Sex Therapy and Sexuality Counseling

Couples and Individuals

Licensed clinicians certified in sex therapy serve couples and individuals with diverse sexuality concerns. Our staff are skilled in dealing with a variety of issues, including loss of desire; obsessive sexual behavior (sometimes called sexual addiction); erection or ejaculation difficulties; sexual identify; orgasm; vaginismus (contractions of the vagina that prevent penetration); pain; trauma; paraphilias; and conflicts in relationships over sexual values, attitudes, and behaviors.

We can also help clients who simply want to enhance an already satisfactory sex life.

We work with adults of all sexual orientations, gender identities, cultures, and lifestyles. In general, we are supportive of all expressions of sexuality which are not self-destructive or exploitative of others. Clients are helped to know and communicate their sexual needs and wants clearly and accurately.

Therapeutic interventions can be as brief as one session or quite lengthy, depending on the presenting complaints and the clients’ skills and resources. Homework is typically assigned and is necessary to achieve and maintain significant change.

8-week Telehealth Couples Therapy Group

Optimizing Sexual Experiences

Couples with low/no sexual desire or frequency, and/or desire discrepancy (in which one partner is more interested in sex than the other) who are interested in enhancing their sexual relationship and ready to embark on a journey to enhance their sexual experiences and relationships. The process will involve group therapy over 16 hours. Limit of 4 to 6 couples/group. The group will meet virtually using Zoom.

The content of the group is based on the work of the Optimal Sexual Experiences Research Team of the University of Ottawa, including elements and facilitating factors of optimal sexual intimacy as well as research on group couples therapy. The groups are part of a research project studying the effectiveness of group therapy in enhancing sexual relationships. Your participation in the research project (which is optional) consists of completing questionnaires at multiple time points. Our group is part of this ongoing project.

For more information about the group currently forming for summer/fall 2024, email Seattle Institute at or telephone Dr. Elizabeth Rae Larson at 206-522-8588 or Dr. Dominique Walmsley at 206-909-1097.