Sex therapy can be a great resource for individuals and couples struggling with concerns related to their sexual wellbeing. Sex-specific stressors may be the primary area we explore or just one of many other directly and indirectly connected topics.

Since sexual health is minimally covered in most graduate level programs, sex therapists participate in additional training to be better equipped to serve clients navigating sexual challenges. Similarly to regular psychotherapy, sex therapy is a form of talk therapy and does not entail any form of sexual contact.

While I am not in-network with any insurance plans, I am happy to support any out-of-network benefits you may have by providing you with monthly superbills (an itemized list of services provided) that you can submit as a claim to your insurance. Below are some questions you may ask your insurance provider to determine your eligibility for reimbursement:

– Does my plan include out-of-network benefits?

– Do I have an out-of-network deductible? If so, what is it, how much of it have I met, and when does it reset?

– What is my co-insurance rate? You can provide them with the CPT code 90834 for individual sessions or 90847 for couples.

– How do I submit my superbill and how long do I have to do so after the date of service?

– Do I need written approval from my primary care physician to be eligible for mental health coverage?

My rate for 45-minute individual sessions is $250. My rate for 60-minute couples sessions is $300.

I have a 48 hour cancellation policy. Sessions canceled with less than 48 hours notice will be subject to the full session fee.

If you need to reschedule, please try to do so with at least 48 hours notice and I will do my best to accommodate an alternative meeting time, but cannot guarantee availability. For sessions that require rescheduling with less than 48 hours notice and cannot be rescheduled for the same week, the cancellation fee will be applied. When rescheduling via email, please try to respond as soon as possible as I cannot guarantee that the proposed alternative meeting times will remain available.

Our consultation will be an opportunity for us to discuss your goals for therapy and explore our fit. Some questions I may ask include:

– What is bringing you to therapy

– Why now?

– How long have you been navigating your presenting concerns?

– Any past experiences with therapy?

I will also ensure that there is ample space for you to ask me any questions that may help better inform your decision around moving forward. If we decide we are a good match, we can proceed with scheduling our first session.

Yes, it is preferred that you schedule a call for a time that both you and your partner(s) will be available so that all members have the chance to explore our fit and ask any questions.

You can set up a phone consultation by sending me an email at romi@romiterk.com or by clicking the “send me a message” button below. Please include a bit about what is bringing you to therapy, whether you are interested in individuals or couples work, a phone number I can reach you at, as well as a few times that would work well for your call.

All of my sessions are currently taking place via a HIPAA compliant video platform. I do not offer in-person therapy at this time.

Everything shared within our therapy space remains confidential. There are however some exceptions to this rule when it comes to safety: if I suspect that an individual may be involved in child, dependent adult, or elder abuse or neglect, or if a client is a danger or threat to themselves or others.

Once we have scheduled our first session, I will enroll you into the patient portal and send over intake paperwork that should be completed prior to our first meeting. I recommend making sure you have a safe, private, and comfortable space to conduct our session from. Furry friends are welcome HIPAA violators, but it may be helpful to ensure your environment is otherwise free from potential eavesdroppers or distractions.

For individuals:

In our first few sessions, we will collaborate to expand upon your goals, reflect on sexual, relational, familial, and other relevant history and life events, identify any therapeutic preferences you may have, and build upon our rapport. The idea of getting started with therapy can feel daunting and overwhelming, so it is an important reminder that we will move at your pace and work together to create a safe, non-judgmental environment.

For couples:

Our first session will be 60 minutes long. We will explore your goals for therapy, identify your strengths as a couple, and establish grounds for a safe therapeutic environment. For our next two appointments, I will meet with each of you for 45-minute individual sessions to develop a better understanding of your personal backgrounds and perspectives on the issues at hand. For our fourth session we will reconvene in our shared space and reflect on observations made in our individual sessions.

I recommend starting off with weekly sessions for our first few months. I have found this to be the ideal cadence for fostering a solid therapeutic relationship and orienting us towards your goals. After a few months, we can check back in and evaluate whether a different frequency may be fitting.