Sex,Couples,& Trauma
Therapy 

Heal trauma, rebuild intimacy, and reconnect with yourself through compassionate, evidence-based therapy.

A tall green plant with large, glossy, elongated leaves arranged alternately along the stem.

EMDR Certified for trauma healing

AASECT Certified Sex Therapist

Legal psychedelic-assisted therapy

Therapy often begins with a feeling that something needs to change.

Close-up of a rosebud growing on a branch, with a blurred white flower in the background against a black backdrop.

You might be here because...

Trauma is affecting your relationships.

Sex feels disconnected or stressful.

You feel shut down emotionally.

You and your partner keep having the same arguments.

You don't recognize yourself anymore.

“I love my partner. So why does being close feel so hard?”

“Why do I keep reacting this way when I know better?”

“I've spent so much time trying to fix myself, but nothing seems to stick”


You are not broken

When relationships feel difficult, intimacy shifts, or your body responds before your mind understands why, there is often a deeper story beneath the surface. These experiences can reflect patterns shaped by past experiences that once served a purpose. Together, we’ll uncover what’s driving them, making sense of your experiences with curiosity, compassion, and practical tools that support healing, deeper connection, and lasting change.

Let's get to the roots of that feeling.

A digital illustration of a tree with roots, showing the underground root system and the trunk above ground.

Intimacy & Connection

Rebuilding closeness where emotional and sexual connection has felt lost or strained.

Trauma & the Body

Making sense of what your nervous system is still holding, and gently helping it unwind.

Relational Patterns

Understanding the cycles that keep repeating in your relationships—and how to shift them.

Safe, Honest Exploration

A grounded space to explore sexuality, identity, and relationship dynamics without judgment.

Desire & Self-Trust

Reconnecting with your pleasure, instincts, and sense of aliveness.

Close-up of a tree branch with new green buds and leaves sprouting.

“Even a leaf trusts its own timing, waiting for the right moment to open.”

Healing begins with feeling understood.

We begin right where you are, whether that’s confusion, feeling disconnected, overwhelmed, or just a quiet sense that something isn’t quite right. We slow things down so you can actually understand what’s been going on underneath it all, and make space for something different to start to shift.

A close-up of a tree branch with several green buds and leaves.
Therapist Mia Fine providing trauma-informed care in Seattle office

Meet Dr. Mia Fine

PhD, LMFT-S, CST-S, CSE‍ ‍

I am a holistic therapist specializing in couples therapy, sex therapy, and trauma. My approach is collaborative, person-centered, research-informed, and rooted in humility and compassion. I bring curiosity, care, and clarity to the therapy space, while trusting that you are the expert on your life. My role is to support your process with honesty, respect, and a commitment to what truly matters.

Together, we will tend to the full landscape of your bio-psycho-social-sexual-spiritual self. We’ll explore your pleasure, your pain, your patterns, and your power; the places where you feel most stuck and the places where you feel most alive.

My certifications are:

• EMDR Certified

• AASECT Certified Sex Therapist

• AASECT Certified Supervisor

• AASECT Certified Sexuality Educator

• AAMFT Clinical Supervisor

• Certified in OCD ERP

A leafy green branch with small elongated leaves.

Starting therapy begins with a conversation

1

Share Your Story

We explore what’s bringing you to therapy and what feels most important for you right now.


2

Define Your Vision

Clarify your goals, hopes, and the changes you want to experience in your life and relationships.


3

Discover the Possibilities

Explore how therapy can support your growth, ask questions, and learn more about my approaches to healing.


4

Begin the Journey

If it feels like the right fit, we’ll discuss next steps and co-create a thoughtful plan tailored to your needs and desires.

"We came in feeling disconnected and stuck in the same arguments. Therapy helped us understand what was happening beneath the conflict, and for the first time in years, we feel like we're truly on the same team again."

— Couple, Seattle

"I spent years trying to understand why I kept shutting down in relationships. Mia helped me connect the dots with so much compassion and without ever making me feel rushed. I finally feel like I understand myself."

— Individual Client

"Talking about sex had always felt uncomfortable, even with previous therapists. I felt accepted from day one. Our work helped me reconnect with my body, my confidence, and my relationship."

— Individual Client
A branch with green leaves against a black background