If you’ve been feeling disconnected from your partner, struggling with mismatched desire, or navigating sexual pain, you don’t have to face it alone. Many people share these challenges, and healing begins with safety and understanding.
As an AASECT Certified Sex Therapist, I help individuals, couples, and people in diverse relationship structures explore what’s getting in the way of connection and pleasure. After developing therapeutic rapport, we’ll gently unpack emotional, physical, and relational patterns that influence your experience of sex and intimacy.
Together, we can help you move toward confidence, self-trust, and fulfillment, creating sustainable and satisfying relationships with yourself and others.
Helping You Reconnect With Desire, Intimacy, and Confidence
Meet Karli Kucko, LPC, CST — AASECT Certified Sex Therapist
Karli Kucko, LPC, CST, is an AASECT Certified Sex Therapist and Licensed Professional Counselor in Texas, offering trauma-informed, inclusive telehealth therapy for individuals and couples across Florida and Texas. Her work focuses on helping clients heal from shame, navigate desire differences, and create relationships that feel emotionally safe and sexually fulfilling.
Karli integrates training in EMDR trauma therapy and the Gottman Method for couples counseling, bringing both structure and empathy to her sessions. Her approach combines evidence-based techniques with a deeply compassionate and collaborative style that helps clients feel grounded, understood, and supported throughout every stage of their healing journey.
Karli completed training through the Sexual Health Alliance, one of the most progressive and intensive sex therapy programs in the world. She has also been featured in media and professional circles for her advocacy of sex-positive, queer-affirming, and body-inclusive care.
Welcome!
Would You Like to Feel More Connected, Confident, and Fulfilled in Your Relationships?
Many challenges around sex and intimacy aren’t just about the act itself; they’re about what happens underneath. The messages we’ve absorbed about our bodies, pleasure, and love can create pressure, shame, or confusion that makes connection feel difficult. Sometimes it’s the weight of stress, resentment, unspoken expectations, or feeling unseen by a partner. At other times, it’s fear, performance pressure, or simply not knowing how to effectively communicate what you need.
In therapy, we explore these deeper layers together, helping you rebuild trust, strengthen emotional safety, and experience intimacy that feels natural and nourishing for you and your relationships.
Therapy for Intimacy Issues, Low Desire, and Sexual Healing
Struggling with mismatched desire, painful sex, erectile difficulties, or feeling disconnected from your own sexuality?
You’re not broken, and you don’t have to figure this out alone.
I work with individuals and couples to gently explore these challenges, heal old wounds, and foster more fulfilling and confident relationships with themselves and their partners.
Together, we’ll create a safe and supportive space where your unique story is honored and your path to pleasure and connection is clear.
Therapy Services Rooted in Safety, Healing, and Connection
Karli K Counseling offers inclusive, trauma-informed therapy designed to help you explore desire, pleasure, and connection in a safe, affirming space. Whether you’re seeking support individually or with a partner, therapy offers an opportunity to understand what’s getting in the way and move toward relationships that feel more fulfilling, authentic, and grounded in mutual trust.
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Sex Therapy
Support for individuals and couples navigating concerns such as low desire, painful sex, erection or orgasm difficulties, or shame connected to sexuality. Each session is collaborative, inclusive, and focused on helping you build a relationship with pleasure that feels authentic and pressure-free.
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Therapy for Low Libido
Low desire can develop for many reasons, including emotional, relational, or physical reasons. Together, we’ll explore these influences and strengthen your connection to your body and sense of pleasure through compassion and self-understanding.
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Therapy for Performance Issues
For men and people with penises who experience erection, orgasm, or performance anxiety, therapy provides a safe place to unpack pressure, expectations, and fear while rebuilding confidence and intimacy.
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Kink & Queer Positive Sex Therapy
An affirming space for clients within kink, queer, or polyamorous communities to explore sexual identity, pleasure, and relationship structures without shame or judgment.
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Couples Therapy for Desire Discrepancy
Support for partners navigating mismatched desire, intimacy challenges, or communication struggles. Sessions focus on safety, emotional connection, and rebuilding mutual understanding.
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Virtual Therapy (Telehealth)
Secure online sessions across Florida and Texas, offering flexibility, privacy, and access to care from the comfort of your own space.
Areas of Focus in Therapy
Sex therapy can be an opportunity to understand yourself more deeply and create meaningful, lasting change. At Karli K Counseling, each session is guided by compassion, collaboration, and trauma-informed care, helping you move from uncertainty and shame toward connection, empowerment, and ease in intimacy.
Healing After Sexual Shame or Trauma
Therapy provides a gentle and supportive space to process sexual or relational trauma. Together, we focus on helping you feel safe in your body, rebuild trust in yourself, and experience pleasure without fear or guilt.
Desire Discrepancy in Relationships
Many couples experience mismatched levels of desire. Therapy helps you explore the emotional and relational patterns behind it, rebuild connection, and create balance without blame or pressure.
Erectile and Performance Concerns
For men and people with penises who experience erection or orgasm challenges, therapy helps unpack anxiety, pressure, and self-doubt — restoring confidence and intimacy through understanding, not judgment.
Painful or Disconnected Sex
For women and people with vulvas, sexual pain or numbness can be isolating. Therapy supports emotional and relational healing, helping you reconnect with pleasure and body trust.
Exploring Sexual Identity and Expression
Karli offers an affirming, sex-positive space for individuals within kink, queer, or polyamorous communities to explore identity, boundaries, and pleasure without shame.
Therapy That Supports Healing and Connection at Every Level
Regardless of where you are in your healing journey, therapy provides a space where you can feel seen, supported, and understood. Karli works with individuals, couples, and people in diverse relationship structures, helping each client navigate challenges around intimacy, communication, and desire with compassion and curiosity.
Individuals
For those exploring their relationship with desire, body image, or shame, individual therapy offers a private and supportive space to process emotions, strengthen self-awareness, and reconnect with pleasure and confidence.
Couples
For partners navigating intimacy challenges, desire differences, or communication barriers, couples therapy helps create safety and understanding while rebuilding emotional and physical connection.
Sex Therapy
Sex therapy provides a structured and affirming space to address sexual pain, low libido, or performance concerns — helping you approach intimacy with comfort, confidence, and clarity.
Kink & Queer Affirming Support
For clients within kink, queer, or polyamorous communities, therapy offers a safe and affirming environment to explore sexual identity, relationship dynamics, and boundaries without shame or judgment
Therapy That Meets You Where You Are
Karli K Counseling provides secure, online sex therapy for individuals and couples across Florida and Texas. Sessions are offered exclusively through a confidential telehealth platform, allowing clients to connect from the comfort of their own space wherever they feel most at ease.
Each session is shaped around your goals and pace. Karli’s approach is trauma-informed, evidence-based, and collaborative, drawing from her advanced training in the Gottman Method and EMDR trauma therapy. She works to build trust and safety before exploring deeper emotional and relational patterns that impact intimacy and desire.
Most clients begin with a complimentary 15-minute video consultation to ensure a good fit and to discuss what therapy might look like for them.
I know that starting this process can be nerve-racking and vulnerable.
I have made it my mission to help clients feel as comfortable as possible, and that is why I offer a free 15 minute video consultation to meet each other and discuss your needs.