Sex Therapist St. Louis | In Person & Missouri & Minnesota Online
A safe space to explore what you really want.
AASECT-certified sex therapy for LGBTQ+ individuals and couples.
Wanting more—but lost on how to get there?
You’re not sure when it started feeling so off. Maybe you and your partner keep missing each other, like you’re not speaking the same language. Maybe sex feels disconnected, confusing, or completely shut down. Maybe you’re carrying shame that was never yours to begin with.
As an AASECT-certified sex therapist in St. Louis, I help individuals and couples untangle what’s getting in the way—so you can feel more seen, more secure, and more at home in your body.
It's time to feel more pleasure in your life and relationships.
JUDGEMENT-FREE ZONE
JUDGEMENT-FREE ZONE
Genevieve Friedmann
MSW, LCSW, CST (she/her)
Hi, I’m Genevieve! And I’m here to offer a safe space for you to explore your thoughts and feelings without judgment, helping you figure out what you really want from life, relationships, and the future.
I specialize in helping people with their relationships. As an AASECT-certified sex therapist, I support clients through desire differences, sexual shame, mismatched intimacy, and the conversations that feel impossible, so you can communicate more clearly and feel closer and more yourself in the relationship you choose.
I love working with LGBTQ+ individuals and couples, helping them improve understanding, communication, and intimacy. As a queer therapist, I feel honored to work within my community and get to know your unique experiences and identity.
My style is warm, down-to-earth, and collaborative. I'm not here to just listen; I'll be actively engaged, giving you kind and honest feedback. And while therapy can dive into some heavy stuff, we can have a good laugh or two along the way.
If you're tired of feeling stuck in the same old patterns and are ready to make positive changes, let’s chat.
INDIVIDUAL THERAPY
$175 — 50 min.
For individuals ready to tackle the ups and downs of the human experience—whether you're dealing with anxiety, stress, identity issues, self-esteem, relationships, life changes, or grief, this is a judgment-free space where you can be yourself.
We'll chat about whatever's on your mind and work through it together, making sure you feel comfortable as we dig into the tough stuff. We'll work side by side to help you reach your goals and find a clearer path forward.
COUPLES THERAPY
$200 — 50 min.
For partners looking to work on their relationship together. Open to all relationship types, orientations, and structures, including LGBTQ+ couples. Whether you're monogamous, polyamorous, ethically non-monogamous, open, or exploring these possibilities, you'll find a knowledgeable and accepting space here to address your relationship concerns.
All relationship structures are respected, and we'll focus on what's important to you.
SEX THERAPY
$175/$200 — 50 min.
Similar to individual or couples therapy but with a special focus on sex and sexuality. We only discuss topics you're comfortable with, and we'll always move at a pace that feels right for you. Whether you're looking to address specific concerns or just want to include these discussions in our broader work, we're here to go at your pace.
We can talk about things like desire concerns, desire differences, kink, BDSM, sexual trauma, chronic illness and sex, to name a few. If you have any questions, please ask!
RELATIONSHIP INTENSIVES
Flexible sessions: 3 hr., full or multi-day options
For couples ready to make real progress—fast. Unlike weekly therapy, intensives offer uninterrupted time to focus on your relationship. Whether you're rebuilding intimacy, breaking painful cycles, or navigating a major life shift, this immersive experience helps you move forward with clarity.
If you're feeling stuck, craving deeper connection, or need focused time to work through something big, an intensive can give you the momentum weekly sessions can’t.
How to get started.
1 Book a Call
Just use my appointment scheduler to pick a time that works for you.
2 We'll Chat
We'll have a FREE 15-minute chat to see if we're a good fit for each other.
3 Set Your Session
If we're a match, I’ll book your session and send you onboarding info.
JUDGEMENT-FREE ZONE
JUDGEMENT-FREE ZONE
Make the first move toward positive change.
Life can be challenging, but you don't have to navigate it alone. Whether you're dealing with stress, relationship issues, or exploring your identity, I'm here to offer support and guidance in a safe and inclusive space. Let's work together to uncover the life you want and deserve.
Take the first step—book a call today and start your journey toward a more authentic and fulfilling life.
FAQ
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As an out of network provider, I do not bill insurance companies directly, but I do provide assistance in helping you seek out of network benefits and reimbursements from your insurance provider. Please feel free to ask more about this process.
I also accept private payments for those clients who elect not to use insurance or use other insurance providers. The session fee is $175 for individuals and $200 for couples and is due at the start of the session.
Per the 2022 No Surprises Act, individuals have the right to receive a "Good Faith Estimate" explaining how much healthcare services will cost. If applicable, you may be provided with such an estimate after scheduling an appointment or upon request.
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Yes. I see clients in person in St. Louis, Missouri, and also offer telehealth therapy across Missouri and Minnesota. Online sessions are secure, flexible, and just as effective for most people, especially if you prefer meeting from home or live outside the St. Louis area.
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I'll meet you at your scheduled time. In our first session, we'll talk about what's bringing you to therapy, your goals, and how we can work together to achieve them.
You can ask any questions about the therapy process during a free 15-minute consultation (over the phone or via email), in our first meeting, or anytime during your treatment.
Individual sessions are typically 50 minutes. For couples, sessions are also 50 minutes, but often times, couples like to meet for longer lengths of time. We can figure out what works best for you.
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Absolutely! I have experience working with a diverse array of orientations and expressions.
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The foundation of my practice rests on the principles of equity, advocacy, and justice, while remaining committed to anti-racist and anti-oppression practices. My practice is LGBTQ+ celebratory and welcoming of all identities and expressions.
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Everything I use in our sessions is backed by science. I mix and match different types of therapy to fit what works best for you, since everyone is unique.
I often use and integrate emotion focused (EFT/EFIT), CBT, exposure, relational/attachment-based, Gottman, and narrative interventions to guide treatment.
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AASECT Certified Sex Therapist
American Association of Sexuality Educators, Counselors & TherapistsCertificate in Sex Therapy (Sexual Health Certificate Program)
University of Michigan, 2024Licensed Clinical Social Worker (LCSW)
State of MissouriMaster of Social Work (MSW)
University of Missouri, Columbia, 2013Bachelor of Arts in Psychology
University of Missouri, Columbia, 2010 -
Therapy Intensives are for those who want real change—now. If you're ready to see progress in your life or relationships without waiting months, this could be for you.
Many couples use intensives to jump-start ongoing therapy, while others focus on a specific issue or stressor. Each intensive is customized to fit your needs and goals.
If you already have a primary therapist, therapy intensives can also work very well as an adjunct therapy, especially for couples. We can also discuss the option of utilizing a Release of Information so that your current therapist and I can collaborate/coordinate to best serve you.