Paula Kirsch, LCSW, CST Paula Kirsch, LCSW, CST

What Is Kink-Affirming Therapy

Kink-affirming therapy is a therapeutic approach that centers the emotional and relational well-being of individuals involved in kink, BDSM, or alternative sexualities. It does not treat kink as something to be fixed, erased, or explained away. Instead, it holds space for your experiences, challenges, and desires with deep respect and curiosity.

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Paula Kirsch, LCSW, CST Paula Kirsch, LCSW, CST

Six Ways to Work With Your Inner Critic

Self-criticism doesn’t mean you’re broken. These 6 therapist-backed reframes offer gentle, practical ways to shift your mindset—and start healing. Use them daily or during moments of doubt to nurture confidence and self-compassion.

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Paula Kirsch, LCSW, CST Paula Kirsch, LCSW, CST

What Sex Therapists Wish You Knew

People come into sex therapy carrying a lot of assumptions. About what's normal. About what's wrong with them. About what therapy will involve and whether it will help. Some of those assumptions are just misinformation. Others have been quietly running the show for years, shaping what people expect from sex, from their partners, and from themselves.

Here's what I find myself saying, over and over, in my work.

There is no normal. There is only what works for you.

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Paula Kirsch, LCSW, CST Paula Kirsch, LCSW, CST

Why I am no longer associated with AASECT

Identity, politics and ethics

After careful reflection on recent events within my professional community, and with a commitment to respect, inclusiveness, and ethical integrity, I have made a change. As of January 1st, 2024, I am associated with The International Association of Psychosexual Therapists™ (IAPST) as a Certified Psychosexual Therapist™, and I am also certified by the International Board of Sexuality Professionals (IBOSP) as a Certified Sex Therapist. This shift marks an important step in aligning myself with organizations that share and actively uphold the values and ethical standards I hold.

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