Your Path,
Your Pace.
Person-centered sex therapy, perinatal mental health care, and community training in San Francisco and across California by telehealth.
Support that honors your identity, lived experience, and the pace that feels right for you.
Current Fundraising Priority
Help bring affirming therapy within reach.
ROAM is raising funds to launch lower-cost sex therapy and perinatal mental health care for people who otherwise could not afford services.
What We Do
ROAM offers therapy, sex counseling, psychoeducation, and training that support sexual wellbeing across the lifespan. Our work includes affirming mental health care, HIV/STI prevention and treatment education, safer-sex communication, consent, intimacy, trauma, perinatal transitions, and relationship stress.
Sex Therapy & Counseling
AASECT-supervised support for desire, intimacy, sexual functioning, sexual health, stigma, disclosure, relationships, and healing after trauma.
Perinatal Mental Health Care
Support for pregnancy, postpartum adjustment, loss, fertility, and family-building transitions.
Training & Consultation
Trauma-informed, inclusive training that helps providers and organizations strengthen care, rapport, and community connection.
Training & Credentials
ROAM's clinical leadership brings PMH‑C certification through Postpartum Support International, advanced sex therapy training, AASECT-supervised sex counseling/therapy development, foundational Safe Zone training, and frontline HIV care and public health experience.
Approach to Care
ROAM provides person-centered care for people navigating sexual, relational, and perinatal concerns. Our approach is collaborative, trauma-informed, and paced to each person's goals, values, and lived experience.
We welcome people of all identities, relationship structures, family-building journeys, and life stages. We have particular experience supporting LGBTQIA2S+ people, Black, Indigenous, and other people of color, people impacted by trauma, and people and communities facing barriers to care.
We believe care should address more than symptoms alone. ROAM considers how stress, identity, relationships, culture, and broader systems shape wellbeing, and integrates consent, autonomy, and pleasure-centered healing into care.
How ROAM Practices Care
Access
We work to make quality care more reachable, relevant, and responsive to people's lives.
Affirmation
We honor each person's identity, autonomy, and lived experience.
Connection
We believe healing is strengthened through trust, collaboration, and community.
Integrity
We are committed to ethical, compassionate, accountable care and partnership.
Starting Care
New to ROAM? Start with a free 15-minute consultation. This is a chance to share what you're looking for, ask questions, and see whether ROAM feels like a good fit.
Book a Free ConsultationBeyond the Therapy Room
ROAM's mission extends beyond the therapy room. We partner with providers, community organizations, and mission-aligned supporters to expand access to affirming care, strengthen trauma-informed practice, and build more connected pathways to healing.
Donations help ROAM build sustainable pathways to affirming care, community training, and lower-cost services. If you're able to support this work, every gift helps strengthen ROAM's reach.
ROAM envisions a future where mental health care is accessible, affirming, trauma-informed, and responsive to lived experience.
Ready to Connect?
Whether you're seeking care, making a referral, or reaching out about partnership, training, or support, we'd love to hear from you.
Based in San Francisco, CA · Telehealth available across California