sex therapy


what to expect

I offer sex-focused therapy for couples and individuals. Common concerns may involve the physiology of arousal and desire, penile erection and ejactulation, vulvar or vaginal tension and pain, out-of-control sexual behavior (including "sex addiction") and so on. Because sexual intimacy can evoke powerful emotional and relational experiencing (both joyful and painful), these issues are often linked to psychological patterns that can be identified and changed. What sex therapy looks like can vary widely based on the person or couple, but generally involves an initial assessment followed by the creation of a therapeutic plan and goals. We will move forward at a pace that works for you. Typical sessions involve discussing sexual history, current experiences, and vision for the future. I may suggest exercises to try on your own, with a partner, or as a couple. I understand that sexual issues are often accompanied by feelings of shame, guilt, and confusion. Know that you are welcome here and that I will do my very best to help you feel accepted, understood, and comfortable. 



The term "sex therapist" is not regulated, so any counselor can call themselves a sex therapist without any special training or certification. Fortunately, there are a few organizations that offer this extra credentialing. 

I am a Certified Integrated Intimacy Professional at the Associate level through the Northwest Institute on Intimacy (NWIOI). In addition to special training and experience in sex therapy, this certification also involves advanced training in individual, couple, family, sex, and spiritual intimacy therapy. To learn more about NWIOI, visit

I am also in the process of certification with the American Association of Sexuality Educators, Counselors, and Therapists (AASECT). Becoming an AASECT-Certified Sex Therapist requires hundreds of hours of training and work in sex therapy. I hope to complete this certification in 2018. To learn more about AASECT, see  

In addition to the above, I have been involved in sex and gender research and/or psychotherapy training since 2005. For a list of related publications and presentations, take a look at the "About Meg" page. 



If you are queer, LGB, trans or nonbinary, kinky, poly, aligned with a fetishistic or stigmatized sexual identity, or otherwise at higher risk for being ostracized for your sexual practices, there's a strong chance I am the therapist for you. Do you describe yourself as "normal," "boring," or "vanilla?" Come on in! Every person and relationship is likely to present with issues that are very common and issues that are unique to you. My job is to help you understand yourself and achieve your therapeutic goals with acceptance and understanding. 



I accept the following insurance plans:

  • Asuris Northwest Health (via Regence)
  • Bridgespan (RealValue)
  • First Choice Health
  • Group Health/Kaiser (pre-auth may be needed, contact member services to find out)
  • Health Management Administrators (via Regence)
  • Premera BlueCross
  • Regence BlueShield and associated Participating, Preferred, and RealValue Networks

I am an also an out-of-network provider for all plans that allow it (typical out-of-network reimbursement is 50%-80%). There is no special fee for sex therapy, so the standard individual ($180) and relationship ($200) rates apply. 

Sliding scale fees are available for those not using insurance. Don't hesitate to ask!