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Therapy

Sex

Let's talk about

Are you ready to make love without war?

 

Look, there are a lot of great therapists out there. But, you're not here because you need just any kind of therapy. You need a sex therapist!   

 

My deepest purpose is to alleviate the suffering that so many of us have had around sexuality. My joy comes from seeing healing and growth for my clients that leads to deeper levels of well-being and more fulfilling intimate connections.

- Anne

Anne Mauro smiling

What is Sex Therapy? 

Sex therapy can be a powerful tool to help you approach your sexuality with greater confidence and curiosity.

As a certified sex therapist, I offer therapy that focuses specifically on human sexuality and healthy sexual relationships. 

Are you ready?

Do you feel like you have a solid sense of self and know how to practice healthy communication, but find yourself still struggling in the bedroom?

 

That's where I shine. 

 

I can help you move past barriers and teach you new skills that will enhance your relationship, improve your sexual satisfaction, and help you get closer to living your erotic potential.

Ready to get started?

I'm glad you're here.
Learn more about
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Is sex therapy right for you?

Here are some things to think about:
  • Do you do in-person therapy?
    Yes, online sessions available in Tacoma and Des Moines, WA.
  • Are you currently accepting clients?
    Yes! Please complete this form.
  • How much do you charge?
    $265/ 50-minute session ​ $0 / Psychotherapy Consultation $75 for no shows and late cancellation You can find out more here.
  • How long are sessions?
    Sessions are 50 minuets long.
  • Do you take insurance?
    No, I am an Out of Network (ONN) Provider. If you want to work with me and you are seeking ONN reimbursement from your insurer, it is your responsibility to contact your insurer about your ONN benefits. For more information, click here. If you decided to submit for reimbursement, I can provide a receipt, called a superbill, to you each month. Please notify me if you would like a superbill. Keep in mind that most insurance does not cover couples counseling (a “V code” diagnosis of relational distress). If one person in the relationship has a diagnosis, such as anxiety or depression, and therapy is tailored to treat that condition and working with the partner may help in treating the symptoms, your insurer may reimburse you for our sessions. While I do not accept insurance, I can provide you with an invoice that can be submitted to your insurance company for potential reimbursement. Questions to ask your insurance provider: What are mental health insurance benefits? What is my deductible and has it been met? What are my out of network benefits? How much will be covered per session? Is couples therapy covered? How many sessions per year does my health insurance cover? Is approval required from my primary care physician? Your insurance provider may also want to know the following details: My name and credentials: Anne Mauro, LMFT My license number is LF60898126 My NPI number is 1821545179
  • Do I need a sex therapist?
    Sex is often a taboo topic, and it’s no different in the therapy community. Most therapists did not receive medically accurate sex education growing up, just like many families don’t adequately discuss sex in their homes. In order for a therapist to graduate, most programs only require one 3-5 credit course on Human Sexuality. Look, I’ve taught this course at the graduate level, and I can assure you that it is not enough to competently address and treat your sexual concerns. Many general therapists are either not equipped or are uncomfortable talking about sex and the diversities of sexual expressions and behaviors. I have had many clients come to me after harm has been done with a previous provider that was so called "sex positive.” Please don't risk it. I am an AASECT certified sex therapist and educator with extensive education and clinical experience. I am here to gently walk you through a process that gives you permission to identify and reveal what your heart desires. Together, we will discover and explore the information, insight, and skills you need to create deeper and more meaningful connections within your mind, body, and relationships. If you want to experience embodiment, joy, pleasure, and love, I have the qualifications and the experience you need to help you be successful and reach your goals! Let’s get to mending all of those connections.
  • How do I know if I’m ready for sex therapy?
    Typically, my clients come to me because they feel stuck in sex and are looking for professional help from someone who can be trusted to both challenge and guide them with compassion and encouragement. Together, we will explore different aspects of your sexual self both hidden and vibrant. If you are willing to commit to the process and put in the work, it would be my privilege to support you in your journal of sexual rediscovery. If you are currently in conflict, I wouldn't recommend sex therapy with me. I do recommend you find a therapist that specializes in conflict like I specialize in sex. If you want to start sex therapy with me, I want everyone involved to have a mutual desire to work together towards a new space that moves us closer to our goals.
  • How do I know if my partner and I are not ready to do sex therapy together?
    Is there escalating conflict or do you find yourself arguing often? Do you feel that there is emotional distance between you or that you’ve "fallen out of love" with your partner? Are you questioning whether or not you want to leave your relationship? Are you considering separation? Does your relationship lack a mutual sense of trust, support, and commitment between both individuals to start the sex therapy journey? These are some telltale signs that you and your partner should consider relational therapy prior to starting sex therapy with me.
  • Do I need to bring my partner to therapy? What if I'm single?
    If you are in a relationship, and struggling with sexual and relational satisfaction, I recommended coming to therapy together. This will increase the likelihood of positive outcomes. If your partner is unwilling to come, or you are single, we can discuss how sex therapy can work for you.
  • Do you offer Sex Therapy Intensives?
    Yes, I do! You can find more about them here.

Every connection, especially yours, deserves sexual and relational wellbeing.

Therapy should be as unique as you are

Together, we will consider the impact of your past and present relationships on the current challenges you face.

 

We may discuss how your family of origin, traumatic events, relationships, religion, society, culture, and media have contributed to how you view your sexuality.

 

I provide education, resources, and positive, compassionate support as you develop the mindset and skills to get you closer to reaching your goals.

 

It brings me great joy to partner with and encourage you, as you move towards personal, sexual, and relational wellness.

Sex. Positive.

Let's break through those barriers. You deserve pleasure, and I can help. 

Yes, you can. Most sexual concerns can be treated! 

 

Pain, shame, emotional and physical challenges, no drive at all. You name it – we can work with that.
Common Presenting Concerns include:
  • Mismatched Desire

  • Women's Sexuality

  • Vulvodynia

  • Low Desire

  • Erectile Difficulties

  • Delayed Ejaculation 

  • Sexual Trauma

  • Libido

  • Orgasm Difficulties

  • Cancer & Sexuality

  • Aging & Sexuality

  • Children & Sexuality

  • Pelvic Pain

  • "Sex Addiction" / Out of Control Sexual Behavior

  • Gender 

  • Questioning Sexual Orientation

  • Dominance & Submission

  • Sadomasochism

  • Masochism

  • Infidelity

  • Adolescent & Sexuality

  • Out of Control Sexual Behavior

  • Disability & Sexuality

  • Kink

  • Open Relationships / Poly / Consensual Non-Monogamy / Swinging

  • Paraphilias

  • Fetish

  • Pregnancy and Sex

  • Klinefelter’s Syndrome

  • Sexual Identity

  • Swinging

  • Guilt

  • Shame

Quiet Shame.

You. Are. Normal. Let's have an honest chat about what's holding you back.

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My Approach

My holistic approach promotes personal, sexual, and relational wellness. I work with the mind, body, relationships, social, sexual and medical history to help my clients reach a better understanding of their lives and sexuality.

I'm a trauma informed, sex positive, kink, and poly (CNM) aware licensed clinician with extensive education and training in sexuality. I see all different types of sexual concerns, and I treat many different partnering configurations. 

 

When necessary, I will also collaborate with your medical doctor, physical therapist, or other providers to maximize your treatment outcomes. ​​

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