Dr.Alysondra Duke

Sex and Relationship therapy for better relationships! Couples often reach out when communication has become painful, intimacy has faded, or conflict feels impossible to resolve. I work with couples and individuals who want deeper connection, stronger communication, and more fulfilling emotional and sexual relationships. My practice supports clients navigating desire differences, intimacy challenges, trust issues, and relationship transitions. I offer sex-positive, affirming therapy and welcome LGBTQ+ and queer clients seeking a space where identity, relationships, and sexuality are respected and understood. My approach is eclectic, integrating feminist and psychodynamic perspectives with somatic awareness, and sex-positive frameworks. As a Board-Certified Sexologist, I help clients understand relationship patterns, rebuild emotional safety, and deepen intimacy and sexual connection. Clients often tell me they appreciate the balance of warmth, insight, and direct guidance in our work together. Therapy is collaborative, thoughtful, and focused on real change. If you’re ready to invest in a more connected relationship or a more fulfilling intimate life, I invite you to reach out! Specialties: I specialize in private-pay couples therapy focused on intimacy, communication, and emotional connection. Whether you're navigating disconnection, trauma, or identity and sexuality concerns, we'll work together to strengthen relationships, build self-trust, and create more fulfilling intimacy. Credentials & Experience: I'm a Psychologist and Relationship and Sex Coach with over 15 years of experience supporting clients through life transitions, emotional challenges, and relationship issues. I'm a licensed therapist in Washington and a Board Certified Sexologist.

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