Intimacy and Sex Therapy

for adults in San Diego, CA

Rediscover Connection and Fulfillment

Relationships can be deeply fulfilling, but when intimacy or sexual concerns arise, they can create distance and frustration.

At Orion, we’re here to help you and your partner navigate these challenges with care and understanding. Whether it’s addressing physical difficulties or finding new ways to connect emotionally, our therapy sessions provide a space where you can rediscover the closeness and joy that brought you together.

Our Specialities

We work with people of all backgrounds, identities, sexual orientations, and life experiences

What We Can Work On Together

Whether you’re navigating these things solo or in a relationship, our therapists are here to help you better understand your experiences — and feel less stuck, confused, or alone in them.

Intimacy & Sex Therapy

Body Image

Intimacy & Sex Therapy

Sexual Dysfunctions

Intimacy & Sex Therapy

Decline in Sexual Desire

Intimacy & Sex Therapy

Intimacy Issues

Intimacy & Sex Therapy

Healing from Sexual Trauma

Intimacy & Sex Therapy

Navigating Sexual Identity & Orientation

Intimacy & Sex Therapy

Improving Communication Around Sexual Needs

Intimacy & Sex Therapy

Rebuilding Sexual Connection

Whether you’re navigating these things solo or in a relationship, our therapists are here to help you better understand your experiences — and feel less stuck, confused, or alone in them.

Does Any of This Sound Familiar?

If so, you’re not alone — and we can help.

Whether it’s stress, hormones, relationship shifts, or past experiences, low desire is one of the most common reasons people come to us.

We help you understand the root of what’s going on and explore ways to reconnect with your body and your partner — without pressure.

When intimacy starts to feel like another task on your list (or something you avoid altogether), that’s a signal worth listening to.

We help you rediscover connection, rebuild emotional safety, and shift from obligation to authentic closeness.

A lot of couples avoid talking about sex until it becomes too big to ignore.

We create a space where you can say the things you’ve been holding in — and actually feel heard.

Kink, fetish, fantasies, curiosity — we help you explore your desires and boundaries without fear of judgment.

Our sex-positive approach gives you room to understand what you want and how to talk about it.

Intimacy after trauma, infidelity, or betrayal can feel like starting from scratch.

We help you navigate healing, trust-building, and reconnection — at your pace, with full consent.

Whether it’s pain, numbness, anxiety, or body image struggles, we support you in untangling the emotional and physical layers getting in the way of pleasure.

If you recognize yourself in any of these, know that you’re not broken. You’re not too much. And you’re definitely not the only one going through it. These are some of the most common concerns we hear from individuals and couples — and we’re here to help you work through them with honesty, care, and zero shame.

Ready to talk about it?

Schedule Your Free 15-Minute Consultation

New to Therapy?

Starting therapy can feel overwhelming—we’re here to make it simple and stress-free. Here’s how we help:

We Make Getting Started Easy​

From scheduling your first appointment to understanding your goals, we’ll walk you through every step of the process.

Clear and Transparent Insurance Options

We’ll work with you to understand your coverage or help you explore affordable payment options.

Common Questions

Getting Started

If you’ve been having the same fights, avoiding certain conversations, feeling distant, or just wondering “are we okay?” — therapy can help. You don’t have to be in crisis to benefit. Think of it as maintenance for your relationship, not just repair.

The first session is about understanding what brings you both in. We’ll talk about your relationship history, what’s been working (and what hasn’t), and what you each want out of therapy.

You don’t have to have all the answers — just show up ready to be honest. We’ll take it from there.

That’s completely normal. During the intake consultation, our team will listen to what you’re looking for and help guide you toward the right therapist and approach. Therapy is personalized to fit your needs, not the other way around.

Everything from low desire, mismatched libidos, and arousal issues to kink exploration, sexual pain, trauma recovery, porn-related concerns, and difficulty talking about sex in relationships. If it affects your intimacy, we’re here for it.

Not at all. We work with both individuals and couples. Whether you’re navigating your own experiences or wanting support within a relationship, you’re welcome here.

Absolutely. We welcome all relationship structures — including queer, polyamorous, open, and non-traditional partnerships.

Our approach is inclusive, affirming, and tailored to your specific relationship values.

Logistics & Scheduling

We offer all three—fully in-person, fully virtual, or a combination of both, depending on what works best for you.

We know life gets busy. You can reschedule sessions as long as it’s at least 12 hours in advance. Late cancellations are subject to a $100 fee.

Yes, we offer a free 15-minute consultation to match you with the right therapist. After that, you’ll complete intake forms and schedule your first full session.

Finding the Right Therapist

We believe the therapist-client relationship is one of the most important factors in successful therapy. Our mission is to have providers that reflect the populations we support.

Our intake team carefully matches clients with therapists based on both their specialty areas and demographic needs. Finding the right fit is an ongoing process, and we are always assessing whether a client and therapist are the best match.

Orion Psychology utilizes a broad range of therapeutic approaches to meet clients where they are. We offer evidence-based treatments such as:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavior Therapy (DBT)
  • Trauma-Informed Therapy
  • Mindfulness-Based Therapy
  • And many other approaches tailored to your needs

Start with someone you both feel comfortable with — someone who can hold space for both of your experiences without taking sides.

At Orion, we’ll help match you with a therapist who fits your needs, your values, and your relationship dynamic. We’re a diverse collective for a reason — because one size doesn’t fit all.

That’s okay — chemistry matters. Therapy works best when there’s a good fit. If something feels off, let us know. No ego here. We’re happy to switch things up and connect you with someone else on our team.

The goal is for both of you to feel safe, heard, and supported.

 

Yes. Our collective includes therapists with experience in areas like intimacy and sexual health, cultural and intergenerational issues, infidelity, parenting, non-traditional relationship structures, trauma, and more.

Let us know what you’re looking for, and we’ll help guide you to the right fit.

The Therapy Process

We start by getting a clear sense of what’s going on — emotionally, relationally, and physically — at a pace that feels safe for you. Some sessions might focus on education, communication tools, or unpacking shame. Others may explore how past experiences are showing up in the present. It’s not one-size-fits-all — we tailor everything to your needs.

The first session is mostly about understanding your story. You’ll talk about your current concerns, your history with intimacy or relationships, and what you’re hoping to get from therapy. There’s no pressure to share everything right away — we go slow, with full respect for your comfort and boundaries.

Only if and when you’re ready. Some clients want to dive right in. Others need time to build trust before getting specific.

We’ll always ask for consent before going into anything personal, and you can say no or pause anytime.

Not here. We talk about sex like we talk about anything else — openly, honestly, and without judgment. Whether you’re feeling embarrassed, confused, or unsure what to say, we’ll meet you with care and move at a pace that feels right for you.

No. Therapy at Orion is always consent-based. That means no assumptions, no pressure, and no pushing past your limits. We support you, but you set the pace — period.

We hold space for both people, even when your needs, language, or comfort levels around intimacy don’t match.

We help translate, not take sides — and offer tools to bridge the gap with compassion, not blame.

The length of therapy varies for each person. Some clients benefit from short-term therapy focused on a specific issue, while others find long-term therapy helpful for ongoing growth and support. Your therapist will work with you to create a treatment plan that fits your goals.

Insurance & Costs

Yes. During the onboarding process, you’ll input your insurance information into the client portal, and our billing team will verify your coverage.

We’ll let you know your out-of-pocket costs before your first session. If you’re paying out of pocket, insurance submission isn’t required.

We believe in transparency when it comes to therapy costs. The price of sessions varies based on your therapist’s credentials and whether you’re using insurance or paying out of pocket. Here’s a breakdown of our standard rates:

Out-of-Pocket Rates

Associate Therapists (APCC, AMFT, ACSW)

  • $100 per individual session

Most affordable option, working under licensed supervision

Licensed Therapists (LMFT, LPCC, LCSW)

  • $150 per individual session


Psychologists (PsyD, PhD)

  • $200 per individual session

Best for in-depth psychological work and complex mental health concerns

We accept insurance and will verify your coverage during the onboarding process. Once verified, we’ll provide you with a clear breakdown of your out-of-pocket costs based on your plan. If you’re paying out of pocket, no insurance submission is required

If cost is a concern, we encourage you to ask about our lower-cost associate therapists or potential sliding scale options based on financial need.

 

We believe in transparency when it comes to therapy costs. The price of sessions varies based on your therapist’s credentials and whether you’re using insurance or paying out of pocket. Here’s a breakdown of our standard rates:

Out-of-Pocket Rates

Associate Therapists (APCC, AMFT, ACSW)

  • $100 per individual session

Most affordable option, working under licensed supervision

Licensed Therapists (LMFT, LPCC, LCSW)

  • $150 per individual session


Psychologists (PsyD, PhD)

  • $200 per individual session

Best for in-depth psychological work and complex mental health concerns

We accept insurance and will verify your coverage during the onboarding process. Once verified, we’ll provide you with a clear breakdown of your out-of-pocket costs based on your plan. If you’re paying out of pocket, no insurance submission is required

If cost is a concern, we encourage you to ask about our lower-cost associate therapists or potential sliding scale options based on financial need.

 

Why Does the Cost Vary?

The cost of therapy is based on the therapist’s level of experience and qualifications:

  • Associates (APCC, AMFT, ACSW) are fully trained and work under licensed supervision.
  • Licensed Therapists (LMFT, LPCC, LCSW) have years of experience and can practice independently.
  • Psychologists (PsyD, PhD) have the highest level of training, specializing in complex cases and assessments.

Regardless of the provider you choose, you’ll receive high-quality, professional care from a therapist committed to your growth and well-being.

If cost is a concern, let us know. We can explore out-of-network reimbursement, sliding-scale rates, or alternative resources to help make therapy more accessible.

Let's Connect.

To get started, click the button below to schedule a free, 15-minute introductory call with us. 
We’ll talk about your availability and preferences and match you with a therapist that will best meet your needs.

Ours Services

© All Rights Reserved. Orion Psychology and Therapy Collective Inc. 2024

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