Lindsey Pepperoni, MA, LMFTA

Licensed Marriage and Family Therapist Associate

(she/her pronouns)

Please note: Therapy sessions with Lindsey are held in-person at our South Lake Union office on Thursdays & Fridays, and through telehealth on Tuesdays & Wednesdays.

I work with individuals and couples who are navigating disconnection, emotional overwhelm, or sexual concerns — and want to feel more empowered, seen, and aligned. I offer in-person therapy in Seattle and statewide telehealth throughout Washington.

Lindsey's Specialties Include:

• Relationship Therapy / Marriage Counseling / Dating Support
• Communication, Emotional Safety, and Rebuilding Trust
• Sex Therapy / Sexual Health / Intimacy Challenges / Sexual Trauma
• Gender & Sexual Identity Exploration
• LGBTQIA+ Affirming Therapy
• Non-Monogamy, Polyamory, and Open Relationships
• Out of Control Sexual Behavior (OCSB), sometimes called "sex addiction"
• Family-of-Origin & Intergenerational Trauma
• Boundaries, Confidence, People-Pleasing, and Self-Worth
• Faith Deconstruction / Religious Trauma
• OCD, Anxiety, and Depression

Professional Credentials:

• Licensed Marriage and Family Therapist Associate (LMFTA)
• Master of Arts in Couple and Family Therapy – Antioch University
• Member, AAMFT
• Member, WAMFT

Therapy with me is collaborative, strengths-based, and affirming. I help people better understand themselves and their relationships, develop resilience, and move toward a life that feels more fulfilling and authentic. We’ll build on what you already carry inside — your wisdom, your values, and your hopes for what’s next.

As a trained sex and intimacy therapist, I work with clients experiencing everything from low desire or sexual shame to sexual trauma or mismatched libidos. I’ve completed Antioch University’s Sex Therapy Certification Program and use a trauma-informed, inclusive approach with people of all identities and relationship configurations.

I also integrate evidence-based approaches like Emotionally Focused Therapy (EFT), The Developmental Model, Internal Family Systems (IFS), and Solution-Focused Therapy. Sessions with me offer space for healing, growth, and the chance to try something new in a safe and affirming environment.

Although I identify as queer and my work is LGBTQIA+ affirming, I welcome and support people of all backgrounds and experiences. You’ll find that I bring curiosity, compassion, and full presence into our work together. We’ll clarify what matters most to you — and collaborate toward meaningful, lasting change.

If you’ve ever wondered, “Wasn’t life supposed to feel better than this?” or “Why do I feel stuck in patterns I don’t want?” — let’s talk. You’re not alone, and change is possible.

Outside of therapy, I’m often riding my motorcycle, loving on my cat, reading a great novel, or exploring the outdoors with friends.