Katy Janousek, LLC

I specialize in sex therapy and relationship counseling for LGBTQ+, gender-expansive, kink-involved, and consensually non-monogamous adults. Many of my clients are navigating desire discrepancies, identity transitions, communication challenges, or persistent shame around sexuality and intimacy. You may feel capable and self-aware in most areas of life yet unsettled in your closest relationships. Together, we will connect the dots between present triggers and earlier relational experiences so recurring patterns can be understood and shifted with intention.
I specialize in sex therapy and relationship counseling for LGBTQ+, gender-expansive, kink-involved, and consensually non-monogamous adults. Many of my clients are navigating desire discrepancies, identity transitions, communication challenges, or persistent shame around sexuality and intimacy. You may feel capable and self-aware in most areas of life yet unsettled in your closest relationships. Together, we will connect the dots between present triggers and earlier relational experiences so recurring patterns can be understood and shifted with intention.

Therapy with me is relational, direct, and grounded in an intersectional framework. I integrate sex therapy, narrative approaches, and practical communication tools to help clients identify patterns and take active steps toward change. While we address complex and vulnerable topics, humor and honesty create space for authenticity and connection.
It makes sense if you feel overwhelmed, discouraged, or unsure where to begin. Therapy can be a place to explore your identity and relationships without carrying the burden of explanation or self-protection. If you’re ready to engage deeply and take an active role in meaningful change, I invite you to connect.