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Paula Kirsch, LCSW, CST, specializes in women's sexual health and intimacy across the lifespan, offering concierge telehealth therapy to clients in Connecticut, New York, and Michigan. She works with individuals and couples navigating pelvic pain conditions such as vaginismus and dyspareunia, desire discrepancy, postpartum sexual changes, and menopause-related concerns. Paula also provides affirming care for LGBTQ+ clients, those in ethically non-monogamous or polyamorous relationships, and kink-identified individuals.
Paula's approach integrates certified sex therapy with evidence-based clinical methods, including Gottman Method couples therapy (Level II trained) and Brainspotting. She holds the Certified Sex Therapist (CST) designation and completed the University of Michigan's Sexual Health Certificate Program, which included 50 hours of supervised clinical experience. Paula is a member of ISSWSH, IAPST, and IBOSP, and brings additional depth from her background as former adjunct faculty in Human Sexuality at Wayne State University.
Paula Kirsch Therapy is a fully private-pay, telehealth-only practice built on the belief that specialized sexual health care should be unhurried, personalized, and free from the constraints of insurance-driven treatment. Sessions are available via secure video, making quality care accessible wherever clients are located within her licensed states. Individual sessions are $225 and couples sessions are $250; superbills are available for individual clients seeking out-of-network reimbursement.
Clients who work with Paula often come after months or years of feeling dismissed, confused, or told that nothing is wrong. She brings clinical precision and genuine warmth to issues that carry significant shame or silence, and partners closely with pelvic floor physical therapists and OB/GYNs to offer coordinated, whole-person care.
Years of Experience: 12 years
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
Relationship issues - Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating
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
Women's Issues - Therapy tailored to common concerns among women; providing a safe and understanding space to address life challenges, stressors, and questions around identity as a woman
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
Paula Kirsch is not in-network with any insurances.
Read about the benefits of seeing an out-of-network provider here.
Small steps make a big difference. Start by connecting with Paula Kirsch today.