Sean Orpen, LMFT-S, CST-S
I am a Seattle-based sex therapist and relational therapist, and I am glad we have the chance to connect.
Whether engaged in partnerships or embracing our solitude, one of the most magnificent gifts this existence bestows upon us is the capacity to explore and express our sexuality, forging profound connections with those who share our desires.
When we learn how to better embrace our sexuality, alone or with others, we unearth a profound sense of purpose that propels us beyond the boundaries we once perceived. My principles and methodologies are deeply rooted in the understanding that there is immense value in sexual connection, passionate exploration of life, and emotional vulnerability.
Rather than distant objectives to be achieved, these facets of our sexual selves are integral to our daily lives. I adopt a process-oriented approach to life, modeling this for my clients, recognizing that such attentiveness and mindful exploration offer us the freedom to evolve and feel more alive, unburdened by the past and unencumbered by fears of what the future holds.
Feeling ready to start?
Let’s schedule your first session or a quick call to see if we’re a good fit.
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Hi, I’m Sean
I’m a Licensed Marriage and Family Therapist and AASECT-Certified Sex Therapist based in Seattle. I work with individuals, couples, and relational systems navigating challenges related to intimacy, communication, identity, anxiety, and life transitions.
Whether you’re healing from past wounds, seeking a deeper sense of connection, or exploring how to live more fully in your own skin, therapy can offer clarity and momentum. My approach is warm, collaborative, and grounded in both clinical expertise and real-world insight.
You don’t need to have it all figured out to begin. Wherever you are in your process, we’ll meet it together.
Therapy Services
Individual Therapy
Many clients come to individual therapy feeling overwhelmed, stuck, or unsure how to navigate anxiety, shame, or shifting identities. Whether you're processing trauma, unraveling relationship patterns, or seeking more self-trust, this space is yours to reflect, feel, and realign. Together, we work toward grounded clarity, emotional resilience, and a more connected sense of self.
Explore Individual TherapyRelationship Therapy
Couples often reach out when connection starts to feel distant—when communication becomes defensive, conflict repeats in cycles, or intimacy feels out of reach. Relationship therapy offers a collaborative space to explore attachment patterns, build emotional safety, and rediscover each other with more presence and care.
Discover Relationship TherapySex Therapy
Sex therapy supports those navigating desire discrepancies, sexual shame, performance anxiety, or disconnection from pleasure. Whether individually or as a couple, we explore the nuanced layers of intimacy, identity, and arousal—centering sex-positive, affirming care that helps you move toward connection and embodied sexual expression.
Learn About Sex TherapyMarriage Therapy
Long-term partnerships face unique challenges—whether rooted in trust ruptures, emotional distancing, or years of unspoken needs. Marriage therapy helps couples slow down, notice what’s not being said, and begin to repair with curiosity and courage. My work is informed by relational science, but grounded in human connection.
Begin Marriage TherapyMarathon Therapy
Sometimes the stakes feel high, and weekly sessions aren’t enough. Marathon therapy is ideal for couples in crisis, recovering from betrayal, or needing focused momentum to break through long-standing gridlock. In this format, we deep dive—offering sustained attention, emotional processing, and immediate relief through structured, extended sessions.
Learn About Marathon TherapySupervision
For clinicians working toward licensure or AASECT certification, I offer thoughtful, structured supervision that balances clinical depth with warmth. Whether you're exploring case dynamics, ethics, or your own countertransference, our work together is about cultivating attuned, embodied, and trauma-informed practice that grows with you.
Explore Clinical SupervisionLooking for Insight You Can Trust?
The Therapy Blog is where I share real-world reflections on topics that come up often in the room—things like intimacy, stress, identity, burnout, and emotional overwhelm. Whether you’re navigating sex and relationships, working through anxiety, or just trying to feel more at home in your life and body, this space is for you.
Many of my clients work in high-demand careers, including tech, where pressure and disconnection can show up in quiet, heavy ways. Others are creatives, parents, or partners trying to move through the world with more clarity, agency, and connection. The blog reflects all of this—grounded in my work as a sex therapist, relational therapist, and human.
How I Work With Clients
Therapy with me isn’t a script. It’s a conversation—one that honors the messiness of being human. Whether we’re talking about sex, anxiety, grief, or figuring out how to feel more like yourself in your own skin, we start with what’s real and build from there.
I offer in-person therapy in Seattle, as well as online therapy and teletherapy throughout Washington State. Some clients join from their offices between meetings. Others carve out time to be fully present in the room. Either way, our work is grounded in presence, insight, and emotional safety—but it’s also alive, collaborative, and sometimes even a little funny. (Because let’s be honest—humor is healing, too.)
If you’ve tried therapy before and felt like you had to perform or shrink to fit in the room, I want you to know: that’s not how I work. My approach is affirming, direct, sex-positive, and attuned to the deeper stuff. It’s work that invites you to take up space—to challenge, expand, grieve, and reimagine. And we’ll do it together.
Let’s Start the Conversation
Reaching out is often the hardest part—but it’s also the first real step toward change. If something here resonated with you, or if you're just curious about whether this work might be a fit, I invite you to connect. You don’t need to have all the words yet. You just have to begin.
I work with clients both in-person in Seattle and online throughout Washington. Wherever you are, we’ll start from there.
