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How we love shapes how we live.

Hi, I’m Emma Shandy Anway (she/her). I help individuals, couples, and polycules build deeper connection with themselves and each other—through relational, sex-positive therapy grounded in warmth and real-world insight.

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"Eroticism is a quality of vitality, aliveness, and vibrancy."

Esther Perel

A little bit about ESA Counseling Services

Welcome to ESA Counseling Services. I am a West Coast-based Licensed Marriage and Family Therapist who specializes in relational and sex therapy. ​I believe that everything you need to live an authentic and incredible life already exists within you, and the therapeutic relationship between us will provide you a space to draw this out and work through whatever barriers may be holding you back.

 

Therapy is a safe place where healing connections are established and used to help individuals, couples and partnerships learn how to navigate the ups and downs of all that life brings. I see clients in person in Sacramento, California and virtually via tele-therapy video sessions to clients who live in California, Washington State, and the United Kingdom.

For therapists in training, I also have a limited amount of space to provide supervision. See the supervision page for more information.

Learn more about ESA Counseling.

Start therapy where it matters most to you.

Sex and Intimacy

Feeling disconnected from your body, your desire, or your sense of sexual self can be deeply isolating. Whether you’re navigating identity, intimacy, or past experiences, sex therapy offers a space to explore and reconnect—without shame or pressure.

Relational Health

You’re not alone if things feel harder than they used to—conflict, disconnection, or a desire to relate differently can all bring couples into therapy. Relational therapy helps you move through stuck dynamics with honesty, care, and clarity.

Individual Growth

Sometimes life looks fine on the outside, but inside you feel flat, restless, or unanchored. Individual therapy can help you reconnect with yourself, understand what’s missing, and build a more meaningful, aligned life.

As seen in...

AASECT Certified Sexuality Therapist
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Get in touch!

If something here resonates, I’d love to hear from you—whether you’re curious, ready to begin, or simply want to start a conversation.

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