Modalities

Eye Movement Desensitization and Reprocessing (EMDR) Therapy:

A structured, evidence-based therapy that uses bilateral stimulation (ex. eye movements) to help people process and heal from trauma and distressing experiences.

Psychedelic-Assisted Psychotherapy:

A therapeutic approach that uses psychedelic medicines, such as Ketamine, alongside psychotherapy to support healing from trauma, depression, anxiety, relationship concerns, and other mental health considerations.

Polyvagal Theory & Somatic Therapy:

Polyvagal Theory explains how the nervous system responds to safety and threat; Somatic Therapy integrates this by helping clients notice and regulate body-based responses to stress and trauma.

Gottman Institute Couples Therapy:

A research-based approach to couples therapy that focuses on strengthening relationship skills such as communication, conflict resolution, and emotional connection.

Wheel of Consent - Betty Martin:

A framework that helps individuals clarify touch, boundaries, and desire in relational and sexual contexts by distinguishing between giving, receiving, taking, and allowing all of which promotes mutual and conscious consent.

Dr. Mia Fine

Licensed in Washington, Oregon, Hawaii, and Idaho

Let’s get connected!

A handful of IG scroll-stoppers. May these bring you joy, reflection, or whatever your nervous system is asking for today ✨
S-x isn’t separate from our attachment system; s-x activates our attachment style and is activated by it! Attachment styles aren’t fixed traits; they’re fluid, shaped by the dynamics of each relationship. How you attach with one pa
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