Sex therapy
An informed, nonjudgmental place to discuss sexuality, desire, arousal, behavior, identity, performance, body image, and shame.
Online individual therapy · Washington + Idaho
Care for sexuality, trauma, and experiences that are difficult to carry alone.
Specialized online therapy for adults seeking a steady, respectful place to address sexual concerns, shame, trauma, or experiences that still feel present. You set the pace. Your boundaries remain yours.
Before our first hello, please know: you do not need to tell your whole story. We can simply connect, and you can ask whatever you need to decide whether working together feels right.
Highly specializedAASECT Certified Sex Therapist
Trauma-informedEMDR-trained clinician
Entirely onlineAdults located in WA and ID
Specialized care, without reducing you to what happened.
Sexual concerns and painful experiences rarely fit into separate boxes. Our work can draw from sex therapy, EMDR, or both, without forcing your story into a formula or asking you to move faster than feels manageable.
EMDR therapy
A structured approach for working with distressing experiences, memories, body responses, and beliefs that still affect the present.
Sexuality and trauma
When sexual concerns are connected to assault, coercion, painful experiences, or learned shame, we can attend to both with care and clinical precision.
Individual adults
This practice is intentionally focused on individual therapy. It is not a couples-counseling or general mental-health practice.
What trauma-sensitive care means here.
Safety is not assumed because a session is called therapy. It is built through clarity, consent, predictability, and respect for your choices.
You remain in control.
You may pause, decline a question, change direction, or ask for a different approach at any point.
You will not be rushed.
EMDR does not begin simply because you have a trauma history. We first establish goals, readiness, resources, and a shared plan.
Details are not demanded.
You do not have to recount every detail of an experience in order for us to understand its impact or begin meaningful work.
Your responses make sense.
Freezing, disconnecting, avoiding, remembering, or not remembering can all be understandable responses to experiences that overwhelmed you.
Your story matters. Your lived experience will be met here with care, curiosity, and respect.
Common reasons people reach out
Sexual shameSexual traumaDesire or arousal concernsPerformance anxietyPornography concernsOut-of-control sexual behaviorIdentity and orientationReligious sexual messagesBody imagePainful past experiences
You do not need to know whether sex therapy, EMDR, or both are the right fit before contacting me. We can decide together.
Affirming care
You do not need to edit who you are to be welcome here.
I welcome adults across gender identities, sexual orientations, relationship structures, faith backgrounds, bodies, abilities, and life experiences. Sexual trauma can affect people of every gender, and there is no single “right” way to respond or heal.
LGBTQIA+ affirmingTrans and nonbinary affirmingKink awareNon-monogamy affirmingSex positiveBody affirmingFaith-sensitiveDisability aware
Affirming care also requires cultural humility. I will remain attentive to identity, culture, power, and difference, and open to feedback when I miss something.
Cost of care
This is a private-pay practice. Fees and payment details are provided here so you can consider them before deciding whether to reach out.
Individual therapy
$225
53-minute sex therapy or EMDR session
Extended EMDR
$270
90-minute session, when clinically appropriate
I am an out-of-network provider and do not bill insurance directly. Payment is due at the time of service. A superbill can be provided for you to submit to your insurer; reimbursement depends on your individual plan.
Meet Neil
Trust is not something I expect from you. It is something we build.
I’m Neil Sampson, MA, LMFT, an AASECT Certified Sex Therapist and EMDR-trained clinician licensed in Washington and Idaho.
For more than 15 years, I have worked with clients across a wide range of concerns and clinical settings, including hospital-based care and substance-use treatment. This practice reflects an intentional choice at this stage of my career: to focus my clinical work on the areas that have become both my specialty and my passion: sex therapy and EMDR.
I understand that choosing a therapist, particularly a male therapist for work involving sexuality or sexual trauma, can carry additional questions and vulnerability. My role is not to persuade you to trust me quickly. It is to be consistent, transparent, attentive to boundaries, and open to your feedback.
My style is warm, grounded, and direct. I approach sexuality holistically, with attention to its emotional, psychological, physical, relational, cultural, and spiritual dimensions. You will not be judged, rushed, or required to disclose more than you are ready to explore.
Outside of clinical work, I am a spouse and parent who enjoys time with family and animals, working in the yard, traveling around the Pacific Northwest, and occasionally kayaking on the Sound.
What matters most in the room: You are the authority on your experience. I bring clinical training and a steady process; we make decisions about the work together.
Questions you may be holding
What actually happens in sex therapy?
Sex therapy is talk therapy with a clinician who has specialized training in sexuality and sexual health. It offers a direct, informed place to understand your concerns, develop language for experiences that may be difficult to discuss, and explore practical or emotional changes. It never involves sexual contact or touch.
What if I feel embarrassed or ashamed?
That is common. Many of us received the message that sexuality should remain private, or that certain questions, desires, identities, or experiences are shameful. We will work at your pace. You will not be forced to discuss anything before you are ready.
What will you think of me?
My work includes a wide range of concerns involving desire, arousal, performance, pornography, out-of-control sexual behavior, identity, orientation, kink, infidelity, body image, sexual trauma, and shame. These subjects are approached professionally, clinically, and without judgment.
What happens during the first session?
We will discuss what brings you to therapy, what you hope might change, and how the therapy process could support you. It is also a chance for us to get to know one another and evaluate fit. You are encouraged to ask questions, share concerns, and say what you need from therapy.
Do I need to have experienced trauma to do EMDR?
No. EMDR may be useful when a distressing memory, learned belief, or past experience still feels active in the present. It uses bilateral stimulation as part of a structured process intended to help the brain reprocess distressing material. We will assess together whether EMDR fits your needs and goals. Learn more about EMDR from EMDRIA.
How many sessions will I need?
There is no universal number. Some focused concerns may respond to relatively brief work, while longstanding or complex experiences may need more time. We will develop a treatment plan together and revisit it as the work progresses.
What if my sexual concern may also be medical?
Sexual well-being can involve both psychological and physical factors. When appropriate, I can help you consider consultation with a physician, pelvic-floor specialist, urologist, gynecologist, or another qualified sexual-health professional. With your written permission, care can be coordinated when collaboration would be useful.
Do you see couples?
No. This practice is focused on individual adults. Sexuality and relationships may naturally be part of the conversation, but sessions are not couples therapy.
Is everything virtual?
Yes. Sessions are held through secure telehealth for clients who are physically located in Washington or Idaho at the time of service.
How do I know if we are a good fit?
Start with a complimentary 15-minute consultation. We can briefly discuss what brings you to therapy, answer practical questions, and decide whether a first session makes sense.
Secure SimplePractice portal
Choose your next step
To work with me, select Request an appointment, choose “Me” as the person receiving care, and then choose “Neil Sampson” under “Connect with.” My practice is for individual adults seeking sex therapy and/or EMDR; I am not accepting couples.
Start with a conversation.
A complimentary 15-minute consultation is a low-pressure way to ask questions and see whether this specialized practice fits what you need.