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[![Fanshen Thompson, LCSW](/assets/logo-mark-DCWEUPFA.png)Fanshen Thompson LCSW ](/)

[Home](/)[About](/about)

Services

Specialties

[Approach](/approach/gottman-method)[Notes](/blog)[FAQ](/faq)[Resources](/resources)

[Book a Free 20-Minute Consultation](/contact)

Sex Therapy

Online Sex Therapy in California

# For desire, intimacy, and _the conversations no one taught you to have._

Sex therapy for California individuals and couples — body-aware, shame-free, and rooted in real connection.

![Two people holding hands with soft sunlight behind them, suggesting connection and trust.](/assets/editorial-5-DXeIGqhS.jpg)

## Who this is for

Individuals and couples who want to bring their sexual lives into the conversation — without shame, without performance, and without pretending the body isn't part of the story.

Whether you're navigating mismatched desire, healing after a rupture, or simply wanting more aliveness in your intimate life, sex therapy is a space to slow down and look honestly at what's there.

## What sessions look like

Sessions are conversation-based — there is no physical contact and no nudity. We talk about what's happening in your body, your relationships, your history, and your desires.

I work somatically and relationally, helping you notice what comes up in real time and try out new ways of being with yourself and your partner.

Over time, the shame loosens. The conversation gets easier. The intimacy becomes possible again.

Logistics

-   Weekly 50-minute sessions, online 
-   For individuals and couples 
-   A shame-free, body-aware approach 
-   Grounded in attachment, somatic, and relational frameworks 
-   California residents only 

Logistics and fit are discussed during your free consultation.

What we focus on

## Where the work usually lives.

### Desire & libido

Make sense of the gap between wanting to want and actually wanting.

### Intimacy after rupture

Rebuild closeness when affairs, dishonesty, or distance have eroded trust.

### Sexual communication

Find the words for what you want — and what you don't — without shutting down.

### Mismatched needs

Move past the standoff of different desires and rediscover what's possible together.

What clients say

> In this work, I've watched couples move from circling the same pain to finding language for what was underneath all along — and I've watched individuals come home to themselves in ways that change everything else.

— Fanshen Thompson, LCSW

Sex therapy FAQ

## Questions people _often ask._

Is online sex therapy legal in California? 

Yes. Fanshen Thompson is a Licensed Clinical Social Worker (LCSW #25004) in good standing with the California Board of Behavioral Sciences. California explicitly permits licensed clinicians to provide telehealth therapy — including sex therapy — to clients who are physically located within California at the time of session.

How do I find a licensed sex therapist for online sessions in the Bay Area? 

Does Fanshen Thompson accept insurance for sex therapy? 

What license does an online sex therapist need to practice in California? 

What's the difference between sex therapy and couples therapy? 

Begin

## Let's start with a free conversation.

A 20-minute consultation so we can see if we're a fit — and so you can get a feel for how I work.

[Book a Free 20-Minute Consultation](/contact)

![Fanshen Thompson, LCSW logo](/assets/logo-mark-DCWEUPFA.png)

Relationship therapy for people who are ready for real change.

Licensed Clinical Social Worker · LCSW #25004

[](https://www.psychologytoday.com/profile/971893)

Affiliations

![Gesher Community Care affiliate provider](/__l5e/assets-v1/7e4684e6-648d-48d4-892e-5c8678e89c88/gesher-community-care.png)

Online Therapy

Sessions held via secure video for clients across California.

Hours

Tue–Fri, 9am–6pm PT

Contact

[fanshen@fanshenthompson.com](mailto:fanshen@fanshenthompson.com)[Book a Free 20-Minute Consultation](/contact)

[](https://www.linkedin.com/in/fanshen-thompson-lcsw-672425216/)[](https://www.facebook.com/profile.php?id=100086164215212)[](https://pin.it/5enxDfD)

Explore

-   [About](/about)
-   [Therapy](/therapy)
-   [Therapy for Couples](/therapy/couples)
-   [Therapy for Individuals](/therapy/individuals)
-   [Sex Therapy](/therapy/sex-therapy)
-   [Coaching](/coaching)
-   [Notes](/blog)
-   [FAQ](/faq)
-   [Resources](/resources)
-   [Relationship Therapy in Berkeley](/relationship-therapy-berkeley)
-   [Find an Online Sex Therapist](/how-to-find-an-online-sex-therapist)
-   [Contact](/contact)

Specialties

-   [Infidelity & Affair Recovery](/specialties/infidelity-affair-recovery)
-   [Desire Discrepancy](/specialties/desire-discrepancy)
-   [Sexual Shame](/specialties/sexual-shame)
-   [Communication Breakdown](/specialties/communication-breakdown)
-   [Anxious Attachment](/specialties/anxious-attachment-couples)
-   [Parenting Conflict](/specialties/parenting-conflict)

In crisis?  If you or someone you know is in immediate danger, call or text [988](tel:988) (Suicide & Crisis Lifeline) or call [911](tel:911). This site is not a substitute for emergency care.

[Privacy](/privacy.html)[Terms](/terms.html)[Cookies](/cookie.html)[Disclosures](/disclaimers.html)[Good Faith Estimate](/good-faith-estimate.html)[Accessibility](/accessibility)[Cookie Settings](/cookie.html)

Contacting this practice does not establish a therapist–client relationship.

Individual outcomes vary. Nothing on this site guarantees a specific clinical result.

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Photography by Allison Busch

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