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Sex, Couples, & Psychedelic Psychotherapy

Home
Therapy & Clinical Supervision
Areas of Therapy and Clinical Supervision
Modalities
Psychedelic-Assisted Psychotherapy
Contact
Painful Sex?
Book Resources
Contact
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some of my favorite books are…

Mia’s top recommendations
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Assigned Female at Birth (AFAB) people with vulvas and their partners
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Come Together Emily Nagoski
Queer sex and LGBTQIA+ resources
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BDSM and Kink
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Menopause
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Non-monogamy
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Neurodivergent Brains and Sex and Relationships
ADHD After Dark
Scattered Minds Gabor Mate
Better Sex
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Feeling and Knowing Antonio Damasio
People with Penises and “Out of control sexual behavior”
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Trauma, Sexual Shame, and self care
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Relationship ruptures and boundaries
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Anti-racism, anti-oppression, and Privilege
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Workbooks
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For families With Children
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Let’s get connected!

Therapists: we’re not immune to the weight of the world; we carry it too.

We as therapists are not just witnessing global grief, gen0cide, burnout, and climate collapse - we’re in it and we’re still showing up to hold space for oth
This and a life that feels like exhale ☁️ Scenes from my camera roll that remind me how precious life is, especially when we slow down enough to notice it.
Pride Month may be over but queer love, pleasure, resistance, joy, and the fight for human rights are not seasonal ✨

We don’t pack away our identities on July 1st; we keep living, loving, grieving, raging, creating, supporting, healing, and th
Sex after trauma isn’t about going “back to normal.”

It’s about building new safety, connection, and definitions of intimacy…on your terms.
Trauma rewires the nervous system. It’s not just in your head; it’
Our brains aren’t wired to think clearly when we’re in survival mode.
First, we Regulate.
Then, we Relate.
Only then can we Reason and Reflect.
The Sequence of Engagement reminds us:
- Slow down.
- Start with the body.
- Build connection.
Words to sit with, feel into, and return to when you need them 💛
Healing is always in style ✨
Why non-monogamy?

Expansion or perhaps escape?
Are we ready or are we restless?
Is this desire or distraction?
Is there trust in this relationship or unwise hope?

Non-monogamy can be beautiful, liberating, and affirming AF especially when it’
Our team had an incredible time at the Seattle Fetish Ball! It’s an amazing space to celebrate joyful diversity and the artistic expression of s-xuality. 10/10 recommend! Thank you to all the hands and creative minds that put this event togethe
A few of my favorite book recommendations, as a s-x therapist. These books explore love, relationships, and self-discovery, offering unique insights into intimacy, communication, and personal growth. 

✨Monsters in Love by Resmaa Menakem reveals how
Think of bad s-x as your body’s diagnostic tool; it’s a red flag telling you that something in your environment, connection, or communication might need a tweak. It’s not a failure; it’s feedback.

Safety Equals Pleasure: Neur
When we grow up with chronic invalidation, we learn to question our own feelings and realities. Healing starts with recognizing that harm was done and that we deserve to reclaim what we lost.

Reparenting is the process of giving yourself what you di
Coregulation is a powerful tool - one we can intentionally lean on, especially now. 

When we’re regulated, we anchor both ourselves and those around us. In a world that is especially heavy and hard, we need as much stability as possible. 

Bec
Your nervous system is designed to protect you ✨ When faced with harm, instability, or unsafe environments, we don’t consciously choose to suppress emotions, cross our own boundaries, or ignore discomfort - these are automatic, learned survival
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1200 Westlake Avenue N, Seattle WA, 98109(561) 862-7090mia.fine@miafinetherapy.com