Support ROAM
Donate to Expand Access to Care
Your gift helps ROAM provide affirming sex therapy, sex counseling, perinatal mental health care, HIV sexual health education, and trauma-informed community support.
ROAM Therapy is an IRS-recognized 501(c)(3) nonprofit. Donations are tax-deductible to the extent allowed by law.
Why Your Gift Matters
ROAM welcomes people across identities, backgrounds, and life circumstances. As a nonprofit, we work to reduce barriers that can make specialized therapy harder to access, with particular attention to low-income clients, LGBTQIA+ communities, Black, Brown, Indigenous, immigrant, HIV-affected, and perinatal communities; people impacted by the criminal legal system; and people navigating trauma, stigma, and structural inequity.
A 50-minute sex therapy session in San Francisco typically costs around $200. ROAM offers free and low-cost care because cost should not be the reason someone goes without support for sexual health, intimacy, pregnancy and postpartum adjustment, grief, trauma, or connection to care.
One session can open the door. Therapy does take time, and ROAM pools donations to help ensure subsidized clients can receive clinically appropriate, ongoing care over multiple sessions.
Research-Based Need
Sex Therapy Can Also Be Public Health Work
Sexual health is not only individual. Shame, stigma, trauma, unstable access to care, and discrimination can make it harder for people to ask questions, discuss medication concerns, talk with partners, or stay connected to medical and behavioral health support.
ROAM's role is not to prescribe or promote medication. It is to offer affirming counseling, education, and warm referrals so people can make informed decisions with their medical providers and feel less alone while doing so.
146
new HIV diagnoses in San Francisco in 2024
SFDPH reported a 4.3% increase from 2023, with disproportionate impact among Black/African American residents and cis women.
SFDPH 2024 HIV Epidemiology Annual Report (opens in a new tab)2.2M+
reported chlamydia, gonorrhea, and syphilis cases nationally in 2024
CDC surveillance continues to show the need for prevention, education, stigma reduction, and better linkage to care.
CDC STI Surveillance (opens in a new tab)U=U
treatment access and viral suppression matter
When people living with HIV can stay connected to care and reach an undetectable viral load, they can protect their own health and prevent sexual transmission.
CDC HIV Treatment as Prevention (opens in a new tab)58%
of deaths in a UCSF women-with-HIV cohort involved mental illness and substance use
UCSF reported that providers identified HIV as playing a role in 15% of deaths, while mental illness and substance use were each implicated in 58%, underscoring why trauma-responsive care matters alongside HIV treatment.
UCSF, 2026 (opens in a new tab)Perinatal Mental Health
Perinatal Mental Health Is More Than Postpartum Depression
Pregnancy, birth, loss, fertility treatment, postpartum recovery, feeding, sleep, identity, relationships, and caregiving can change quickly. Perinatal mood and anxiety concerns may emerge during pregnancy, soon after birth, or later in the first postpartum year.
Perinatal care can also hold experiences that do not fit neatly into a diagnosis: intrusive thoughts, grief, loss of autonomy, identity shifts, sleep deprivation, relationship strain, and the emotional weight of becoming, or not becoming, the parent someone imagined.
1 in 8
women with a recent live birth report postpartum depression symptoms
CDC research shows postpartum depression symptoms are common. ROAM uses this data carefully while welcoming perinatal clients of all genders and family structures.
CDC Depression Among Women (opens in a new tab)1 in 5
perinatal individuals may experience depression or anxiety
PSI notes that perinatal mental health conditions can also include OCD, PTSD, bipolar disorder, and perinatal psychosis.
Postpartum Support International (opens in a new tab)8-20%
of women are estimated to experience perinatal anxiety
AHRQ notes that other common perinatal mental health disorders include obsessive-compulsive disorder, panic disorder, and PTSD.
AHRQ Behavioral Health Integration (opens in a new tab)1-2 in 1,000
births may involve postpartum psychosis
Postpartum psychosis is rare and serious. PSI describes it as often sudden in onset, most commonly within the first two weeks postpartum.
Postpartum Support International (opens in a new tab)Make a One-Time Gift
Every gift helps ROAM offer lower-cost care and build the foundation needed to serve clients, referral partners, and the wider community.
$25
one-time
Support outreach
Helps ROAM share resources, respond to inquiries, and connect people with affirming pathways to care.
$60
one-time
Lower barriers
Helps offset sliding-scale care, consultation time, and warm referral support for people navigating cost barriers.
$100
one-time
Half-session support
Helps underwrite roughly half the cost of a 50-minute sex therapy or counseling session at typical San Francisco self-pay rates.
$200
one-time
Sponsor a session
Helps cover the equivalent of one 50-minute session, one meaningful step in an ongoing care relationship.
Become a Monthly Supporter
Monthly giving is especially helpful for a new nonprofit because it makes direct service, outreach, and operating costs easier to plan.
$25
monthly
Sustain access
A steady monthly gift helps ROAM plan for low-cost services, outreach, and warm referral support.
$50
monthly
Build capacity
Monthly support helps fund scheduling, forms, compliance, and the infrastructure behind care.
$100
monthly
Half-session support
A monthly gift at this level helps underwrite roughly half the cost of one therapy session.
$200
monthly
Monthly session fund
A monthly gift at this level can help make one session available at no or reduced cost.
Care Takes More Than One Session
Needs vary, and therapy is never one-size-fits-all. These examples show why recurring donations are especially helpful for making low-cost care sustainable.
$200
1 session
One session can open the door. Pooled donations help fund clinically appropriate, ongoing care over multiple sessions.
$1,200
6 sessions
A short runway of care can help build trust, clarify goals, and support early movement in therapy.
$2,400
12 sessions
This is roughly six months of twice-monthly support for someone receiving reduced-fee care.
$4,800
24 sessions
This is roughly six months of weekly care or one year of twice-monthly support at a $200 session cost.
Custom Gift
Interested in Funding More Than 24 Sessions?
Want to give beyond the session examples above? A custom gift can help ROAM build a flexible care fund, support ongoing subsidized therapy, and strengthen community partnerships.
What Donations Make Possible
Direct Services
Free and low-cost sex therapy, sex counseling, perinatal mental health care, and brief behavioral health support.
Sexual Health Education
Product-neutral psychoeducation on U=U, HIV treatment and prevention conversations, PrEP/PEP, STI prevention, safer-sex communication, consent, and disclosure.
Referral Pathways
Warm connections to HIV/STI testing, HIV primary care, sexual and reproductive health, perinatal HIV care, and behavioral health resources.
Startup Infrastructure
The practical operating costs of building a new nonprofit: compliance, technology, clinical systems, outreach, fundraising, and administration.
Who We Are
ROAM Therapy is a California nonprofit public benefit corporation recognized as tax-exempt under Internal Revenue Code section 501(c)(3). Our Employer Identification Number is 41-2999264 and our California Entity Number is B20250404891.
Help Build ROAM from the Ground Up
Your donation supports both direct services and the practical operating costs required to build a sustainable nonprofit. Donations are tax-deductible to the extent allowed by law. Services are not dependent on making a donation.