Maryland · Finding the right care · 4 min read

Sex Therapy in Maryland

A statewide guide to finding support—with in-person care in Bethesda and secure video across Maryland.

Written and clinically reviewed by Vanessa Cushing, LPC, NCC, MS — AASECT-Certified Sex Therapist, licensed in Virginia & Florida. The Cushing Counseling team covers Virginia, DC, Maryland & Florida.

What kind of support do you need?

You might be struggling with desire, erections, orgasm, painful sex or sexual confidence. Or the problem may be harder to name: intimacy feels tense, you avoid conversations about sex, or shame gets in the way of closeness. Start with what you notice, not a label.

Sex therapy focuses on sexuality and intimacy. Couples therapy addresses relationship patterns; trauma-focused care supports safety and recovery. These needs can overlap. The Maryland guides below help you explore each without having to choose alone.

Online care across Maryland; in-person care in Bethesda

Secure video makes specialist care accessible from Baltimore, Frederick, Annapolis, Southern Maryland and the Eastern Shore. These are areas served online, not additional office locations. You need privacy, a reliable connection and to be physically in a jurisdiction your clinician is authorised to serve.

For clients who prefer meeting in person, our Bethesda office is at 7700 Old Georgetown Rd Ste 675, Bethesda, MD 20814. Clients are seen here in person by appointment. Ask about in-person availability when booking; not every clinician offers every format. Dr. Elizabeth Wolfe sees Maryland clients online only, not at this office.

Contact our Bethesda office

Call (703) 544-7081 or email vanessa@cushingcounseling.com to discuss clinician fit, fees and whether you prefer the Bethesda office or secure video. Confirm your appointment location before travelling. Avoid sending sensitive clinical details by email.

Choosing a Maryland clinician

Vanessa Cushing is the practice founder and an AASECT-Certified Sex Therapist. Her personal counselling licences cover Virginia and Florida; Maryland appointments are matched with a clinician authorised to practise in Maryland. A practice-wide service area is not an individual licence.

• Confirm the clinician can practise where you will be during sessions.
• Ask about training and experience with your concern, including AASECT certification where relevant.
• Ask whether individual or couples sessions fit your goals.
• Discuss fees, availability and confidentiality before committing.

What sessions involve—and what they never involve

Sessions are conversations about your history, current concerns and goals. You can ask questions, decline an exercise or slow down. Private between-session exercises may be suggested, but therapy is not a performance test.

There is no sexual contact, undressing or observation of sexual activity. Pain, sudden changes in function or possible medication effects may also need medical assessment. Do not stop or change medication without your prescriber.

Fees and your next step

These are the current fees for clinicians who can see Maryland clients. Radiance offers individual and group care, not couples therapy. Noelle practises under supervision and currently has a waitlist. Jennifer Fuller’s Maryland licence is in progress; she is not yet available for Maryland appointments.

Cushing Counseling is an out-of-network practice. Confirm your appointment type, fee and availability before scheduling. Reimbursement depends on your insurance plan and is not guaranteed.

Start with a free consultation to discuss your concern, preferred format and clinician fit. You do not have to bring a partner or know exactly what you want to say.

Keep reading

• Sex therapy in Bethesda
• Sex therapy in Baltimore
• Couples therapy in Maryland
• Trauma therapy in Maryland
• IFS therapy in Silver Spring

Also on this site

• Maryland contact and office
• Meet the therapists
• Current fees and FAQs
• Schedule a consultation