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.