Relationship/Couples, Intimacy, and Sex Therapy

Intensives/Marathon Therapy

EMDR Therapy

OCD Therapy

Clinical Supervision and Consultation

“If we go to war with our sexuality we will lose every time.” -Doug Braun-Harvey

I am a holistic and intersectional sex and trauma therapist who approaches sexual concerns from a person-centered, anti-oppressive, and non-judgmental way. I practice and am committed to cultural humility and believe you are the expert of your life. By attending to your bio-psycho-social-sexual self and holding space for each person’s various identities and lived experiences, we navigate your therapeutic work together.

No person is broken. Each and every one of us are uniquely special beings worthy of being loved and nurtured.

I view my role as your therapist as supporting you in addressing your current reality, healing wounds, and navigating the barriers you face so you may live the life you desire. Together, we co-create the container in which you feel comfortable and courageous to embark on this journey of growth. I’ll be both direct and compassionate when I challenge you and we will do this work together.  

Dr. Mia Fine (they/she)
Sex, Relationship, & Intimacy Therapist

Licensed in:

Washington, Oregon, Utah, Hawaii, and Idaho

AASECT Certified Sex Therapist

AASECT Certified Sex Therapy Supervisor

AASECT Certified Sexuality Educator

AAMFT Approved Clinical Supervisor

EMDR Certified Therapist

EMDR Consultant in Training

IOCDF Certified in OCD ERP

Finding the Sex Therapist for you

“When we liberate ourselves from the expectation that we must have to have all things figured out, we enter a sanctuary of empathy.” -Sonya Renee Taylor

When it comes to sex and intimacy, finding an ideal therapist can be an especially delicate process. Such topics are sensitive and vulnerable, requiring a space where you feel heard, validated, accepted, and safe. Safety is an experience that is unique from person to person and it’s important that you work with a therapist with whom you trust and feel secure. I share with each of my clients that trust is not given - trust is earned over time; together we will work to build a trusting and secure therapeutic relationship.

Goals I will support you with include strengthening intimate relationships, deepening connection, exploring sexual identity, orientation, and gender, enhancing your sex life with eroticism and passion, addressing sexual/pelvic pain, discomfort, or trauma, and/or exploring multiple relationships/polyam/non-monogamy and BDSM/kink. Finding a therapist who can provide strategies with grace and care is paramount.

Sex Therapy with Mia

Holistic and Trauma-Informed Couples Counseling and Sex Therapy in Seattle

I approach sexual health concerns in a holistic and trauma-informed way. A holistic approach includes addressing the biological, social, sexual, spiritual, and psychological makeup of a person. As a trauma therapist, I am Certified in EMDR which is an empirical therapeutic modality that helps people heal from past trauma. I also utilize Polyvagal Theory and somatics in our work together. My style is direct yet compassionate, Humanistic yet client-centered, resource-oriented yet explorative.

My clients often name feeling my passion for this work in our space together. There is no other career I would choose than being a therapist.

I offer Marathon Therapy (also known as Intensives) which is a unique form of therapy that originates from the founders of Marriage and Family Therapists from the Milan School of MFT. Within this model, we have the opportunity to dive deeply into your life story exploring unhealthy cycles, challenging patterns, trauma histories, experiences of pleasure/joy, and areas of stuckness. Our sessions are intense but enjoyable (I love to bring humor into the room!) and you will leave the intensive with an extensive list of evidence-based resources and effective interventions. If 50-60 minute weekly therapy sessions barely scratch the surface for you, Marathon Therapy may be an excellent fit.

As a member of the queer community, I tend to work well with the wide and beautiful spectrums of genders, identities, and relational systems. Sexuality is fluid and YOU are the expert of your identity. If you identify as kinky, polyam, gender-expansive, or Queer, you are welcome here!

No matter how loving a relationship may be, couples sometimes lose their intimate connection, eroticism, attraction, and sexual interest. A primary focus and joy of my therapeutic practice is couples therapy (relationship therapy). Together we work to cultivate eroticism, attachment, pleasure, and play as you design the relationship you desire. If your intimate relationship is struggling, I would be happy to help you find the joy and connection you once experienced - or perhaps you’ll co-create a relationship that thrives more than ever before.

Sexual pain/discomfort, interest/arousal/desire/orgasm concerns, perinatal support, and pelvic floor health are other focuses of my practice. Genito-pelvic pain (vaginismus, dyspareunia), erectile disappointment, and additional sexual health concerns are other therapeutic areas in which I am passionate. If you are a person experiencing sexual health concerns, please know that you are not broken - you are whole.

For a trauma-informed, compassionate, enlightening, deep dive approach to sex and intimacy therapy, contact Dr. Mia Fine, today.

Mia’s office is located on what is known as South Lake Union, Seattle, WA. I acknowledge this land as the traditional land of the Duwamish People. For more information, please see https://duwamishtribe.networkforgood.com/ and consider paying rent for the Native Land we occupy.

Let’s get connected!

Favorite toy turned favorite ride. Awesome weekend at @seattle_erotic art festival 🖤 Image description: Mia straddles a 6 foot art fixture of the magic wand. They wear a black outfit and stiletto heels with spikes. Mia is laughing and looking at th
A common misconception is that Sadism & Masochism are about inflicting and receiving pain. However, for many people an S&M experience is about intense sensation - pain not included. Photography: @avila.pictures Image description: Copper c
My heart is heavy. I’m angry. It’s a hard week to be a human. Below is a list of websites with donation options to support people’s right to choose. Please feel free to share others in the comments, or share your pain if needed. s
The idea that true passion, sex, and intimacy has to be spontaneous is BS. Communication is sexy. Having your needs met is sexy. Seeing a name that excites you in your calendar is SUPER sexy. We have been scheduling opportunities for intimacy since
I’ve spent more energy than I care to admit agonizing over how to thank everyone involved in this PhD process. All of who I am went into this dissertation and therefore people in every part of my life contributed. “Thank you” will n
Pinch me. Last night I received an email that Kim and I won the AASECT Award for Integrative Approaches to Sex Therapy. For those who are unaware, AASECT stands for American Association of Sexuality Educators, Counselors, and Therapists; it’s
I was reluctant to share this because humility > pride but a good friend reminded me that an achievement like this is the essence of attraction rather than promotion. I completed a PhD in Clinical Sexology and as of today I’m Dr. Mia Fine.
Last night’s @seattle_erotic art event was stellar 🖤 We can’t wait for what SEAF 2022 has in store. Tickets: https://www.seattleerotic.org. Hope to see you there!
We are a collective of comprehensively trained, client-centered, and value-focused therapists who have a sincere interest in helping people improve connection to themselves, their sexuality, and their relationships with others. Our values reflect who
Curious about kink? Looking to expand your knowledge on BDSM? Why not let @planetmidori, as she writes, “take you by the hand (or lead you by the collar if that’s your pleasure) into the thick of it”. #sexybookclub #therapist #edu
Such an awesome weekend teaching ‘Sexual Health Interviewing for Providers’ for @hermanwallacepelvicrehab physical therapists. Students were incredible and the stoke was high! On a regular basis I’m reminded of how much I love this
Instagram vs reality ☀️ #selfcare #vitamind #seggstherapist #goofball #queerdo #lgbtq #diving #getoutside #sunsoutbunsout #snorkel #imonaboat
“The thing that people around you tried to get you to change is a big clue about who you really are. In fact, the thing they wanted to “fix” is likely your superpower. It’s what you’re best at. It’s what you’
What are ways you demonstrate gender expression? Exploring and expressing my gender is often empowering and grounding; there’s privilege in that. For many queer people it can be dangerous as we run the risk of gender-expression based discrimi
#gigglegasm: a quality orgasm that includes giggling to replace the customary screaming or moaning, which is pleasant and does not annoy the neighbors. Art by @zeaink #therapy #sextherapy #comeasyouare #sexualwellness #laughmore #lgbtq #queer #pn
“Many of my people have etched out a space for themselves and found freedom in language around identities. I celebrate and respect that whole heartedly. Most of the identity markers I use, I use out of convenience or I use in ways that make sen
“There are as many opportunities for gender as there are people.” - Dr. Bianca Laureano For trainings, consultation, and supervision with Dr. Bianca, visit biancalaureano.com and anteuppd.com, or visit @latinegrasexologist Art by @zea
“Kink is childhood joyous play with adult sexual privilege and cool toys.” - Midori 📸 @stevedietgoedde Art by @zeaink #kink #kinkcommunity #latex #lgbtq #queer #empowerment
“When we liberate ourselves from the expectation that we must have all things figured out, we enter a sanctuary of empathy.” -Sonya Renee Taylor Art by @zeaink #lionheartsandluminaries #empowerment #empathy #therapy #therapistsofinsta
Become familiar with the power inside of you so it doesn’t come out sideways. 📸: @erekwest_photo #lionheartsandluminaries #power #knowyourworth #lgbtq #queer #therapy #kinkcommunity