Expert Online Sex & Couples Therapy for New York Residents
Compassionate, affirming virtual therapy from the comfort of your NYC apartment, Long Island home, or anywhere in New York State.
A Trusted, Licensed Therapist for New York
Licensed in New York State
Verified LCSW provider
Certified Sex Therapist (CST)
Specialized, expert care
LGBTQ+ & Kink Affirming
A safe, non-judgmental space
100% Secure Telehealth
HIPAA-Compliant Zoom
A Modern Approach to Therapy for New Yorkers
Life in New York is fast-paced and demanding. Finding time for therapy—let alone finding a specialist who truly understands your needs—can feel overwhelming. Whether you're in NYC or Upstate, you deserve expert support that fits your life.
I'm Paula Kirsch, a Certified Sex Therapist and LCSW licensed to support individuals and couples across New York State. I provide a confidential, convenient space online to help you navigate intimacy, improve communication, and build a more authentic, connected life.
Why New Yorkers Choose Virtual Therapy
Skip the Commute
No need to battle subway delays, sit in traffic, or rush to an office. Get therapy from the one place you feel most comfortable: your home.
Ultimate Privacy
Forget shared waiting rooms. Our sessions are 100% confidential, held on a secure, HIPAA-compliant platform, ensuring your privacy is protected.
Access a Specialist
You're no longer limited to therapists in your borough. You get access to a Certified Sex Therapist and couples expert from anywhere in New York State.
Specialized Online Therapy for New Yorkers
Online Sex Therapy in NY
A confidential space to address concerns around intimacy, desire, sexual trauma, or self-confidence. We'll work together to find clarity and compassion.
Online Couples Therapy in NY
Reconnect with your partner. Using proven methods like the Gottman Relationship Checkup, we'll rebuild trust and develop tools to communicate effectively.
Affirming Therapy for All
My practice is a welcoming and affirming space for all. I specialize in working with the LGBTQ+, polyamorous, and kink communities. You are safe to be you.
Getting Started is Simple
Book Your Free Call
Schedule a free, no-pressure 15-minute consultation. It's a simple way for us to meet and see if we're a good fit.Meet Online
I'll send you a link to our secure, private Zoom session. All you need is a quiet space and an internet connection.Start Your Journey
Begin your weekly sessions from a space that feels comfortable and safe for you to explore, heal, and grow.
Meet Paula Kirsch, Your Licensed New York Therapist
I am a Licensed Clinical Social Worker (LCSW) in the state of New York, and also licensed in Connecticut and Michigan. My deep commitment to this work led me to pursue advanced training, becoming a Certified Sex Therapist (CST).
My approach is non-judgmental, empathetic, and collaborative. I use evidence-based methods, including Brainspotting and Gottman training, to help you achieve real, lasting change.
My practice, Authentic Living Psychotherapy, was founded on the belief that everyone deserves a space to be their authentic self. I am passionate about creating an affirming environment for the LGBTQ+, kink, and polyamorous communities.
Frequently Asked Questions about NY Telehealth Sex Therapy
1. Is your practice licensed to see clients in New York?
Yes. I’m a Licensed Clinical Social Worker (LCSW) authorized to provide therapy to clients anywhere in New York State. All sessions are conducted virtually through a secure, HIPAA-compliant telehealth platform, so you can meet conveniently and confidentially from your own space—whether at home, work, or on the go.
2. Are therapy sessions available online or in person?
All therapy for New York clients is 100% online. You can meet from the comfort and privacy of your home, office, or any quiet space—with no commute, no waiting room, and flexible scheduling to fit your day. Virtual sessions make therapy more accessible and consistent, wherever you are in New York.
3. Do you offer telehealth therapy in New York?
Yes. All sessions are provided through a secure, HIPAA-compliant telehealth platform for clients throughout New York State. Online therapy offers flexibility, privacy, and ease of access, helping you stay connected to care without travel or time constraints.
4. Do you take insurance for individual therapy?
Yes. I accept most Blue Cross Blue Shield PPO plans for individual therapy. For all other insurance providers, I’m considered out-of-network (OON). I partner with Thrizer.com, which submits OON claims directly to your insurance—no forms or paperwork required. Many clients with OON benefits receive 50–80% reimbursement, depending on their plan.
5. Is couples therapy covered by insurance?
No. Couples therapy is typically not covered by insurance, and superbills are not provided, since the work focuses on your relationship rather than an individual diagnosis. Many couples appreciate the privacy and flexibility that comes with paying out of pocket, allowing our sessions to focus entirely on your shared goals as partners.
6. What issues do you help couples with?
I help couples improve communication, rebuild trust, deepen intimacy, and navigate conflict in healthier ways. My practice is affirming of diverse identities and relationship styles, including LGBTQ+, kink-affirming, and ethical non-monogamy (ENM) partnerships. As a Certified Sex Therapist, I also support couples in strengthening sexual connection, addressing mismatched desire, and healing sexual shame.
7. Do you offer sex therapy or help with intimacy issues?
Yes. As a Certified Sex Therapist, I help individuals and couples address desire differences, sexual anxiety, and intimacy challenges. My approach is inclusive and affirming, supporting clients in building deeper emotional and sexual connection, enhancing communication, and cultivating pleasure and confidence in their relationships.
8.. How can I get started with therapy?
You can schedule a free 15-minute consultation by clicking the “Book Your Free Consultation” button on this page. It will take you directly to my online calendar, where you can choose a time that works best for you. During the consultation, we’ll discuss your goals, answer questions, and explore whether we’re a good fit to work together.
You don't have to navigate this alone. Take the first, no-pressure step today by booking a free 15-minute call.
