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

Online Sex Therapy for New Yorkers

Reclaiming Intimacy When Everything Else Comes First

There's a kind of exhaustion that doesn't make it onto a performance review. It lives in the quiet, in the space between you and your partner at the end of a long day, in the distance that builds when you're both technically present but emotionally somewhere completely else.

Maybe you've noticed it. Maybe you've been noticing it for a while.

You're not failing. But something has gone quiet in your relationship, or inside yourself, and you're not sure how to reach it anymore.

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

Brainspotting vs EMDR

If you’ve been exploring trauma therapy, you’ve likely come across EMDR (Eye Movement Desensitization and Reprocessing) and Brainspotting. Both are powerful modalities designed to help people process and release trauma. But how do they differ? And more importantly, how do you know which one is the right fit for your healing journey?

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

Five Couples Therapy Tools That Actually Change How Partners Communicate

 Most couples who come to therapy aren't there because they've stopped caring about each other. They're there because the tools they have aren't working, and the same conversations keep ending the same way.

That's not a character flaw. It's a skills gap — and skills can be learned.

What follows are five approaches I use regularly in couples work, drawn from Gottman Method and Emotionally Focused Therapy frameworks. These aren't quick fixes, and they work better with clinical support than without it. But understanding them changes how you see the problem, and that's often where things begin to shift.

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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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