Misa Mattson, MA, LMFT

Relationships, Sex & Identity

(she/her pronouns)

Telehealth across Washington

▶ Watch My Introduction

Focus: couples therapy, relationship counseling, sex therapy, intimacy counseling, polyamory, LGBTQIA2S+ identity, parenting, multicultural clients, neurodivergence

Fee: $185 for individuals, $195 for couples/relationships

I work with individuals, couples, and polycules who feel stuck in patterns of conflict, disconnection, or uncertainty about sex and intimacy. You may keep having the same argument, feel unsure how to talk about what you need, or worry that differences in desire are creating distance in your relationship. You may also be navigating changing relationship agreements, exploring your gender or sexual identity, adjusting to parenthood, or trying to understand how neurodivergence affects the way you connect with others.

As a sex and relationship therapist offering online therapy across Washington, I provide a warm, collaborative, and affirming space where you do not need to have everything figured out before beginning. Together, we can slow down the patterns that keep repeating, better understand the emotions and needs underneath them, and develop more direct and workable ways to communicate.

Meet Misa

Areas I Commonly Support Clients With:

• Relationship therapy for individuals, couples, and polycules
• Communication challenges, recurring conflict, and emotional disconnection
• Sex therapy and intimacy concerns, including low or mismatched desire, sexual functioning concerns, difficulty communicating about sex, and sexual trauma
• Non-traditional and polyamorous relationships, including open relationships, consensual non-monogamy, changing agreements, boundaries, and jealousy
• LGBTQIA2S+ affirming care, including gender and sexual identity exploration and the ways identity may affect relationships and intimacy
• Parenting, including new parenthood, changes in intimacy, and parenting challenges
• Multicultural clients and intersectional identity work
• Grief, anxiety, depression, trauma, and stress-related concerns impacting relationships and daily life
• Neurodivergence, including communication differences, sensory and emotional needs, overwhelm, and differing needs within relationships

Professional Background and Training:

• Licensed Marriage and Family Therapist (LMFT), Washington State
• Master of Arts in Couple and Family Therapy, Antioch University Seattle
• Sex Therapy Certification through Antioch University Seattle
• Training in Gottman Method Couples Therapy, Emotionally Focused Therapy (EFT), and the Developmental Model
• Advanced training in Narrative Therapy, Internal Family Systems (IFS), and anti-oppression frameworks
• Perinatal mental health certification through Perinatal Support Washington
• Premarital counseling certification through Adaptive Counseling
• Member of AAMFT and WAMFT

Therapy with me is warm, engaged, and collaborative. I will make room for the complexity of your experience while also helping you recognize the patterns that are keeping you stuck. We may work on slowing down difficult interactions, expressing needs that have been hard to name, understanding your emotional and sexual responses, and practicing new ways of relating to yourself and the people you care about.

In my work with couples and polycules, I draw from Emotionally Focused Therapy (EFT), the Developmental Model, Narrative Therapy, Attachment Theory, and Somatic Therapy. Rather than deciding who is right or wrong, we will look at the cycle happening between you and how each person has learned to protect themselves within it. From there, we can work toward clearer communication, stronger boundaries, greater emotional safety, and a relationship that better reflects the needs and values of everyone involved.

My advanced sex therapy training through Antioch University supports my work with clients experiencing differences in desire, difficulty talking about sex, changes in sexual connection, sexual functioning concerns, shame, trauma, and questions about identity or relationship structure. These conversations can feel vulnerable, and my goal is to help make them more understandable and less isolating.

Becoming a parent can also change nearly every part of a relationship. Pregnancy, new responsibilities, exhaustion, shifting identities, and changes in desire can leave partners feeling disconnected even when they care deeply about one another. My perinatal mental health training helps me support individuals and relationships through these transitions without minimizing how complicated they can be.

My work with individuals integrates humanistic, experiential, and strengths-based approaches. Relationship concerns often overlap with identity, culture, family experiences, anxiety, trauma, grief, neurodivergence, or uncertainty about what you want. Therapy can help you understand these connections, strengthen your boundaries, manage emotional overwhelm, and make choices that feel more aligned with who you are.

Outside of my clinical work, I enjoy live music, reading, making art, and spending time in nature with family and friends. Whether you are feeling disconnected, overwhelmed, or ready to understand yourself and your relationships more fully, I would be glad to explore how therapy could help.

← Back to All Therapists