I’m Heather, and I use she, her, and hers pronouns. I’m a sexuality educator, and a licensed clinical social worker. I have nearly a decade of experience working with queer (LGBTQQIA2+) folks, the BDSM and kink community, and non-monogamy folks, and issues around sexuality. I am a therapist in private practice, where I work with two other fabulous therapists who share similar areas of experience and competency. 

If you’re reading this, you are probably at a crucial moment. Maybe you’re having an exceptionally difficult time right now. Maybe you’ve finally cleared a space in your life to care for a part of yourself that’s been hidden/ignored. Or maybe it’s time for a relationship or self “check in” or “tune-up.”

Whatever the reason, you’ve made it this far – meaning you’ve already done half the work! Seriously – grant yourself some credit, take a deep, cleansing breath, and read on to see if we might be a good match.

If you’ve been looking for a therapist to discuss sexuality or gender with, I might be a good fit for you. I am a certified sex educator, and I’m nearly impossible to shock or scandalize.

If you’re exploring your gender; if a loved one has recently come out to you as transgender and you are looking for support; if you need a clearance letter for gender affirmation surgery, I might be a good fit for you. I have extensive training and experience in working with transgender folks.

Maybe sexuality or gender are not a primary reason you’re coming to therapy. Maybe you want to pursue therapy for life stress, mental health, relationship challenges, etc. – and just you want someone who won’t judge your relationship, gender identity, orientation, or sexual practices in the process. In that case, I also might be a good fit for you. I have been working with queer, kinky, and polyamorous clients since 2012. Since 2014, I’ve been training other therapists on how to support folks whose gender, sexuality and relationships don’t fit society’s norms.

Here are some of the services I offer:
* Individual therapy
* Relational therapy (couples, polycules, families, and more)
* Group therapy
* Assessments for gender affirmation surgery letters
* Web-based teletherapy (video conference)
* Supervision for registered interns (ASW, AMFT)

Areas of Competence:
* BDSM/kink
* Non-monogamy
* Gender identity exploration
* Gender relations
* Human sexuality (including non-normative sexuality)

Therapeutic approaches:
* Non-Judgmental
* Narrative Therapy
* Sex Positive & Sexual Justice
* Feminist
* Mindfulness
* DBT Skills
* Anti-Oppressive Approach: anti-racist, anti-ableist, anti-fatphobic, pro sex worker…and constantly learning more to decolonize my my mind and my therapy office!


3101 I St
Sacramento, CA 95816, USA

Email: heather@unique-outcomes.org

Phone: (916) 542-2597

More about me and my organization, Sex Positive Sacramento: www.sexpositivesacramento.org

  • Price Range - $120/hour; ask about sliding scale!
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  • Monday09:00 AM - 08:00 PM
  • Tuesday09:00 AM - 08:00 PM
  • Wednesday09:00 AM - 08:00 PM
  • Thursday09:00 AM - 08:00 PM


  • Adjustment Disorder
  • Anxiety
  • Body Image
  • Codependency
  • Couples Therapy / Marriage Counseling
  • Depression
  • Gender Identity
  • Kink Aware/Sex Positive
  • LGBTQ+
  • Polyamory / Non-Traditional Relationships
  • Relationship Counseling
  • Sex Addiction
  • Sex Therapy


  • English


  • *None


  • Art Therapy
  • Dialectical Behavior Therapy (DBT)
  • Eclectic
  • Narrative Therapy
  • Person Centered Therapy
  • Positive Psychology