MORE ABOUT PLEASURE MATTERS & HOW WE CAN WORK TOGETHER

Frequently Asked Questions

  • My office is located in Downtown Seattle right by the Westlake Light Rail station.

    The address is:

    Medical Dental Building

    509 Olive Way Suite 1155

    Seattle, WA 98101

  • If you choose online appointments, I will send you a link to open an account on Spruce platform.

    Once you have an account, we will be able to exchange encrypted messages and I will be able to initiate video calls.

    I recommend you log in to it from a laptop or a desktop computer, but it also works on smartphones and tablets.

  • My fees are:

    $240 per 50 min session

    $360 per 80 min session (recommended for couples)

  • Yes I do and I recommend in-person sessions whenever possible.

  • Ewa Lichnowska is a Polish name and it is pronounced “eh-vuh leekh-nov-skah”. Don’t worry about getting it right, it can be hard to pronounce.

  • Couples therapy can help with common relationship issues like diminished emotional intimacy, communication, conflict management or division of responsibilities. However, it is the physical and sexual aspects that distinguish a romantic relationship from a friendship. The conventional approach is that once the foundation of friendship is developed or restored, the intimate issues should resolve on their own. However, this is rarely the case and it is often the other way around. Most couple counselors have minimal training in human sexuality, so consequently that aspect is often neglected in conventional couple counseling. I am happy to combine couples and sex therapy to help you and your partner address both the issues of emotional intimacy as well as sexual connection.

  • As a sex positive therapist, I believe that people of all sexual preferences, relationship structures, sexual identity, gender, size, race, neurodiversity and body ability deserve to enjoy emotional and sexual fulfillment. In other words, I will support you regardless of the lifestyle you choose or the type of work you do (including sex work). What I believe is that it is not what you do, but how you do it that matters. What is important is that your emotional and erotic needs are expressed in ways that involve important principles of sexual health such as: informed consent, open communication, consideration of all partners needs and pleasure, freedom from STDs and unwanted pregnancies as well as the absence of coercion and imbalance of power.

  • There are many reasons why you might struggle to find the right partner or create the relationship you desire. You may find yourself attracted to partners that are not right for you. You may experience similar negative relational patterns many times over. You may find it difficult to navigate the modern dating world. You may have experienced past betrayal, infidelity or mistreatment that continue to negatively affect you. You may also have experienced sexual difficulty in past relationships. All of these can undermine your sexual and relational self confidence and create doubts about your future relationship satisfaction. Individual sex therapy can help you identify the sources of these difficulties, develop a positive vision for a satisfying and healthy relationship and help you pursue it with intention and confidence.

  • Certified Sex Therapists complete rigorous post graduate education that includes hundreds of hours studying topics like sexual anatomy, sexual development, sexuality research, socio-cultural and religious impacts on sexuality as well as gender, orientation, diversity, alternative sexuality and more. We are also required to demonstrate expertise by by working with sex therapy clients under supervision before getting certified.

    Therapists (AASECT) is a not-for-profit, interdisciplinary professional organization founded in 1967. With its history of impeccable standards for training, experience and ethical behavior, AASECT is increasingly recognized as the guardian of professional standards in sexual health.

    An AASECT Certified Sex Therapist (CST) is a licensed mental health professional trained to assess, diagnose, and provide in-depth psychotherapy who has specialized in treating clients with sexual issues and concerns. CSTs work with sexual concerns including, but not limited to: sexual function and dysfunction; sexual pleasure; sexual variation; sexuality and disability; sexuality and chronic illness; sexual development across the lifespan; sexual abuse, assault and coercion; sexual orientation; gender identity. In addition, CSTs are prepared to provide comprehensive and intensive psychotherapy over an extended period of time in more complex cases.

Specialized Sex Therapy & Intimacy

  • As an AASECT-certified sex therapist in Seattle, I provide specialized, talk-based therapy to help individuals and couples navigate desire mismatches, performance anxiety, sexual pain, and intimacy challenges. My sessions focus on emotional, psychological, and relational aspects of sexuality in a safe, completely non-touch clinical setting.

  • No, sex therapy at my practice, Pleasure Matters, is strictly talk-based counseling. I focus on psychological dynamics, communication strategies, and emotional safety to address intimate concerns. All physical exploration occurs privately in the comfort of your own home between our sessions.

  • In my practice, I explore the physiological, emotional, and relational factors influencing desire. I help partners identify root causes, improve communication around physical needs, and build a shared, fulfilling approach to intimacy without pressure or judgment.

  • My sex-positive approach views human sexuality, diverse relationship configurations, and erotic expression as natural and healthy. I eliminate shame and moral judgment, supporting you as you define and achieve your own personal intimacy goals.

  • Yes, I help clients address the psychological and emotional layers of performance anxiety, erectile concerns, or pain during intimacy. I offer practical cognitive and relational tools to reduce stress and rebuild body confidence.

LGBTQIA+, Gay & Queer Couples Therapy

  • Choosing me as your specialized queer couples therapist in Seattle ensures your relationship receives identity-affirming, non-judgmental care. I deeply understand LGBTQIA+ relationship dynamics, minority stress, and non-traditional partnership structures without requiring you to educate your therapist.

  • Through online gay couples therapy in Seattle, I offer secure, HIPAA-compliant video sessions that fit demanding schedules. Long-distance or busy partners across Washington State can connect with me from the convenience of their home or office.

  • In my gay couples counseling in Seattle, I help partners address trust restoration, sexual compatibility, communication cycles, emotional closeness, open relationship agreements, and navigating major life transitions within a supportive, LGBTQIA+-affirming clinical framework.

  • As a dedicated queer couples therapist in Seattle, WA, I provide non-pathologizing guidance for ethical non-monogamy, polyamory, and open dynamics. I help partners establish transparent boundaries, clear agreements, and sustainable emotional safety.

  • Yes, my couples counseling creates a structured, low-pressure space to explore emotional burnout, address unspoken resentment, clarify individual desires, and evaluate whether meaningful reconnection is possible for both of you.

Marriage Counseling & Relational Healing

  • I offer in-person marriage counseling in Downtown Seattle at my central, discreet practice. Designed for working professionals, my sessions focus on communication repair, conflict resolution, and deepening emotional connection.

  • During couples counseling in Seattle, WA, I guide partners to identify destructive conflict cycles, communicate unmet needs effectively, rebuild emotional vulnerability, and apply practical tools tailored to strengthen your unique bond.

  • I recommend seeking marriage counseling in Seattle when you face repetitive arguments, chronic emotional distance, sexual dissatisfaction, infidelity, or major life transitions, resolving issues before resentment causes long-term relational damage.

  • Yes, I provide a compassionate, structured roadmap for healing after betrayal. I help couples process emotional trauma, establish accountability, rebuild honesty, and gradually restore trust when both partners are committed to reconciliation.

  • The duration of therapy depends on your goals and complexity. Many of my clients experience tangible improvements within several months of regular weekly or bi-weekly sessions focused on actionable communication and relational goals.

Compulsive Sexual Behaviors & Client Services

  • In my porn addiction therapy in Seattle, I view compulsive behaviors as coping mechanisms for stress or emotional distress. I help clients identify underlying triggers, build healthier emotional regulation strategies, and foster genuine intimacy.

  • Through compassionate sex addiction therapy in Seattle, I help individuals regain control over compulsive sexual behaviors. Using non-shaming clinical methods, I focus on healing attachment wounds, repairing relationship trust, and aligning behavior with personal values.

  • Yes, I provide secure, HIPAA-compliant telehealth sessions for individuals and couples residing anywhere in Washington State, offering access to specialized care without requiring travel to my Downtown Seattle office.

  • I strictly maintain your privacy under Washington State mental health regulations and federal HIPAA privacy standards. All communications, session notes, and video platforms I use are fully encrypted and confidential.

  • Getting started with me is straightforward. Visit my online booking page to schedule a complimentary initial consultation call, where we will discuss your goals, answer logistical questions, and confirm if we are the best therapeutic fit.

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