Often brings people in

Sex & Intimacy Therapy

The conversation most therapy skips

Many therapists don’t talk about these things. Sex gets one polite question at intake and is never raised again — which leaves people working on everything except what brought them in.

Here it is the center of the work. I am kink-affirming, ENM-affirming, and poly-affirming, with specialized training in compulsive sexual behavior. Whether you are exploring your sexuality or trying to change a behavior that no longer fits your values, we can talk about it plainly.

“Shame thrives in silence. Nothing about your desire or your history is too complicated to bring here.”

Areas of focus

What we tend to work on

Desire & connection

  • Desire discrepancy in partnerships
  • Intimacy & sexual reconnection
  • Returning to desire & self post-baby

Compulsive sexual behavior

  • Porn & sexual preoccupation
  • Shame cycles & attachment wounds
  • Trauma-informed dopamine education
  • Rebuilding integrity aligned with values

Identity, kink & structure

  • Sexual identity development
  • Kink-affirming exploration
  • Navigating ENM & non-traditional structures
  • Sexual shame & self-worth

If compulsive pornography or sexual behavior is the main concern and things feel urgent, the Foundations Intensive is a faster way in: a screening call, two working sessions, and a written Recovery Plan you keep.

See the Foundations Intensive → About the men’s group →

Clinical Approach

How I work

Shame-Reducing

Shame thrives in silence. A central part of this work is creating space where no behavior, desire, or history is too complicated to examine honestly and with compassion.

Sex-Positive & Affirming

I am kink-affirming, ENM-affirming, and poly-affirming. Whether you’re exploring your sexuality or working through compulsive behavior, you’ll find non-judgmental support here.

Nervous System Aware

Lasting change happens at the body level, not just the cognitive level. Sessions integrate somatic awareness alongside insight and narrative work.

More on the approach →  ·  About Sarah King, LCSW, PMH-C →

Practical details

Before you reach out

Format

Sessions are virtual, so you can attend from anywhere in Oregon. I am licensed statewide.

First step

A free 15-minute phone consultation to see if we’re a good fit — no pressure, no commitment. I return all inquiries within two business days.

Fees & insurance

I am in-network with select plans and also work with self-pay and out-of-network benefits. See current fees and accepted panels.

Other services

Not quite the right fit?

Individual Therapy
Understanding the patterns beneath anxiety, shame, sexual behavior concerns, and relationship struggles. One-on-one, at your pace.
Learn more →
Couples & Partnership Therapy
For monogamous couples, ENM partnerships, and poly networks navigating trust, communication, betrayal repair, and intimacy.
Learn more →
Men’s Dating & Intimacy Work
For men navigating modern dating, emotional connection, compulsive behavior patterns, and building confidence in relationships.
Learn more →
Men’s Sexual Health Group
A structured process group for men working on sexual integrity, shame reduction, and relational healing. Curriculum-based with rolling cohorts.
Join the waitlist →
Perinatal & Parenthood
PMH-C certified support for pregnancy, postpartum, and early parenthood — including intimacy changes and parental identity shifts.
Learn more →
The Foundations Intensive
A two-session intensive for the weeks when things feel most unmanageable — a screening call, two working sessions, and a written Recovery Plan you keep.
See how it works →

Ready to begin?

Schedule a free consultation

A 15-minute phone consultation to see if we’re a good fit — no pressure, no commitment. I return all inquiries within two business days.

Your message is confidential. If you are in crisis, please call or text 988 rather than submitting this form.