Who I Can Help and How I Do It
Work with me if you have the desire to explore and enjoy intimacy more fully, in spite of:
- Sexual pain or discomfort;
- Worries about sexual function or sensations;
- Worries about body image or sexual self-confidence;
- Shame or guilt about sexual desires;
- Difficulties with feeling pleasure or orgasms.
And if you have questions about:
- Sexual topics you haven’t been able to ask about elsewhere;
- How to get queer and gender-affirming support;
- How to get support for alternative, adult, consensual activities and desires.
Using sexuality counseling, hypnosis, and adult “sex ed,” I can help you:
- Increase experiences of pleasure and orgasm;
- Relax worry about non-medical sexual difficulties;
- Learn hypnosis to help improve or manage erectile issues and more;
- Address “too much” or “too little” desire;
- Manage pelvic pain;
- Learn and create ways to accommodate physical challenges;
- Improve your body image and sexual self-image;
- Release blocks to enjoyment and intimacy.
- And see this page of definitions.

I Can Also:
- Provide resources for more intimacy, variety, and adult sex education;
- Overcome inhibition;
- Negotiate consent and boundary issues;
- Diminish sexual stress;
- Increase relaxation about sexual concerns;
- Cope with relationship complications due to illness, injuries, and disabilities;
- Teach self-hypnosis and autogenic training to assist intimacy;
- Offer private classes and public workshops.
My Practice is Inclusive, Welcoming
I provide counseling and support to adults who:
- Are transgender, non-binary, gender queer, gender fluid, or otherwise gender-divergent;
- Who identify in any way as LGBTQIA+++;
- Are involved in consensual kinky and/or nonmonogamous relationships;
- Are partnered with anyone in the above categories;
- Are engaged in heteronormative and/or monogamous relationships.
In addition, I strive for cultural humility when working with clients who come from an array of cultures and backgrounds.
Testimonials
I went to Amy Marsh to help me with some deeply buried childhood issues that recently surfaced. Her understanding, help and care was profound. I highly recommend her.” –J.S., San Francisco Bay Area
Dr. Amy Marsh was so helpful in talking to me about some trauma and just everything I was dealing with, and there were few people at that time I could talk to about anything. She made me feel completely safe, which is vital, obviously, and yet sadly rare in the therapy world. I am now in a much better place, thanks largely to her.” –N.H., Hawai’i.
Dr. Amy Marsh share her knowledge and skill with open heart. That help me to understand the depths of issues and new discoveries in my life. Touch with deep inner self from her work… many resource and helps are available from her treasure box.” –K.K. Hawai’i.
Research Supports Uses of Hypnosis for Sexual Concerns
Many peer-reviewed studies demonstrate the efficacy of hypnosis, used alone or in conjunction with therapies such as Cognitive Behavioral Therapy and some medical therapies.
I have collected dozens of studies demonstrating the efficacy of hypnosis for many kinds of sexual concerns. You can see citations for some of them on this page from my professional training website.
Usually Short Term Work on Specific Issues

My services usually consist of short-term work on specific issues. I often combine sexuality counseling, hypnosis, and adult sex education in my sessions, depending on the needs of my clients.
I combine these methods to help each client to feel greater sexual confidence and self-esteem, and discover practical strategies for achieving their stated goals.
These sessions also support client wellness through hypnotic stress reduction and relaxation, and can complement other medical and mental health care treatments. My services do not take the place of medical care and/or therapy from licensed providers. I do not diagnose or treat medical or mental health conditions. Please consult your medical providers and/or therapists for your medical and mental health needs.
How can hypnosis help? It enhances the counseling process by getting to the root cause of many problems, and then delivering positive suggestions to overcome negative self-talk, sexual inhibitions, worry, and more.

Serving clients across Portland, Oregon, and the United States via secure telehealth. Though based in the US Pacific Northwest, I also offer international sessions and training.

