Couple Family and Sex Therapy NYC


CLICK HERE for an in person appointment New York City

CLICK HERE for an online appointment if you live anywhere in New York State and want meet by secure video conference 

CLiCK HERE to learn about fees and insurance

Gracie Landes, a Licensed Marriage and Family Therapist and Certified Sex Therapist will work with you to build solutions that fit you when you have:

the desire to improve any aspect of your life •  trouble adjusting to a new situation or life transition • conflicts that keeps you from being closer to people you care about • anxiety, lack of information or embarrassment about sex • questions about relationships or sexual health...

and you want to work with someone who is dedicated to providing counseling that is brief, respectful and effective, and to discovering what works

click here to make an appointment or check my schedule. 

Are you worried about your sex life?

- Are you too embarrassed to talk about it with your friends, who all seem to be having the best sex ever? They’re not.

- Are you afraid it’s too weird bring it up with your doctor? It isn’t.

- Do images from advertising and sex scenes in movies make you feel like the only one who isn’t doing right?  Believe me, you're not. 

- Are you embarrassed that you haven’t had partnered sex yet, especially at your age?  Lots of people remain virgins into their twenties and beyond.

- Are you newly single but afraid to start dating because having “the conversation” means having to navigate a sexual issue you don’t know how to bring  it up? There really are effective ways to it.

- Are you a member of a sexual minority who doesn't wants to be judged or spend session time educating a therapist who knows nothing about your lifestyle? You can, and should, talk to someone who gets it. 

Has anyone ever told you

- That less than half of the sexual experiences between partners is equally satisfying for each person?  

- That from 5-15% of sexual experiences between compatible sexual partners is disappointing to at least one of them?

- That anyone’s sex drive can plummet during times of stress, conflict, or illness?

- That a reported 1.5% of marriages are not consummated in the first year?

- That some people don't feel sexual desire or arousal until well after starting  a sexual activity? 

-That you don't have feel sexual desire to feel sexually aroused?

- That healthy people experiences many fluctuations  in their sexual satisfaction over the course of a lifetime?

A Sex Therapist can help

- When you and your partner have drifted out of having sex and don’t know how to start again

- When your sex drive dies down and you don’t know how to revive it 

- When you and your partner want different things sexually

- When sex is painful

- When orgasm is infrequent or nonexistent 

- When erections are unreliable

- When ejaculation is unpredictable.

When you have any sexual concern that isn't being resolved by traditional talk therapy, or your physician can't find physical cause for your problem, a Certified Sex Therapist can help resolve your issue more effectively. 

General practitioners refer patients to specialists when their conditions require specific expertise. So, wouldn't it make sense to see a Certified Sex Therapist to resolve your sexual issue more effectively? Would it be worth it to you to  spare to your relationship and  self esteem from unnecessary damage?

What To expect from meeting a CERTIFIED sex therapist

Sex therapy is a specialized form of talk therapy that focuses on people’s concerns about their sexual functioning, expression or communication about sex. A sex therapist may offer education, information about medical issues related to sexuality, practical actions to take, and will coordinate your treatment with other medical professionals when needed.  

Sex therapy meetings are not medical exams. More like traditional talk therapy, they take place in a professional office and never involve any form of physical contact, nudity, or sexual behavior between therapist and client. While discussions with a sex therapist can be very frank, they will also be professional, respectful, and educational.

Not everyone who claims to practice sex therapy has The training

Sex Therapy is a highly credentialed (regulated) profession, legitimately practiced only by a licensed mental health or medical professional (such as a Marriage and Family Therapist, Psychologist, Social Worker, Nurse Practitioner or MD) who has been awarded certification after extensive training beyond their mandatory professional license.

The credentialing process for a Certified Sex Therapist involves several years of very specific intensive course work, training, supervision, mentoring and approval by experienced members of The American Association of Educators, Counselors and Therapists. The AASECT website explains more about certification and the ethical responsibilities of sexuality professionals, as well as how to find one.


As soon as I began practicing as a Marriage and Family Therapist, clients came to me for help with sexual issues. More often than not, when their sexual issues were dealt with, conflicts in relationships were easier to resolve.

Many of my clients badly needed information about sexuality, but were afraid to ask, or were members of sexual minorities looking for a knowledgeable therapist who wouldn't judge them. So many clients asked for help with sexual issues that I sought additional education and training. In 2011, I became credentialed as a Certified Sex Therapist. 

Surprisingly, most psychotherapists receive minimal training in human sexuality, despite the number of us who work with couples, and how fundamental sexuality is to healthy human functioning.

My background as a systemic thinker and avid consumer of research, and my training in marriage, family and sex therapy all help me view sexual (and other) challenges from many different angles to be sure your goals are met effectively in a way that's right for you.

Yes, I can understand you

Having  heard from so many clients that they don't always feel adequately understood or taken seriously by the medical profession, I've learned about the concerns of people who are sexually inexperienced, people who do well in every area of life and relationship except for sex, people who are branching out sexually into new experiences or identities, people who identify as polyamorous, kinky, alternative, gender-creative.

I work with people of every ethnic, gender and sexual background, relationships of  every configuration. I have a special interest in working with sexual and other minorities, people of mixed race, gender or orientation.

Those who are not easily categorized and don't want to be will benefit from working with a professional who sees the world in a broader context, who refuses to see any sexual, cultural or spiritual practice as inherently problematic. I know when people have a safe place to be who they are and focus what they want to achieve, they find creative solutions more readily.

I am a Lesbian and Gay AffirmativePoly-Friendly, and Kink-Aware Professional.

Between now and when we meet


I know, there’s a ton of inaccurate and just plain bad information out there, so:

- You can access some reliable information on this website about relationships, sexuality and stress reduction..

- You can read and subscribe to my blogposts about Sex Therapy.

- You can learn everything you need to know about fees, insurance and other logistics of working with me .

- If you still have questions you can email or phone to learn more about working with me.  Or, you can go ahead and make an appointment.


Here's some unsolicited feedback about working with me:

"I wanted to say thank you. I feel different and I can't quite put my finger on it, but something has changed in me… I can guarantee you're part of the reason for this change. Maybe it was that kiss [my partner and I had] ... which makes me even happier to think about, because if a kiss can do this, I'm excited for what more than a kiss will bring."

And here are some other good reasons to work with me:

- I  designed (and keep improving) my practice based on feedback from clients, therapy seekers, and what I would want for myself or someone close to me, which is:

  • easy online scheduling that allows you to decide when and how often to come in
  • convenient location accessible from most subways (23 St. stop) PATH trains, Penn Station and Port Authority Bus Terminal
  • a comfortable, upscale but unpretentious professional environment in a neighborhood (Chelsea/Flatiron) you'll actually enjoy coming to  

- I am specifically trained to work with self-regulation, relationships, and sexual concerns of all types.

 - I provide a warm, humane, hospitable environment. I will not judge anyone's lifestyle, culture, or identity.  I do my best to learn about the wide variety of cultures and practices of the people I serve.

- I am practical, down to earth, committed to results. I study the research on effectiveness in therapy. ] I am not tied to a particular modality or technique. I use solution focused conversations to build solutions with you that fit you.

- While I may suggest existing resources that have proven useful to people in similar situations, what comes from our work together is tailored to your particular situation.