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Choosing a therapist—especially when sex or intimacy feels tense, confusing, or painful—can feel deeply vulnerable. Dr. Nicole Irving, PhD, is an AASECT certified sex therapist who works with individuals and couples in Virginia, DC, and Oregon who want to stop avoiding difficult intimacy conversations and start building relationships that feel emotionally and sexually sustainable.
Nicole works with couples and individuals for whom sex has become a source of pressure rather than connection. Many partners feel stuck navigating mismatched desire, sexual anxiety, performance concerns, or long-standing resentment that has quietly shut down intimacy, pleasure, and connection. Others care deeply for one another but don’t know how to talk about sex without conflict, shame, or shutdown. Nicole helps couples slow these cycles, understand what’s happening beneath the surface, and find safe tools to overcome these issues—both emotionally and sexually.
Nicole also works with couples and individuals exploring polyamory, consensual non-monogamy, kink, and BDSM. Some clients come in feeling unsure how to talk about boundaries or agreements. Others are navigating jealousy, desire differences, or trying to understand what they want without blowing up their relationship.
Her approach is sex-positive, collaborative, and grounded in real conversations—not jargon. Nicole helps her clients notice the patterns that keep them stuck, especially when conflict, avoidance, or past hurt has made intimacy feel tense or fragile. The work focuses on slowing things down, rebuilding trust and curiosity, alongside providing clear tools and actionable strategies to help clients make real changes both in and out of the therapy room.
As a certified sex therapist, Nicole also works with individuals navigating low or fluctuating desire, sexual shame, avoidance, trauma, and anxiety related to sex or intimacy. She supports clients who want to better understand their relationship with desire, their body, and their needs—especially when past experiences have made sex feel complicated or unsafe.
Years of Experience: 7 years
Sexual health & dysfunction - Addressing emotional, physical, and biological concerns related to sexual intimacy and functioning; education and skill building around topics such as erectile dysfunction, orgasms, low libido, shame, and history of abuse; improving communication to realize a fulfilling sex life
Couples counseling - Addressing relationship challenges and life transitions; strengthening communication and feelings of security, desire, connection, and love
LGBTQIA, gender, & sexuality topics - Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges
Infidelity - Processing through the impacts that infidelity has on one’s relationship; learning how to set boundaries, resolve conflict effectively, and promote healing in the relationship
Attachment issues - Development of effective relational and communication skills; insight into family attachment patterns;fostering healthy family relationships.
Nonmonogamy, polyamory, and kink - Exploring one’s values in and beliefs about relationships; practicing boundary-setting, conflict resolution, and romantic or sexual relationship bonding with partners
Nicole Irving is not in-network with any insurances.
Read about the benefits of seeing an out-of-network provider here.
This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:
Frequency of sessions this provider offers to see clients once you are an established client.

We interviewed Nicole Irving and asked about their work with clients and guiding philosophies on therapy.
The practice will call you for a free 10 minute phone call to discuss your needs and ensure a match!
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