I work with individuals and partners to provide sex counseling and to diagnose and treat sexual health issues. I also offer trainings on sexuality and sexual health, through which I advocate for shame-free sex and holistic approaches to sexual health.

Individual Support


Pleasure is the visceral, body-felt physical experience of well-being—it’s the embodiment of happiness. With pleasure as our guide, our actions can be informed by what feels right deep down inside. - Stella Resnick

Sex Medicine and Counseling

Everyone will experience a challenge at some point in their sexual lives. Whether it is because of long-standing issues, communication breakdowns, a health change, or just the process of aging, we all will likely find ourselves stuck sexually along the way. This is just part of being human. It isn’t necessarily something to be feared (though it can be very painful), and it doesn’t mean you are broken. A crisis can become a gateway: being stuck can become an opportunity for growth. Sometimes you just need a little help.

I work with individuals of all genders to help them develop more pleasure, ease, and intimacy in their sexual lives. Some patients contact me with specific sexual health issues; others aren’t quite sure what they need but know that they long for something more. In either case, I help clients discover and manifest a more authentic relationship with their bodies, themselves, and their partners.

Our work is not one-size-fits-all but will be tailored to your specific needs. There are, however, commonalities in the concerns that clients have. I often see people who experience the following:

Common Concerns in Individual Sex Counseling

  • Problems with little or no desire for sex
  • Pain with sex
  • Difficulty with orgasm or ejaculation
  • Erectile disappointment
  • Difficulty communicating about sex with your partner
  • Struggling to figure out who you are sexually
  • Questioning gender identity or relationship structure
  • Working with urges or behaviors that feel out of control, such as sex or porn “addiction”

Don’t worry if you don’t see yourself described in this list, I encourage you to book a free consult to see if working with me may be right for you.

Perimenopause and Menopause

In the process of becoming a sexual medicine provider, I spent lots of time with women who were also suffering with the transition through menopause. In much the same way that women can’t find help for sexual concerns, I realized that they are also just as likely to be disappointed when they go looking for menopause support. Women deserve something better.

I made it my mission to learn how to provide holistic support for menopause for the countless women who suffer unnecessarily. I trained with NAMS and am certified in menopause medicine. I have also trained with the Institute of Functional Medicine, and I have spent innumerable hours researching the best evidence-based approaches.

Sometimes menopausal changes come after surgery or cancer treatment. If this is the case for you, I can help you work through your treatment options.

Periods may never be perfect—but they shouldn’t leave you miserable. Menopause may not always be easy—but it should be manageable.

Menopause can also be a time for reflection, transition, and renewal. Overwhelming hormonal symptoms can rob you of these experiences and of the opportunity to live your best life. I can help.

Medical Marijuana

As an adjunct to my practice, I offer medical marijuana certification in New York state.

Cannabis may be an important part of your journey towards better health and quality of life.

Some of the symptoms that cannabis can help with are PTSD, pain, anxiety, nausea and vomiting, muscle spasms, and seizures. Cannabis may do more than just alleviate symptoms. A strong anti-inflammatory and anti-oxidant, it may actually promote healing and recovery.

To get started:

  1. Schedule a free 10 minute telemedicine consultation with me to review the process.
  2. Provide documentation from a medical provider (your primary care provider or specialist) that you have a qualifying condition.
  3. Schedule an appointment for certification. Appointments can be in person or via telemedicine.
  4. Complete a medical marijuana intake form online.
  5. Meet with me for a 30-60 minute appointment.
  6. Complete the enrollment process on the NY State Department of Health website.
  7. Print your temporary certicication card the same day; the official card will arrive in the mail.

Relationship Counseling


You do not have to be good
You do not have to walk on your knees for a hundred miles through the desert repenting
You only have to let the soft animal of your body love what it loves - Mary Oliver

It’s a myth that intimacy and sexual know-how are innate. We’re taught that intimacy should come naturally, but building sexually meaningful relationships takes time, care, and compassion for ourselves and our loved ones—and it’s often a lifelong journey. If you’re like most people, you and your partner have reached a sexual roadblock at some point.

I work with people of all genders and relationship types who hope to improve their sexual connection, better understand their own and each other’s needs, and establish more satisfying erotic lives.

For some, sex counseling is a key strategy to undoing resentment, anger, and frustration with your sexual relationship. For others, it can help otherwise fulfilled partners work together as an erotic team to face health challenges, long-term relationship lulls, and the lifelong process of sexual development and exploration.

I specialize in helping people find more passion, more pleasure, and more intimacy in the face of these complexities.

The issues that each sexual relationship face are unique, but there are some common themes that have emerged in my practice.

Common Concerns in Sexual Relationship Counseling

  • Making sex better in a long-term relationship
  • Differences in desire for sex
  • Problems with initiating sex
  • Difficulties communicating about sex
  • Sex after health changes or chronic illness
  • Working through differences in sexual interests or fetishes
  • Overcoming the after effects of infidelity
  • Concerns about out-of-control sexual urges or behaviors, sex or porn “addiction”
  • Considering non-normative relationship structures, polyamory, etc.

Don’t worry if you don’t feel your particular situation described above. As always, you are welcome to book a free consult to see if I might be the right fit to help your relationship grow and become more sexually fulfilling.

Trainings and Advocacy

Lori, white background

Not only do I enjoy working directly with patients—I’m also on a mission to change the way we think about sexuality, sexual health, and pleasure. I offer trainings and classes to educate people of all backgrounds about human sexuality and to share my core belief that not only should we be able to express our sexuality without shame but that sexual health is vital to overall health. I have worked with students, organizations, and medical professionals, and my writing on sexuality has appeared in publications such as Giddy and NurseJournal.

With a Doctorate in Nursing Practice and as a Certified Sex Counselor, I have both the medical expertise and the therapeutic training to answer questions about common sexual health issues, to discuss the importance of holistic approaches to sexuality, and to unpack why therapy can be beneficial for anyone who feels sexually stuck.

To contact me about my trainings, workshops, or writing, click here.

Recent Trainings

Dyspareunia and Pelvic Floor Therapy | American Association of Nurse Practitioners National Conference

Sex after Cancer | Cayuga Cancer Center patient support group and Robert Packer Hospital patient support group

Sexual Attitude Reassessment Course Assistant | University of Michigan, Sexual Health Certificate Program

Primary Care for Transgender and Gender Non-Conforming Clients | Lemoyne College Nurse Practitioner Program

Women’s Sexual Health | St. John Fisher Nurse Practitioner Program

Chronic Pelvic Pain: A Biopsychosocial Approach to Care | Cayuga Medical Center Medical Staff

The Menopause Transition: What You Need to Know | Internal Medicine Residency Program