Sex & Relationship Therapy — Maryland & Pennsylvania
Jan Carey · LCSW-C, LCSW, CST · AASECT Certified Sex Therapist
Most couples therapy stops at communication.
Some problems live deeper.
The real stuff — the intimacy, the distance, the thing neither of you can quite bring yourselves to say out loud — never quite made it into the room. This is where we go further.
Something isn't working. And you know it.
You've done the work. Maybe you've even sat in a therapist's office and talked it through. But something still isn't shifting. That's not a failure. That's just where regular therapy stops.
Sex has disappeared from your relationship — and neither of you knows how to bring it up.
You love your partner — or you think you do — but the closeness just isn’t there, and you’ve started to wonder what that means.
One of you wants more and keeps asking. One of you keeps finding other things that feel more urgent. The loop is the same every time — and nothing changes.
You're carrying something private — a behavior, a secret, a pattern — that shame has kept you from bringing into a therapy room before.
You survived an affair. But you're not sure your relationship did.
You’ve been taking care of everyone — and quietly waiting for someone to notice. Nobody has.
Sex is painful. You’ve been managing around it, avoiding it, or pushing through it — and you’ve never said that out loud to anyone.
You want to be present during sex. But your brain has other ideas.
Your body stops cooperating exactly when you need it most — and the dread of it happening again has started to take over.
Every relationship ends the same way — and you’re tired of waiting to understand why.
How I Work
Honest, curious, and without judgment — about any of it.
I won't nod and wait for the hour to end. I'll ask the questions that cut through — at your pace, but with purpose. Every session goes somewhere. You'll always leave with something.
All sessions are online. For the work we do here — which is often most honest when you're in your own space — that's not a limitation. It's an advantage.
There is no such thing as not having a sexuality that is yours. It comes with being human. The question is whether you’ve ever had the space to find out what it actually is.
Services
Each of these pages was written for a specific person. You'll know which one is yours.
The Desire Gap Sex Therapy
One of you wants more. One of you has switched off. Neither of you can find a way across the distance. Let's build a road map.
ADHD, Relationships & Sex Therapy
You love each other. But somewhere along the way one of you became the parent and the other became the child. Nobody chose that. And nobody wants to stay there.
Relationship Therapy
You love each other but you can’t disagree and stay connected. Let’s change that.
Affair Recovery
An affair has come to light. You were betrayed, or you did the betraying. Either way, there’s aplace for you here.
Women's Sex & Relationship Therapy
You’ve never fully connected to your own desire because you’ve been too busy tracking your partner’s. There’s space for yours too.
Men's Sex & Relationship Therapy
Your body stopped cooperating during sex. You’ve been dreading it happening again ever since. This is a space where you can say it plainly.
Out of Control Sexual Behavior
Maybe you know exactly why you’re here. Maybe you’re still figuring that out. Either way, that took courage.
You don't need to have it figured out before you call.
Most people who find their way here can't fully name what's wrong yet.
They just know something has to change.