Alicia Cohen

(she/her)

LCSW-C, 10 years of experience
No reviews yet

New to Grow

VirtualAvailable

I am social worker who practices telehealth psychotherapy. My specialty is with neurodivergent individuals, people in ethical non-monogamous relationships, the kink/BDSM community, and LGBTQ+ individuals. I also specialize in working with adults who have been marginalized by their body, gender, and sexuality. My therapeutic style is process based, collaborative and challenging without judgment. I view psychotherapy through a sex positive, body positive, Health At Every Size®, feminist, and culturally humble lens. My focus is not on pathologizing but of discovering and embracing aspects of yourself and the way you live your life. Psychotherapy is not only for people struggling with transitions or mental illness. It is for all people, at any time of their life, who want to gain insight, discover joy, pleasure, and engage in self care.

Get to know me

In our first session together, here's what you can expect

The first session is a conversation, not an intake form. I'll ask about you, your history, your world, what brought you here, and I genuinely want you to ask questions too. You'll get a sense of how I work and what I can offer; I'll get a sense of who you are and what matters to you. You don't need to arrive with a clearly defined problem. Knowing something isn't working, or that you want more from your life, is enough to start. Sometimes the goal shifts once we start talking and that's fine too. By the end, we'll have a shared sense of direction, even if it's still taking shape. Most people leave the first session with some uncertainty and that's normal. What I'd hope you walk away with is a felt sense of whether this could be a safe place, and enough clarity to decide if you want to find out.

The biggest strengths that I bring into our sessions

I bring clinical fluency across neurodivergence, LGBTQ+ experience, ethical non-monogamy, kink, body image, and sexuality. Not as separate specialties, but as one integrated, non-pathologizing approach in a small, intentional practice where you don't have to explain your world before the real work can begin.

The clients I'm best positioned to serve

Clients who are curious about themselves and willing to sit with complexity. They want a collaborative relationship with their therapist, not a hierarchical one where the expert tells them what they are and what to do about it. They can tolerate some challenge; they don't just want validation, they want to actually change something. They've often had at least one bad therapy experience; a therapist who was well-meaning but ultimately worked from a normative framework that didn't fit, or who got stuck on the lifestyle element rather than the actual clinical work. They arrive with some skepticism and appreciate a therapist who takes that seriously rather than brushing it off.

Specialties

Top specialties

ADHD

Other specialties

Sex Therapy

I identify as

Serves ages

Licensed in

Location

Virtual

My treatment methods

Relational

For neurodivergent clients who have spent a lifetime feeling misunderstood or exhausted by social demands, therapy is a place where you can finally be met as you are. For those in ENM and kink communities, the shame that often comes from family or mainstream culture has a way of shaping how you see yourself. A non-judgmental space directly challenges that internalized message.

Attachment-based

For neurodivergent clients, attachment disruptions often came not from neglect but from mismatch. Growing up in environments where your nervous system, communication style, or sensory needs weren't well understood leaves a mark. Relational work in therapy can be genuinely reparative. For people in ENM or non-traditional relationships, knowing your attachment style is immediately useful. Anxious attachment can show up as jealousy or reassurance-seeking across multiple partners. Avoidant patterns can look like emotional unavailability that gets mistaken for a preference for independence. Naming the dynamic makes it something you can actually work with. For LGBTQ+ clients who experienced family rejection or spent formative years hiding who they were, the impact on attachment can be a direct focus of healing. Learning early that vulnerability isn't safe, or that love comes with conditions, shapes how you show up in every relationship that follows.

Compassion Focused

Neurodivergent clients, particularly those with ADHD or autism, often carry years of accumulated shame from being told they're lazy, broken, too much, or not enough. A depathologizing framework that works directly with shame at the emotional level can be genuinely transformative. For LGBTQ+ clients who internalized the message that something is fundamentally wrong with who they are, CFT addresses shame at its root rather than trying to reason someone out of it. The compassionate self work helps rebuild an internal ally where internalized hostility has lived for a long time. For clients in kink or ENM communities who have experienced stigma, CFT targets the shame those messages create from the inside out, helping clients relate to their desires and their lives with genuine warmth rather than defended justification.

Feminist

Feminist therapy runs through everything I do, less as a standalone technique and more as a lens I bring to all the work. For neurodivergent clients, particularly women and nonbinary people, this lens matters a great deal. ADHD and autism in women have been dramatically underdiagnosed for decades because diagnostic criteria were built around male presentations. Many clients arrive having spent years being told they were anxious, dramatic, or not trying hard enough. Feminist therapy names that as a systemic failure and helps clients grieve and reframe that history without carrying it as personal inadequacy. For LGBTQ+ clients, feminist therapy offers a framework for understanding how internalized homophobia and transphobia are products of social power, not personal deficiency. It questions what gets to count as healthy, normal, or properly gendered, and who gets to decide. For clients in ENM and kink communities, feminist therapy challenges the assumption that monogamy and conventional sexual expression are inherently healthier. It asks whose norms are being applied and in whose interests, and refuses to treat non-normative relationship structures as problems that need explaining or justifying. For body image work, feminist therapy has a long and important history. It was feminist therapists who first drew the connection between eating disorders and cultural beauty standards, and the social pressure placed on women's bodies, long before HAES® existed as a framework. That lineage is very much alive in body-positive clinical work today.

Sex Therapy

For neurodivergent clients, sexuality comes with its own distinct considerations. Sensory sensitivities can profoundly affect physical intimacy in ways that require a tailored approach. Social communication differences can make negotiating needs, desires, and limits genuinely hard. Many autistic clients also experience atypical sexuality, including asexuality or very specific erotic interests, that have been pathologized when they simply reflect the natural diversity of human sexual expression. Sex therapy in this context is about helping clients understand and communicate their own sexual profile, and detaching that profile from shame. For LGBTQ+ clients, sex therapy addresses concerns that mainstream sexual medicine has historically ignored or mishandled. This includes internalized homophobia that affects arousal, the lasting impact of HIV/AIDS trauma on older gay men's sexuality, the specific experiences of transgender people navigating sexuality before and after transition, and the complexity of living in a body that has been socially contested. For kink and BDSM clients, the work is not about evaluating whether their practices are healthy. A kink-affirming approach begins from the position that consensual BDSM is a legitimate sexuality, not a pathology. The focus is on the same concerns any client might bring: desire discrepancy with a partner, shame from outside the community, processing experiences that crossed a line, or integrating this part of their identity with their broader sense of self. For ENM clients, sex therapy often focuses on the emotional and relational dynamics that arise across multiple partnerships, including jealousy, attachment activation, communication breakdowns, and desire differences, within a framework that never treats non-monogamy itself as the problem.

New to Grow
This provider hasn’t received any written reviews yet. We started collecting written reviews January 1, 2025.