Real Talk: Sexuality, Relationships, Discernment
sex + relationship therapy for individuals and couples
online across California + Oregon
AASECT Certified Sex Therapist, Problematic Sexual Behavior Certified, Certified Discernment Counselor
including the San Francisco Bay Area, Los Angeles + Portland
I’m Jen Joseph, MA, LMFT, CST
Whatever you're bringing — a sex life that's gone quiet, a relationship stuck in the same exhausting loop, a marriage you're not sure you want to save — you've found someone who can handle it. I'm Jen Joseph, AASECT Certified Sex Therapist, licensed psychotherapist, Certified Discernment Counselor and seasoned couples therapist. I've spent over a decade working with some of the most complex, sensitive, and painful issues individuals and couples bring to therapy.
I’m active, direct, and deeply invested in your progress. I ask the questions many therapists avoid and stay focused on what's really going on beneath the surface — with care, compassion and curiosity.
I welcome diversity of all kinds in my practice and am LGBTQIA+, kink, ENM and neurodivergent competent and affirming.
Feeling more like roommates than partners, but not sure if it's fixable?
Tired of having the same fight on repeat — and never actually resolving it?
Not sure where your desire went, or how to talk about sex without it turning into a fight?
Oscillating between wanting to save your marriage and wanting out?
Carrying something about your sex life you've never said out loud to anyone?
You don't have to have it figured out. You just have to be willing to show up.
Therapy Offerings for Residents of California & Oregon
Sex Therapy
Individual and couples sex therapy for libido + mismatched desires; lack of sexuality, sexual functioning issues (pain, lack of arousal, erection + ejaculation challenges); out-of-control sexual behavior (sex or porn ‘addiction’); erotic recovery after infidelity; conflicts around kink, fetishes and more.
Couples + Relationship Therapy
For couples (polycules, too) dealing with communication issues; high-intensity fighting; parenting struggles; unresolved conflict; affairs and betrayal; lack of emotional and sexual intimacy; challenges with ethical non-monogamy; and pre-marital issues.
Discernment Counseling
For mixed-agenda, married couples where one spouse isn't sure they want to stay and the other wants to save the marriage. Not couples therapy — something more focused, and more honest about where each of you actually are. Counseling from a genuinely trained, Certified Discernment Counselor with the Doherty Relationship Institute.
“The quality of your life ultimately depends on the quality of your relationships.”
— Esther Perel