I work with individuals and couples of all genders, orientations, and relationship styles. Whether you're single, partnered, monogamous, polyamorous, LGBTQIA+, or questioning, this is a space for you.

I don't take insurance directly, no. I’m considered an out-of-network provider for most insurance companies and can provide a superbill for reimbursement if your plan allows. Let’s talk about the details and any questions during your consult and I have this process streamlined so it's easy to set up on my end! Sex therapy is a HUGE investment and it can feel scary if it's not guaranteed to work, I get it! Most sex therapists don't take insurance and charge a fee that's on the higher end for therapy. While it may seem like we're charging this "because we can," it might help to know AASECT Certification (one of my certifications as a sex therapist) costs around $10,000, takes years and requires specialized supervision, training and ongoing continuing education. With charging the fee I do, I am able to keep my caseload low, make connections/see themes across sessions and find training/resources that you get to benefit from. You shouldn't have to wonder if I'll be able to remember your name, if I've eaten anything that day or if you're my 10th client of the day.

Yes, in fact I am fully virtual! I offer secure, HIPAA-compliant video sessions for clients located all across the beautiful state of Colorado. Online therapy allows you to access support from the comfort and privacy of your home, car or any private, quiet location you have a strong enough internet question. You can use a phone, laptop or computer for video sessions, and we can always do a phone session as a backup.

Probably one of the most common questions I get! My most popular frequency is biweekly (every other week), and often folks like to start weekly with the momentum there can be with starting therapy. I don't require any frequency nor a regular session time, but if you'd like to schedule regularly, great or we can schedule as we go especially if your work/life schedule changes from week to week. In certain cases, clients like to come in for 80-minute sessions or it's rarer but twice a week. This is only if we determine this would be helpful and appropriate to you, sometimes there can be "too much of a good thing" especially if you have another therapist you see regularly.

You can book a free 15-minute consultation by clicking here, or send me an email at caitlin@coloradosextherapy.com. On that call, I'll answer your questions and help you decide if this is the right fit and can provide referrals if it's not! It helps a TON if you fill out this questionnaire so we can spend the 15-minutes really focused on you. And, if from the questionnaire it' doesn't look like a fit, I can best honor your time and let you know before you make time for a phone call.

Absolutely! You may be seeing a couples/partners therapist or individual therapist that helps with more general personal, mental health or relationship concerns, which I encourage! This is where I get nerdy and break out the analogy of the general practitioner vs. specialist. Seeing a therapist in this capacity is like when you see your doctor regularly for checkups or general medical questions. This isn't to throw shade but sadly the vast majority of therapists don't even take a single sexuality class in grad school let alone have specialized training in sex therapy, where a lot of harm can be done if not trained. If you're seeking out sex therapy, much like you would want to maybe see a cardiologist for any specific heart issues, it'll save time and frustration to see a specialist. Likely your relationship, confidence and trust in your own body has already been affected negatively, and it's not a great time to take chances with someone who may not be equipped to help. I hear all the time unfortunately that before clients make it to my practice, they have likely seen therapists who invalidate them, give them bad advice that makes things worse, or seem uncomfortable when it's brought up which can add to the very shame I'm passionate about helping clients work through and overcome.

That depends on what you're hoping to work on (I know, I know, it sucks to get the vague"it depends" but bear with me). If you're navigating personal concerns—like low desire, sexual shame, trauma, or exploring your identity or you've had similar experiences across multiple relationshipsy—individual therapy might be the best starting point. If the challenges involve communication, mismatched libidos, intimacy struggles, exploring something new or relationship dynamics in general, couples therapy can be a better starting point. While some therapists switch or bring in partners later, I find it's best to stick with either individual or the couples/partner from the get-go and I'm happy to refer out to my amazing network of skilled therapists. We can talk through your goals in an initial consultation and decide together what would best support you (and your partner[s], if applicable).

Sex therapy is a form of talk therapy that focuses on concerns related to sexuality, intimacy, and relationships. It can help individuals and couples navigate challenges such as low libido, mismatched desire, erectile issues, sexual trauma, body image concerns, and communication around sex.

Nope! While sex may be part of the discussion, therapy often explores self-esteem, anxiety, depression, ADHD, communication, attachment, identity, stress, emotional blocks, trauma and how those influence your intimate life. Sex and intimacy rarely exists in a vacuum and can have many areas it bleeds over into or overlaps with. While I have a 1000+ hours of training in sex therapy specifically, I'm also "classically trained" as a licensed professional counselor so we can talk about what feels most helpful.

In session: Never. Sessions are 100% talk-based. You will never be asked to touch yourself or your partner, undress, or engage in any kind of sexual activity during therapy. Outside of session: Your consent is important to me. I will not ask you to do anything you don't feel comfortable or safe doing. I don't give "one size fits all" advice you can find online. I won't tell you when or how to have sex or masturbate, nor to abstain from sex unless we collaborate and tailor this intentionally to help you meet your goals, and if you're on board for these kinds of suggestions in the first place.

Yes! Most people have fluctuations in their libido, desire or arousal and most relationships go through "dry spells" or feel disconnected. Sex therapy can help you understand what’s underneath and rebuild intimacy—both emotional and physical. While no therapist can promise results (and if they do, run the other direction!), avoidance and conflict around sex is something I work with daily, have a ton of training on have tons of tools in my toolbox to help each unique case.

Yes. I love working with neurodivergent/neurospicy clients, including those with ADHD, autism, AuDHD, sensory sensitivities, sensory processing disorder and other forms of cognitive diversity. I understand that intimacy, communication, executive dysfunction, neurodivergent-specific burnout and sensory experiences can show up in a lot of different ways—and I tailor therapy to honor your unique needs, preferences, and ways of processing. I have a ton of specific experience with these areas and while all neurodivergent folks are different, I am well-versed in the many ways this can show up either overtly or subtly. This is a neurodiversity-affirming space!

Absolutely. This is an LGBTQ+ affirming space and I both have training to support LGBTQ+ folks and I am queer myself! Whether you're exploring your identity, navigating coming out, longing for queer community or facing difficulties in relationships or sex, you’ll be met with understanding and support—never judgment. While I work with all LGBTQ+ folks, I have special training in supporting bisexual folks and unique challenges that may be at play. There is a lot of bi erasure and biphobia that many bisexual folks have never had the language or container to process and heal from -- and I'm here to change that! Studies suggest MOST bisexual people are in straight-presenting relationships and it doesn't make you less bisexual or queer, even if you've heard this rhetoric from other LGBTQ+ folks (which is common -- ugh!).

Yes! I practice affirming, non-pathologizing care for folks in kink, BDSM, and consensually non-monogamous relationships. Whether you're looking to improve communication, work through jealousy, or explore your desires safely, this is a judgment-free space. You will not have to educate me on any of these topics and while I may look young/naive, I'd honestly be impressed if you talk about a sexual interest, kink or fetish I'm not familiar with. I truly don't believe any relationship structure or level of kink/vanilla is better or worse than any other. Rather it's more about the fit, skills and needs for each person and relationship. I view sexuality and relationships from an expansive, open-minded framework (Rule 34, iykyk) and like to emphasize what's underneath these interests rather than stereotypes based on how something appears at face value. While we are all exposed to media with extreme violence in content, that doesn't mean we are violent ourselves, nor does something that is acted out consensually in a play space or bedroom necessarily reflect one's values.

Yes. This is a sex work–affirming practice. I work with people across the sex industry, including full-service workers, strippers, cam models, dominants, escorts, and content creators. You’ll be met with respect, not judgment. Whether you're navigating boundaries, relationships, safety, balancing work with your own sexuality/sex life, stigma, burnout, trauma, shame/guilt, isolation, self-acceptance or personal growth, therapy is a space for you—on your terms. Sex work is a job like any other, with unique challenges, benefits and drawbacks, and I'm not here to assume I know what's best for you or to tell you what to do with your life!

Yes, I provide trauma-informed care, meaning we go at your pace and focus on building safety, trust, and healing. Therapy can help survivors reconnect with their bodies, boundaries, and pleasure on their own terms. You will never be pressured to describe in detail about or re-live traumatic experiences unless it would be helpful to you to get it off your chest. If you do, you won't ever make me feel uncomfortable, burdened or needing taking care of by you because I'm trained in and experienced with my own self-care and boundaries.