We don't and here's why that's actually good news for you. Insurance companies require a mental health diagnosis to cover therapy, which creates limitations on the kind of work we can do together (sex therapy and relationship work often don't fit neatly into diagnostic categories). Paying out of pocket means we can focus entirely on your goals, not on what your insurance will authorize. We do provide monthly superbills, which you can submit for out-of-network reimbursement if your plan allows. We're happy to talk through the details on your consultation call.

Exact fees will depend on the service that you are seeking. You deserve to meet us and learn more about our practice so that you know exactly what our rates cover. We discuss rates during our initial consultation call, which is always no obligation and free of charge.

We offer in-person therapy (or virtual therapy) for residents of North Carolina. We offer virtual services for clients in Massachusetts. We also offer virtual coaching for clients outside of NC and MA.

Yes! You can request a consultation, and we can tell you about our coaching business, which allows us to work with folks across state and national lines.

The first step is to schedule a free 30 minute consultation with us. We’ll talk about your interest in therapy, your hopes for therapy, and answer any additional questions that you might have.

Our first goal is getting to know your story. What led you to choosing therapy? What are the things in your life that aren’t working? What are your ideal outcomes for a relationship, and what experiences in your relationship and life has informed that?

Our first three sessions are assessment sessions; we’ll offer a series of questionnaires and inventories in between these sessions, and these will give you a chance to write about your experience of what isn’t working.

We see individuals, families, polycules, and other groups, as well as couples.

We have over thirty years of experience working with a variety of relational and sexual health concerns. Our speciality is helping folks better healthier relationships; as long as the thing that you want to work on pertains to improving a relationship (and most therapy concerns do), we’ll have probably helped someone like you at some point of our career. You will not shock us, and more importantly, we will respond to your concerns in a way that minimizes embarrassment and shame. We will share as much non-judgmentality and curiosity as possible.

We will routinely refer to the relational and individual goals that you set. Many of the goals will include practicing specific communication techniques, emotional regulation strategies, or other conversations with your partner. We’ll ask you to keep track of the positive things that you and your partner are doing. We’ll also routinely ask you at the beginning and end of each session how you think therapy is working.

Sex therapy is not about spicing up your sex life by adding new positions and techniques. If you want that, you can probably pick up a Cosmo magazine and get it cheaper than therapy. (Although we don’t endorse much of what Cosmo says about sex.) Sex therapy is far more about what happens before, after, and in the interim between sexual experiences.

People make a lot of assumptions about the lives of sex and relationship therapists. Specifically, folks assume that our relationship operates smoothly most of the time, and that we are always able to practice what we preach. In reality, our relationship journey has been quite messy, perhaps in similar ways as yours. In our relationship, we have worked hard to resist avoidance. Which means that conflict is present, and sometimes more present depending on the season of life. Relationship therapy is not about avoiding conflict, but learning to do it well. According to one of Julia’s former therapists, we are always doing our own work alongside of our clients.