I help couples have better sex

Initial Consultation Session

Couples Services

Better Sex Package

Pre-Marital Package

Communication Package

Rocky Roads Package

Make it or Break it Package

Couples Communication Package

With weekly one to one sessions with Alison you will learn everything you need to know to succeed in your intimate relationships. Learn how to overcome performance anxiety, deal with porn addiction, and delayed or early ejaculation issues. Through interactive video sessions you will gain the confidence you need in bed and in your life. All you need to know is how to start.

This initial consult is for women who are experiencing:

  • Difficulty getting aroused (Sexual Arousal Disorder)

  • Painful Orgasm/Sex (Dyspareunia)

  • Low Libido (Hypoactive Sexual Desire Disorder)

  • Orgasmic Dysfunction (Anorgasmia)

  • Anxiety or Depression

  • Sexual Trauma/PTSD

San Francisco, CA · Nashville, TN · Online · Currently Accepting New Clients ASK ALISON LEIGH · PhD, MFT

Most couples wait until they're already in crisis.

You don't have to. The relationship you want is still possible.

Whether rebuilding after betrayal, navigating mismatched desire, preparing for marriage, or simply feeling like strangers — I work with all couples, all structures.

Contact Alison
What brings couples to me
  • Feeling like roommates, not partners
  • Mismatched desire and intimacy
  • Recovering from an affair or betrayal
  • Constant conflict with no resolution
  • Preparing for marriage or major life changes
  • Communication breakdown
  • Sexual disconnection
  • Considering separation or divorce
  • Rebuilding trust after crisis
What changes
  • Real communication — heard and understood
  • Intimacy and desire rekindled
  • Trust rebuilt on solid ground
  • A shared vision for your future
  • Tools you use long after therapy ends
  • A relationship worth staying in
I work with all couples — married, unmarried, straight, LGBTQIA+, monogamous and non-monogamous. First session is 70 minutes. I respond within one business day.
"We came to Alison as a last resort before divorce. A year later we are stronger than we have ever been. She has a gift for getting to the heart of what is really happening and helping you fix it."
— Yelp Review · San Francisco · Verified