online couples therapy for sex problems in california

Couples Therapy for Real Conversations and Lasting Change

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Couples Therapy

Couples therapy is here for you when you're feeling stuck in the same arguments, needing to build intimacy, drifting apart emotionally or sexually, or facing big life changes together. Whether you're working through broken trust, navigating different intimacy needs, or simply wanting to feel closer again, this is a space where both of you can be heard and understood. As a couples intimacy therapist, I am here to help you rediscover your connection, heal after conflict, and build the relationship you both want, with compassion, clarity, and care every step of the way.

You may benefit from couples therapy if:

– You’re having recurring conflicts or communication breakdowns that feel hard to resolve

– You’re feeling emotionally or sexually disconnected from your partner

– You’re navigating a major transition, rupture, or shift in the structure of your relationship

$250 per session

FREQUENTLY ASKED QUESTIONS

desire discrepancy

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Couples Therapy

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Individual Therapy

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Sex Therapy

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Couples Intensives

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desire discrepancy 〰️ Couples Therapy 〰️ Individual Therapy 〰️ Sex Therapy 〰️ Couples Intensives 〰️

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Adrian Scharfetter, PhD, LMFT, CST-S is a San Francisco couples therapist with 15 years of experience helping partners navigate conflict, disconnection, and intimacy challenges at Athenian Counseling. He specializes in attachment-based approaches for couples across all relationship structures, including LGBTQ+ and ethically non-monogamous partnerships. Adrian brings both clinical depth and genuine warmth to helping couples build lasting, honest connection.

  • AASECT Certified Sex Therapist

  • Licensed Marriage & Family Therapist

  • Certified Sex Therapy Supervisor

  • Specialized in intimacy, desire, erotic conflict, and relationship repair

  • Online therapy throughout California

Why Work with an AASECT-Certified Sex Therapist?

When it comes to sexual health and intimate concerns, the credentials of your therapist matter…significantly.

AASECT (American Association of Sexuality Educators, Counselors and Therapists) certification represents the gold standard in sex therapy training. It's not simply an additional degree or a weekend workshop. It's a rigorous, multi-year process that requires extensive specialized education, supervised clinical hours specifically focused on sexual health, and demonstrated competency in addressing the full spectrum of sexual concerns.