Online Sex Therapy for Individuals & Couples Across Virginia
Low desire, performance anxiety, or intimacy concerns?
Work with a licensed therapist to rebuild confidence and connection.
Anthem BCBS Accepted • Limited Evening & Saturday Availability • Secure Virtual Sessions
Most requests receive a reply within 1 business day
Steven Spatz, MA, LPC
Licensed Professional Counselor
Certified Sex Therapy Informed Professional
Licensed in Virginia
15+ Years Clinical Experience
Confidential. Direct. Inclusive. Focused on helping you move forward.
For couples:
• Mismatched desire
• Repeated conflict about intimacy
• Emotional withdrawal
• Feeling stuck in a pursue-withdraw pattern
Over time, these patterns can quietly erode connection — with yourself or with a partner — even when care and commitment remain.
Sex therapy provides a structured space for individuals and couples to clarify their needs, rebuild confidence, and move from shame or frustration toward empowerment, connection, and hope.
Virtual sex therapy sessions are available for individuals and couples in Fairfax, throughout Fairfax County, Vienna, Annandale, Falls Church, and statewide across Virginia.
Sex therapy is often exploratory — and meaningful change builds over time.
A Thoughtful, Intentional Process
We begin by understanding the emotional, relational, and behavioral patterns shaping your experience of intimacy. Rather than rushing toward quick fixes, we clarify what is happening beneath the surface and identify what progress would look like for you.
Our work is collaborative and guided. Sessions may include:
• Exploring desire differences and attachment dynamics
• Addressing shame, anxiety, or past experiences
• Strengthening communication around intimacy
• Identifying patterns of avoidance or withdrawal
• Developing realistic, shared goals
• Discussing mental health stressors and their impact on sexual functioning
• Exploring whether medications may be influencing desire or performance
• When appropriate, recommending consultation with a medical provider to rule out physical factors affecting sexual health
This work is thoughtful and flexible — but never aimless. We move forward with clarity and direction.
If you’re ready to move forward, schedule a consultation.
Trusted by Individuals and Couples Seeking Support for Sex, Intimacy, and Relationship Concerns
14 Verified Client Reviews
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“Despite the complex and emotionally challenging topics we navigate — including relationships, non-monogamy, and sex — I continually feel at ease. I walk away from every session understanding more about myself and my relationships.” — A
“My quality of life has gone up considerably, particularly because of my newfound success in relationships and the comfort I now have with myself and my body.” — Dylan
“I’ve grown from someone who was afraid of intimacy into someone who is confident in relationships and comfortable with myself. I can now express my needs and face problems head-on. - D
“He helped our family communicate with greater compassion and empathy. We’ve become closer as a result of the work.”
— Jo
Real clients. Real progress. Sustained change.
Exploring intimacy, desire, and relationship patterns takes courage. When you’re ready to begin, schedule a consultation to start the conversation.
Ready to Take the Next Step?
Consultation spots are limited.
Evening and Saturday appointments often fill 1–2 weeks in advance.