Sex therapist offering teletherapy in CALIFORNIA

Couples Therapy & Sex Therapy for Those Ready to Rebuild, Reconnect, and Reclaim Intimacy

A compassionate space for couples ready to deepen emotional and sexual connection, repair trust, and grow together, with guidance that honors your values, identities, and shared journey.

intimacy issues

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mixed libido

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communication issues

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sexual health

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Desire Mismatch

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Decreased sexual function

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BDSM and kink affirming

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intimacy issues ◇ mixed libido ◇ communication issues ◇ sexual health ◇ Desire Mismatch ◇ Decreased sexual function ◇ BDSM and kink affirming ◇

I am very glad you are here!

I specialize in helping couples reconnect, with themselves, with each other, and with the deeper meaning of their relationship.

Whether you're feeling stuck, disconnected, or at a crossroads, couples therapy can be a space for repair, reconnection, and renewal.

I honor the unique story you bring as a couple and support you in navigating challenges with care, clarity, and collaboration.

I work with all types of couples, including:


✓ Monogamous and non-monogamous partnerships
✓ LGBTQIA+ and queer couples
✓ Long-term, newly committed, or blended families
✓ Couples exploring kink, polyamory, or open relationships
✓ Partners navigating parenting, neurodiversity, or life transitions

Common Challenges Include:

  • Communication breakdowns and conflict cycles

  • Mismatched desire and sexual disconnection

  • Infidelity, betrayal trauma, and ruptured trust

  • Performance anxiety, shame, or body-based barriers

  • Negotiating non-monogamy or new relationship agreements

  • Emotional distance, resentment, or loss of passion

  • Rebuilding intimacy after a rupture

MY services:

A woman with long dark hair and glasses, wearing a beige knit sweater and black pants, sitting cross-legged on a woven mat with a laptop and holding a white mug, in a cozy, well-lit room with a white wall and framed pictures in the background.
A young couple laughing and relaxing on a couch with laptops in front of them.
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Other Services I offer:

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Ketamine-Assisted Therapy
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Psychedelic Therapy Integration
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Supervision & Consultation

my APPROACH

My work is rooted in respect, connection, and sustainable growth. We draw from:

  • Emotionally Focused Therapy (EFT): to shift negative interaction patterns

  • Internal Family Systems (IFS): to explore the “parts” each partner brings

  • Sex Therapy: to reignite erotic connection, pleasure, and safety

  • Nonviolent Communication (NVC): to foster understanding and empathy

  • Psychoeducation: to build shared language, insight, and skills

I help you move from stuckness to clarity, from defensiveness to empathy, from disconnect to deeper connection.

Schedule a Consulation

Why Choose me for couples work or Individual work?


✓ AASECT-Certified Sex Therapist (CST) & Marriage and Family Therapist with an excellent record for helping individuals like yourself, and highly skilled at my work
✓ Over a decade of experience in working with clients, offering empathetic and warm understanding and connection
✓ Specialized training in LGBTQ, non-monogamous, and kink-affirming care
✓ Options for 3-hour, 6-hour, and multi-day Couples Intensives
✓ Integrative care blending relational, emotional, and somatic frameworks
✓ Optional Ketamine-Assisted Therapy (KAP) for couples seeking deeper healing

THE PROCESS:

Your Relationship Deserves This Care

You don’t have to keep circling the same arguments or living with distance. Whether you're repairing, redefining, or reigniting your connection, couples therapy can be the turning point.

  • Book a Consult Call by emailing me

  • We have a brief consul to go over any important questions or concerns

  • From our consult we set up our first introduction session.

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Meet your Therapist

I’M DR. ADRIAN SCHARFETTER

If you’re feeling disconnected, from your partner, your sexuality, or even from yourself, you’re not alone. So many of my clients come to therapy feeling stuck in patterns they can’t quite name, carrying shame or frustration around intimacy, communication, or desire. I get it, not just as a therapist, but as someone who deeply believes in the power of safe, connected spaces to heal what's been ignored, dismissed, or misunderstood. My work is all about helping you understand your story, reconnect with your needs, and create relationships, both with others and with yourself, that feel nourishing, authentic, and alive.

Learn more about me