Are you currently accepting new clients?

Yes. We are currently welcoming new individual and couples clients across Virginia, Florida, Washington DC, and Maryland — both in person at our Fairfax, VA and Miami, FL offices and via secure telehealth.

What happens during the free consultation?

The free 15-minute consultation is a low-pressure phone call. We'll talk briefly about what brings you in, answer any questions you have about our approach, and help you figure out which therapist might be the best fit. There's no commitment required — it's just a conversation.

How do I schedule a free consultation?

The easiest way is to use our online booking link — you can pick a time that works in about 60 seconds. Click Book a Free Consultation in the navigation bar, or visit our Schedule page. If you'd prefer to reach out first, you can also use our contact page and we'll respond within one business day.

What should I expect in my first paid session?

Your first session is mostly intake — your therapist will ask about your background, what's bringing you in, your goals, and any relevant history. You won't be expected to go deep on your first visit. Think of it as a mutual conversation to understand each other and establish a direction. Sessions are 45–50 minutes depending on your therapist.

What actually happens in a sex therapy session? Will I be asked to do anything sexual?

No — and this is the most common misconception about sex therapy. Sessions are fully clothed, conducted in a standard therapy office or via secure video, and there is no physical contact of any kind. We talk: about your experiences, emotions, relationships, history, and goals. You may be given exercises to practice privately at home between sessions, but nothing happens in the room that wouldn't happen in any other form of therapy.

What is the difference between sex therapy and regular therapy?

Sex therapy is a specialized form of psychotherapy focused on sexual health, functioning, and intimacy. Our therapists hold advanced credentials — including AASECT certification — that go well beyond standard licensure. This training equips them to address concerns like sexual dysfunction, desire discrepancy, sexual trauma, and intimacy in ways that most general therapists are not trained or equipped to do.

Can I come alone if my partner won't join me?

Absolutely. Individual sex therapy is effective and appropriate even when a partner isn't present or isn't ready to participate. Many clients work through deeply personal concerns — sexual trauma, low desire, anxiety, body image, or sexual dysfunction — entirely on their own. If couples work becomes relevant later, that's a conversation we can have when the time is right.

Do I have to talk about things I'm not ready to discuss?

No. You set the pace. Our therapists are trained to follow your lead, and you are never pressured to share more than you're comfortable with. Building a sense of safety in the room is always the first priority — the deeper work follows from there.

How long does therapy typically take?

It depends on your goals. Some clients address a focused concern in 8–12 sessions. Others work with us for a year or more on deeper relational or trauma-related issues. Your therapist will discuss realistic timelines with you early on, and you'll revisit them as the work evolves. Progress is always the measure — not time.

How often will we meet?

Weekly sessions are our standard recommendation. Consistent, regular sessions tend to produce the most meaningful and lasting progress. Bi-weekly scheduling is available in some circumstances. We generally don't recommend monthly sessions — the gap between appointments limits continuity and momentum.

Is everything I share completely confidential?

Yes. Everything discussed in sessions is strictly confidential under HIPAA and professional ethics standards. There are narrow, legally required exceptions — such as if we have reason to believe someone is in immediate danger — and your therapist will explain these clearly in your first session. What you share about your sexuality, relationships, history, or identity will never be disclosed without your explicit written consent.

I'm embarrassed to talk about sex with a stranger. Is that normal?

Completely normal — and expected. Most clients feel some version of this before their first session, and many describe it as the thing they were most worried about. Our therapists have heard it all, and they're specifically trained to make these conversations feel less daunting over time. The free 15-minute consultation is a good first step: a short, low-stakes call that lets you get a sense of us before committing to anything.

Do you work with LGBTQ+ clients and non-traditional relationship structures?

Yes, wholeheartedly. Cushing Counseling is an affirming, judgment-free practice. We welcome clients of all sexual orientations, gender identities, and relationship structures — including non-monogamous, polyamorous, and kink-aware individuals and couples. You do not need to explain or justify who you are here. Our therapists are trained in LGBTQ+ affirming care and approach every client with genuine respect and curiosity.

Do you work with individuals, couples, or both?

Both. We offer individual therapy, couples therapy, and integrated couples and sex therapy. Some clients start individually and bring a partner in later. Others come as a couple from the start. We'll help you figure out the right format during your free consultation.

What does therapy cost?

Session rates vary by therapist: Vanessa Cushing, LPC, CST (AASECT Certified) — $350 / 50 min. Radiance Sanneman, LCPC — $210 / 50 min. Alexandria Da Ponte Cheatham — $175 / 50 min. Noelle Harris, LMSW — $165 / 45 min individual, $220 / couples session. Every new client receives a complimentary 15-minute telephone consultation at no cost.

Do you accept insurance?

We are a private-pay, out-of-network practice and do not bill insurance directly. However, we partner with Thrizer, which allows many clients to use their out-of-network mental health benefits automatically — so you may pay significantly less than the full session rate, depending on your plan.

What is Thrizer and how does it work?

Thrizer is a service that verifies your out-of-network insurance coverage upfront and collects only your estimated share at the time of service. They file the claim automatically after each appointment and your reimbursement comes directly from your insurer. No superbill wrangling, no waiting on reimbursements, no paperwork on your end.

Can I get a superbill to submit to my insurance myself?

Yes. We can provide a superbill at any time — a detailed receipt that includes diagnosis codes, procedure codes, and your therapist's credentials. Just ask your therapist and we'll generate one for any session.

Do you offer sliding scale or reduced rates?

We have a limited number of reduced-fee spots available. If cost is a barrier to starting therapy, please mention it during your free consultation and we'll do our best to find an option that works.

What is your cancellation policy?

We ask for at least 24 hours' notice to cancel or reschedule. Late cancellations and no-shows may be charged the full session fee. We understand that life happens — please just reach out as soon as you know.

What payment methods do you accept?

All fees are collected via credit card on the day of your session, automatically. Your card is kept securely on file — there are no invoices or checks to manage.

Where are your offices located?

We have two physical locations: Fairfax, Virginia — 12875 Yates Ford Rd, Clifton, VA 20124. Miami, Florida — 244 Biscayne Blvd, Miami, FL 33132. We also see clients throughout Virginia, Florida, Washington DC, and Maryland via secure telehealth.

Do you offer online therapy?

Yes. All of our therapists offer HIPAA-compliant telehealth sessions via secure video. Many clients prefer telehealth for the flexibility and privacy it offers. Session quality and fees are the same whether you meet in person or online.

Is telehealth as effective as in-person therapy?

Research consistently shows that telehealth is equally effective as in-person therapy for the concerns we treat — including sexual dysfunction, trauma, desire issues, and relationship challenges. Many clients actually find it easier to open up from the comfort and privacy of their own space.

What states do you serve via telehealth?

We are currently licensed to see telehealth clients in Virginia, Florida, Washington DC, and Maryland. If you are located outside these states, reach out and we can discuss your options or provide a referral.

How do I choose which therapist to work with?

Start with our About Us page to read about each therapist's training, style, and areas of focus. Practical factors like fee and availability matter too. If you're not sure, mention it during your free consultation — we'll help match you with the best fit. It's also completely fine to try a first session and reassess.

What is AASECT certification?

AASECT stands for the American Association of Sexuality Educators, Counselors and Therapists. The AASECT Certified Sex Therapist credential is the gold standard in the field. Earning it requires a master's or doctoral degree in a mental health discipline, hundreds of hours of specialized training in human sexuality, supervised clinical hours with a certified supervisor, and ongoing continuing education. Vanessa Cushing holds this certification, placing her among a small number of AASECT-certified sex therapists in the country.

What specialties does the practice cover?

Cushing Counseling therapists collectively specialize in sex therapy and sexual dysfunction, couples therapy and intimacy, trauma therapy and sexual trauma recovery, LGBTQ+ affirming care, and Internal Family Systems (IFS) therapy.

How to Find a Certified Sex Therapist in Miami | Cushing Counseling

Searching for a certified sex therapist in Miami can be daunting, especially when you want to ensure you’re working with a provider who truly understands your concerns and is highly qualified to help. The need for expert, evidence-based, and compassionate sex therapy is common, with many individuals and couples in Miami seeking support for issues like low sexual desire, intimacy challenges, sexual dysfunction, trauma recovery, and relationship concerns.

At Cushing Counseling, our focus is on helping you navigate these challenges by offering rigorously trained, AASECT-certified, and trauma-informed sex therapy, delivered from our Miami location and throughout Florida via secure online sessions. Our practice centers around integrity, expertise, and compassion, welcoming clients of all backgrounds and relationship structures, including the LGBTQ+ community.

What Is a Certified Sex Therapist?

A certified sex therapist is a licensed mental health professional who has completed advanced, specialized training in treating sexual concerns, intimacy issues, and relationship challenges. The gold standard credential in the United States is "AASECT Certified Sex Therapist," awarded by the American Association of Sexuality Educators, Counselors and Therapists (AASECT). This certification requires:

150+ hours of graduate-level sexual health and therapy education
Advanced clinical supervision by an AASECT-approved supervisor
Full state licensure (such as LPC, LMFT, LCSW, or psychologist) in mental health
Demonstrated commitment to ethics, trauma-informed care, and ongoing specialty training

This level of preparation ensures that your therapist not only understands psychological and sexual health but can address complex concerns like trauma, emotional avoidance, relationship patterns, and cultural or religious shame about sexuality.

How to Find a Certified Sex Therapist in Miami: Step-by-Step

Finding the right fit requires more than a quick online search. Here’s a detailed, practical roadmap backed by the expertise at Cushing Counseling:

Step 1: Define Your Goals

Clarify what you want to address. Common issues include mismatched desire, sexual dysfunction, painful sex, loss of intimacy, trauma, shame, or the impact of cultural beliefs about sexuality.
Decide if you want individual, couples, or integrative sex therapy.

Step 2: Verify Credentials and Training

Prioritize clinicians listing "AASECT Certified Sex Therapist." You can view certified therapists on the AASECT directory.
Check for state licensure in Florida. The therapist must be legally licensed to practice in the state in order to provide care to Miami residents.
Look for specific training: certificates from programs like the University of Michigan, advanced training in Cognitive Behavioral Therapy (CBT), Internal Family Systems (IFS), trauma treatment, and experience with couples therapy indicate a higher degree of specialization.

At Cushing Counseling, our founder Vanessa Cushing is AASECT certified, Johns Hopkins–trained, and deeply experienced in sexual health, trauma, and couples therapy.

Step 3: Use Trusted Directories, Not Just Search Engines

AASECT’s "Find a Professional" tool (linked above) is the most reliable for verifying certification.
You can also filter for sex therapy specialists on directories like Psychology Today (Miami sex therapists), but always confirm credentials independently.
Ask for referrals from medical professionals such as pelvic health physical therapists, urologists, and OB-GYNs. Local professionals often refer directly to Cushing Counseling because of our strong ethics and advanced training.

Step 4: Evaluate the Therapist’s Approach, Specialties, and Values

Does the provider take a trauma-informed approach? Are they explicit about being LGBTQ+ affirming?
Do they address core issues relevant to you—such as desire discrepancy, intimacy, sexual trauma, sexual pain, or relationship stress?
Do their professional and client reviews speak to their clinical sharpness and humanity? For instance, clients of Cushing Counseling consistently note our direct, supportive, and nonjudgmental environment.

A professional therapist takes notes during a therapy session, engaging with a client.

Step 5: Book a Free Consultation Call and Ask the Right Questions

Most leading Miami sex therapists, including Cushing Counseling, offer a free 15-minute phone consultation. This is your chance to get honest, pressure-free answers.
Ask about specific training, frequency of working with issues like yours, approaches to trauma, inclusivity, and how sessions typically flow. See more on the types of targeted questions to ask in our blog What to Expect in Online Sex Therapy.

Step 6: Compare Practical Details

Session length: Most sessions are 50 minutes.
Frequency: Weekly sessions are recommended in the first phase for sustained progress.
Fees: Rates generally range from $150–$350 per session, depending on the clinician’s experience and credentials. At Cushing Counseling, sessions with our Miami-based team are available at several price points, including $150 for some clinicians.
Insurance: We help clients maximize out-of-network benefits through the Thrizer platform, minimizing paperwork and ensuring you pay only your portion after reimbursement.
Telehealth: Secure, HIPAA-compliant online therapy available for Miami and all Florida residents. No need to navigate Miami traffic or risk waiting room privacy concerns—just find a secure space and stable internet connection.

Step 7: Consider the Therapist’s Values and Voice

Beyond technical skill, you deserve a therapist who communicates with honesty, clarity, and respect. At Cushing Counseling, we operate on three pillars:

Integrity: Transparent communication, ethical practice, and predictable follow-through.
Expertise: Highly trained, certified, and continually learning clinicians focused on sex, couples, and trauma therapy—not generalists.
Compassion: Warmth, patience, and zero judgment while still offering direct, supportive feedback. Our clients and professional peers especially value this combination.

Step 8: Decide on Format—Individual, Couples, or Both

Solo therapy is ideal for personal stories of shame, trauma, identity, or sexual anxiety.
Couples or integrative therapy is for issues best addressed together: desire differences, intimacy disconnection, recovering from infidelity, or rebuilding trust after trauma. Cushing Counseling specializes in blending sex and couples therapy for the most complete support.

Curious about addressing mismatched desire or sexual communication in a relationship? Check our blog Where can I get therapy for mismatched desire for additional perspective.

Step 9: Be Alert to Red Flags

Avoid undefined credentials (no clear license, generalized “sex coach” titles).
Steer clear of anyone promising quick sexual fixes or blurring professional boundaries (for example, offering sexual touch).
If you feel pressured, judged, or unsafe even during a consultation, keep looking. Therapists should respect your pace and privacy.

A couple engaged in a counseling session with a therapist in a modern indoor setting.

Checklist: Choosing the Best Sex Therapist in Miami

Identify your main goals (reduce pain, improve intimacy, address trauma, etc).
Decide: individual, couple, or both.
Use AASECT and at least one reputable directory to collect a shortlist.
Verify licensure, advanced sex therapy credentials, and trauma/LGBTQ+ affirming language.
Eliminate unclear or questionable providers.
Schedule free consultations with your top picks.
Ask specific questions about training, treatment approach, inclusivity, and logistics.
Notice your comfort level and sense of trust during conversations.
Select a therapist and commit to 6–8 weeks of sessions before making major changes.
Reassess progress with your therapist honestly and adjust if needed.

How Cushing Counseling Stands Out in Miami

Clinical excellence: Nationally recognized, AASECT-certified therapy led by Vanessa Cushing, with deep experience and credentials unmatched by generic listings.
Integrative approach: We aren’t just general talk therapists—we’re experts in sexual wellness, trauma recovery, and evidence-based couples work, all in one place.
Testimonials: Consistent five-star reviews highlight our balance of clinical sharpness and real human care. Peer endorsements from medical professionals, colleagues, and clients consistently recognize Cushing Counseling as the go-to for sex therapy in Miami.
Flexible, confidential support: Free phone consultations, secure online sessions, and streamlined insurance reimbursement prioritize your privacy and peace of mind.
Central location: Based at 244 Biscayne Blvd, Miami, FL 33132, with online reach throughout Florida.

Best Practices for Starting Sex Therapy

Be honest with yourself about what you want to work on—even if it feels vulnerable.
Take advantage of the 15-minute free consultation to ask about any worries or special needs.
Plan to attend weekly sessions, at least initially, for the best progress.
Involve your partner if the concerns affect your relationship, but know that solo therapy is effective when a partner is not ready.
If you have questions about insurance or logistics, ask upfront. Practices like Cushing Counseling are transparent from the start.
Give the process time—trust is built gradually, and change deepens over several weeks.

Frequently Asked Questions

What should I look for in a Miami sex therapist?

Look for AASECT certification, Florida state licensure, trauma-specific training, and reviews that mention safety, inclusivity, and clinical expertise. Ensure they address your specific concerns and values.

Can I see a sex therapist online if I live in Miami?

Yes. Cushing Counseling provides secure, HIPAA-compliant online sex therapy to all Florida residents, including Miami. Online sessions are equally effective for most issues and more convenient for many clients.

How much does sex therapy cost in Miami?

Most providers charge between $150 and $350 per 50-minute session. We offer several fee options, and many clients use insurance reimbursement through out-of-network benefits.

What concerns can a certified sex therapist address?

Common reasons include mismatched desire, sexual dissatisfaction, difficulties with arousal or orgasm, sexual trauma, shame, relationship challenges, painful sex, and recovery after infidelity. See our in-depth guide on what to expect in sex therapy for more details.

Is everything confidential?

Yes. Confidentiality is strictly maintained at Cushing Counseling, following legal and ethical standards for your privacy.

Taking the Next Step

Choosing the right sex therapist is a meaningful investment in your emotional, relational, and sexual health. With expertise, integrity, and a strong record of client and professional endorsement, Cushing Counseling is the trusted resource for certified sex therapy in Miami and across Florida. If you’re ready to begin, schedule your free 15-minute consultation or call (703) 544-7081.

If you want to learn more about support for trauma, mismatched desire, or sexual healing, also explore our guides: Sexual trauma therapy in Miami and therapy for mismatched desire.

How to Find a Certified Sex Therapist in Miami

How to Find a Certified Sex Therapist in Miami

What Is a Certified Sex Therapist?