Tammy 'Kaia' Bruski, MS, LPC, CST
Licensed Psychotherapist in Colorado
AASECT Certified Sex Therapist
Sexuality is deeply personal. Therapy should be too.
Sex Therapy
Sexuality is about more than sex. It's shaped by our relationships, identities, experiences, and the messages we've received throughout our lives. It influences how we understand ourselves, experience intimacy, and connect with others.
Online sex therapy for individuals, couples, and polycules throughout Colorado.
Sex is rarely just about sex
Many people come to therapy believing they're coming to talk about sex. Sometimes they are.
More often than not, the conversation also becomes about trust. Or communication. Or desire. Or shame. Or learning how to reconnect with a partner. Or understanding themselves in a new way.
Because sexuality doesn't exist in isolation. It lives within our relationships, our life experiences, our bodies, and the stories we've learned to tell ourselves about intimacy.
Understanding sexuality often begins with understanding yourself.
What brings people to sex therapy?
Every person arrives with a different story.
You may be asking yourself:
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Why is it so difficult to talk about sex with my partner?
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Why has my desire for sex changed?
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How do I bring up my desire to open up our relationship into some version of ethical non-monogamy?
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Why am I experiencing pain, discomfort or dysfunction with my sexual partner?
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How do I sexually reconnect with my partner, and infuse our sex life with novelty and long-held fantasies?
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How do I better understand and integrate my sexual orientation and gender identity?
There isn't one reason people seek sex therapy. Our work begins with curiosity—not assumptions—creating space to understand your experiences, your relationships, and the role sexuality plays in your life.
Sexuality looks different for everyone
Sexuality is shaped by our identities, relationships, desires, experiences, and the meanings we give them. For some, sex therapy focuses on intimacy, pleasure, or changing patterns of desire. For others, it involves exploring aspects of sexuality or relationships that don't necessarily fit conventional expectations.
LGBTQIA+ identity and sexuality
Exploring sexual orientation, gender identity, and sexual expression can bring questions about authenticity, belonging, intimacy, and how we want to live our lives. Whether you're questioning your identity, navigating coming out, or considering how your sexuality intersects with your relationships, therapy can offer room to explore without pressure to arrive at a particular answer.
Our work isn't about defining who you should be. It's about understanding your experiences, making sense of what matters to you, and finding greater freedom to express yourself authentically.
Kink, BDSM, and power exchange
Kink can involve pleasure, fantasy, creativity, sensation, dominance and submission, or consensual power exchange. For some, these interests are a meaningful part of their sexuality or identity. For others, they're something new they're curious about exploring.
Kink-affirming sex therapy offers space to talk openly about desires, boundaries, consent, communication, and the emotional dynamics of these experiences. Kink itself isn't treated as a problem to solve. Instead, we can explore what these interests mean to you and how they fit into your relationships and sexual well-being.
Ethical non-monogamy and polyamory
Relationships don't all follow the same structure, and neither do the questions people bring to therapy.
Whether you're considering opening a relationship, practicing polyamory, navigating different expectations among partners, or exploring other forms of consensual non-monogamy, therapy can help you think more intentionally about communication, trust, agreements, jealousy, intimacy, and emotional connection.
The goal isn't to encourage monogamy or ethical non-monogamy. It's to understand the relationships you want to create and how to approach them with honesty, care, and mutual respect.
My approach to sex therapy
I believe therapy begins with understanding.
Sexuality is deeply personal, and every person's experiences, relationships, and values are unique. Rather than beginning with assumptions, I want to learn what matters most to you and how sexuality fits into your life.
Whether we're talking about desire, intimacy, communication, relationships, identity, kink, or another aspect of sexuality, our conversations are guided by curiosity, respect, and a genuine interest in your unique experiences.
Telehealth therapy provides access to all people in Colorado, whether you live in urban or rural settings.
You may be wondering...
Let's start a conversation
You don't have to have everything figured out.
Your sexuality and gender identity are part of who you are, and they can shape how you see yourself, experience intimacy, and connect with others.
Having the space to explore what they mean to you, without pressure or expectations, can make a real difference.
Whether you're seeking support for a specific concern or simply looking for a place to explore this part of your life with curiosity and care, I'd be honored to meet you.
Together, we'll explore what brings you here, what matters most to you, and whether we're a good fit to work together.