Queer and Trans Affirming

Sex Therapy

Andy Price, LMFT is a queer and non-binary therapist offering LGBTQ+ affirming sex therapy for couples in Sacramento and online in California. Andy provides support for sexual desire concerns, gender dysphoria, communication, trauma, shame, kink/BDSM, and self-esteem.

You may be:

  • Feeling disconnected from your body

  • Frustrated that gender dysphoria is impacting your sex life

  • Unsure how to express what you want or need

  • Navigating shame, fear, or anxiety from past trauma or cultural messages

  • Tired of talking about sex feeling awkward or uncomfortable

  • Wanting a therapist who is skilled and comfortable talking about LBGTQ sexuality and BDSM/kink dynamics

LGBTQ+ affirming sex therapy can help you feel comfortable and at home in your body.

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Sex therapy is a form of talk therapy that focused on the emotional and psychological aspects of sex and intimacy.

Sex therapy helps you understand and address the emotional and psychological factors impacting your sex life.

Gender Affirming Sex Therapy

I have specialized training in both gender affirming care and sex therapy. This means that in addition to being trained to talk about sex, I understand the process of social and medical transitioning. I understand the impact gender-affirming hormones and surgery can have on your sexual functioning. While so many of the changes from gender-affirming medical care are exciting, these changes can sometimes require adaptation and adjustment. You may find your interests and desires shifting, and therapy can give you a space to explore your feelings about these changes.

Sexual contexts can feel really vulnerable, which sometimes heightens gender dysphoria. You may be noticing that dysphoria is stopping you from having your desired sex life or dysphoria is making you feel disconnected from your partner(s). Therapy can support you in finding ways to become more comfortable with your body and help you view your body more positively.

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How sex therapy can help

  • Understand arousal and desire

    So many factors can impact sexual arousal and desire - context, stress, our surrounding environment! Sex therapy can help you recognize what impacts your arousal and desire so you can work towards building a more meaningful sex life.

  • Feel more comfortable talking about sex and expressing your needs

    Disconnect in relationships can often happen because people feel uncomfortable talking about sex. Our culture has taught us many of us that it is shameful to talk about sex. Creating space to talk about sex - what’s working, what’s not working, what you want to try - can help bridge conflict and increase connection.

  • Know that it is ok to have needs and desires

    Many of us grow up in environments that taught us that we should feel shame about our bodies. Past experiences may have taught you that it is not safe to speak up or express your needs. Through therapy, we can work to help you recognize your needs and feel comfortable expressing your needs. You deserve to have your needs heard and you deserve to experience pleasure.

  • Navigate Gender Dysphoria

    Gender-affirming sex therapy can help give you tools to talk about how gender dysphoria or transitioning impacts your sex life, help you identify sexual practices that feel aligned with your identity and comfortable in your body, and release any feelings of shame you may be carrying.

  • Learn Practical Skills

    Depending on your specific concerns and needs, you may be assigned homework such as mindfulness or sensate focus. We’ll also explore ways of communicating your feelings and needs surrounding sex.

  • Get to the Root of Your Challenges

    We may start with practical skills, but our work will not stop there. If your past includes emotionally painful experiences that impact you in the present day, sex therapy can help you process these experiences. In therapy, we can take a look at the deeper patterns impacting your life, let go of shame, and build a sense of agency.

  • Complicated emotions about sex

    • Shame

    • Guilt

  • Navigating the impact of:

    • Past trauma

    • Religious trauma

    • Cultural messaging

    • Affairs and breaches of trust

  • Navigating questions about LGBTQ identity

    • Exploring asexual identities

    • Understanding your sexuality

  • Desire and arousal concerns

  • Function and performance concerns

    • Erectile dysfunction and premature ejaculation

    • Difficulties experiencing orgasms

    • Pain and muscle tension related to anxiety during sex

  • Communication challenges

    • Navigating agreements around kink/BDSM or non-monogamy

    • Rebuilding sex and intimacy after an affair or breach of trust

What concerns can sex therapy help address?

Frequently Asked Questions

  • Sex therapy can be done in individual or couples therapy. Couples therapy can often be helpful as it helps to build stronger communication. However, sometimes individual therapy can be helpful for working through shame and anxiety.

  • Participating in sex therapy does not require being in a relationship. If you are single, therapy can provide a space for you to feel more comfortable in your body and feel a greater sense of connection with yourself.

  • Clients often start to notice small changes within the first few sessions. Deeper, lasting change typically takes several months. If you're working through long-standing disconnection or a deep betrayal, the process may take longer.

  • I offer convenient online scheduling. If you’re ready to get started, go here to schedule your first session. When working with couples/relationships, I typically meet with both partners for the first session and with each partner individually during the second to help get to know each of you individually.

A non-binary couples and individual therapist stands on a balcony overlooking the beach, with their dog to their left. The dog is looking towards the ocean.

Hi, I’m Andy (they/them)

I’m a Licensed Marriage and Family Therapist. I provide sessions in person in Sacramento and online across California. I am passionate about helping people build authentic, connected, and affirming relationships.

I specialize in working with queer and trans individuals, couples, and non-monogamous relationships, supporting them as they navigate challenges of identity, sex and intimacy, relationships, political stressors, and life’s tough moments.

I value authentically showing up as myself, which means I’ll show you my personality, share my sense of humor with you, and also sit with you in moments of pain. I hope that authentically showing up as myself empowers you to authentically be yourself.