I’m Audrey, A Couples & Sex Therapist
You are welcomed here, just as you are.
I’m Audrey, a therapist, partner, and parent. I grew up in the PNW and have always been drawn to real, heartfelt conversations—which feels especially fitting since Hart is my middle name.
In therapy with me, you can expect warmth, curiosity, directness, humor, and a willingness to talk about the things that are often hardest to say out loud.
I’m especially drawn to work around sex, relationships, and intimacy because these parts of our lives can carry shame and silence. I want therapy to be a place where nothing feels too awkward, complicated, or taboo to talk about. We’ll look closely at the patterns you get stuck in, what is happening underneath them, and what needs to change. I’ll support you, but I’ll also challenge you when that is what the work calls for.
I’m a white, cisgender woman who is married to a man. Identity is a big part of the work I do with clients, so if you’d like referrals for therapists with different identities, please let me know and I’ll do my best to pass some along.
I live in Seattle with my husband, our daughter born in 2026, and our dog Kevin. Outside of work, I love backpacking year-round, reading all sorts of books, listening to storytelling podcasts, and jumping into the ocean!
My Practice
Location: Madrona neighborhood in Seattle and virtual throughout Washington
Sessions: Typically 90 minutes every other week, but flexible to do 50 minutes weekly
Fee: $335 / 90 minutes or $185 / 50 minutes
Availability: Tuesdays & Wednesdays, 9am–5pm
My Credentials
AASECT Certified Sex Therapist
Licensed Marriage & Family Therapist, Washington
MA, Marriage & Family Therapy — Antioch University
BA, Geology & Education — Bowdoin College
What It’s Like to Work With Me
Warm & Relational
I’m not a blank-slate therapist. I’ll be honest with you, ask direct questions, and gently challenge you when I think it will help. There is room for laughter, tears, and moments of joy too!
Specialized in Sex
I’m an AASECT Certified Sex Therapist with extensive specialized training in sex and sexuality. Intimacy, desire, and relationship patterns are all things we can talk about openly!
Direct & Human
I’ll be honest with you, ask the questions that matter, and name what I’m noticing. I also bring warmth, humor, and a real human presence into the room.
These are my specialties as a therapist
Couples Therapy
Why do we keep having the same fight?
Maybe it starts with something small—the dishes, who forgot to do something, how one of you said something, who is doing more around the house. But somehow it turns into the same painful argument you’ve had a hundred times.
One of you may feel criticized, blamed, or like you can never get it right. The other may feel ignored, dismissed, or like you’re the only one trying to fix things. One person pushes harder to be heard, while the other shuts down, gets defensive, or walks away. By the end, you’re both hurt and even farther apart.
You may recognize this cycle:
You keep having the same argument.
Small issues turn into big fights.
One of you wants to talk; the other pulls away.
You both leave feeling misunderstood.
Resentment starts to build.
You think, “Why don’t they get what I’m trying to say?”
You make up, but the pattern doesn’t change.
You still care about each other, but it can feel like you’re on opposite sides.
How I will help
In couples therapy, we’ll slow the cycle down and look at what’s happening underneath the conflict. We’ll work on understanding your patterns, communicating more clearly, and finding new ways to respond to each other. The goal isn’t to stop disagreeing. It’s to help you feel more understood, connected, and able to work through hard things together.
Sex Therapy
Why does sex feel so complicated?
I’m an AASECT Certified Sex Therapist and have extensive specialized training in sex and sexuality. I work with both couples and individuals, and there is nothing you could bring into the room that I would find awkward or taboo.
Sex therapy may focus on differences in desire, feeling sexually disconnected, difficulty talking about sex, orgasm or erectile concerns, pain with sex, sexual shame, exploring sexual interests, or simply wanting sex to feel more pleasurable and connected.
Sex therapy is always talk therapy, and when appropriate I collaborate with physicians, pelvic-floor therapists, and other providers.
Individual Therapy
Why do I keep getting stuck?
Although most of my practice is couples work, I also work individually with adults—particularly people who are already doing couples therapy and want space to understand their own patterns more deeply, or people coming in with a specific concern related to sex or sexuality.
Individual work might focus on relationship patterns, family-of-origin experiences, sexuality, desire, sexual functioning, shame, boundaries, or understanding why certain situations in relationships feel especially difficult.
Welcome
The Office
My office is warm, comfortable, and intentionally a little more living room than clinical space. I want it to feel like somewhere you can settle in, exhale, and have the conversations that might feel harder anywhere else.
Meet Kevin
Kevin is my dog and an occasional presence around the office. He brings a little extra personality to the space—and takes his role as unofficial therapy-dog-adjacent coworker very seriously.
