Gay Sex Therapy Services | Harry Dixon, MA, LMHC, LPCC, LPC, CST
Individual Gay Sex Therapy

Individual Sex Therapy
made foryou.

I'm an AASECT Certified Sex Therapist and Licensed Professional Clinical Counselor (LPCC#4340) specializing in sexual health and well-being for gay, bi, queer, trans, and gender diverse men. Below is a detailed breakdown of the five areas I work in, what each involves, and what you might bring to it.

Services

Five areas
of deep focus.

I deliver all sessions via secure telehealth, licensed across California, Washington, New York, and Oregon. Each area below reflects specific training and clinical experience — not a generalist menu.

01
Individual

Individual Sex Therapy for Gay & Queer Men

This work is for you if: you want to explore your sexuality, work through shame or past experiences, address a specific concern, or understand yourself better — in a space where nothing needs explanation or apology.

My individual sessions are private, one-on-one, and grounded in evidence-based approaches. We move at your pace. The work goes as deep as you want it to.

In session, we might look at the stories you've carried about sex since childhood, values around sex, patterns that keep repeating, something specific that feels impossible to name, or simply a desire to understand yourself more fully. Whatever you bring is valid here.

Sexual shame Performance anxiety Desire & arousal Kink & fetish Sexual identity Trauma & recovery Body image Intimacy & vulnerability
02
Non-Monogamy & Polyamory

Navigating Open Relationships & Polyamory as an Individual

This work is for you if: you're exploring non-monogamy for the first time, deep in a poly structure that's stirring up unexpected feelings, or trying to understand what you actually want from relationships that don't follow a conventional script.

Non-monogamy and polyamory are widely practiced in gay and queer communities — and widely misunderstood in therapy rooms. Most therapists either pathologize the structure itself or lack the experience to engage with its real complexity. I have expertise and practice nonmonogamy in my own life. You can be confident that your relationship concerns will be heard and handle with care.

What we can work on is you inside that structure: the jealousy that surprised you, the hierarchy that's leaving you feeling secondary, the part of you that wonders if you actually want this or are performing it, the grief when a connection ends, the anxiety around safer sex and disclosure, or the creeping sense that your needs aren't being met but you can't quite say so. Non-monogamy removes the default script — which is freeing, and also means you have to build everything consciously. That takes real work.

Jealousy & compersion Attachment in open relationships Relationship hierarchy Opening up for the first time Boundaries & agreements Identity & relationship values Sexual health & disclosure
03
Sexual Shame

Dismantling Shame & Reclaiming Your Sexuality

This work is for you if: you're carrying a deep sense that something is wrong with who you are or what you want — rooted in religion, family, culture, or a lifetime of messages telling you to be smaller.

Sexual shame rarely announces itself. It shows up as hesitation, self-censorship, fear, avoiding intimacy, or a quiet internal voice saying you're too much, or not enough. Most of those messages were absorbed long before you had language to question them.

In this work, we trace those roots, name the systems and people that planted them, and slowly replace shame with something more honest — curiosity, self-compassion, and the actual freedom to live as yourself. I take internalized homophobia and religious trauma seriously as clinical concerns, not just background noise.

Internalized homophobia Religious trauma Cultural conditioning Family of origin work Self-worth & identity Sexual guilt Body shame Pleasure permission
04
Coming Out

Coming Out Support at Every Stage of Life

This work is for you if: you're coming out for the first time, re-coming out to someone new, or doing it later in life after years of living a different story — and need space to process what that actually means for you.

Coming out isn't a single event — it's a process that unfolds over a lifetime, in different rooms, to different people, at different costs. The grief and complexity involved are real, and deserve serious attention.

I offer space to work through what coming out means for you specifically — the fear, the relief, the losses, the relationships that shift. Late-in-life coming out carries its own particular texture: years of a built life, a different kind of grief, a different kind of courage. I take all of that seriously.

First-time coming out Late-in-life disclosure Family relationships Workplace identity Grief & loss Identity integration Community belonging Authentic living
05
Sexual Wellness

Building a Healthy Relationship with Sex

This work is for you if: your relationship with sex has become complicated, compulsive, avoidant, or just far from what you want it to be — and you want to work through that without judgment.

Sexual wellness isn't about having less sex, more sex, or "better" sex by someone else's definition. It's about a relationship with your own sexuality that feels integrated, free, and genuinely yours.

For some men, this means examining patterns around apps, hook-up culture, or behavior that feels compulsive — without the shame or pathologizing that too often comes from non-affirming providers. For others, it's about reconnecting with desire after a long period of avoidance or numbness. I approach all of it with a sex-positive, non-judgmental framework. There's no wrong starting point.

Compulsive sexual behavior App & hook-up patterns Sexual avoidance Low desire Sexual mindfulness Gay sex education Safer sex PrEP & sexual health
Fees & Insurance

The practical
details.

I'm in-network with Cigna only. For all other plans, I'm an out-of-network provider — I provide superbills upon request so you can seek reimbursement through your insurance if your plan includes out-of-network benefits. Specific fee information is available at first contact.

All sessions are conducted via secure, HIPAA-compliant telehealth. You need to be physically located in one of the four states I'm licensed in at the time of your session. I don't currently offer in-person appointments.

California LPCC #4340
Washington LMHC #LH60684311
New York LMHC #015648
Oregon LPC #C8199

Ready to get
started?

Free 15-minute consult · No commitment · Telehealth in CA, WA, NY & OR

Book a Free Consult →
FAQ

Common
questions.

What exactly happens in a sex therapy session?

Sex therapy is talk therapy that includes a deep dive into sexual issues. Sessions never involve physical touch. We might explore your history, a specific concern, your relationship patterns, or what a better relationship with your sexuality would look like for you. The content varies; the format is always therapeutic conversation.

I've never been to therapy. What do I actually say?

You don't need to walk in prepared. The first session is mostly a conversation about where you are, what's brought you here, and what you're hoping for. There's no right answer, no script, and no pressure to share anything you're not ready for. We go at your pace.

Do I have to be gay to work with you?

No — my practice is built for gay men and the LGBTQ+ community broadly, but anyone who feels at home in this space is welcome. What matters most is that you're looking for affirming, shame-free care from someone who understands queer experience.

Do you work with people in open or poly relationships?

Yes, and this is a specific area of focus for me. A lot of gay men in non-monogamous structures find that individual therapy is actually where the most useful work happens — processing your own feelings, values, and needs separately from the relationship dynamic itself. I approach all relationship structures without judgment and without needing to be convinced they're valid.

Do you accept insurance?

I'm in-network with Cigna only. For all other plans, I'm an out-of-network provider and provide superbills so you can seek reimbursement if your plan allows it. Specific fee information is available when you reach out.

What does AASECT Certified actually mean?

AASECT (American Association of Sexuality Educators, Counselors and Therapists) certification is the gold standard in sex therapy. It requires hundreds of hours of specialized, supervised training in human sexuality — well beyond what a standard counseling license covers. It's a focused credential that reflects how I've built my practice.

I've had bad therapy experiences before. Why would this be different?

That's a fair thing to raise, and I'd rather you ask it directly than carry the hesitation in. A lot of gay men have had therapy that felt clinical, quietly judgmental, or built for someone else. I didn't adapt this practice from a mainstream model — I built it specifically for gay and queer men, and that difference tends to be felt pretty quickly.

Which states do you work in?

I offer telehealth to clients physically located in California (LPCC #4340), Washington (LMHC #LH60684311), New York (LMHC #015648), and Oregon (LPC #C8199). You need to be in one of those states at the time of each session.

Reach Out

Let's connect.

This form is delivered via Paubox HIPAA-compliant secure messaging — your information is encrypted end-to-end. Fill it out and my intake coordinator will be in touch within one to two business days.