I support clients navigating
Compulsive sexual behavior & porn concerns Dating & attachment patterns Anxious & avoidant attachment ENM, polyamory & kink-affirming care Infidelity & relational repair Pregnancy, postpartum & parenthood transitions Shame, attachment wounds & emotional disconnection

A Different Kind of Practice

Thoughtful care for complex lives

Many of my clients are thoughtful, high-functioning individuals who feel stuck in painful relational or sexual patterns. My work is grounded in attachment, nervous system awareness, and deep respect for sexual diversity — helping you move toward clarity, connection, and integrity in your relationships.

Trauma-informed Sex-positive Attachment-focused Non-pathologizing Kink-affirming Poly-affirming Culturally responsive
“Many therapists don’t talk about these things. Here, nothing about your desire, your relationship structure, or your history is too complicated to bring.”

Core Areas of Focus

Everything sits under attachment & intimacy

Sexual Integrity & Compulsive Behavior

  • Porn & sexual preoccupation
  • Shame cycles & attachment wounds
  • Trauma-informed dopamine education
  • Rebuilding integrity aligned with values

Intimacy, Attachment & Relational Healing

  • Anxious & avoidant attachment patterns
  • Healing the pursue-withdraw cycle
  • ENM, polyamory & kink-affirming work
  • Infidelity & betrayal repair
  • Emotional regulation in relationships

Relational Transitions & Identity Shifts

  • Perinatal mental health (PMH-C certified)
  • Postpartum intimacy changes
  • Fatherhood & parental identity
  • Sexual identity development
  • Major relational transitions

Dating, Desire & Modern Relationships

  • Dating anxiety & attachment patterns
  • Building confidence & emotional availability
  • Desire discrepancy in partnerships
  • Navigating ENM & non-traditional structures
  • Sexual shame & self-worth in dating

Couples & Partnership Complexity

  • Monogamous & non-monogamous couples
  • Poly network & multi-partner dynamics
  • Rebuilding trust after betrayal
  • Communication & conflict patterns
  • Intimacy & sexual reconnection

Perinatal & Parenthood Transitions

  • Pregnancy & postpartum mental health
  • Intimacy changes after having children
  • Fatherhood identity & role transitions
  • Relational strain in early parenthood
  • Returning to desire & self post-baby

Services

Find the right fit

Individual Therapy
Understanding the patterns beneath anxiety, shame, sexual behavior concerns, and relationship struggles. One-on-one, at your pace.
Learn more →
Couples & Partnership Therapy
For monogamous couples, ENM partnerships, and poly networks navigating trust, communication, betrayal repair, and intimacy.
Learn more →
Sex & Intimacy Therapy
Desire discrepancy, compulsive sexual behavior, kink & ENM, sexual shame — specialized, nonjudgmental, affirming care.
Learn more →
Men’s Dating & Intimacy Work
For men navigating modern dating, emotional connection, compulsive behavior patterns, and building confidence in relationships.
Learn more →
Men’s Sexual Health Group
A structured process group for men working on sexual integrity, shame reduction, and relational healing. Curriculum-based with rolling cohorts.
Join the waitlist →
Perinatal & Parenthood
PMH-C certified support for pregnancy, postpartum, and early parenthood — including intimacy changes and parental identity shifts.
Learn more →

A Quiet Specialty

For men navigating modern intimacy

I work with many men who feel stuck in modern dating, emotional connection, or sexual behavior patterns. Our work focuses on building confidence, relational clarity, and integrity — without shame or performance pressure. Many men tell me I’m the first therapist they’ve felt comfortable being fully honest with.

Start the Conversation

Process Group

Men’s Sexual Health & Integrity Group

A structured, confidential process group for men working on sexual integrity, shame reduction, and healthier relational patterns. Combines psychoeducation with group process in a non-judgmental, supportive environment.

Group meets weekly via secure telehealth. Limited to 6–8 participants to maintain depth and safety. Open to men anywhere in Oregon.

Week 1–2Foundations: attachment, shame, and the nervous system
Week 3–4Understanding compulsive behavior: dopamine, triggers, and cycles
Week 5–6Sexual integrity: values clarification and rebuilding trust in self
Week 7–8Relational patterns: intimacy, vulnerability, and emotional connection
Week 9–10Dating, desire, and building authentic relationships
Week 11–12Integration, maintenance, and ongoing growth

Join the Waitlist

The next group cohort is forming now. Add your name to be notified when enrollment opens — no commitment required.

Thank you — you’re on the list! Sarah will be in touch when the next cohort opens.

Your information is confidential and will only be used to contact you about group availability.

Group Details
Format: Weekly 90-min sessions
Duration: 12 weeks (rolling cohorts)
Size: 6–8 participants
Delivery: Secure telehealth · Oregon only
Investment: $75 / session

Clinical Approach

Grounded in how we actually connect

My approach draws on attachment theory, nervous system science, and deep respect for the full spectrum of human sexuality and relational structure.

Attachment-Based

Our early relational patterns shape everything — how we pursue and avoid intimacy, how we regulate emotion, how we experience desire. Therapy surfaces those patterns gently and without judgment.

Trauma-Informed

Many relational and sexual struggles have roots in earlier wounds. This work moves at your pace and never requires you to re-live what you’re not ready to approach.

Shame-Reducing

Shame thrives in silence. A central part of this work is creating space where no behavior, desire, or history is too complicated to examine honestly and with compassion.

Sex-Positive & Affirming

I am kink-affirming, ENM-affirming, and poly-affirming. Whether you’re exploring your sexuality or working through compulsive behavior, you’ll find non-judgmental support here.

Nervous System Aware

Lasting change happens at the body level, not just the cognitive level. Sessions integrate somatic awareness alongside insight and narrative work.

Practically Focused

Insight matters. So do tools. Depending on your goals, therapy may include concrete practices, frameworks, and strategies you can use between sessions.

Sarah King, LCSW, PMH-C — attachment-based therapist at Trees to Sea Counseling NW, Portland Oregon

About

Sarah King, LCSW, PMH-C
Attachment-Based Therapist · Oregon License #7468

I specialize in the complex intersection of attachment, intimacy, and sexual behavior. For over a decade, I’ve worked with individuals and couples navigating shame, desire conflicts, compulsive patterns, and relationship transitions — including clients others haven’t always known how to hold.

My clinical background includes work with mandated clients, specialized training in compulsive sexual behavior, and perinatal mental health certification (PMH-C). I believe the people most in need of skilled, affirming care are often the ones who feel they have the least permission to ask for it.

Adjunct Faculty — Portland State University School of Social Work
LCSW · Oregon #7468 PMH-C Certified 10+ Years Experience CSB Specialist Group Facilitation Portland State University Virtual Statewide

Fees & Insurance

Clear, honest information

Transparency about fees is part of the therapeutic relationship. Here’s what you need to know before reaching out.

Individual Session
$175 / 50 min
Sliding scale available on a limited basis. Contact to inquire.
Couples Session
$175 / 60 min
Includes individual, ENM, and poly partnership sessions.
Group Session
$75 / 90 min
Men’s Sexual Health & Integrity Group. See group section for details.
Superbills
Provided on request
For out-of-network reimbursement. Contact your insurer to verify benefits.
Telehealth
Oregon Statewide
All sessions via secure HIPAA-compliant telehealth. Available anywhere in Oregon.
Cancellation Policy
48-Hour Notice
Late cancellations and no-shows are charged the full session fee. Exceptions for genuine emergencies.

Insurance Panels Currently Accepted

I am currently in-network with select plans. Contact me to verify your specific plan and coverage before scheduling.

PacificSource BCBS — Blue Cross Blue Shield

Insurance acceptance is subject to change. Always verify benefits with your plan directly.

Resources & Writing

Understanding attachment, intimacy & sexual health

Articles to help you understand what you’re navigating — written for curious, thoughtful adults who want more than a listicle.

Compulsive Behavior

Porn Use vs. Compulsive Sexual Behavior: What’s Actually the Difference?

Not all frequent porn use is compulsive behavior — and the distinction matters for how you understand yourself and what kind of support actually helps.

Read article →
Attachment

Anxious & Avoidant: Why You Keep Finding Each Other

The pursue-withdraw cycle isn’t a personality flaw — it’s an attachment pattern. Understanding it is the first step toward changing it.

Read article →
ENM & Polyamory

Navigating Ethical Non-Monogamy: What Therapy Can (and Can’t) Do

ENM-affirming therapy isn’t about deciding whether non-monogamy is right for you. It’s about helping you navigate it with honesty, communication, and care.

Read article →
Perinatal

When the Baby Arrives and Desire Disappears: Postpartum Intimacy

Changes in desire, body image, and relational closeness after having children are common — and often go unspoken. Here’s what’s actually happening.

Read article →
Men’s Work

Why Emotional Intimacy Feels So Hard for Men (and What to Do About It)

It’s not about being broken. It’s about what men are taught — and not taught — about vulnerability, connection, and asking for what they need.

Read article →
Infidelity & Trust

After the Affair: What Infidelity Repair Actually Looks Like in Therapy

Couples can survive infidelity — but not by pretending it didn’t happen or rushing past the pain. Here’s what the repair process actually involves.

Read article →

Ready to begin?

Schedule a free consultation

A 15-minute phone consultation to see if we’re a good fit — no pressure, no commitment. I return all inquiries within two business days.

Your message is confidential. If you are in crisis, please call or text 988 rather than submitting this form.