Sex Therapy & Sexual Health
An area most clinicians
sidestep. I've made it
my life's work.
Sexual health is still a significant gap in most clinical training programs. It doesn't get the research funding it deserves, it's underrepresented in graduate curricula, and a lot of people spend years being told their concerns are normal, psychological, or not worth investigating.
That's exactly why I've made it a focus. I came to sexual health work early in my career and discovered I had a real skill for making deeply uncomfortable topics feel safe — and a genuine interest in an area that most clinicians would rather avoid. I've been working in sexual health, pelvic pain, and intimacy ever since.
I work with individuals and couples navigating sexual pain, low desire, arousal difficulties, erectile concerns, sexual anxiety, and the complex feelings that build up around intimacy over time. These conversations can feel difficult to start. In my experience, once people are in the room, the relief of finally talking about it openly is significant.
Why Specialist Care Matters
Most clinicians aren't trained in this
Sexual health receives minimal coverage in most graduate psychology programs. A general therapist may be warm and skilled — and still not have the clinical vocabulary, diagnostic knowledge, or treatment frameworks to actually help. Fifteen years of focused practice in this area is genuinely different from a generalist who occasionally sees these concerns.
The body and the mind aren't separate
Sexual health concerns almost always involve both. Pelvic pain has psychological components. Low desire has physiological ones. Anxiety around sex lives in the nervous system, not just in thought patterns. I work across all of these dimensions because treating one in isolation rarely produces lasting change.
You deserve to be taken seriously
A lot of people arrive having already been dismissed — told their pain isn't real, their concerns are normal, or that there's nothing to be done. That experience of not being believed is its own kind of harm. I take these concerns seriously because I know how common, how disruptive, and how genuinely treatable they are with the right support.
Sexual & Pelvic Pain
Real conditions. More common
than most people realize.
Genuinely treatable.
Vulvodynia, vaginismus, vestibulodynia, dyspareunia — these are diagnosable conditions with neurological, physiological, and psychological components. They are not imagined, they are not inevitable, and they do not have to define your life or your relationships.
How I Work With Pelvic Pain
Psychological treatment for pelvic pain is not about suggesting the pain is in your head. It's about addressing the very real ways that chronic pain reshapes the nervous system, affects how you relate to your body, and creates patterns of avoidance, fear, and relationship tension that take on a life of their own.
I work alongside physiotherapists, gynecologists, and other specialists when appropriate. I help clients understand their diagnosis, navigate a healthcare system that often fails this population, and build a life that isn't organized around pain.
Online Workshop
Sexual Pain: A Psychological Approach
A five-module video course covering the psychology, physiology, and treatment of sexual pain — including communication with partners and strategies for rebuilding pleasure. Developed from 15 years of clinical work. Available anywhere, at your own pace.
Desire & Arousal
Among the most common concerns
I see — and among the most
responsive to treatment.
Low desire, mismatched libido, and arousal difficulties affect a significant portion of adults at some point in their lives. They're also among the concerns most likely to go unaddressed — because people assume it's just how things are, or because they haven't found a clinician who takes it seriously.
Low Desire
A persistent absence of interest in sexual activity that causes personal distress or relationship difficulty. Low desire has physiological, psychological, and relational contributors — and usually more than one at a time. Effective treatment starts with understanding which factors are actually driving it for this particular person.
Stress, hormonal shifts, medication side effects, relationship dynamics, unresolved conflict, and a history of negative sexual experiences can all play a role. So can simply never having had a sexual experience that felt worth wanting to repeat.
Mismatched Libido
Desire discrepancy — where one partner consistently wants sex more than the other — is one of the most common sources of relationship tension I see. It creates a dynamic where the higher-desire partner feels rejected and the lower-desire partner feels pressured, which makes desire decrease further.
This is a relational issue as much as an individual one, and it benefits from being addressed in that context. I work with both individuals and couples navigating this pattern.
Sexual Anxiety
Anxiety around intimacy can quietly
take over a relationship.
There's usually a lot to work with.
Sexual anxiety is one of those concerns that tends to compound over time. An awkward experience becomes a pattern of avoidance. Avoidance becomes a source of shame. Shame makes the next attempt harder. Understanding the cycle is often the beginning of interrupting it.
Erectile Concerns
Frequently psychological in origin —
even when it doesn't feel that way.
Erectile difficulties are among the most distressing sexual health concerns men experience, and among the most likely to be addressed only medically — if at all. Medication can help with the mechanics. It doesn't address the anxiety, the relationship tension, or the meaning a man has made of what's happening.
What's actually happening
Erection depends on a complex interplay of vascular, neurological, hormonal, and psychological factors. Anxiety alone is sufficient to interfere with arousal — and a single difficult experience can create an anticipatory anxiety cycle that makes future difficulties more likely.
Even when there are physiological contributors, the psychological layer almost always requires attention. Medical treatment without addressing the anxiety, avoidance, and relationship impact typically produces incomplete results.
How I work with this
I work with men and couples navigating erectile concerns with honesty and without judgment. That means understanding the full picture — what's contributing, what's been tried, what the relationship context looks like — and developing an approach that addresses the actual drivers rather than just the symptom.
For couples, this is relational work as much as individual work. A partner's response — however well-intentioned — can either maintain the anxiety cycle or help disrupt it. I bring both people into that conversation when it's appropriate.
Also Within Sexual Health
Other areas I work in —
with the same depth.
Identity & Orientation
Questions around sexual identity and orientation deserve thoughtful, unhurried space. I work with people across the full spectrum of gender identity and relationship structure — without a predetermined framework or agenda about what the answers should be.
Compulsive Sexual Behaviour
When sexual behaviour starts to feel out of control or is causing real harm — to relationships, work, or self-esteem — it's worth exploring what's underneath it. I approach this without shame and without moralistic frameworks that often make this kind of help harder to seek.
Sex After Illness or Injury
Cancer treatment, chronic illness, injury, and major surgery can profoundly affect sexuality and intimacy. I've delivered workshops at cancer centres and worked directly with individuals navigating these transitions — bringing clinical expertise into a space where it's often missing.
Intimacy After Relationship Rupture
Infidelity, betrayal, and relationship trauma leave marks on intimacy that don't resolve on their own. Rebuilding — whether in the same relationship or a new one — often requires deliberate work on the patterns, beliefs, and nervous system responses that formed in response to what happened.
Clinical Approach
Evidence-based. Neurobiologically
grounded. Tailored to you.
The clinical foundation I bring to every session is consistent. How I actually work with each person is entirely individual. I draw from a range of evidence-based approaches — using whichever combination actually fits the person in front of me.
Most sexual health concerns have neurological underpinnings — meaning they're not just about how we think about things consciously, but about how the brain and nervous system have been shaped by experience. Understanding that is often genuinely therapeutic in itself. A lot of people have spent years blaming themselves for things their nervous system was doing entirely without their permission.
Getting Started
These conversations are
hard to start.
Start here.
You don't need to have everything figured out before reaching out. You don't need a diagnosis, a clear presenting problem, or certainty that therapy is what you need. A brief message describing what's going on is enough.
I respond to everything personally within one to two business days. From there, we figure out together whether this is the right fit.
Sessions are 50 minutes · $235 · In person in Victoria and Edmonton, or virtually across BC and Alberta