Mia Fine Therapy, PLLC

"Despite our culture's vested interest in making us feel broken, dysfunctional, unlovely, and unlovable, we are in fact fully capable of confident, joyful sex"

-Emily Nagoski, Ph.D. 


My Practice

Sex & Intimacy

Additional Specialties


Holistic Couples Counseling and Sex Therapy in Seattle

When it comes to sex and intimacy, finding the right therapist can be a delicate and sensitive process. Clients seeking to address sensitive topics need a therapist who they can trust, feel secure about, and be comfortable with.

Sex and intimacy therapy can be a challenging journey for some people. Often, clients experiencing some kind of sexual dysfunction, or couples who are experiencing  consistently miscommunication might be hesitant to share and open up. Therapy is frequently the most efficient way to tackle these types of issues head on and achieve healing. Mia Fine is a licensed marriage and family therapist who believes in approaching trauma and dysfunction in a holistic way. A holistic approach includes addressing the biological, social, sexual, spiritual, and psychological makeup of a person.

Mia is non-judgmental in her view of humankind and loves celebrating all of our "same-ness" and our "unique-ness". As an advocate for and member of the LGBTQIA+ community, it is core to who Mia is to work with all genders, identities, and relational systems.

A primary focus and joy of Mia Fine’s therapeutic practice is helping folks explore their sexuality and sexual identity. Mia believes that sexuality is fluid and that YOU are the expert of your sexual identity. If you identify as kinky, poly, monogamous, or Queer, you are welcome here!

Couples Therapy

No matter how great a relationship may be, couples sometimes lose their sexual connection, eroticism, and desire for one another.

Couples therapy with Mia Fine can help couples regain an active sex life that may have suffered due to infidelity, trauma, and/or the impact of everyday life stressors. To cultivate eroticism in your relationship and enhance desire, connection, pleasure, and play, contact Mia Fine today!

Sex Therapy and Sex Counseling

Individual sex therapy is ideal for those seeking to address sexual dysfunction and improve interpersonal communication. Many people tend to overlook the pivotal role that sexual confidence has over how they communicate with other people, how they view themselves, and how they exist in the world.

Mia Fine, Licensed Marriage and Family Therapist (LMFT), Certified Integrated Intimacy Practitioner (CIIP), and AASECT Certified Sex Therapist (CST) is located in the Ballard neighborhood of Seattle, Washington. Her holistic approach involves addressing physical, sexual, psychological, and emotional trauma in order to improve sexual dysfunctions such as low libido or premature ejaculation. By getting to the root of these issues, clients can experience an increase in sexual pleasure and an improvement in life satisfaction.

For a non-judgmental, highly effective, and compassionate approach to sex and intimacy therapy, contact Mia Fine, today.