Sex Therapy

NYC sex and intimacy therapy

A pathway to body awareness and your own, unique definition of pleasure.

Am I broken? Why do I feel a yearning for something different?

→ Do you find yourself wondering if there might be something more in your romantic or sexual relationships?

→ Have you questioned the amount or type of pleasure or desire that feels right for you?

→ Perhaps you are thinking of opening up your relationship or you practice ENM (Ethical Non-Monogamy), poly (polyamory), or relationship anarchy and therapy for open relationships would be helpful.

→ Maybe you find yourself wondering about the ACE (asexuality) spectrum.

→ Have you lived through painful moments in which your body was not treated the way it should have been, or what happened to you was not in your control?

→ Have you felt silenced?

→ Do you feel pressured to show up sexually in a way that doesn’t feel natural or enjoyable to you?

→ Does it feel overwhelming for your senses when you connect with someone physically or sexually?

→ Have you wondered about porn addiction therapy, or the term porn addict?

→ Do you cope with pelvic pain or painful sex?

→ Maybe you are interested in exploring power dynamics and kink in therapy.

→ Do you wonder about your own experience when you hear others talking about orgasm and pleasure? Do you have trouble having an orgasm?

→ Do the messages that you were raised with about the body and sex feel different from the perspective that you have today?

→ Does an STI impact how you see yourself?

→ Has your prenatal, pregnancy or postpartum experience changed your sexuality?

→ How do you feel about your erection?

→ Has your relationship to control and your sexuality changed? Do you find yourself wondering about out of control sexuality?

→ Do you ever feel like your body and mind are in different places?

→ Have you heard about Sensate Focus?

→ Does it feel like your libido and desire for sex are different than your partner’s?

Therapy can help! I’m here for you, connect with me and send me a message.

Sex Therapy can help with all of this, and so much more.

Sex therapy can support you in finding your right version of sexuality - not what we are told we should be feeling, but what feels best for you, whatever that may be.

Rather than focusing on frequency or type of sex, sex therapy focuses on what you actually want.

Working with a certified sex therapist creates a supportive, non-judgmental space to better understand you and your unique lived experiences.

Sex therapy provides an evidence-based framework to explore the type of relationship you would like with your body, and pathways to access those feelings.

A supportive and confidential space

just for you

A SPECIFIC FOCUS ON PLEASURE.

Prioritizing pleasure is a radical part of healing and living. Many of us are conditioned to associate erotic and somatic pleasure with shame and fear. In our work together, we will reconnect with your ideas of pleasure, and ground ourselves in the knowledge that our own unique feelings and experiences of pleasure are normal and good.

you are not alone! so many people feel the very same way.

Many of our very normal human experiences around sexuality, pleasure, and identity remain taboo and connected to societal pressures, creating a lot of silence around these topics. That silence can make it feel like we are alone in these worries, but that is not the case. These experiences are so common.

Our work together

In our work together, we will collaborate to identify your goals, and we will explore the pathway towards those goals while always working together, checking in regularly about how well our sex and intimacy therapy interventions are working for you. We may use trusted tools like Sensate Focus and mindfulness. You are the expert on your experience, and our work will reflect that. I am lucky to have been doing this work for over a decade, and I am deeply grateful that time and again I experience people’s healing, freedom and joy, and achievement of their goals.

How do i know that it’s the right time to seek support?

  • So many of us carry thoughts and feelings about our sexuality silently for such a long time. It can be such a huge burden to bear this alone. It can be an enormous relief to share with another person in a safe and confidential space. I am a non-judgmental, supportive provider, here with the sole purpose of helping you with your goals. It’s normal to experience some anxiety before a first session, and we can make time to process any worries that are coming up for you so you feel comfortable and grounded. You might be surprised by how quickly we are able to comfortably get into the work.

  • It’s so important to find a therapist who is affirming and educated when it comes to these pieces of our identity and lives. I am lucky to have been trained and supervised as a sex therapist through years in a post-masters sexologist program and have been certified by AASECT as a sex therapist. I believe proper training, experience, and supervision are critical in any type of therapeutic setting. I love working with these parts of life and identity and have been doing so for many years, and am excited to continue to work with all types of relationship constellations.

  • The term sex addiction may feel like it resonates with you because things are feeling out of control. You might find yourself searching for a CSAT therapist, or looking at programs. There are many ways to work with out-of-control sexual behavior, and sex therapy provides a kind, curious foundation to understanding why and how certain behaviors have become much harder to stop engaging with. Instead of this conversation feeling scary, sex therapy provides a way for this conversation to feel more empowered and put you in charge of your thoughts, feelings, and choices.

  • There are certainly many pathways to support and healing. Sex therapy is one of the most direct, and can be one of the most effective ways to begin addressing some of what isn’t feeling right for you. I encourage people to prioritize their well-being so they can then be free to use the rest of their time doing what feels important to them. If we aren’t feeling well, and are preoccupied by something happening with our sexuality, then we don’t have the time and mental space to do what we want. Often, going to therapy earlier can save time, emotions, and energy.

Sex Therapy FAQs

  • A sex therapy session looks a lot like a standard therapy session.

    We will explore what brings you to therapy, and identify your goals and desired outcomes. We will take a sexual history, and learn about the ways the environment impacts how you experience your sexuality. We will explore a number of systems to help us understand how you express certain parts of yourself -

    • family, cultural, political, educational, oppressive, social, religious, and more

    We will discuss possible biological considerations, and provide referrals to work in collaboration with medical professionals if useful. Some of these professionals might be pelvic floor occupational therapists, urologists, gynecologists, midwives, or other therapists.

  • The length of treatment is based on your goals, and the ways we decide to support you in reaching them. This is a collaborative conversation we will have together and agree upon when starting treatment.

    Everyone is different, and every sex therapy journey is unique.

  • There is never any physical contact between therapist and client. Sex therapists adhere to strict ethical codes of conduct.

find freedom from emotional pain and suffering through our work together.

Sex therapy with me at Laura Federico Psychotherapy can help.

To learn more about how I can help or get started with a consultation, please email me or reach out here through my contact form.

I offer virtual sex therapy for individuals and couples in Brooklyn, Williamsburg, Queens, Manhattan, NYC, New York, and New York City.

223 Bedford Ave #744, Brooklyn, NY, 11211