Our Services

Individual Therapy

How do I know if I need therapy

Do any of the following resonate with you?

  • Attachment issues

  • Identity exploration

  • Sex addiction

  • Anxiety

  • Self-doubt

  • Loneliness


Perhaps you’re navigating new challenges like open relationships, the process of transitioning or building better boundaries. Maybe you want to grasp a better understanding on your sexual or gender identity? As you see, there are many reasons.

We will help identify the issue, find a therapist you feel comfortable with, and present a game plan for the next steps. Also please remember that showing your vulnerability and seeking support is a sign or maturity, strength & growth.

Why should I start now?

If I had to sum up therapy in three words then it would be: Making Positive Changes.

Imagine this: You looking at your future self - Radiating with confidence, giving you a nod to start now.

Listen, how good would it feel if you not only knew where your problems came from but also had a designed blueprint for a better and brighter you. You may feel like you’re ready to jump right into this. Or you may be on the other side of the spectrum where you’re feeling apprehensive. “I don’t know if now is the right time”… “I got too much other shit going on”…”Money, insurance, will my job cover it?”

All very rational questions. You have a life. We understand. Its not an easy decision and actually quite the vulnerable undertaking, so it will almost never feel like the perfect time. Trust your gut and take the first step, however small.

Sex Therapy Services Tailored to You

— At Rouse Relational Wellness, we understand that sex and intimacy are fundamental aspects of human connection and personal well-being. It's why we've cultivated a space right in the heart of San Francisco's vibrant Castro District, where individuals and couples from all communities, including our LGBTQ+ family, can explore and enhance their sexual health and happiness.

APPROACH

Our Unique Approach

Our sex therapy services are personalized to address your unique needs. We provide both in-person and online counseling options to accommodate your lifestyle and comfort

Inclusive and Diverse

Providers at Rouse Relational Wellness come from a range of backgrounds and lived experiences, ensuring you feel understood and represented.

Community-Focused Expertise

Our team offers expertly tailored support for the queer, kinky, and poly communities. We stay continually educated on the latest approaches and understandings.

Mindfulness and Grounding

Learn to manage immediate symptoms through mindfulness techniques. Develop a deeper understanding of your nervous system before tackling the underlying causes of your concerns.

Collaborative Networks

Benefit from our extensive referral network for specialized care, ensuring a holistic approach to your therapy, such as pelvic floor physical therapists, urologists, and psychiatrists.

Feminist and Liberation Framework

We empower you to determine your needs, values, and boundaries, crafting a self-affirming approach to your sexual well-being.

Areas We Address

Our compassionate, non-judgmental team helps clients engage with a variety of topics in a shame-reducing and empowering manner

  • We guide you in developing healthier communication patterns and deeper emotional connections, fostering a more fulfilling intimate life.

  • Our therapists support you in exploring and affirming your sexual identity, ensuring you feel confident and authentic in your expression.

  • We support you in your journey of understanding and accepting your gender. Our providers are trained in gender-affirming care and/or have similar lived experiences to their clients.

  • We provide strategies for managing performance anxiety and overcoming erectile dysfunction, aiming to restore confidence and enjoyment in sexual experiences. Our biopsychosocial assessment helps identify when there is a need for referrals to outside specialists, providing the care you deserve.

  • We work on navigating differences in sexual desire within relationships, providing guidance and the container for honest conversations, and approaches that honor both partners' needs.

  • Our approach is sensitive and empowering, supporting you in the healing process from past sexual trauma, aiming for a future where intimacy is associated with joy and connection.

  • We offer guided insight and tools for healthy engagement in non-monogamous and polyamorous relationships, emphasizing communication and boundary-setting.

  • In a safe and accepting environment, we help you understand and accept your kinks and fetishes, ensuring it adds to the fulfillment and well-being of all parties involved.

WHY US

Why people choose Rouse?

It all starts with creator & founder of Rouse Therapy, David Khalili.

  • 20 years of experience in the sexual wellness field

  • 15 in mental health


But what makes him stand out are his cultural upbringings and the network of professionals he has curated along the way. David didn’t read a blog about sex & identity struggles, he lived them. Constantly questioning societal norms towards sexual identity and gender and then going home to have all this clash with with religious roots. He’s had feelings of self-doubt and loneliness but also pushed himself to keep going which resulted in getting some real life experience answers.

Gathering all of the information, generating a team of like minded individuals, connecting with a community, all with the sole purpose to help you find your true self. And love it

Begin Your Journey Today

Sexuality and intimacy should be a source of joy and connection—not anxiety.


Book a consultation with Rouse Relational Wellness today, and take the first step towards cultivating the fulfilling, empowered sexual life you deserve.