Change Direction

A "desire line" is a foot path made by us – people changing direction, as we discover that the path we are on isn't the best one for us.
Client Portal
Offers Telehealth
Appointments
Accepts
Online Payments
Accepting New
Clients

About

If you are on an unchosen or changing path and you need a therapist to help you navigate new territory, I can help. I provide relationship therapy and sex therapy for unique people in non-traditional relationships. If you are looking for therapy in-person, I am available in Dupont Circle in Washington, DC on Thursdays. I have weekday morning and evening hours and I am able to work with many insurance companies.
Desaray Smith
Relationship counseling and sex therapy

Services

Issues, Concerns and Communities

  • Depression
  • Anxiety
  • Trauma
  • Suicidal Ideation
  • Cultural and Systemic Oppression
  • Grief
  • Codependency
  • Divorce
  • Infertility
  • HIV/AIDS
  • Out of Control Sexual Behaviors
  • Low Desire and Lack of Arousal
  • Erectile Dysfunction
  • Sexual Pain and Discomfort
  • Out of Control Substance Use
  • Medication Assisted Treatment
  • 12 Step Recovery
  • LGBTQIA+
  • Kink/Diverse Sexualities
  • Open Relationships/Polyamory
  • Gender Affirming Care

Approaches

  • Cognitive Behavioral Therapy (CBT)
  • Narrative Therapy
  • Psychodynamic Therapy
  • Sex Therapy
  • Trauma Focused
  • Strength-Based
  • Compassion Focused
  • Attachment-Based
  • Motivational Interviewing
  • Harm Reduction
  • Psychobiological Approach Couple Therapy
  • Discernment Counseling
  • Letters of Medical Necessity

Fees

  • First Session/ Sliding Scale: $70
  • For One / 50 min : $150
  • For Two / 50 min: $200
Client Portal