Start having sex that's worth having.

Deva Segal, LMFT, CST
 In-Person Appointments in San Francisco, CA

Deva Segal, LMFT, CST
 In-Person Appointments
in San Francisco, CA

Couples and Individual Therapy for Sex and Relationships

Join the waitlist

When it comes to sex, have you ever felt…

CONFUSED
EMBARRASSED
“BROKEN”
DISAPPOINTED
Like it’s pointless to even try to fix this, and no one else is struggling or can relate?
If you’ve been told that sex should be easy, hot, and happen “naturally,” you’re not alone.
Sexual issues that prevent people from experiencing pleasure, satisfaction, or connection are much more common than you think. Things like:
  • Low libido
  • Difficulties with arousal
  • Mismatches with your partner(s)
  • Craving exploration
  • Compulsive behaviors
  • Feeling checked out during sex
  • Performance fears
  • Physical pain
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When you’ve got problems with sex, then you may be dealing with repetitive, unproductive discussions at home, frustrating late-night Google searches, or directionless conversations with your therapist.

Conversations with your partner can get tense and anxious if you’re even talking about sex at all. Some couples find themselves in a quiet loneliness and resentment instead.

If you’re single, you could be thinking there might be no point in dating or even trying to be in a relationship at all if sex will be a disappointment for both you and them.

It doesn’t have to be that way.
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LGBT couples counseling in California virtually

Whether you’ve been feeling stuck for 15 days or 15 years, there’s a way through.

Sex can be fun, interesting, connected, and free from worries.

I’m not here to just help you have more sex. I’m here to support you in having sex that’s WORTH having.

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Hi, I’m Deva

(she/her, pronounced ‘diva’)

As a psychotherapist and certified sex therapist for individuals and couples, I see how much client’s inner lives actually show up in sex and intimacy. With over 7 years of experience and in-depth training in sexual concerns and relationships, I can tell you there is no one right way to be healthy or normal in your sexuality. Talking about sex openly can be vulnerable and scary. It is also rich, creative, and enlightening when you have the right support.
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Problems with sex and relationships can look different for each of us.

Here are some topics that I treat in my therapy practice.

COUPLES THERAPY​

Relationship Therapy

Partnerships are much more than just sex. Yet if you’re committed to someone, differences in what you want are inevitable. Figuring out how to get on the same page takes strong communication.

couples therapy

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DESIRE AND LIBIDO

Individual Therapy

If you’ve been told that sex should be easy, hot, and happen “naturally”, you’re not alone. It’s easy to get caught up in how sex is supposed to be, leaving you frustrated on why it’s not that way for you.

DESIRE AND LIBIDO

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SEXUAL DYSFUNCTION

Pain and Performance

All genders can have problems with pain during sex or problems with their sexual functioning and “performance”. Few people talk about it. Next steps are to get accurate and supportive information.

SEXUAL DYSFUNCTION

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SEX ADDICTION

Out-of-Control Sexual Behaviors

If you no longer feel like you’re in charge of your thoughts or behaviors with sex, things may feel out of your control. There is help to find out what is in the way.

SEX ADDICTION

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Living in shame or fear or doubt you’ll never be able to change does NOT have to be your life. You can have fulfilling and satisfying relationships, sexual experiences, and feel amazing in your own skin and life.
AND you don’t have to figure it out alone.

Let’s begin with a free consultation for individual or couples therapy.

Schedule a 20 minute call with me to talk more about how I can help.

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BOOK A FREE CONSULTATION

To start therapy with me, let’s talk more to see if we are a good fit. Your next steps:

Book time on my calendar below for a free 20 minute consultation.
I’ll send you a brief intake form to complete prior to our call. This will help me understand your primary concerns and help focus our time.
On our consultation, we’ll talk over Zoom about any of your questions and logistics before we book your first session.

If you have other questions, email me through my contact form instead.

Select the service you are interested in below to get started.

Thank you for your interest in working with me!

Due to high demand, consultations are currently full for new individual clients. To get on my waitlist, enter your information below and you’ll be one of the first to know when I have a consultation time available. I send very few emails in between these notices, and I will never share your information.

Thank you for your interest in working with me!

Due to high demand, consultations are currently full for new couple clients. To get on my waitlist, enter your information below and you’ll be one of the first to know when I have a consultation time available. I send very few emails in between these notices, and I will never share your information.
Have specific questions?

Email me

© 2018-2025 Deva Segal, Marriage and Family Therapy and Consulting, Inc. SF Therapist. All rights reserved.
Licensed Marriage and Family Therapist in CA (#103816), ME (#MF 7207), and SC (#TLC 825 MFT)  
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