BEGIN YOUR pleasure JOURNEY.

individual therapy

Trauma informed care for adult individuals who experience:

  • A history with sexual and/or physical trauma

  • Difficulty with emotional and physical intimacy

  • Body image issues

  • Low levels of confidence, esteem, and self-worth

  • Pain with sex, vaginismus, erectile disappointment, and/or pre-ejaculation

  • Folx with marginalized sexual identities Kink/BDSM

  • Religious trauma and shame

  • Desire discrepancy

  • Out of control sexual behavior

  • Anxiety, depression and co-occurring mental health disorders

  • LGBTQIA2+ populations, gender identity and/or trans-affirming care

  • Psychoeducation and psycho-sex education

Relational therapy

  • Increasing and building healthy communication skills

  • Conflict and resentment resolution

  • Erotic mismatch (Desire discrepancy, BDSM/Kink dynamics)

  • Infidelity/Rupture and repair

  • Self-acceptance and esteem building

  • Sexual health and dysfunction (arousal, libido, interest, desire, pain with sex, inorgasmia)

  • Support in navigating non-traditional relational structures (non-monogamy)

  • Creating and implementing boundaries (Differentiation and breaking pattern’s of Co-Dependency)

  • Pleasure at every-size

  • Increasing emotional and physical intimacy to foster connection

professional consultation

We are not meant to do this work alone. I appreciate the opportunity to collaborate with fellow professionals and aspiring students within our community. Whether you’re a graduate student, associate, or licensed mental health professional, I offer individualized consultation rooted in inclusive, affirming, and trauma-informed frameworks. Together, we can explore clinical challenges, case conceptualization, ethical dilemmas, private practice development, and areas of specialization including sex therapy, LGBTQIA+ care, and decolonizing therapeutic practice.

To facilitate this, I provide complimentary 30-minute consultations for students and mental health professionals. Please schedule at least one month in advance.

For more in-depth discussions, I offer hourly consultation services.

STUDENTS & INTERNS

$100/hour
Supportive consultation for graduate students and interns navigating school, clinical work, or research. Topics may include:

  • Clinical reflections and confidence-building

  • Navigating intersecting identities in practicum

  • Research and dissertation guidance (qualitative methods, thematic analysis)

Pre-licensed Professionals (Associates)

$125/hour
Focused support as you work toward licensure or specialization:

  • Case consultation and ethics

  • Building your voice and values as a clinician

  • Beginning private practice or niche development

Licensed Clinicians

$185/hour
Advanced consultation for therapists seeking supervision-style reflection or niche-specific guidance:

  • Complex clinical dynamics (e.g., kink, polyamory, identity intersections)

  • Sex therapy case support

  • Growing a queer-affirming or pleasure-centered practice

“Instead of looking to the other to meet your needs, if you want to reignite your love life, you must take on the responsibility of your own desire.”

-Esther Perel

MEET madisyn

Dr. Madisyn Roberts (She/her)
LMHC, CST

Hi, I’m Madi Roberts—a Seattle-based licensed mental health counselor, AASECT-Certified Sex Therapist, educator, and researcher. I earned my PhD in Counselor Education and Supervision from Antioch University, where my research explored meaning-making and identity construction among bisexual adults along with decolonized and Queer affirming approaches to counseling, education, supervision and research. I’m a proud graduate of Washington State University (go Cougs!), where I completed my undergraduate studies in Psychology and Human Development. I went on to earn my Master’s in Clinical Mental Health Counseling with a specialization in Sex Therapy and Sex Education from Antioch University Seattle.

My work is deeply rooted in LGBTQIA+ identity development, sexuality, and Intersectionality. I center pleasure-focused, sex-positive, and liberation-based practices across my clinical, educational, and research work. I’m passionate about bridging academic research and community impact through therapy, teaching, supervision and advocacy.

As a sex-positive provider, I recognize the importance of examining my own privileges and identities. As a white, cisgender, Queer clinician, I bring an intentional, inclusive approach to my work that honors clients’ lived experiences and fosters safety, curiosity, and connection.

I live in the vibrant Seattle area with my partner and two fur babies, Duke and Himmy—who just might make a cameo in our virtual sessions.