Georgetown and upper Northwest

Sex therapy in Georgetown, DC

AASECT-certified sex therapy for Georgetown, in person and by secure video.

A cobblestone Georgetown side street in Washington, D.C., historic brick facades in low sunlight
Georgetown and upper Northwest clients are seen at L Street NW or by secure video, whichever is more discreet.

Who you would be working with

Vanessa Cushing, LPC, NCC, MS — AASECT-Certified Sex Therapist, MS from Johns Hopkins University, Certificate in Sex Therapy from the University of Michigan. Fewer than one in a thousand licensed therapists in the United States hold AASECT certification.

Georgetown and upper Northwest bring the District's most established households — long marriages, university and hospital faculty, families where everything looks handled from the outside. The sexual relationship is usually the one thing that has gone unspoken for years, and the pattern is rarely a crisis. It is competence covering a quiet absence.

What Georgetown clients most often bring

  • Long marriages where sex quietly stopped and nobody named it
  • Perimenopause, menopause and sexual change after medical treatment
  • Medication side effects, including SSRIs, affecting desire or orgasm
  • Couples who are excellent partners and no longer lovers

That list is not exhaustive — it is what actually comes through the door from Georgetown and upper Northwest. The full range of concerns treated is on the Washington, D.C. page.

How it works from Georgetown

Both in-person and video sessions are available in Georgetown. Most clients end up choosing video after the first few weeks, because the exercises are practised at home and the commute stops being worth it.

Sex therapy is talk therapy and structured homework. No examination, no contact, no observation — not in this practice and not in any legitimate one. If a provider anywhere suggests otherwise, that is the end of the conversation.

Pale limestone columns in low, warm side light
Sessions reach every corner of Washington, D.C., Georgetown and upper Northwest included.

Areas served around Georgetown

Georgetown · Burleith · Glover Park · Foxhall · Cleveland Park · Woodley Park · Palisades · and everywhere else in Washington, D.C..

Common questions from Georgetown

Are you actually located in Georgetown?

Yes — this is the practice's home base, and in-person sessions are available here alongside video.

Which areas around Georgetown do you see clients from?

Anywhere in Washington, D.C., including Georgetown, Burleith, Glover Park, Foxhall, Cleveland Park, Woodley Park, Palisades. The licence is state-wide, so the only requirement is that you are physically in Washington, D.C. during the session.

Will anyone find out I am doing this?

Sessions are held over a HIPAA-compliant platform, notes are kept to the clinical minimum, and nothing is billed through insurance unless you specifically ask for a superbill to submit yourself. If confidentiality is the thing standing between you and starting, raise it in the free consultation and get a specific answer rather than a reassuring one.

How long does this take?

Sex therapy is usually shorter than people expect. Many concerns — performance anxiety, desire discrepancy, restarting after a long avoidance — move meaningfully within eight to sixteen sessions. Longstanding pain conditions or work following trauma generally take longer, and you will be told which category you are in rather than left to wonder.

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Fifteen minutes, free, no obligation. Bring the question you have been avoiding asking anyone.

Book a free 15-minute consultationCall (703) 544-7081