Real Talk About Sex + Relationships
Online therapy for individuals and couples across California & Oregon
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, an AASECT Certified Sex Therapist, licensed psychotherapist 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
For individuals and couples ready to talk honestly about their sex life — what's missing, what's painful, what's gotten complicated — and make some real changes.
Couples + Relationship Therapy
For couples where the distance has grown, the fights have worn you down, or trust has been broken — and you're not sure what comes next.
Discernment Counseling
For married couples where one or both partners isn't sure they want to stay. Not couples therapy — something more focused, and more honest about where you actually are.
“The quality of your life ultimately depends on the quality of your relationships.”
— Esther Perel
Sex + Intimacy Online Coaching
Worldwide, solution-oriented coaching for sex and relationships.
Services Offered Worldwide
Holistic Energy Healing
Transform emotional issues through a psycho-spiritual and energetic approach to healing with VortexHealing® Divine Energy Therapy.
“I've been supervising Jen for over a year now, and I continue to be impressed by the thoughtfulness, skill, and heart she brings to her work. She has a rare combination of exquisite attunement and the ability to be direct when needed. Her work with both individuals and couples is truly impressive. She pours herself into her work and is tireless in her commitment to growing, learning, and refining her craft. Her dedication to her clients is second to none.
My esteem for Jen and her work can be summarized by the fact that I would wholeheartedly recommend her to my own family members for therapy.” - Johannes Kieding, ISTDP mentor
Endorsements from Mentors + Colleagues
“Jen is an extremely competent, well-trained and compassionate therapist. As her colleague, I have gotten to witness her transformative work as a sex and relationship therapist with her couples. I can attest to both her skill and her presence as a counselor. She is someone I refer to professionally. I recommend her to help you with your relationship!” - Sandra Killebrew, licensed couples therapist
“Jen Joseph is a true expert in relationship and sex therapy. She brings directness, precision and compassion to the process, really helping her clients get to the heart of the matter to do deep, transformative work. I highly recommend her!” - Isobel Heath, licensed psychotherapist