A note for therapists and pelvic floor physical therapists.

You may have a client whose progress has stalled somewhere your work cannot reach — not for lack of insight, and not for lack of tissue change. This page is about that gap, and about what I do and do not do inside it.

What somatic sex education is

I teach practices. A client learns, in their own body and at their own pace, how to breathe, how to notice arousal and stay with it, how to feel where a yes actually lives, and how to tend a scar with their own hands. The work is experiential, client-led, and consent-based. It is education, not treatment.

What it reaches that talk therapy does not

Sex therapists do not do hands-on work. A client can be assigned homework involving arousal, and can return to describe what happened — but the arousal itself occurs outside the room, unwitnessed and unguided. What cannot be done in session cannot be coached in session.

Somatic sex education works with arousal as it happens: in real time, with a skilled educator present, with the client’s own attention as the instrument. For clients who can articulate their history precisely and still cannot feel their pelvis, this is often the missing half.

What it reaches that pelvic floor PT does not

Pelvic floor physical therapists do hands-on work and teach anatomy — and that is genuinely different from what I do. What falls outside the scope of most pelvic PT is arousal itself, and the emotions that surface alongside it. Tissue can become mobile while sensation stays absent, and grief, shame, or fear can arrive the moment feeling returns, with no framework in the room for meeting them.

Somatic sex education takes up exactly that: the return of sensation, what arrives with it, and consent as an explicit, teachable curriculum rather than an assumed background condition.

The three do different things. A client can be in all three at once, and often should be.

Scope of practice

All work is client-led, consent-forward, and educational.

I am a somatic sex educator, an artist, and a student of Zen Shiatsu. I am not a therapist nor medical provider. I don’t diagnose or treat; I teach practices you carry out in your own body, at your own pace. These plans complement (and pair beautifully with) psychotherapy, pelvic floor physical therapy, licensed therapeutic bodywork, and medical care.

On scar tissue specifically: I teach self-practice only, and I do not treat scar tissue. I work only with external, fully healed scars at least six weeks old, never with scars holding surgical mesh, and always with an allergy patch-test before castor oil is used. Where medical care, pelvic floor physical therapy, or licensed medical bodywork are indicated, I say so and help the client find them.

Client readiness

This work asks that a reliable emotional support system already be in place. I am not a therapist, and I do not hold clinical crisis. A client actively in crisis, or without ongoing support, is better served by establishing that first — and I will say so rather than begin.

For clients already in your care, concurrent work is usually the strongest arrangement: you hold the clinical relationship, and I teach the practice.

How to refer

Send them to book a free consultation, or write to me directly and I will follow up. The consultation is twenty minutes and carries no obligation — for the client or for you. If the fit is wrong, I will say so and, where I can, point them somewhere better.

I am glad to talk practitioner to practitioner before any referral. Questions about scope, method, or whether a particular client is a fit are welcome.