BDSM/Kink and Diverse Sexual Expression

Psychotherapy that honors erotic life without reducing it

Sexual expression can carry deep personal meaning, even when it does not fit familiar or socially sanctioned forms. For individuals and couples involved in BDSM, kink, non-monogamy, or other diverse erotic lives, therapy often requires a space where sexuality can be spoken about without assumption, explanation, or judgment.

Many people seek therapy not because of their sexual expression, but while holding it—often privately—alongside struggles with intimacy, shame, attachment, conflict, or identity. Others come precisely because aspects of their erotic life feel charged, divided, or difficult to integrate into the rest of their lived experience. In either case, therapy must be capable of meeting sexuality as a meaningful dimension of psychic life rather than a problem to be corrected or explained away.

When Erotic Life Is Misunderstood or Silenced
People whose sexual expression falls outside conventional norms often encounter misunderstanding—even in therapeutic settings. Some have learned to withhold parts of their erotic experience out of fear that it will be pathologized, trivialized, or interpreted too quickly. Others carry internalized stigma that quietly shapes shame, secrecy, or self-judgment, even when their sexual lives are consensual and meaningful to them.

Therapy offers a space where these dynamics can be explored without pressure to justify desire or arrive at predetermined conclusions. Rather than assuming what sexuality means, we attend to how it is lived—emotionally, relationally, symbolically, and bodily—within the context of your broader inner and relational world.

My Approach
My work with BDSM, kink, and sexually diverse individuals and couples is relational and depth-oriented. I do not treat sexual expression as inherently symptomatic, nor do I presume it to be separate from the rest of a person’s life. Instead, we explore how erotic life intersects with attachment, power, vulnerability, agency, fantasy, and self-experience—at the pace and depth that feels right for you.

Sexuality may or may not be the central focus of the work. Often it is one thread among many. Therapy becomes a place where erotic life can be spoken, held, and thought about without reduction—allowing greater coherence, freedom, and integration over time.

Reach Out Today

Email Today to Schedule an Appointment

Phone: (347) 815-7780
Email: todd@toddandersonphd.com

Manhattan Psychotherapy

Psychotherapy and Psychoanalysis

Todd Anderson, PhD, PsyD, LP is a psychoanalyst and writer whose work is rooted in a contemporary relational and depth-oriented approach to the psyche. He is the author of several books in Routledge’s Psychoanalysis in a New Key series, with a focus on recursive experience, psychic margins, and the unspoken dimensions of clinical life—particularly as they unfold across therapeutic relationships. His telehealth practice engages the complexities of queer life, sexuality, trauma, chronic illness, and unformulated experience, offering patients a space for thoughtful and nuanced exploration of their emotional worlds.

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