Sex Therapy & Counseling in San Francisco
Affirming support for desire, intimacy, sexual wellbeing, HIV sexual health, relationship concerns, and healing after trauma.
ROAM provides person-centered sex therapy and sex counseling for people exploring desire changes, intimacy challenges, communication concerns, sexual functioning, sexual health, relationship transitions, and the impacts of trauma on embodiment and connection. Care is collaborative, affirming, and paced to your goals.
Services are developed with AASECT sex therapy and sex counseling supervision and grounded in trauma-informed, culturally responsive, harm-reduction-informed care. ROAM also offers product-neutral HIV/STI psychoeducation and support around stigma, disclosure, safer-sex communication, consent, prevention, and connection to care.
Fees & Access
Session Fee & Access
$200per 50-minute session
ROAM offers self-pay therapy for clients who are able to pay the standard session fee. Self-pay means paying directly for therapy rather than using insurance. ROAM does not currently take insurance.
ROAM's standard fee is $200 per 50-minute psychotherapy session with Hiromi "Romi" Ortega Roque, AM, LCSW (CA #126338), PMH‑C. Fees are paid to ROAM Therapy, a 501(c)(3) nonprofit, and help sustain clinical services, operations, and access-centered programming.
Therapy fees are payment for services and are not tax-deductible donations. Reduced-fee availability depends on current funding and program capacity, and fees are discussed clearly before intake.
Book a Free ConsultationAdvanced Training
ROAM's lead clinician completed advanced post-graduate sex therapy training through the California Institute of Integral Studies and continues AASECT-supervised professional development in sex therapy and sex counseling.
What We Support
Sexual Health, Without Shame
Psychoeducation
Clear, product-neutral education about HIV/STIs, U=U, viral suppression, PrEP/PEP, testing, safer-sex practices, and prevention or treatment options to discuss with medical providers.
Counseling Support
Space to work through stigma, disclosure, consent, intimacy, medication-related stress, relationship dynamics, and the emotional weight that can come with sexual health decisions.
Warm Referrals
When additional care is needed, ROAM can help connect clients with HIV/STI testing, HIV primary care, PrEP/PEP, sexual and reproductive health, perinatal HIV, and behavioral health resources.
Our Approach
Care at ROAM is person-centered, trauma-informed, and paced to each person's goals. We welcome people of all identities, relationship structures, and lived experiences, with particular experience supporting LGBTQIA+ people and people navigating trauma, stigma, or barriers to care.
Our approach integrates consent, autonomy, and pleasure-centered healing. We believe exploring sexual wellbeing is a meaningful pathway toward embodiment, agency, and connection.
ROAM does not prescribe, select, or promote specific medications. Medical decisions remain between clients and their medical providers; therapy and counseling can support people in asking questions, reducing shame, and staying connected to care that aligns with their goals.
Ready to Start?
Schedule a free 15-minute consultation to share what you're looking for and see whether ROAM feels like a good fit.
Schedule a Free Consultation