Skip to main content
Individual & Relationship Therapy · New York

Sex-Positive, Kink-Affirming Therapy in New York, Without the Judgment

A lot of people leave sex, kink, and desire out of therapy entirely — not because those parts of life do not matter, but because they have learned to expect a raised eyebrow, an awkward silence, or a therapist who treats what they enjoy as the thing that needs fixing.

Peace Love Wellness offers sex-positive, kink-affirming therapy for adults across New York. Every clinician on our team works this way, so you can bring your whole life into the room, whether sexuality is the reason you came or just part of who you are.

You may be here because

  • You are into kink, BDSM, or fetish play and want a therapist you do not have to hide it from or explain it to
  • A past therapist treated your sexuality or your relationships as a symptom
  • You carry shame about what you want, often from family, religion, or culture, and it is getting in the way
  • You and a partner want different things sexually and cannot find a way to talk about it
  • You are exploring your desires, orientation, or asexuality and want room to think out loud

You do not need to have a problem with your sex life to want an affirming therapist. Many clients come for anxiety, grief, or work stress and simply want to know that nothing about them is off the table.

What sex-positive, kink-affirming therapy can help with

  • Shame and secrecy about desire, kink, or sexual history
  • Talking with partners about wants, limits, consent, and agreements
  • Mismatched desire and the distance it can create
  • Coming out as kinky to a partner, or deciding whether to
  • Untangling sexuality from religious or cultural messages
  • Anxiety, depression, trauma, and everything else, with a therapist who already gets the context

Kink is not a diagnosis

Consensual kink, BDSM, and fetish interests are part of the ordinary range of human sexuality. They are not disorders, and we do not treat them as the hidden cause of whatever else is going on in your life.

Kink-affirming care means you do not spend sessions educating your therapist or defending yourself. It also means we can talk honestly when something in your sexual life is not working for you, because the conversation starts from respect.

What sex-positive therapy means here

Sex-positive does not mean we assume sex is important to you, or that more is better. It means we treat your sexuality — including asexuality, low desire, and choosing not to have sex — as yours to define, and worth talking about without embarrassment.

Sex-positive psychotherapy is different from sex therapy, which focuses on treating specific sexual concerns. Cameron Eshgh, LMHC-D, is the clinician at Peace Love Wellness who offers sex therapy, and is currently full and accepting waitlist requests.

Read About Our Approach

Affirming across identities and relationship structures

Sexuality rarely sits apart from the rest of who you are. Our clinicians work with LGBTQIA+ clients, people in polyamorous and ethically non-monogamous relationships, and people recovering from purity culture or other shame-based messages about sex.

Online, private, and insurance-friendly

All sessions are online for adults located in New York, on a secure, HIPAA-compliant platform, so you can talk from your own space. We are in-network with Aetna, Anthem / Empire BlueCross (including Excellus, Highmark, and out-of-state BlueCard plans), Carelon, Cigna, EmblemHealth, MagnaCare, Meritain, and NYSHIP / The Empire Plan. Coverage varies by plan and clinician, and we help clarify options before you begin.

Who You Could Work With

Ryn Cagle, LMHC

Sex-positive, kink-affirming therapy, especially where it meets queer, trans, neurodivergent, or disabled experience.

Currently accepting new clients

Zaire Smalls, MHC-LP

Kink-affirming support with shame, identity, and communication, with attention to cultural and family messages about sex.

Currently accepting new clients

Karen Garcia, MHC-LP

Sex-positive, kink-affirming individual and couples sessions, in English or Spanish.

Currently accepting new clients

Cameron Eshgh, LMHC-D

The clinician at PLW who offers sex therapy, alongside sex-positive, kink-affirming relational therapy for individuals and partners.

Currently full — accepting waitlist requests

Michelle Batista, MHC-LP

Sex-positive, kink-affirming support for adults, in English or Spanish.

Currently full — accepting waitlist requests

Sessions are online for clients located in New York. We review clinical fit, insurance, and current openings before you begin. Insurance & Fees · Get Started

Sex-positive and kink-affirming therapy FAQ

Questions we hear from people looking for a therapist they can be fully honest with.

What is kink-affirming therapy?

Kink-affirming therapy is therapy with a clinician who understands consensual kink, BDSM, and fetish interests as a normal part of human sexuality rather than something to diagnose or fix. You can talk about your sexual life as openly as any other part of your life, and your therapist will not treat it as the cause of unrelated concerns.

Which therapists at Peace Love Wellness are sex-positive and kink-affirming?

All of them. Every clinician at Peace Love Wellness practices sex-positive, kink-affirming care. Ryn Cagle, LMHC, Zaire Smalls, MHC-LP, and Karen Garcia, MHC-LP, are accepting new clients.

Do I have to talk about sex or kink in therapy?

No. Many clients come for anxiety, depression, trauma, or relationship concerns and just want to know their therapist will not flinch if sexuality comes up. You decide what is relevant and when.

Is this the same as sex therapy?

Not exactly. Sex therapy is a specialty focused on treating specific sexual concerns. Every clinician here offers psychotherapy in which your sexuality, kink, and relationships are welcome and understood. Cameron Eshgh, LMHC-D, is the one clinician at Peace Love Wellness who offers sex therapy; he is currently full and accepting waitlist requests.

Can partners come to therapy together?

Yes. Our clinicians offer couples and relationship therapy, including for kinky, polyamorous, and ethically non-monogamous partners. Sessions can focus on communication, agreements, consent, mismatched desire, or anything else between you.

Do you accept insurance for sex-positive, kink-affirming therapy in New York?

Many clients use insurance for therapy at Peace Love Wellness. We are in-network with Aetna, Anthem / Empire BlueCross (including Excellus, Highmark, and out-of-state BlueCard plans), Carelon, Cigna, EmblemHealth, MagnaCare, Meritain, and NYSHIP / The Empire Plan. Coverage varies by plan and clinician, and we help clarify your options before you begin.

Bring all of yourself

You should not have to edit yourself to get good care. Tell us what you're looking for, and we'll help match you with a clinician who feels like the right fit.