person standing on rock. Sex therapy in san francisco

Sex & Love are essentials in life

Why not recognize how you stand with them?

Sex Therapy Services Tailored to You

At Rouse Relational Wellness, we understand that sex and intimacy are fundamental aspects of human connection and personal well-being. It's why we've cultivated a space right in the heart of San Francisco's vibrant Castro District, where individuals and couples from all communities, including our LGBTQ+ family, can explore and enhance their sexual health and happiness.

Our Unique Approach

Our sex therapy services are personalized to address your unique needs. We provide both in-person and online counseling options to accommodate your lifestyle and comfort

Inclusive and Diverse

Providers at Rouse Relational Wellness come from a range of backgrounds and lived experiences, ensuring you feel understood and represented.

Community-Focused Expertise:

Our team offers expertly tailored support for the queer, kinky, and poly communities. We stay continually educated on the latest approaches and understandings.

Mindfulness and Grounding:

Learn to manage immediate symptoms through mindfulness techniques. Develop a deeper understanding of your nervous system before tackling the underlying causes of your concerns.

Collaborative Networks:

Benefit from our extensive referral network for specialized care, ensuring a holistic approach to your therapy, such as pelvic floor physical therapists, urologists, and psychiatrists.

Feminist and Liberation Framework:

We empower you to determine your needs, values, and boundaries, crafting a self-affirming approach to your sexual well-being.

Areas We Address

Our compassionate, non-judgmental team helps clients engage with a variety of topics in a shame-reducing and empowering manner

  • Communication and Intimacy Issues: We guide you in developing healthier communication patterns and deeper emotional connections, fostering a more fulfilling intimate life.

  • Sexual Identity and Expression: Our therapists support you in exploring and affirming your sexual identity, ensuring you feel confident and authentic in your expression.

  • Gender-affirming Care: We support you in your journey of understanding and accepting your gender. Our providers are trained in gender-affirming care and/or have similar lived experiences to their clients. 

  • Erectile Dysfunction and Performance Anxiety: We provide strategies for managing performance anxiety and overcoming erectile dysfunction, aiming to restore confidence and enjoyment in sexual experiences. Our biopsychosocial assessment helps identify when there is a need for referrals to outside specialists, providing the care you deserve.

  • Desire Discrepancy in Relationships: We work on navigating differences in sexual desire within relationships, providing guidance and the container for honest conversations, and approaches that honor both partners' needs.

  • Healing from Sexual Trauma: Our approach is sensitive and empowering, supporting you in the healing process from past sexual trauma, aiming for a future where intimacy is associated with joy and connection.

  • Navigating Non-Monogamy and Polyamory: We offer guided insight and tools for healthy engagement in non-monogamous and polyamorous relationships, emphasizing communication and boundary-setting.

  • Exploring Kinks and Fetishes: In a safe and accepting environment, we help you understand and accept your kinks and fetishes, ensuring it adds to the fulfillment and well-being of all parties involved..

We work with clients from all gender and sexual identities in a non-judgmental, shame-reducing and empowering way on the following issues:

  • Performance Anxiety

  • Fetishes and Kinks

  • Compulsive Sexual Behavior

  • Body Image

  • Sexual Trauma

  • Polyamory/Open Relationships

Sex Therapy FAQs

  • BDSM/Power play

  • IPV Survivors

  • Dating

  • Sex Anxiety

  • Improving Communication

  • Building Trust

  • Consent and Boundaries

Hear from our clients

  • "Rouse helped me by taking my focus into the experience, allowing me to feel less stressed."

    Anonymous

  • "I feel more excited about my future."

    Anonymous

Begin Your Journey Today

Sexuality and intimacy should be a source of joy and connection—not anxiety. Book a consultation with Rouse Relational Wellness today, and take the first step towards cultivating the fulfilling, empowered sexual life you deserve.

Book a consultation