navigating them within an active relationship.

People pursue sex and intimacy therapy for many different reasons, including low desire, erectile difficulties, sexual anxiety, difficulty with emotional vulnerability, compulsive sexual behavior, intimacy fears, dating struggles, performance concerns, body image issues, questions around identity, or challenges forming and maintaining close relationships.

Even when someone is in a relationship, therapy can still be very effective when attended individually. Sometimes a partner is unwilling to participate, unavailable, or simply not needed for the work someone wants to do on themselves.

For many people, sex therapy becomes less about “fixing sex” and more about developing a healthier, more connected relationship with themselves, their emotions, their body, intimacy, and relational patterns overall.

If you’re considering individual counseling, sex and intimacy therapy, or support around relationships and emotional connection, our intake coordinator can help you explore what kind of support may fit best for your needs.

Sex therapy is a form of talk therapy that focuses specifically on concerns related to sexuality, intimacy, emotional connection, relationships, and sexual functioning. Sessions often look very similar to other forms of individual therapy or couples therapy, with the difference being that the conversations are centered more directly around sexual and relational concerns.

People seek sex and intimacy therapy for many reasons, including low desire, mismatched libido, erectile difficulties, difficulty with arousal, performance anxiety, shame, compulsive sexual behavior, emotional disconnection, sexless relationships, betrayal, intimacy fears, dating struggles, or difficulty communicating about sex and emotional needs.

Sessions may involve exploring emotional patterns, attachment history, stress, anxiety, communication dynamics, relationship wounds, beliefs about sexuality, past experiences, or the ways emotional and physical intimacy interact with one another. Depending on the situation, therapy may also include psychoeducation, guided exercises, communication tools, or suggested practices to explore between sessions.

Many people are surprised to discover that sex therapy is often less about “sexual techniques” and more about emotional safety, vulnerability, trust, self-awareness, nervous system regulation, relational patterns, and the ability to openly communicate needs and desires.

Professional Boundaries and Ethics in Sex Therapy

Sex therapy is always conducted within clear professional and ethical boundaries. Sessions do not involve physical touch, nudity, or sexual activity of any kind. Clients remain fully clothed, and therapy takes place through conversation and therapeutic exercises only.

Our therapists follow professional ethical standards, including those established by organizations such as the American Association of Sexuality Educators, Counselors, and Therapists (AASECT).

If you’re curious whether sex therapy may be helpful for your situation, our intake coordinator can help you explore next steps and connect you with a therapist who may be a good fit.

Not all therapists receive formal training in sexuality, intimacy, and sexual functioning. In fact, many graduate programs devote relatively little time to these topics, which is why specialized training is so important when seeking support for sexual concerns.

Certified sex therapists complete extensive post-graduate education, supervised clinical experience, consultation, and ongoing professional development focused specifically on human sexuality and intimate relationships. One of the most widely recognized credentials in the field is certification through the American Association of Sexuality Educators, Counselors, and Therapists (AASECT), which establishes rigorous standards for education, clinical experience, ethics, and continuing training.

Specialized Training in Sexuality and Intimacy

Sex therapists often receive advanced training in areas such as desire discrepancy, erectile difficulties, arousal concerns, compulsive sexual behavior, sexual shame, communication about sex, intimacy challenges, relationship dynamics, trauma, sexual identity, and the emotional aspects of sexuality.

At Clarity Counseling Seattle, we believe sexuality is best understood within the broader context of emotional connection, attachment, relationships, personal history, and overall well-being. For this reason, our approach often integrates both relational and sexual concerns rather than treating them as completely separate issues.

Personally, I (Justin Pere) completed extensive sex therapy training through Dr. Tina Schermer Sellers at Seattle Pacific University and Dr. Stella Resnick in Los Angeles, both widely respected leaders in the field of sexuality and intimacy. I later completed the requirements to become an AASECT Certified Sex Therapist (CST).

Finding the Right Fit

Credentials matter, but so does finding a therapist who feels like a good fit. Effective sex therapy requires not only specialized knowledge, but also the ability to create a safe, nonjudgmental environment where people can openly discuss topics that are often deeply personal and vulnerable.

If you're considering sex and intimacy therapy, individual counseling, or couples therapy, our intake coordinator can help you explore which therapist may be the best fit for your goals and concerns.

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