Frequently ASked Questions (FAQS)

  • Gay sex therapy or affirming sex therapy is a specialized form of therapy that focuses on the unique sexual health needs, relationship dynamics, and experiences of gay, trans, and BIPOC men and couples. It is a sex-positive, shame-free space where we move beyond heteronormative "sex ed" to address the actual realities of queer pleasure, intimacy, and identity.

  • I am an AASECT Certified Sex Therapist (CST). This means I have undergone rigorous, specialized training and supervised clinical hours specifically focused on sexual health, pleasure, and complexity. I’ve done the deep-dive training into the science and soul of sex so you don't have to explain the basics to me. Whether we’re talking about bottom-shame, erectile difficulties or challenges, desire discrepancy, or navigating an open relationship, you’re working with a specialist who understands the mechanics of queer pleasure and the nuances of our community.

  • I primarily work with gay, queer, trans, and BIPOC individuals and partners. My practice is centered on providing culturally humble care for those who have felt misunderstood in traditional therapeutic settings. Whether you are navigating sexual dysfunction, exploring your identity, or looking to deepen intimacy, you are welcome here.

  • Yes! I specialize in queer relationship therapy. I offer extended 90-minute sessions for couples and partners to ensure we have the time and space to dive deep into communication, relationship structures (like polyamory or ethical non-monogamy), and sexual connection.

  • I help clients navigate a wide range of concerns, including:

    • Sexual performance anxiety and erectile dysfunction.

    • Genitalia shame, "penis envy," or body image issues.

    • Healing from sexual guilt or religious/cultural trauma.

    • Coming out and identity exploration.

    • Exploring Kink, BDSM, and alternative sexual practices.

    • Navigating non-monogamy and polyamory.

    • Out-of-control sexual behaviors (OCSB) or problematic sexual behaviors.

    • Gender-affirming care and letters of support for medical transition.

  • Absolutely. Let’s be real: talking about sex is awkward as hell for most people! My role is to provide a compassionate, judgment-free, and even fun environment where we can unlock the pleasure and fulfillment you deserve. There is nothing "too freaky" or "too weird" to discuss here.

  • Yes. As a WPATH-informed provider, I provide letters for gender-affirming medical care while keeping gatekeeping to the bare minimum.

General Questions:

Logistics & Fees

  • I am currently 100% telehealth. This allows you to attend sessions from the privacy and comfort of your own home. While I have mailing addresses in San Diego and Seattle, all sessions are conducted via a secure, HIPAA-compliant video platform.

    • California (LPCC #4340)

    • New York (LMHC #015648)

    • Washington (LMHC #LH60684311)

    • Oregon (LPC #C8199)

  • I (Harry Dixon) am In-Network with Cigna. For all other insurance providers, I am considered an Out-of-Network provider.

  • Your investment in better sexual health is:

    • Individual Therapy: $250 for the initial 55-minute evaluation; $225 per 55-minute follow-up session.

    • Partners/Couples Therapy: $300 for the initial 90-minute evaluation and session.

    • Gender-Affirming Evaluations: $225 for evaluations and letter writing.

  • Yes! Most PPO plans offer reimbursement for out-of-network therapy. We automatically issue a Superbill (Statement for Insurance Reimbursement) through our client portal on the 1st of every month, which you can submit to your insurance company for potential reimbursement. We also accept HSA and FSA cards.

  • The easiest way to get started is to click the "Schedule Now" button on the website. This will take you to our secure portal where you can see current availability. If you have specific questions before booking, you can reach out via email at hello@rainbowconnectioncounseling.com or call (619) 363-4674.

  • Rainbow Connection is my broader group practice. While The Gay Sex Therapist focuses specifically on my sex therapy work, the Collective includes other expert clinicians who specialize in LGBTQ+ and BIPOC mental health, ADHD, trauma, and more. If my schedule is full or you are looking for a different specialty, I may recommend one of the talented clinicians in the Collective.

Schedule a free 15 min consult

Book now