Sex & Couples Therapy for New York — Where You Can Finally Say the Thing
Virtual sessions. Clinical depth. A space where nothing needs a disclaimer before we begin.
Book Your First Appointment
You don't need to have it figured out before you call
If you're here, something in your intimate life — or your relationship — isn't sitting right. Maybe you've been carrying it for a while without anywhere safe to take it. Maybe you've thought about getting help before but couldn't find someone who actually specializes in this. Maybe the logistics always got in the way.
That's what virtual care is for. Whether you're in the city or upstate, you meet with me from wherever you are — no commute, no waiting room. Just a real conversation, from the first session.
I'm Paula Kirsch, a Certified Sex Therapist and Licensed Clinical Social Worker licensed to work with individuals and couples across New York State.
No Commute Required
Join from home, your car, wherever you have privacy. For this kind of work, where you are matters.
Fully Confidential
No shared waiting rooms. Sessions are private and conducted on a secure, HIPAA-compliant platform.
Actual Specialization
Sex therapy is the center of my practice — not an add-on. You can see a specialist no matter where in New York you are.
What We Can Work On Together
Sex Therapy
Desire discrepancy, painful sex, intimacy avoidance, sexual trauma, low libido, questions about identity — if it lives at the intersection of sexuality and relationship, it belongs here. Nothing requires a justification before we begin.
Learn More →Couples Therapy
Communication that's broken down, distance you can't close, trust that needs rebuilding, or a decision you're not ready to make alone. I work with couples at all stages — including those who aren't sure what comes next.
Learn More →LGBTQ+, ENM & Kink Affirming
All orientations, identities, and relationship structures are part of the everyday practice here — not accommodations. You won't spend session time explaining why your relationship is valid. We can get to the actual work.
Book Your First Session →
Paula Kirsch, LCSW, CST
I became a sex therapist because it's where the most important — and most avoided — conversations happen. Sexuality, intimacy, identity, and desire sit at the center of how we experience ourselves and our closest relationships. Most people never get a real place to talk about any of it.
I'm a Licensed Clinical Social Worker licensed in New York, Connecticut, and Michigan, and a Certified Sex Therapist through both IBOSP and IAPST. I'm currently a PhD student in Sexology at MSTI, which keeps my clinical work grounded in current research. I also incorporate Brainspotting when trauma or emotional blocks are part of the picture.
My practice is genuinely affirming of LGBTQ+ identities, ENM, kink, and polyamorous relationships — not as a specialty niche, but as part of how I work every day.
Book Your Deep Dive Intake
Schedule through my secure client portal. I typically have availability within a week, and you'll complete intake paperwork in your own encrypted portal before we meet.
Meet Online
I'll send you a secure link. All you need is a private space and an internet connection.
Do the Real Work
We start where you actually are — not where you think you should be. Sessions are substantive from the first appointment.
Things People Ask Before Reaching Out
About telehealth sex therapy in New York.
Your first session is substantive, not a get-to-know-you call.
We start where you actually are. With compassion and without judgment. Nothing requires an explanation or an apology before we begin.
Schedule Your Deep Dive