LGBTQ Couples & Partners Sex Therapy | Harry Dixon, MA, LMHC, LPCC, LPC, CST
LGBTQ Couples & Partners Therapy

Let's build passion, intimacy, and love
together.

I'm an AASECT Certified Sex Therapist working with gay, queer, and LGBTQ couples and partners — in all relationship structures. Below is a breakdown of the specific areas I work in with couples, and what you might bring to that work.

Couples & Partners Work

Five areas
of focused work.

I work with couples and partners in all configurations — monogamous, open, polyamorous, and everything in between. My job is to help you navigate the ups and downs, and help you find tools to build a happy, connected, and loving relationship.

01
Core Work

Gay & LGBTQ Couples Sex Therapy

This work is for you if: something in your sexual relationship feels stuck, strained, or far from what you both want — and you're ready to work on it together with a therapist who understands what gay and queer relationships actually involve.

Most couples therapists work from heteronormative frameworks — even the affirming ones. They may be supportive of who you are, but they don't always understand the specific dynamics that shape gay and queer relationships: the absence of a sexual script, the way community intersects with intimacy, the history each partner carries around sex and shame, or what it means to build a relationship that mainstream culture still doesn't fully recognize.

I work with couples where sex has become a source of tension, distance, or silence — and where talking about it directly, in session, with someone who doesn't flinch, is exactly what's needed. Both partners don't need to feel the same urgency to begin. One person wanting this is enough to start.

Sexual dissatisfaction Avoidance & withdrawal Shame within the relationship Frequency & initiation Sexual scripts & expectations Post-trauma intimacy Kink & fantasy exploration Reconnecting after distance
02
Desire & Intimacy

Desire Discrepancy, Low Libido & Rebuilding Closeness

This work is for you if: one of you wants more sex, the other wants less, or both of you want more but something keeps getting in the way — and the distance that's built up around it has started to feel bigger than the original issue.

Desire discrepancy is one of the most common things couples bring to therapy, and one of the most mishandled. It's rarely as simple as one partner having a "higher" or "lower" drive. Desire is contextual, relational, and deeply connected to how safe, seen, and wanted each person feels. In gay couples it can be further shaped by internalized shame, body image, aging, role expectations within the relationship, or simply the accumulated weight of never having modeled what you actually want.

This work looks at what's driving the gap — not just at the symptom. That might mean exploring what each of you actually needs to feel desire, what's been shutting it down, and how to start building toward something that works for both of you rather than just managing the disparity.

Mismatched libido Low or absent desire Responsive vs. spontaneous desire Emotional intimacy & sex Body image & aging Pressure & performance Rebuilding after a dry spell Sensate focus work
03
Open Relationships & ENM

Navigating Non-Monogamy & Ethical Open Structures

This work is for you if: you're opening up your relationship for the first time, adjusting an arrangement that isn't quite working, or processing something that happened within your open structure that's created rupture between you.

Non-monogamy is common in gay communities and genuinely complex to navigate — not because something is wrong with it, but because it requires a level of explicit communication, self-awareness, and ongoing renegotiation that most couples aren't trained for. The absence of a mainstream model means you're building your own from scratch. That's a real skill, and it takes real support.

I work with couples who are opening up, who have been open for years and hit something new, or where one partner is more enthusiastic than the other and that gap is causing friction. I don't bring a bias toward or against non-monogamy — I bring experience working with its actual dynamics: the jealousy, the unexpected attachment, the agreements that aren't holding, the conversation that keeps getting deferred.

Opening up for the first time Crafting & revising agreements Jealousy & compersion Asymmetric interest in ENM Attachment to outside partners Boundary violations & repair Hierarchy & primary partnerships Safer sex & disclosure
04
Communication & Conflict

Breaking Patterns & Talking About the Hard Stuff

This work is for you if: you find yourselves having the same argument on repeat, or avoiding it entirely — if conversations about sex, needs, or hurt feelings reliably go sideways, shut down, or never get started at all.

Most communication problems in relationships aren't really about not knowing how to talk — they're about what feels too risky to say, what each person is afraid to hear, and the ways those fears have calcified into patterns that protect you from connection rather than building it. In gay and queer relationships, those patterns often have an extra layer: the learned self-protection of men who grew up hiding, the difficulty of expressing need without it feeling like weakness, or the specific charge that can come with talking about sex when shame is still in the room.

In session, we slow those patterns down. We look at what's actually happening in the moments before things break down, what each person needs that they're not asking for directly, and how to have the conversations you've been deferring. Not perfectly — but honestly.

Recurring arguments Emotional withdrawal Asking for what you need Talking about sex directly Trust & repair after conflict Resentment & unmet needs Attachment styles Vulnerability & risk
05
Identity & Sexual Roles

When Identity or Sexual Roles Shift Within a Partnership

This work is for you if: one or both of you is navigating a shift in gender identity, sexual identity, or how you relate to sexual roles within the relationship — and it's creating uncertainty, misalignment, or a relationship that feels like it needs to be renegotiated.

Identity isn't static, and relationships that begin with one understanding of who each person is sometimes arrive at a different place. A partner coming out as trans or gender nonbinary, a shift in how someone understands their sexuality, or a change in how each person relates to sexual roles — these aren't relationship problems to be solved, but they do require the relationship to adapt. That adaptation is real work, and it involves both people.

I work with couples navigating these shifts with honesty and care — including the complexity of one partner's growth creating genuine disruption for the other. Both experiences are valid. The goal isn't to paper over the tension but to move through it together with enough support to make real decisions.

Trans & gender diverse partners Evolving sexual identity Shifts in sexual roles Sexual compatibility changes Coming out within a relationship Renegotiating attraction Grief within partnership growth Staying together through change
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. Both partners need to be physically located in a state 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 work
on this together?

Free 20-minute consult · No commitment · Telehealth in CA, WA, NY & OR

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FAQ

Common
questions.

What actually happens in a couples sex therapy session?

Sessions are talk therapy — there's no physical touch involved. Both partners are in the room (or on the call) together, and we work through whatever you've brought: a specific issue, a recurring dynamic, or something that's been hard to say out loud without the session becoming a fight. I facilitate the conversation, help slow it down when it's needed, and keep both of you in it.

Does my partner have to want this as much as I do?

No. It's very common for one partner to feel the urgency more than the other. The partner who's more reluctant doesn't need to be convinced therapy will fix everything — they just need to be willing to show up and see. Often that's enough to start moving something.

Will you see each of us individually as well?

That depends on what comes up and what seems useful. Some couples work benefits from occasional individual sessions alongside the joint work — we'll talk about that if it feels relevant. I don't have a fixed formula; I work with what the situation actually needs.

Do you work with non-monogamous or polyamorous couples?

Yes, and this is an area I work in specifically. I don't need to be convinced that your relationship structure is valid — that's not on the table. What we focus on is what's actually happening between you: the agreements, the friction, the feelings that weren't expected, whatever it is that's brought you here.

What if we're not sure whether we want to stay together?

That's a legitimate place to start from, and you don't need to resolve that question before coming to therapy. Some of the most useful work happens when both people are genuinely uncertain. I don't have a stake in whether you stay together — my stake is in both of you being honest and making a real decision, whatever that turns out to be.

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.

Do both of us need to be in the same state?

You each need to be physically located in a state I'm licensed in at the time of the session — California, Washington, New York, or Oregon. You don't need to be in the same state as each other, but you do each need to be in one of those four.

What makes this different from regular couples therapy?

A few things. I'm an AASECT Certified Sex Therapist, which means sex is a specific clinical focus rather than a topic most therapists quietly avoid. I'm also gay, which means I bring both personal and professional understanding of queer relationships — you don't spend session time translating your life. And I work without a heteronormative framework, which changes a lot about how the work actually feels.

Reach Out

Let's connect.

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