Photo of Kassandrea E Manuele, Counselor in Tacoma, WA
Kassandrea E Manuele
Counselor, LMHC
Verified Verified
Tacoma, WA 98466
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
(253) 900-2430 View (253) 900-2430
Photo of Fourth Dimension Counseling & Coaching, Counselor in Tacoma, WA
Fourth Dimension Counseling & Coaching
Counselor, LMHC, SUDP, CSAT, CPTT, CMAT
Verified Verified
3 Endorsed
Tacoma, WA 98401
Fourth Dimension Counseling & Coaching is group practice of therapists and coaches who specialize in addiction including alcohol and drug addiction, sex addiction, pornography addiction, love addiction and partner betrayal trauma. All of the therapists and coaches at Fourth Dimension are in long term substance abuse recovery themselves and are experts in the field of addiction. They also have extensive training in couples therapy, infidelity, codependency, family of origin, women's issues, domestic violence, trauma and life transitions. We offer individual, couples and group therapy and coaching for both men and women.
Fourth Dimension Counseling & Coaching is group practice of therapists and coaches who specialize in addiction including alcohol and drug addiction, sex addiction, pornography addiction, love addiction and partner betrayal trauma. All of the therapists and coaches at Fourth Dimension are in long term substance abuse recovery themselves and are experts in the field of addiction. They also have extensive training in couples therapy, infidelity, codependency, family of origin, women's issues, domestic violence, trauma and life transitions. We offer individual, couples and group therapy and coaching for both men and women.
(425) 652-1690 View (425) 652-1690
Photo of Micaela Cooley, Marriage & Family Therapist Associate in Tacoma, WA
Micaela Cooley
Marriage & Family Therapist Associate, LMFTA
Verified Verified
2 Endorsed
Tacoma, WA 98403
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
Embarking on your healing journey is no small task. It is my hope that you feel seen, safe and emboldened in your connections through our work together. You can expect me to be honest, compassionate, humorous, and deeply curious with you on your journey towards you and your family’s goals. I come with a socio-emotional approach, which looks at the ways our relating to others and ourselves has been shaped by culture and context. Slowly untangling our own stories from the stories we’ve been told about who we are is done through a steady, gentle, compassionate and collaborative rhythm.
(253) 600-3307 View (253) 600-3307
Photo of Matthew Fregoso, Counselor in Tacoma, WA
Matthew Fregoso
Counselor, MEd, LMHC
Verified Verified
Tacoma, WA 98401
Everything from the anxieties of imposter syndrome, the unknowns of new relationships, to struggles understanding gender/sexual identity; life can be so difficult to navigate while staying true to oneself. It can be even more difficult to find spaces that don't stigmatize and shame. Inside us all, we carry a capacity for change and a unspoken need for growth. Therapy is a journey to develop a greater sense of self to move foward in more meaningful directions.
Everything from the anxieties of imposter syndrome, the unknowns of new relationships, to struggles understanding gender/sexual identity; life can be so difficult to navigate while staying true to oneself. It can be even more difficult to find spaces that don't stigmatize and shame. Inside us all, we carry a capacity for change and a unspoken need for growth. Therapy is a journey to develop a greater sense of self to move foward in more meaningful directions.
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Photo of Jennifer R Trefonas, Counselor in Tacoma, WA
Jennifer R Trefonas
Counselor, MS, LMHC, MHP
Verified Verified
Tacoma, WA 98405
Waitlist for new clients
Hello, I am Jennifer R. Trefonas, MS, LMHC, MHP. I was initially licensed in FL in 1992, moved to WA 2002; licensed WA 2001. I ENJOY assisting INDIVIDUALS, FAMILIES, COUPLES, & CHILDREN in overcoming obstacles. I AM ACCEPTING NEW CLIENTS. Contact me for HELP with anxiety, depression, relationship issues, addiction issues, bullying, grief, feeling shamed, taken advantage of, abuse of any kind, trouble at work, getting along with others, HOW TO BE HAPPY and POSITIVE, hypnosis, and most anything! I'm NOT PARANOID, but that is funny,,,:)
Hello, I am Jennifer R. Trefonas, MS, LMHC, MHP. I was initially licensed in FL in 1992, moved to WA 2002; licensed WA 2001. I ENJOY assisting INDIVIDUALS, FAMILIES, COUPLES, & CHILDREN in overcoming obstacles. I AM ACCEPTING NEW CLIENTS. Contact me for HELP with anxiety, depression, relationship issues, addiction issues, bullying, grief, feeling shamed, taken advantage of, abuse of any kind, trouble at work, getting along with others, HOW TO BE HAPPY and POSITIVE, hypnosis, and most anything! I'm NOT PARANOID, but that is funny,,,:)
(253) 352-3122 View (253) 352-3122
Photo of Dr. Sean Morrison, Psychologist in Tacoma, WA
Dr. Sean Morrison
Psychologist, PhD
Verified Verified
1 Endorsed
Tacoma, WA 98402
***I accept First Choice Health insurance, which frequently contracts with some Kaiser plans. Please call to confirm I am in-network with your plan.*** I approach therapy from an evidence-based perspective by letting you know what the research has shown to be the most effective way of handling whatever problems you’re struggling with. From there, we can work together to adapt that type of therapy to fit your specific needs & life circumstances so we can figure out how to make our sessions most helpful for you. I specialize in CBT, DBT, CPT/PE, Schema Therapy & Mindfulness-based therapies amongst other evidence-based psychotherapies.
***I accept First Choice Health insurance, which frequently contracts with some Kaiser plans. Please call to confirm I am in-network with your plan.*** I approach therapy from an evidence-based perspective by letting you know what the research has shown to be the most effective way of handling whatever problems you’re struggling with. From there, we can work together to adapt that type of therapy to fit your specific needs & life circumstances so we can figure out how to make our sessions most helpful for you. I specialize in CBT, DBT, CPT/PE, Schema Therapy & Mindfulness-based therapies amongst other evidence-based psychotherapies.
(253) 243-2258 View (253) 243-2258
Photo of Steffanee Holt, Clinical Social Work/Therapist in Tacoma, WA
Steffanee Holt
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98404
As a WA State Certified DV Provider, I am now offering Court Ordered Evaluations. I believe there are times in a person's life when they need a trusted and confidential ally who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
As a WA State Certified DV Provider, I am now offering Court Ordered Evaluations. I believe there are times in a person's life when they need a trusted and confidential ally who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
(253) 231-7841 View (253) 231-7841
Photo of Confidential Associates, LLC, Counselor in Tacoma, WA
Confidential Associates, LLC
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98405
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
(253) 242-6789 View (253) 242-6789
Photo of Joshua Gates, MA, LMFT, Marriage & Family Therapist in Tacoma, WA
Joshua Gates, MA, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98446
Not accepting new clients
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
Are you having difficulty coping with stress or life transition? Are your relationships with your significant other, family, or coworkers less than desirable? Maybe you feel depressed or anxious. Life can be difficult at times without help from someone else. I have 15 years of experience in providing counseling and psychotherapy to individuals, couples, and families from all walks of life. Let me help you discover your strengths and get things back on track.
(253) 215-4139 View (253) 215-4139
Photo of Steven M Brown, Counselor in Tacoma, WA
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Summit Health Management, PLLC
Counselor, LMHC, CMHS
Verified Verified
Tacoma, WA 98407
I am a partner in Summit Health Management, a group founded by an eclectic partnership of four established, experienced providers with the vision of offering a variety of therapeutic services to meet the needs of children, adolescents, adults, elders, couples, and families in our community. Our group’s mission is to provide the region with experienced, compassionate, professional, and proficient mental and behavioral health care. We offer a therapy and psychiatric care for all ages, presentations, relationships and disorders, including individual, couples, family and group therapy, as well as substance abuse recovery for all ages.
I am a partner in Summit Health Management, a group founded by an eclectic partnership of four established, experienced providers with the vision of offering a variety of therapeutic services to meet the needs of children, adolescents, adults, elders, couples, and families in our community. Our group’s mission is to provide the region with experienced, compassionate, professional, and proficient mental and behavioral health care. We offer a therapy and psychiatric care for all ages, presentations, relationships and disorders, including individual, couples, family and group therapy, as well as substance abuse recovery for all ages.
(253) 215-8451 View (253) 215-8451
Photo of New Directions Therapy, Clinical Social Work/Therapist in Tacoma, WA
New Directions Therapy
Clinical Social Work/Therapist, LICSW
Verified Verified
7 Endorsed
Tacoma, WA 98447  (Online Only)
I love working with all different types of people wanting to change how they respond to life. My ideal clients want to learn how to respond to life, rather than react to life. The last four years have been hard and everyone can benefit from therapy. The couples I work best are seeking help with their sex life. A lot of couples I work with are also seeking help related to Polyamory/ENM and or Kink. I am happy to work with individuals, couples, and different and varying relationship designs and configurations.
I love working with all different types of people wanting to change how they respond to life. My ideal clients want to learn how to respond to life, rather than react to life. The last four years have been hard and everyone can benefit from therapy. The couples I work best are seeking help with their sex life. A lot of couples I work with are also seeking help related to Polyamory/ENM and or Kink. I am happy to work with individuals, couples, and different and varying relationship designs and configurations.
(253) 242-6883 View (253) 242-6883
Photo of Paige Smart, Licensed Professional Counselor in Tacoma, WA
Paige Smart
Licensed Professional Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Tacoma, WA 98401  (Online Only)
(636) 202-0829 View (636) 202-0829
Photo of Mark Duris, Psychologist in Tacoma, WA
Mark Duris
Psychologist, PhD
Verified Verified
Tacoma, WA 98466
Not accepting new clients
As a psychologist, I seek to provide guidance in identifying strategies and solutions for tapping into your inner strengths and capacity for positive change. I have found that a positive therapeutic relationship serves an important role in accessing the resilience, insight, and courage needed to make important lifestyle changes that allow individuals and families to live happier, healthier, and more balanced lives. I approach the therapeutic relationship as a collaborative process where positive change occurs when we work together to identify strategies that will allow you to adaptively manage and overcome difficult life challenges. I strive to create a safe place by providing unconditional support.
As a psychologist, I seek to provide guidance in identifying strategies and solutions for tapping into your inner strengths and capacity for positive change. I have found that a positive therapeutic relationship serves an important role in accessing the resilience, insight, and courage needed to make important lifestyle changes that allow individuals and families to live happier, healthier, and more balanced lives. I approach the therapeutic relationship as a collaborative process where positive change occurs when we work together to identify strategies that will allow you to adaptively manage and overcome difficult life challenges. I strive to create a safe place by providing unconditional support.
(253) 227-9718 View (253) 227-9718
Photo of Genuine Counseling, Marriage & Family Therapist in Tacoma, WA
Genuine Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98422
Entrepreneur, relationship and life transition specialist, naturalist, builder, father, husband and community builder all describe me. I am great at helping people with life transitions, work life balance, addiction, trauma, relationships and divorce. I am an entrepreneur, craftsman, part time stay at home dad and outdoorsman. People feel comfortable working with me because I believe in the good in them and because my experience working outside of therapy helps me to understand a wide range of individuals and families.
Entrepreneur, relationship and life transition specialist, naturalist, builder, father, husband and community builder all describe me. I am great at helping people with life transitions, work life balance, addiction, trauma, relationships and divorce. I am an entrepreneur, craftsman, part time stay at home dad and outdoorsman. People feel comfortable working with me because I believe in the good in them and because my experience working outside of therapy helps me to understand a wide range of individuals and families.
(253) 447-6784 View (253) 447-6784
Photo of Holly Zwolinski, Clinical Social Work/Therapist in Tacoma, WA
Holly Zwolinski
Clinical Social Work/Therapist, MSSA, LICSW
Verified Verified
5 Endorsed
Tacoma, WA 98401  (Online Only)
I believe that fostering an open and collaborative therapeutic relationship with clients is key to getting the most out of therapy. Together we are able to focus on gaining insight into interpersonal relationships and identifying the patterns that affect them. I specialize in working with adults who are experiencing various issues related to trauma, stress, and life adjustments.
I believe that fostering an open and collaborative therapeutic relationship with clients is key to getting the most out of therapy. Together we are able to focus on gaining insight into interpersonal relationships and identifying the patterns that affect them. I specialize in working with adults who are experiencing various issues related to trauma, stress, and life adjustments.
(360) 299-5623 View (360) 299-5623
Photo of Kylie Slaughter, Counselor in Tacoma, WA
Kylie Slaughter
Counselor, LMHC-A
Verified Verified
Tacoma, WA 98401  (Online Only)
Not accepting new clients
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Photo of W Michael Rogers, Psychologist in Tacoma, WA
W Michael Rogers
Psychologist, PsyD, CCTP
Verified Verified
1 Endorsed
Tacoma, WA 98466
Welcome! A good fit is the most important thing in counseling. Positive and sustainable change can happen only when safety is experienced. I am a licensed psychologist and an authentic person. I strive to be present and to listen to you in session. Psychotherapy is developed individually in a safe, supportive, empowering way, in a collaborative environment, and at a pace that feels safe and supportive to you. Assessment services are also offered, including personality, brief cognitive, ADHD/ADD, and disability. Please review my website for additional information (www.drmichaelrogers.com).
Welcome! A good fit is the most important thing in counseling. Positive and sustainable change can happen only when safety is experienced. I am a licensed psychologist and an authentic person. I strive to be present and to listen to you in session. Psychotherapy is developed individually in a safe, supportive, empowering way, in a collaborative environment, and at a pace that feels safe and supportive to you. Assessment services are also offered, including personality, brief cognitive, ADHD/ADD, and disability. Please review my website for additional information (www.drmichaelrogers.com).
(253) 352-4458 View (253) 352-4458
Photo of Jaben Houk, Counselor in Tacoma, WA
Jaben Houk
Counselor, MA, LMHC, CSAT
Verified Verified
7 Endorsed
Tacoma, WA 98422
As a Certified Sex Addiction Therapist (CSAT) I work primarily with men who have cheated, committed infidelity, compulsively use porn/sex and want to heal their relationships and live free. If any of that sounds like you or your partner's situation there is a clear path forward to heal from both the cheating and the betrayal trauma it causes. I would be honored to help you and your partner find your footing and learn to walk that path of recovery.
As a Certified Sex Addiction Therapist (CSAT) I work primarily with men who have cheated, committed infidelity, compulsively use porn/sex and want to heal their relationships and live free. If any of that sounds like you or your partner's situation there is a clear path forward to heal from both the cheating and the betrayal trauma it causes. I would be honored to help you and your partner find your footing and learn to walk that path of recovery.
(253) 753-1994 View (253) 753-1994
Photo of Intrepid Therapy Collective, Counselor in Tacoma, WA
Intrepid Therapy Collective
Counselor, PhD, MA, LMHC , LMFT
Verified Verified
Tacoma, WA 98404  (Online Only)
We are an innovative community of unconventional, yet comprehensively trained, psychotherapists providing practical, non-reductive, and in-depth support to help you overcome adversities, resolve outdated patterns, craft more fulfilling relationships, achieve your mental health goals—and address the traumas, stressors, burdens, and conflicts that hold you back from enjoying what your life and relationships have to offer. In general, we foster a holistic and integrative approach to mental health care that focuses on what works and is not limited to what has traditionally been practiced.
We are an innovative community of unconventional, yet comprehensively trained, psychotherapists providing practical, non-reductive, and in-depth support to help you overcome adversities, resolve outdated patterns, craft more fulfilling relationships, achieve your mental health goals—and address the traumas, stressors, burdens, and conflicts that hold you back from enjoying what your life and relationships have to offer. In general, we foster a holistic and integrative approach to mental health care that focuses on what works and is not limited to what has traditionally been practiced.
(206) 895-3230 View (206) 895-3230
Sexual Addiction Therapists

When should someone seek treatment for sex addiction?

People should seek treatment for sex addiction if they cannot control their sexual thoughts or behaviours to the point that it disrupts their ability to function in daily life, for example by threatening their finances, career, or relationships. This may include spending an excessive amount of time obsessing over sex, planning sex, watching pornography, or masturbating, as well as consistently engaging in risky sexual activities, using sex to escape distressing feelings, or attempting yet failing to control sexual behavior.

What are the most common treatment options for sex addiction?

Psychotherapy is the most common treatment for sex addiction; therapy helps patients better understand their compulsive thoughts and behaviors and develop strategies to manage their desires. Therapy may be supplemented by medications, such as antidepressants, mood stabilizers, anti-androgens, and the alcohol and substance use medication Naltrexone, as well as support groups, such as 12-step programs.

How long does therapy take for sex addiction?

Recovering from compulsive behavior takes time and effort. There’s no precise timeline for treatment, but research suggests 12 therapy sessions may be enough to see change. Treatment for sexual compulsions requires honesty in therapy, a commitment to understanding triggers and developing coping skills, and potential lifestyle changes such as cutting out alcohol or drugs.

What if sex addiction is left untreated?

Compulsive sexual behavior can have serious repercussions if left unaddressed. For example, if sexual obsessions consume the vast majority of a person’s time, they may lose their job. If they can’t stop paying for sex, their finances may suffer. If they’re dishonest in their relationships, their partner may leave them. If they consistently feel shame, they may struggle with anxiety, depression, or loneliness. Therapy can help people develop the tools to manage sexual thoughts and behaviors that feel uncontrollable.