Somatic Experiencing Practitioner (SEP)
Certified Relational Life Coach (RLT)
AASECT Certified Sex Counselor (CSC)
DNP, FNP-BC (Board Certified Nurse Practitioner)
I'm a Nurse Practitioner, AASECT Certified Sex Counselor, and Relational Life Coach who specializes in sex and intimacy in long-term relationships. I combine medical expertise with body-based and relational tools—because sex problems aren't just in your head, and they're not just about technique.
Hi, I'm Dr. Lori.
I'm glad you're here.
Course Instructor, Sexual Health Certificate Program, University of Michigan
Featured in NYTimes, Oprah Daily, Men's Health, Women & Home
It's time to make real change.
This Isn't Talk Therapy. It's Not Just "Communication."
Most sex advice assumes the problem is what you're doing (or not doing) in bed. But the real issue is usually what's happening in your nervous systems, relationship patterns, and sometimes your physical body—long before you get to the bedroom.
I work with:
Your bodies (somatic tools to help you feel safe and present, medical assessment when physical factors are involved)
Your relationship (addressing pursue-withdraw patterns and stuck dynamics, whether you're working alone or with a partner)
Your actual reality (not some idealized version of desire)
So you can stop performing, stop managing, and start actually wanting each other again.
You're in the right place if...
You are ready for change.
One of you wants sex way more than the other
You're avoiding intimacy entirely to avoid the fight
You're wondering if this is just how it is now
You feel awkward and shut down when you try to talk about it.
You want more for your relationship but just don't know how to get it.
- Available nationwide
- Individuals and couples
The Intimacy & Relationship Path
- Available to NY & VT residents
- In-person (Ithaca) or telehealth
The Sexual Medicine Path
How we can work together
Let's Do this!
Most people come in through one door. Many find they need both.
Here's where to start.
If you are dealing with physical symptoms:
If its about desire, disconnection or changing patterns
Not sure which path fits? Many clients move between both as needed.
Start with a free consultation and we'll figure it out together.
Testimonials
Frequently Asked Questions
You have questions. I have answers.
Mismatched desire is a term used to describe what happens when two partners have different relationships to sex and intimacy. Most people assume it's simply about frequency — one person wants sex more often than the other — but it's often more nuanced than that. It can show up as wanting different things in bed, different levels of emotional connection before intimacy, or a general sense of being out of sync that's hard to name.
Mismatched desire is one of the most common struggles couples bring to sex counseling, and it's the primary focus of my work. It doesn't mean either partner is broken or that the relationship is failing. In most cases it reflects differences in nervous system patterns, attachment styles, and how each person has learned to relate to intimacy — all of which can shift with the right support.
There's a lot of overlap. Sex counselors and sex therapists are both trained to work with sexual concerns and both require specialized training beyond a general clinical degree.
What matters most is what a particular clinician focuses on and what additional training they've pursued. I'm a sex counselor who specializes specifically in mismatched desire and relationship disconnection, with deep training in somatic, relational, and body-based approaches — plus a medical background that adds another lens when it's relevant. If you're trying to figure out whether we're a good fit, the better questions are: Do they specialize in what I'm struggling with? Do they work with the body, not just the mind? Do they have real depth in couples and desire work?
Both. Some people come in as a couple. Some come individually. Many do some version of both at different points — starting alone, adding a partner later, or running individual and couples sessions in parallel when that makes sense.
Sexuality is both personal and shared, and the structure of our work can reflect that. If you want a space that's entirely your own, that's just as valid a place to start as coming in together.
Absolutely. I work with people of all sexual orientations, gender identities, and relationship styles — including polyamorous and non-monogamous relationships. Sexual health and pleasure is a right for everyone.
I see clients in person in my office is in Ithaca, NY and via telehealth nationwide.
