Sex-Positive, Kink Allied Therapists in Saint Louis, MO
Alternative Access Counseling
Licensed Professional Counselor, MA, LPC, LCPC
Verified Verified
Saint Louis, MO 63116 (Online Only)
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
Our clients often identify as LGBTQIAs2+ / Queer, Non-monogamous, sex positive or sex neutral, neurodivergence, and or disabled and living within Missouri or Kansas. However, identifying in these communities is not a requirement for services through AAC. Clients often start therapy to work on goals to learn more about identities, setting boundaries with others in their lives, opening up their relationship, learning more about themselves or others gender or sexual expression. Through individual, relationship, or family counseling we work to increase healthy communication based on our values, instead of assumed social norms.
Sophie Pellegrini
MSW, LCSW
Verified Verified
Saint Louis, MO 63118 (Online Only)
Waitlist for new clients
I am committed to anti-oppressive, non-pathologizing practice, and am LGBTQIA2S+ celebratory, sex positive, non-monogamy affirming, kink aware, sex worker affirming, and fat-positive.
I am a queer, neurodivergent therapist who is passionate about supporting clients as they uncover and connect with their most authentic, grounded selves. I specialize in working with queer, trans, and non-binary folks, with a focus on sexuality/asexuality, gender, neurodivergence, consensual non-monogamy, and trauma. My clients are often exploring emergent identities, unpacking relational patterns, learning to unmask, and seeking a greater sense of belonging. Our work together will likely be less focused on coping skills or quick solutions, but instead involve deep reflection, processing, and relationship building.
I am committed to anti-oppressive, non-pathologizing practice, and am LGBTQIA2S+ celebratory, sex positive, non-monogamy affirming, kink aware, sex worker affirming, and fat-positive.
I am a queer, neurodivergent therapist who is passionate about supporting clients as they uncover and connect with their most authentic, grounded selves. I specialize in working with queer, trans, and non-binary folks, with a focus on sexuality/asexuality, gender, neurodivergence, consensual non-monogamy, and trauma. My clients are often exploring emergent identities, unpacking relational patterns, learning to unmask, and seeking a greater sense of belonging. Our work together will likely be less focused on coping skills or quick solutions, but instead involve deep reflection, processing, and relationship building.
Sara Blackwood
Counselor, MA, MA, PLPC, PCA,NCC, CTMH-A, CTP
Verified Verified
2 Endorsed
Saint Louis, MO 63108 (Online Only)
I am an LGBTQ+, ENM, and kink-affirming therapist.
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
I am an LGBTQ+, ENM, and kink-affirming therapist.
Do you ever feel misunderstood or like you don’t fit in? Is this causing you to feel anxious or disconnected from life? As a queer mental health professional, I have experience working with autistic adults, ADHD, trauma, depression and anxiety.
Greg Tissi
Licensed Professional Counselor, MA Ed, PLPC
Verified Verified
3 Endorsed
Saint Louis, MO 63141 (Online Only)
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
Do you find yourself at a moment where you are wondering how to refine how you hold space for yourself and others around you? Get off the exhausting treadmill, move with intention, and realign with the trust you have envisioned for yourself. Expect your space to be held just for you, room to breathe, and authentic, non-judgmental support. In a sex-positive, trauma-informed, and integrative space, all genders, sexual orientations, ethnicities, ages, and bodies are welcome. If not right now, then when will it be time for you to give yourself permission to transform? Success can take many forms.
Krissi Franzen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63106 (Online Only)
Most of my experience is working with the LGBTQIA+, kink, and poly communities, and I am a WPATH and IFS informed counselor! I like to use curiosity, expression, and experimentation to support you towards your goals!.
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
Most of my experience is working with the LGBTQIA+, kink, and poly communities, and I am a WPATH and IFS informed counselor! I like to use curiosity, expression, and experimentation to support you towards your goals!.
My role is to help support you to lead happier, healthier life. Sometimes this means lessening your symptoms of anxiety or depression, or maybe it's working towards a specific goal like changing jobs or making friends. It can also look like wanting to find your true, authentic self, which can be exploring gender, sexuality, life after loss, or even just trying to figure out who you are!
Brandi Hotop
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63128 (Online Only)
kink/fetish), communication challenges, family and relationship dynamics, issues related to sex and sexuality, low self-esteem, depression, and anxiety.
It feels like you're no longer connecting or not connecting in a way that feels fulfilling with yourself or your partner(s). You feel you have said everything you can to help the other person understand your needs and wants with hope that something will change. You don't know how it's gotten so painful. It's starting to feel a little helpless that you'll be able to have the connection you once hoped. You feel you need a safe place to explore current and past struggles to reunite the spark in yourself and/or together. Lets replace the ineffective strategies with new ways of seeing yourself and other important people in your life.
kink/fetish), communication challenges, family and relationship dynamics, issues related to sex and sexuality, low self-esteem, depression, and anxiety.
It feels like you're no longer connecting or not connecting in a way that feels fulfilling with yourself or your partner(s). You feel you have said everything you can to help the other person understand your needs and wants with hope that something will change. You don't know how it's gotten so painful. It's starting to feel a little helpless that you'll be able to have the connection you once hoped. You feel you need a safe place to explore current and past struggles to reunite the spark in yourself and/or together. Lets replace the ineffective strategies with new ways of seeing yourself and other important people in your life.
Psychosocial Services
Clinical Social Work/Therapist, LCSW, MSW, MPH, CSE
Verified Verified
Saint Louis, MO 63118
We work with individuals on a variety of different issues directly impacting their lives: pregnancy, abortion, sexuality, gender identity, relationships, and the intersection of these experiences with religion/spirituality. The things we most need to talk about are often the things that make us uncomfortable, challenge our worldview, or are deemed “socially unacceptable”. Exploring these issues and our feelings in a safe environment expands our horizons and helps us to better understand ourselves and the world around us. Learning allows us to grow and develop as human beings. Personal growth can help us heal.
We work with individuals on a variety of different issues directly impacting their lives: pregnancy, abortion, sexuality, gender identity, relationships, and the intersection of these experiences with religion/spirituality. The things we most need to talk about are often the things that make us uncomfortable, challenge our worldview, or are deemed “socially unacceptable”. Exploring these issues and our feelings in a safe environment expands our horizons and helps us to better understand ourselves and the world around us. Learning allows us to grow and develop as human beings. Personal growth can help us heal.
I’m a trained sex-positive relationship therapist. I use evidenced-based relationship therapy techniques to support my clients in actualizing their interpersonal potential while honoring their individuality in the context of their relationships. I also practice Gottman Couples therapy, which integrates empirical evidence on what makes love last. Based on 40+ years of relationship research, the Gottman approach takes the guesswork out of how we can cultivate strong & lasting relationships
I’m a trained sex-positive relationship therapist. I use evidenced-based relationship therapy techniques to support my clients in actualizing their interpersonal potential while honoring their individuality in the context of their relationships. I also practice Gottman Couples therapy, which integrates empirical evidence on what makes love last. Based on 40+ years of relationship research, the Gottman approach takes the guesswork out of how we can cultivate strong & lasting relationships
Authentically You Counseling Services PLLC
Licensed Professional Counselor, LCPC
Verified Verified
Saint Louis, MO 63118
I approach therapy from a body neutral, sex/bdsm/ kink positive, feminist, attachment, and trauma-informed lens and utilize an eclectic style drawing from several evidence-based models.
Hello! I am a firm believer that the therapeutic journey is deeply personal, and I value the strength of the therapeutic relationship. You are an expert in your own life, and my role is to guide you back to your own expertise through self- exploration and growth while finding greater balance overall. I recognize a wide variety of healthy human desires, spiritual practices, relationship organizations, and identities and will meet you where you are at and respect your personal identities and goals. I have over 10 years working in mental health and come from a background in non-profit management, sexuality studies, and fine art.
I approach therapy from a body neutral, sex/bdsm/ kink positive, feminist, attachment, and trauma-informed lens and utilize an eclectic style drawing from several evidence-based models.
Hello! I am a firm believer that the therapeutic journey is deeply personal, and I value the strength of the therapeutic relationship. You are an expert in your own life, and my role is to guide you back to your own expertise through self- exploration and growth while finding greater balance overall. I recognize a wide variety of healthy human desires, spiritual practices, relationship organizations, and identities and will meet you where you are at and respect your personal identities and goals. I have over 10 years working in mental health and come from a background in non-profit management, sexuality studies, and fine art.
Nick Harper
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Saint Louis, MO 63101 (Online Only)
Feeling caught up in emotional uncertainty? Inclusive Therapy and Consulting Services, led by Nick Harper, offers supportive, trauma-informed therapy with a focus on LGBTQ+ needs. I’m here to provide a safe, sex-positive space where you can grow and explore. With over twelve years of experience as a licensed clinical social worker, I specialize in trauma-informed care and affirming approaches to sexuality. Here, therapy isn’t just a service—it’s a personalized journey towards healing and self-acceptance.
Feeling caught up in emotional uncertainty? Inclusive Therapy and Consulting Services, led by Nick Harper, offers supportive, trauma-informed therapy with a focus on LGBTQ+ needs. I’m here to provide a safe, sex-positive space where you can grow and explore. With over twelve years of experience as a licensed clinical social worker, I specialize in trauma-informed care and affirming approaches to sexuality. Here, therapy isn’t just a service—it’s a personalized journey towards healing and self-acceptance.
Sex is cool but what if you were able to speak about it freely in an authentically genuine, identity affirming, non judgmental and empathetic space. Perhaps you're trying to combat your internalized shame and societal beliefs of what sex should look like. Maybe you're seeking more self-pleasure and awareness. Are you navigating a new relationship dynamic or trying to combat intrusive thoughts around past sexual trauma? Let's find solutions and make achievable goals together.
Sex is cool but what if you were able to speak about it freely in an authentically genuine, identity affirming, non judgmental and empathetic space. Perhaps you're trying to combat your internalized shame and societal beliefs of what sex should look like. Maybe you're seeking more self-pleasure and awareness. Are you navigating a new relationship dynamic or trying to combat intrusive thoughts around past sexual trauma? Let's find solutions and make achievable goals together.
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Thank you for being here! My practice focuses on helping clients navigate anxiety, depression, low self-esteem, religious trauma, and grief. I work with adults, with a particular emphasis on the LGBTQ+ community, young adults, and the aging population.
Thank you for being here! My practice focuses on helping clients navigate anxiety, depression, low self-esteem, religious trauma, and grief. I work with adults, with a particular emphasis on the LGBTQ+ community, young adults, and the aging population.
Andrew Philip Shapiro
Licensed Professional Counselor, LPC, NCC, MEd
Verified Verified
Saint Louis, MO 63141
I have openings on Sat, Weds PM, and Tues & Thurs AM! I'm here to acknowledge your internal experience and to help determine if any external forces are disturbing your peace of mind. Sometimes our personal challenges can feel unapproachable, and if left unmanaged, these struggles can breed negative outlooks which cultivates the loss of connection and purpose. Without connection, what happens to your authentic voice? With no purpose, how often does anxiety and/or depression hijack your thinking? My style is for you, your marriage, or your family if you/they need reconnection, restoration, or insight into a new, peaceful normal.
I have openings on Sat, Weds PM, and Tues & Thurs AM! I'm here to acknowledge your internal experience and to help determine if any external forces are disturbing your peace of mind. Sometimes our personal challenges can feel unapproachable, and if left unmanaged, these struggles can breed negative outlooks which cultivates the loss of connection and purpose. Without connection, what happens to your authentic voice? With no purpose, how often does anxiety and/or depression hijack your thinking? My style is for you, your marriage, or your family if you/they need reconnection, restoration, or insight into a new, peaceful normal.
Stuck? People-Pleasing? Burnt out by life? Almost like no matter what you try to change or improve, those wheels just keep spinning, and you are exhausted. My ideal client is someone who is just ready to feel better. You may not exactly know what is going on or why these feelings are coming up all of a sudden. That's okay! You deserve someone who will collaborate with you no matter what you are dealing with. I believe connection and authenticity is the most vital part of the therapy process. Therapy is not just for fears and tears, but laughter and smiles too :) Let's tackle this together! (I hope you enjoy analogies!)
Stuck? People-Pleasing? Burnt out by life? Almost like no matter what you try to change or improve, those wheels just keep spinning, and you are exhausted. My ideal client is someone who is just ready to feel better. You may not exactly know what is going on or why these feelings are coming up all of a sudden. That's okay! You deserve someone who will collaborate with you no matter what you are dealing with. I believe connection and authenticity is the most vital part of the therapy process. Therapy is not just for fears and tears, but laughter and smiles too :) Let's tackle this together! (I hope you enjoy analogies!)
Mitch Cartwright
Licensed Professional Counselor, MEd, LPC, NCC
Verified Verified
1 Endorsed
Saint Louis, MO 63104
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
Sometimes it may feel like your inner worldview and dreams don’t match the outer world’s experiences and expectations. Sometimes we need help to gather all of our feelings, thoughts, beliefs, histories, and dreams in order to speak them out loud and make sense of them in a safe space. My goal is to help you share your story and your light with the world. When we share our story we heal; when we heal, we give to the greater world and the ripple of change is exponential. My ideal client's goals are to live authentically and freely, unapologetically, powerfully, and to find fulfillment in the day to day.
Kela Woods is a Licensed Professional Counselor in Missouri with over 15 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
Kela Woods is a Licensed Professional Counselor in Missouri with over 15 years experience in Behavioral Health & Social Services. She obtained a Master of Arts in Professional Counseling at Lindenwood University in St. Charles Missouri. Kela’s work experience includes mental health assessments, diagnosing, treatment planning, referrals, crisis intervention and de-escalation. As a therapist Kela is here to listen, to validate, and to provide support in a safe and non-judgemental setting. Kela’s counseling style is warm, empathetic, and client-centered.
Kari Englund-Moreton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Louis, MO 63118
I strive to provide a warm, safe environment in which you can feel safe to share and process current experiences and past experiences that may be causing difficulty to your system. I believe that positive experiences and relationships are central to trauma recovery and are important to general well-being. I believe that psychotherapy is a journey of self-discovery. I believe treatment is a creative process. We will work together to develop new insights that inform change. I currently do not have openings but I am happy to add you to my waitlist if that is your preference.
I strive to provide a warm, safe environment in which you can feel safe to share and process current experiences and past experiences that may be causing difficulty to your system. I believe that positive experiences and relationships are central to trauma recovery and are important to general well-being. I believe that psychotherapy is a journey of self-discovery. I believe treatment is a creative process. We will work together to develop new insights that inform change. I currently do not have openings but I am happy to add you to my waitlist if that is your preference.
Dr. A. P. Carmichael
Marriage & Family Therapist, PhD, MEd, MA, LMFT
Verified Verified
2 Endorsed
Saint Louis, MO 63108
Waitlist for new clients
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
Relationships are part of what makes us human. We thrive when connected with others. I am passionate about helping people create and maintain healthy and loving relationships. I work with couples, families, and individuals and have strong experience working with LGBTQ clients. I make it a priority to create a safe space for all of my clients. It is through this atmosphere of acceptance that we can work together to create true change and growth. I work with individuals, families and couples who are going through a crisis, or those who are simply looking to strengthen their relationships.
McKenna Walsh - Sandhill Counseling
Marriage & Family Therapist Associate, MMFT, PLMFT
Verified Verified
1 Endorsed
Saint Louis, MO 63128
McKenna is a PLMFT who changed careers in mental health after a successful career in technology and innovation. She shifted into a new phase when she realized her true passion: understanding how her brain works. She completed her M.A. at Syracuse University; now in Saint Louis to pursue her PhD at the Saint Louis University School of Medicine. McKenna’s clinical focus is the NeuroTriad model consisting of three core pillars: trauma-informed, neuroscience-based, and resilience-focused, educating and empowering clients with the neuroscience behind human thought and emotion and building skills or resiliency to achieve optimum outcomes
McKenna is a PLMFT who changed careers in mental health after a successful career in technology and innovation. She shifted into a new phase when she realized her true passion: understanding how her brain works. She completed her M.A. at Syracuse University; now in Saint Louis to pursue her PhD at the Saint Louis University School of Medicine. McKenna’s clinical focus is the NeuroTriad model consisting of three core pillars: trauma-informed, neuroscience-based, and resilience-focused, educating and empowering clients with the neuroscience behind human thought and emotion and building skills or resiliency to achieve optimum outcomes
Intentional Services, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Saint Louis, MO 63127
Providing in-person appointments on Saturday mornings along with virtual appointments throughout the week! I'm a licensed clinical social worker with over 15 years of experience. I work with many individuals who are incredibly resourceful, able to embrace change, and have strong emotional intelligence. Even with these overarching strengths, it can still be tough to navigate the complexities of life at times. This is where I can help. I build on your individual strengths and work with you to establish a plan and make real progress.
Providing in-person appointments on Saturday mornings along with virtual appointments throughout the week! I'm a licensed clinical social worker with over 15 years of experience. I work with many individuals who are incredibly resourceful, able to embrace change, and have strong emotional intelligence. Even with these overarching strengths, it can still be tough to navigate the complexities of life at times. This is where I can help. I build on your individual strengths and work with you to establish a plan and make real progress.
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Sex-Positive, Kink Allied Therapists
Why might an individual want to see a sex-positive, kink-allied therapist?
A sex-positive or kinky individual may want to see a sex-positive, kink-allied therapist because the client may feel safer and more supported discussing their experiences and challenges. A therapist who identifies as kink-friendly will have experience with clients having diverse sexual preferences and will likely be nonjudgmental and supportive about issues brought to the table. It is important to note that sex-positive, kink-allied individuals may find equal success with therapists who do not have such specialized knowledge and background. The most important factor in the success of therapy is for the client and practitioner to form a strong, trusting bond.
Do therapists have special training to gain expertise in sex-positive, kink-allied treatment?
Generally, no. There are limited training programs and unofficial accreditations that therapists can pursue, but a therapist’s expertise will ultimately come from their previous experience with similar clients, their engagement with organizations that promote sex positivity or kink-allied lifestyles, and the importance they place on safety and cultural sensitivity.
How can individuals recognize a good sex-positive, kink-allied therapist?
An experienced therapist is able to help clients explore their sexual identity and expression and relieve any discomfort or stigma attached to discussing such matters and the client’s overall challenges. A therapist who is sex-positive and kink-allied is able to create an environment that honors a client’s experience and sexual preferences. To recognize a good therapist, clients can simply ask directly about topics and issues important to them and gauge their comfort level and connection with a clinician based on the responses.
Can clients benefit from having a therapist with a focus on sex positivity and alternative sexual lifestyles?
Some individuals may feel most comfortable knowing that the clinician they’re working with has a commitment to creating an atmosphere of sex positivity and has experience with relationship diversity and alternative relationship structures. Working with a sex-positive, kink-allied therapist may help clients respect their own challenges and improve identity-affirming treatment.