Sex Therapy & Counseling for Where You are Now.
A safe space for all sexualities, identities, and relationships.
Whatever brought you here - it's welcome here.
- A question you haven't asked out loud
- A part of yourself you've been hiding
- A relationship that doesn't fit the script
You don't have to have it figured out. You don't have to know the destination. You just have to show up.
Together we create a space where who you are is not a problem to solve or something to "fix". You are someone worth understanding and celebrating.
WHAT WE WORK ON TOGETHER
Sex & Intimacy Therapy
Support for sexual shame, desire, sexual functioning (“performance”)concerns, intimacy struggles, identity exploration, and the parts of sex that can feel scary to name out loud.
Queer & Gender-Related Issues
Culturally humble care for LGBTQ+ clients navigating identity, gender, transition, relationships, family dynamics, shame, anxiety, or the ongoing work of becoming more fully themselves.
Open, Polyamorous, & Kink Relationships
Kink-conscious and nonjudgmental therapy for people practicing or exploring polyamory, ethical non-monogamy, open relationships, power exchange, desire, boundaries, communication, and consent.
Anxiety, Trauma & Impulse Control
Therapy for anxiety, trauma responses, emotional regulation , compulsive patterns, and impulse-control concerns — with care that looks at the whole person, not just the symptoms.
Training, Speaking & Consultation
Education and consultation for clinicians, organizations, and communities seeking more informed, culturally humble , and clinically grounded conversations about sexuality, identity, relationship structures, kink, and LGBTQ+ care.
*Virtual sessions available across Texas.*
Therapy should help you feel safe enough to be honest, seen enough to stop shrinking, and hopeful enough to take the next step.
That is the goal from the very first session. Not instant answers, just a clearer path forward and the steady support to walk it.
Dr. Ty Lerman has spent more than 15 years building a practice around that kind of care. He is a PhD-trained clinical sexologist, an AASECT Certified Sex Therapist, and a Queer & Trans Affirming Professional, with seven-time recognition as OutSmart Magazine’s Best Male Mental Health Therapist.
LET'S TALK
No pressure. No intake forms before you're ready. Start with a free 15-minute phone call.