If intimacy feels confusing, disconnected, pressured, or just hard to talk about — you’re not broken.
You’re human.
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I offer sex therapy and relationship counseling in Seattle, across Washington State and Hawaii for people who want to understand themselves more deeply, communicate more clearly, and feel more at home in their bodies and relationships.
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Welcome!
I’m Austin Cresap, LMFT, a Seattle-based licensed marriage and family therapist and AASECT-certified sex therapist.
I specialize in intimacy, relationships, and the ways our bodies, histories, and identities shape how we connect. My work is inclusive of all genders, orientations, relationship structures, and levels of experience talking about sex.
You don’t have to perform here. You just have to show up.
Who I Work With:
Individuals
Couples
People across the lifespan
Clients exploring desire, identity, or relationship transitions
Whether you’re coming alone or with a partner, therapy is a space to slow down, get curious, and build something more sustainable.
What Therapy With Me Is Like
Therapy isn’t about fixing you, it’s about understanding you.
Sessions are:
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Curious, not judgmental
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Collaborative, not prescriptive
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Grounded in your values and lived experience
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We’ll talk about patterns, communication, desire, boundaries, and the stories you’ve learned about intimacy — and gently experiment with new ways of relating to yourself and others.
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I work with individuals and couples navigating:
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Sexual desire differences
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Intimacy after trauma, illness, or life transitions
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Communication and conflict cycles
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Body image and self-worth
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Painful or difficult sex
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Aging, menopause, and shifting identities
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Relationship changes and renegotiations
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My approach blends attachment-based therapy, sex therapy, the developmental model, and trauma-informed care — always at a pace that feels respectful and collaborative.
Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act, health care providers and facilities are required to provide individuals who do not have health insurance or who are not using insurance an estimate of the anticipated bill for medical items and services upon request or at the time of scheduling. This is called a “Good Faith Estimate.”
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Note: This does not currently apply to any clients who are using insurance benefits, including "out of network benefits” (i.e., submitting superbills to insurance for reimbursement).
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Clients have the right to receive a “Good Faith Estimate” which outlines the total expected cost of services. The Good Faith Estimate works to show the cost of services that are reasonably expected for your health care needs. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur and will be provided a new "Good Faith Estimate" should this occur. If this happens, federal law allows you to dispute (appeal) the bill if you and your therapist have not previously talked about the change and you have not been given an updated good faith estimate.
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You have the right to receive a “Good Faith Estimate” at least 1 business day before your service. You can also ask your provider, and any other provider you choose, for a “Good Faith Estimate” before you schedule service.
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Be sure to save a copy of your “Good Faith Estimate.” For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.