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Jon Prezant

Online Sex & Couples Therapy

Direct, evidence-based help for the stuff that's hardest to talk about

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My Services

What I Offer:

Case Consultation

I provide consultation for mental health professionals working with clients who have sexual or relationship concerns. These sessions offer specialized guidance on treatment approaches, case conceptualization, and evidence-based interventions within the scope of sex and relationship therapy.

Sex Therapy

Sex therapy addresses the full spectrum of sexual concerns, from desire discrepancies and performance anxiety to communication challenges and recovery from sexual trauma. I create a non-judgmental space where you can explore your sexuality, understand the factors affecting your intimate life, and develop practical strategies for enhancement and fulfillment.

Couples Therapy

I help couples rebuild connection, improve communication, and navigate the complex dynamics that can create distance in relationships. Using evidence-based approaches, such as Emotionally Focused Therapy, I guide partners through understanding their attachment patterns and breaking negative cycles that keep them stuck. 

Individual Therapy

As an existential therapist, I believe that each client is unique, which means that each therapy session should be tailored uniquely to your needs and circumstances. I employ a multidisciplinary approach to tailor the most effective treatment to your specific concerns.

My Services

What I Offer:

Sex Therapy

Erectile dysfunction, low desire, performance anxiety, pain during sex, or a physical connection that's quietly disappeared - these are the things nobody wants to bring up, and they're exactly what we work on here. Sessions are talk-based. No awkwardness. Just honest conversation about what's happening and practical strategies to change it.

Individual Therapy

You know something needs to change but you can't quite name it. Maybe you're stuck in patterns that don't serve you, in relationships, at work, in how you handle stress. I work with you to figure out what's actually going on, not just manage symptoms. My approach is direct, tailored, and focused on real change.

Couples Therapy

You're having the same fight on repeat, or you've stopped talking altogether. Either way, something's broken and "just communicate better" hasn't fixed it. I help couples get underneath the surface argument to figure out what's actually driving the disconnection - and build something that works better.

Case Consultation

Consultation for mental health professionals working with clients who have sexual or relationship concerns. If you're navigating complex clinical territory - desire discrepancies, dysfunction, trauma's impact on intimacy - I can help with conceptualization, treatment planning, and intervention strategies.

Jon Prezant, LCSW, MA

Sex and Couples Therapist NYC

Most people don’t come to therapy because they want to talk about their feelings. They come because something isn’t working. Perhaps the sex has dropped off, the fights keep escalating, or there’s a disconnect they can’t name. A lot of the men and couples I work with waited longer than they wish they had to make the call.

I’m an AASECT-certified sex therapist and licensed clinical social worker who specializes in the things people have the hardest time talking about: erectile dysfunction, low desire, performance anxiety, painful sex, infidelity, and the slow erosion of intimacy that happens when couples stop being honest with each other. More than half my practice is dedicated to helping couples and individuals work through exactly these kinds of concerns.

My approach is direct and evidence-based. I draw on emotionally focused therapy to help couples understand the attachment patterns driving their conflicts, psychodynamic work to uncover what’s really going on beneath the surface, and specialized sex therapy techniques grounded in decades of clinical research. I’m not interested in giving you platitudes. I want to help you understand what’s actually happening and give you concrete tools to change it.

I hold an MA in Trauma and Crisis Studies from Tel Aviv University, an MSW from Yeshiva University, and completed advanced sex therapy certification through the Modern Sex Therapy Institutes.

I’ve worked with a wide range of individuals and couples – different backgrounds, different values, different relationship structures. What they have in common is that they’re stuck, they’re frustrated, and they want something to change. Whether you’re navigating a sexual concern on your own, trying to rebuild trust after a betrayal, or just trying to figure out why you and your partner can’t stop having the same argument, that’s the work I do.

 

I live in Brooklyn with my husband and our dog, Bernie. When I’m not in session, I write and produce music.

 

More About Me

– Licensed Clinical Social Worker and Licensed Independent Clinical Social Worker (LCSW & LICSW) in:

  • New York (#101168)
  • New Jersey (#44SC06579900)
  • Vermont (#089.0136801TELE)
  • New Hampshire (#5847)
  • Florida (#SW25631)

– Certification in Sex Therapy – AASECT & Modern Sex Therapy Institutes

– MSW – Yeshiva University

– MA in Trauma & Crisis Studies – Tel Aviv University

– BA in Broadcast Journalism – University of Maryland, College Park

Certified & Specialized Training:

    • Certified Sex Therapist (AASECT & Modern Sex Therapy Institutes, 2025)
    • Couples Therapy & Emotionally Focused Therapy (EFT)
    • Trauma-Informed Therapy (MA in Trauma & Crisis Studies, Tel Aviv University)
    • LGBTQ+ Affirming Therapy
    • Psychodynamic Therapy
    • Mindfulness-Based Approaches

Areas of Focus:

    • Sexual Concerns (erectile dysfunction, premature ejaculation, low desire, painful sex)
    • Desire Discrepancies & Intimacy Challenges
    • Couples Therapy (communication, infidelity recovery, attachment patterns)
    • LGBTQ+ Identity & Relationship Issues
    • Trauma & PTSD
    • Non-Monogamy & Alternative Relationship Structures
    • Anxiety & Life Transitions

– American Association of Sexuality Educators, Counselors and Therapists (AASECT)

– International Centre for Excellence in Emotionally Focused Therapy (ICEEFT)

– Jewish Therapy Collective (JTC)

– Open Therapy Institute (OTI)

Your Questions, Answered.

Everything you need to know about starting your journey with me.

How Does This Work?

Individual Sessions: $200 for a 50-minute session

Couples Therapy: $250 for a 60-minute session

I am an out-of-network provider. I can provide you with a detailed superbill (receipt) that you can submit to your insurance company for potential out-of-network reimbursement. Many clients receive partial reimbursement for out-of-network mental health services, though coverage varies by plan.

I recommend contacting your insurance provider to ask about:

  • Your out-of-network mental health benefits
  • How much do they reimburse for CPT code 90834 (individual sessions) or 90847 (couples sessions)
  • Your annual deductible and how much you’ve met
  • Any requirements for pre-authorization

Payment is due at the time of service and is processed through a secure payment portal using a credit card.

Your first session is about getting acquainted and understanding your concerns in a comfortable, no-pressure environment.

We’ll discuss why you’re seeking therapy, your goals, relevant history, and any questions you have about my approach. We won’t jump into highly intimate details right away—the focus is on building rapport and understanding your needs.

It’s natural to feel nervous, and we’ll go at whatever pace feels comfortable. Many clients find that simply talking about their concerns provides immediate relief. First sessions typically run up to 60 minutes to allow time for intake and questions.

I require 48 hours advance notice for cancellations. Late cancellations will be charged the full session fee, though I’ll always try to reschedule first when possible.

This policy allows me to offer your slot to other clients who need it and helps maintain a sustainable practice. I understand that true emergencies happen—please contact me as soon as possible to discuss extraordinary circumstances.

Sex therapy is a specialized form of psychotherapy that addresses sexual concerns, difficulties, and relationship issues. As a trained sex therapist, I help individuals and couples work through challenges such as:

  • Communication about intimacy and sexual needs
  • Desire discrepancies between partners
  • Performance anxiety or sexual dysfunction
  • Recovery from sexual trauma
  • Exploring sexual identity and orientation
  • Navigating changes in sexuality throughout life stages
  • Addressing the impact of medical conditions on sexual health

Sex therapy is talk-based and does not involve physical contact or sexual activity during sessions. Instead, we focus on education, communication skills, exercises that you can practice at home, and processing emotions related to sexuality in a safe and non-judgmental environment.

This is one of the most common concerns, and you’re not alone.

You can still benefit significantly from individual work. You’ll learn new communication strategies that can shift relationship dynamics, understand your own patterns and triggers, develop skills for managing conflict, work through personal barriers to intimacy, and gain clarity about what you want.

Sometimes sharing what you’re learning (without pressure) or inviting your partner to a single session to “help you” can make them more open to therapy. Remember that you can only control your own choices and responses—but when one partner begins changing their patterns, it often creates space for the relationship to improve naturally.

Yes, and a lot of people do. Individual therapy makes sense when you want to work through a sexual concern privately before bringing it into the relationship, when your partner isn’t ready for couples work yet, or when you need to get clear on your own patterns before tackling things together. We can work on understanding what’s driving the disconnection on your end, building communication skills for the hard conversations you’ve been avoiding, and figuring out what you actually want. Many of my clients find that when they start shifting their own patterns, the relationship starts shifting too — sometimes enough that a resistant partner becomes open to joining later.

Is This For Me?

No, and I hear this a lot, especially from men. Most of my male clients tell me they expected therapy to be a lot of vague questions about their childhood and long silences. That’s not how I work. Sessions with me are direct, structured, and focused on what’s actually going on in your life right now. We’ll identify what’s not working, figure out why, and build a concrete plan to change it. Think of it less like lying on a couch and more like working with someone who’s going to help you solve a problem.

Yes, this is one of the most common reasons men come to see me. Erectile dysfunction, performance anxiety, premature ejaculation, low desire, difficulty with orgasm – these are issues that affect a huge number of men and are almost never talked about honestly. A lot of guys assume it’s purely physical, but there’s almost always a psychological component, and that’s where therapy can make a real difference. You don’t need to have everything figured out before you reach out. Most of my clients start by just describing what’s happening, and we go from there.

Absolutely. I work with couples across a wide range of backgrounds, beliefs, and values, including couples who disagree on politics, religion, parenting, or how they see the world. Couples therapy isn’t about getting you to agree on everything. It’s about understanding the attachment dynamics underneath your conflicts and learning how to stay connected even when you see things differently. Some of the strongest couples I work with hold very different worldviews. The issue is rarely what you disagree about – it’s how you disagree.

 

Relationship therapy can help you and your partner improve communication (especially around intimate topics), rebuild emotional and physical intimacy, navigate life transitions, resolve conflicts, align expectations around desire and goals, and heal from betrayals or broken trust.

My combined expertise in relationship and sex therapy means we can address both relational dynamics and sexual concerns in depth. Therapy provides a neutral space where both partners can be heard and work collaboratively toward shared goals.

Yes. I’m gay, I’ve worked extensively with LGBTQ+ individuals and couples, and you won’t need to spend session time educating me about your experience. Whether you’re navigating coming out, identity questions, relationship dynamics specific to queer partnerships, or anything else — I’ve been there clinically and personally. This is a space where you can talk openly without filtering.

Contact Me

Jon Prezant, LCSW, MA

Sex and Couples Therapist NYC

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