Sexual Health Counseling

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Reclaim Confidence, Connection, and Clarity with Sexuality and Sexual Health Counseling

Sexuality is meant to be a source of pleasure, self-expression, and connection—not confusion, shame, or fear. If you've been carrying pain, silence, or questions around your sexuality or sexual health, you're not alone—and you don’t have to figure it out in isolation.

I offer trauma-informed, culturally sensitive sexual health counseling for adults who are navigating identity, healing from shame, or learning to live with chronic health conditions. This is a safe space to explore the emotional, psychological, and relational aspects of sexual wellbeing.

Note: While I offer deep expertise in sexual health counseling and education, I do not provide formal sex therapy. If you're unsure what kind of support you need, I'm happy to guide you to the right resource.

Counseling That Honors Your Whole Self

Many of us never had access to accurate, empowering conversations about our sexuality. Maybe you were raised with guilt or fear. Maybe you’ve experienced trauma. Or maybe you're navigating something new—an identity shift, a diagnosis, or a desire for deeper connection.

In this work, we can:

  • Unpack shame or stigma tied to sex and relationships

  • Process emotional impacts of trauma, violation, or rejection

  • Explore gender, orientation, or identity with compassion

  • Learn to live well with diagnoses like HIV or chronic STIs

  • Reclaim a sense of agency, pleasure, and peace

This work is not about “fixing” you. It’s about reconnecting with the part of you that already knows your worth.

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Areas of Specialization in Sexual Health

According to the World Health Organization Sexual Health is “…a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.”

My approach to sexual health is rooted in public health, psychotherapy, and over 30 years of experience supporting individuals from diverse backgrounds. I currently offer support in the following areas:

🧬 HIV/AIDS Counseling

Support for people living with HIV, navigating stigma, disclosure, grief, relationships, and emotional wellness.

💬 STI Coping and Prevention Counseling

Helping you process STI diagnoses, cope with fear or shame, and engage in prevention with clarity and confidence.

Each of these areas has its own set of emotional complexities—and you deserve support that understands the whole picture.

🏳️‍🌈 LGBTQ Affirming Therapy

For individuals exploring or solidifying their gender identity or sexual orientation in a space that truly affirms who they are.

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Why Work With Me?

Maria Alfonso, LPC, LMHC Counselor in DC, VA and FL Specializing in Relationships, Sexual Health and Trauma Resolution

My career began in public health and HIV/AIDS counseling, care and education, and I’ve spent decades helping people move through shame, stigma, and confusion into confidence, clarity, and self-trust. Through the years, I’ve always had a special passion for serving this population, and specialized in sexual health, helping clients with several issues related to relationships and sexuality.

Whether you’re navigating questions, identities, diagnoses, sexual trauma or just want to feel more at peace in your own body—I’m here to support that journey.

With over 30 years of experience in sexual health clinics, I have developed expertise in these areas. I also help clients work toward balanced lives that include sexual wellness, pleasure, safety, and healthy, fulfilling relationships.

I bring multicultural sensitivity and competence, especially in working with individuals from minority backgrounds. My practice is inclusive of people from diverse ethnicities, lifestyles, and backgrounds, including Latinx, people of color, and members of the LGBTQ+ community. Recently, I’ve focused on working with women, and women issues in relationships. See more about my experiences and credentials in the About Page.

You Deserve to Feel Whole, Not Broken

Your sexuality is not a problem to be solved. It’s a vital part of who you are, and it deserves care, curiosity, and compassion. I know it can feel like a big step to contact a counselor, but I’ll make it easy. Schedule your free 30-minute consultation today to begin sexual health counseling that honors your story and supports your healing.

We’ll spend 30-minutes discussing what you are looking for, and I will let you know how or if I can help. If we are not the right match, I’ll do my best to get you to the right person.

Contact me for your free consultation for online counseling if you live in DC, Virginia or Florida.

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Telehealth Counseling with Maria Alfonso

Telehealth only for Virginia and Florida Clients

Virtual and/or in-person for DC,

 

Contact me today for your free 30-minute virtual consultation for counseling, I’d love to help.

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