Sex-Positive Psychotherapy
A non-judgmental place to talk about sex and relationships.

Andi Grushka, MSS, LCSW-C
I offer sex therapy specifically for adults struggling with issues including, but not limited to:
- Intimacy issues in relationships
- Lack of sexual education in young adulthood
- Infidelity
- Sexual dysfunction
- Couples in ethical non-monogamous relationships looking for guidance with communication or other relationships
- Individuals who are in the kink, BDSM, or sex-work communities and would like informed therapeutic care
Read more about my background and therapeutic framework.

Let’s Get Your Relationship with Sex Back on Track
I am a therapist in Baltimore, Maryland dedicated to creating a safe and non-judgmental space for my clients, where they can express their concerns and fears regarding intimacy. By fostering this environment of trust, I aim to help clients identify and address any emotional, psychological, or physical factors that may be impacting their sexual well-being.
Whether you are experiencing difficulties in your relationship, struggling with sexual dysfunction, or simply seeking to enhance your intimacy, I am here to support and guide you. Together, we can establish personalized goals and develop a comprehensive plan to navigate these challenges and bring your relationship and/or sex life back on track.
Sessions take place at my Baltimore office or through the convenience of HIPAA compliant telehealth.

Sex Therapy for Couples
A caring and helpful approach to assist couples in overcoming obstacles that may be preventing them from having a satisfying and healthy sexual relationship.

Sex Therapy for Individuals
Therapeutic care for people dealing with intimacy-related problems such as sexual education, infidelity, and those in the kink communities.

Telehealth Sex Therapy
Discreet Sex Therapy Counseling from the Comfort of Your Home
Conferences & Events
I’m regularly presenting, organizing, and attending industry conferences to share insights and collaborate with peers throughout the year.
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Consent Dojo #47: For the Newcomer – Understanding Consent in Subcultures
Nov 24 2025 — 3:00 PM PT / 6:00 PM ET

Speaking Engagements
Bring Andi’s Expertise to Your Event
Andi Grushka is a leading voice in sex-positive relational therapy, empowering diverse audiences to understand complex intimacy issues and cultivate healthier, more authentic sexual relationships. She delivers transformative experiences for academic conferences, professional associations like AASECT and SHA, and specialized workshops. Her expertise spans vital topics including ethical non-monogamy, kink, BDSM, infidelity, and comprehensive sexual education.
Recent Articles
Testimonials
Curious about how therapy can help?
Let’s connect for a free 15-minute phone consultation to discuss your needs.



