Online Sex Therapy & Intimacy Counseling for Individuals & Couples
Hi, I’m Dr. Ashley Sweet (she/her).
I am a licensed psychotherapist, Doctor of Clinical Sexology, and AASECT Certified Sex Therapist with nearly two decades of clinical experience in sexual, reproductive, and relational health.
My mission is simple: to provide the evidence-based sex + pleasure education and compassionate clinical support most of us never received growing up.
Co-Founder of SWELL Co., LLC
I am thrilled to share that I am the Co-Founder of SWELL Co., LLC—New England’s premier sexual wellness collective. To expand our mission of body autonomy, somatic embodiment, and sexual liberation, all of my clinical sex therapy, relationship counseling, and individual consultations are now housed exclusively within SWELL Co.
Pleasure is More Than Just "Feeling Good"
Pleasure is a vital pathway to personal healing and a bridge to building deep, authentic connection with yourself and your partner.
My clinical practice is rooted in feminist activism, body autonomy, and radical empathy. I do not see "broken" people or diagnoses to fix—I see unhelpful cultural scripts, religious conditioning, and systemic shame that we can dismantle together.
Compassionate, Specialized Telehealth Across Licensed States
Through SWELL Co., I offer specialized online sex therapy, relationship counseling, and intimacy therapy to individuals and couples across Maine, Massachusetts, Connecticut, Vermont, Virginia, Florida, and Idaho via secure, HIPAA-compliant telehealth.
Beyond individual and couples therapy, I host private group facilitation, workshops, therapy intensives, and retreats.
Whether you are here to de-program shame, navigate desire mismatches, overcome physical discomfort, or reclaim your body, I am here to support your journey back to yourself.
Ready to get unstuck?
All scheduling, intake inquiries, and clinical consultations are managed through our group practice portal at SWELL Co.
To book an initial consultation or request to work with me directly, click below to visit SWELL Co., complete our brief inquiry form, and select Dr. Ashley Sweet.
Client Testimonials
“I started working with Ashley at a very vulnerable time in my life. She became my rock! She stood up for me when I didn’t know how to. She helped me work though past traumas, helped me learn boundaries, taught me how to better communicate with my partner and so much more. She is a great listener and provides great advice and perspective. I highly recommend working with her if you need to learn how to be a better champion for yourself or if you just need a great listener in your corner... Ashley helped me to become a better person and partner and for that I am forever grateful.”
“Ashley was the first person that I ever told about my abortion. I never regretted it, but it still hurt that I had to keep it a secret. She helped me to see that abortion is normal and I don’t need to be ashamed. ”
“You [Ashley] helped me and my husband fix our problems in the bedroom. I had no idea what sex therapy would be like but it was actually fun and I learned so much. Thank you!”
Therapeutic Expertise
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Difficulty with Desire
Low desire is one of the most common reasons people seek therapy, yet it often carries the heaviest weight of shame. I help you move beyond the "shoulds" of spontaneous desire to understand how your unique "brakes" and "accelerators" work. Together, we’ll de-program the pressure to perform and help you reconnect with an erotic self that feels authentic and sustainable.
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Navigating Communication
We aren't born knowing how to talk about intimacy; we inherit "scripts" from our families and culture that often fail us in adulthood. I help you move past the frustration of feeling misunderstood and develop a communication style rooted in clarity and consent. Together, we’ll build a shared language that allows you to express your needs, set boundaries, and deepen connection without the weight of shame.
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Challenges with Orgasm
Difficulty reaching orgasm—or "spectatoring" your own experience—is often the body’s response to pressure or distraction. My approach shifts the focus from a goal-oriented "finish line" back to embodied pleasure. We work to quiet the mental noise and re-tune your nervous system, allowing you to stay present in your body and discover what truly works for you.
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Healing from Trauma
Whether it happened recently or decades ago, the body holds onto trauma and the shame that often follows. These experiences can create a sense of disconnection or fear that feels impossible to move past. Through mindfulness, body awareness, and a compassionate re-authoring of your story, we work to untangle these knots. I provide a safe, non-judgmental space to process your pain, quiet the shame, and help you reclaim your body as a place of safety and pleasure.
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Anxiety & Self-Esteem
It is difficult to feel grounded when you are navigating a constant sea of societal and personal expectations. Often, this internal pressure manifests as a "loud" inner critic that disconnects you from your confidence and your desires. We will work together to quiet that noise, untangle the roots of your anxiety, and strengthen your self-esteem. My goal is to help you move through the world feeling more centered, resilient, and reconnected to your own power.
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Religious Trauma + Shame
If you grew up in an environment where sex was taught as a source of guilt or fear, those messages don't just disappear—they live in your body. I specialize in the delicate work of de-programming these restrictive narratives. We’ll work together to untangle your authentic values from your upbringing, helping you claim a sexual identity that feels safe, joyful, and entirely yours.
Clinical Specialties & Sexual Health Diagnoses Treated
As a Doctor of Clinical Sexology and AASECT Certified Sex Therapist, I provide specialized, evidence-based therapy for a wide range of sexual concerns, physical discomforts, and relational challenges.
Whether you are seeking support individually or as a couple, I offer compassionate, non-judgmental care for the following conditions and diagnoses:
Sexual Pain & Physical Discomfort
Vaginismus & Involuntary Pelvic Tightness: Working through pelvic muscle constriction, fear of penetration, and discomfort during intercourse or pelvic exams.
Dyspareunia (Painful Intercourse): Addressing unexplained physical pain, burning, or aching before, during, or after sexual activity.
Vulvodynia & Pelvic Floor Tension: Navigating chronic vulvar discomfort and the anxiety or fear that often accompanies physical pain.
Desire, Arousal & Orgasm Concerns
Hypoactive Sexual Desire Disorder (HSDD) & Low Libido: Addressing sudden or long-term drops in sexual desire, interest, or motivation in individuals and long-term partnerships.
Desire Discrepancy & Drive Mismatches: Helping couples navigate conflicting sex drives, mismatched erotic preferences, and frequency expectations without blame or resentment.
Anorgasmia & Delayed Orgasm: Supporting individuals who experience difficulty achieving orgasm or an inability to reach climax during solo or partnered sex.
Erectile Anxiety & Performance Pressure: Overcoming anxiety-driven erectile difficulties, arousal instability, and the habit of "spectatoring" (over-thinking during intimate moments).
Premature or Delayed Ejaculation: Developing somatic control, reducing performance stress, and building confidence in partnered intimacy.
Psychological, Relational & Cultural Factors
Religious & Cultural Deconditioning (Purity Culture Trauma): Unlearning ingrained guilt, shame, and moral conditioning surrounding sex, pleasure, and body autonomy.
Sexual Avoidance & Intimacy Phobia: Working through fear of emotional or physical closeness following life transitions, relationship disruptions, or past medical/sexual trauma.
Body Image & Sexual Confidence: Reclaiming body autonomy, self-esteem, and sensual comfort in your skin.
Consensual Non-Monogamy (CNM) & Kink-Affirming Care: Navigating open relationships, polyamory, ethical boundaries, and alternative lifestyles in a safe, affirming therapeutic space.