Individual Sex Therapy
Feel more at home in your body and sexuality
You may feel disconnected from your body, uncertain about desire, unable to relax into pleasure, or worried that something is wrong with you. Individual sex therapy offers a private, affirming place to understand what is happening without judgment or pressure.
You might be experiencing
- Low, absent, or changing desire
- Difficulty with arousal or orgasm
- Performance anxiety or erectile concerns
- Pain, tension, numbness, or disconnection from the body
- Shame, fear, or the effects of painful past experiences
- Questions about fantasies, identity, orientation, kink, or non-monogamy
- Changes related to menopause, aging, illness, medication, or stress
How therapy can help
- Understand the emotional, relational, physical, and cultural factors affecting you
- Replace shame and self-criticism with curiosity and accurate information
- Reconnect with sensation, pleasure, and your own inner signals
- Communicate boundaries, desires, and needs with more confidence
- Develop practical tools at a pace that respects your nervous system
- Coordinate with medical or pelvic-health providers when appropriate
Couples & Relationship Therapy
Change the pattern, not each other
When conversations about sex feel awkward and heavy, couples often fall into a cycle of pursuit, withdrawal, pressure, rejection, and silence. Both partners can feel misunderstood even when love is still present. Specialized therapy helps make the pattern visible so you can face it together.
Couples often seek support for
- Mismatched desire or different ways of experiencing desire
- Sex that feels tense, obligatory, infrequent, or absent
- Difficulty talking about preferences, fantasies, or boundaries
- Loss of closeness after children, illness, menopause, aging, or stress
- Infidelity, betrayal, secrecy, or rebuilding trust
- Pain, orgasm concerns, erectile difficulties, or performance pressure
- Questions about monogamy, non-monogamy, or changing agreements
What we work toward
- Conversations that are more honest and less defensive
- A shared understanding of the cycle driving disconnection
- Greater emotional safety, trust, and capacity for vulnerability
- Intimacy that is collaborative rather than pressured
- A broader, more flexible definition of pleasure and connection
- New ways to remain connected through conflict and change
Ketamine-Assisted Psychotherapy
When insight alone has not created movement
Some patterns live deeper than words. You may understand why you shut down, disconnect, or feel trapped by shame and still be unable to shift the experience in your body. For carefully selected clients, ketamine-assisted psychotherapy may support access to emotions and perspectives that have remained defended.
This work may be explored when
- You feel stuck despite previous therapy and insight
- Trauma-linked fear or numbness affects intimacy
- Persistent shame limits desire, pleasure, or connection
- Rigid emotional patterns keep repeating in relationships
- You feel cut off from your body or emotional truth
A careful therapeutic container includes
- Assessment of goals, readiness, safety, and fit
- Preparation before any medicine-assisted work
- A clear intention without forcing a particular outcome
- Attuned support during the therapeutic process
- Integration that connects insight to everyday life and relationships
- Coordination with qualified medical care as required
What to Expect
A clear, collaborative process
Understand
We begin with a thoughtful assessment of your concerns, history, relationships, health, body, identities, and what you want to change.
Clarify
Together we define meaningful goals and identify the patterns, expectations, and protective responses that may be keeping you stuck.
Transform
At a sustainable pace, we build insight, embodied awareness, communication, and practical tools that support lasting change.
Common Questions
Before you begin
Is sex therapy hands-on?
No. Sex therapy is psychotherapy. There is no sexual contact or physical touch between therapist and client. Diana may suggest educational resources or private exercises for you to consider outside sessions.
Can I begin alone and involve my partner later?
Yes. Some clients begin individually and invite a partner into the process later when it supports their goals.
What if I have concerns beyond sex?
That is common. Sexuality connects with mood, stress, trauma, health, identity, attachment, and relationships. Therapy considers the whole person rather than treating sex as an isolated symptom.
Do you offer online therapy?
Yes. Secure video sessions are available to clients throughout California, with in-person appointments in San Francisco, Santa Barbara, and Calistoga.