Couples come to me at every stage of this question. Some are curious about opening...
Read MoreJon Prezant, LCSW, CST
AASECT-Certified Sex and Couples Therapist
In person in Williamsburg, Brooklyn, and online across New York, New Jersey, New Hampshire, and Florida
As featured in
My Services
What I Offer:
Sex Therapy
Erections that don't cooperate, desire that went quiet, finishing too fast or not at all, pain, or sex that stopped somewhere along the way and never restarted. Sex therapy is talk therapy: no touch, no exam. We work out what's keeping the problem going, and you practice something different between sessions. If something medical might be involved, I'll say so and refer you to the right specialist.
Individual Therapy
Much of my individual work is with men, gay and straight, on sex, relationships, and what runs between them: the same relationship with a different partner, sexual behavior that's gotten away from you, shame that predates anyone you've dated. I'm direct, and I'll tell you what I notice.
Couples Therapy
The same fight on repeat, or the quiet that replaced it. Most couples therapy treats sex as something that will sort itself out once you communicate better. It usually doesn't. I work on the conflict and the sex in the same room, because they're the same story.
Weekend Intensives
Two days of concentrated couples work, in person in Williamsburg, Brooklyn, with a pre-assessment before and a follow-up after. For couples at a crossroads who can’t wait out months of weekly sessions, and for couples who aren’t in crisis but want uninterrupted time on the thing they keep postponing. Same work, without the week in between to retreat to your corners.
Jon Prezant, LCSW, MA, CST
AASECT-Certified Sex and Couples Therapist
Most people don’t call a therapist because they want to talk about their feelings. They call because something stopped working: the sex dropped off, the fights got predictable, or there’s a distance neither of you can name.
I’m a licensed clinical social worker and an AASECT-Certified Sex Therapist (CST). About half my practice is couples. The other half is individual men, gay and straight, working on sex and relationships. I see gay and queer couples, mixed-orientation couples, and couples divided by politics or religion.
People usually arrive wanting a problem solved. What helps more is building the capacity the problem is asking for: staying in a hard conversation without shutting down, wanting something and saying so, holding steady when someone you love is disappointed in you. I draw on emotionally focused therapy, schema therapy, psychodynamic work, and acceptance and commitment therapy. For sexual behavior that feels out of control, I use the OCSB model, not an addiction model.
I hold an MSW from Yeshiva University and an MA in Trauma and Crisis Studies from Tel Aviv University, and I’m certified as a sex therapist by AASECT. Men’s Health, VICE, and Out have quoted me on sex and relationships.
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 (LCSW) in New York (#101168), New Jersey (#44SC06579900), and Florida (#SW25631). Licensed Independent Clinical Social Worker (LICSW) in New Hampshire (#5847).
– AASECT-Certified Sex Therapist (CST), certified 2025
– MSW – Yeshiva University
– MA in Trauma & Crisis Studies – Tel Aviv University
– BA in Broadcast Journalism – University of Maryland, College Park
Training and methods
• Sex therapy training: Modern Sex Therapy Institutes
• Emotionally Focused Therapy (EFT)
• Schema therapy
• Psychodynamic therapy
• Acceptance and commitment therapy (ACT)
• Out-of-control sexual behavior (OCSB) model
What I work with
• Erectile difficulties and performance anxiety
• Premature and delayed ejaculation
• Low and mismatched desire
• Out-of-control sexual behavior (what many people call sex addiction)
• Infidelity and affair recovery
• Open relationships and non-monogamy
• Gay couples and mixed-orientation couples
• Couples divided by politics or religion
• Therapy for gay men
• Sexual shame after a religious upbringing
• Jewish clients, including gay and queer Jews
– 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.
Fees, logistics, and whether this is the right fit.
How Does This Work?
What are your fees, and do you accept insurance?
Individual Sessions: $250 for a 50-minute session
Couples Therapy: $325 for a 60-minute session & $450 for a 90-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 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.
What should I expect in my first session?
The first session runs up to 60 minutes. I’ll ask what brought you in now: not what’s been wrong for years, but why this month. We’ll cover how you understand the problem, what you’ve already tried, and what a good outcome would look like. I won’t ask for explicit sexual detail in a first session; that comes later, and only where it’s useful. You’ll leave with my read on what’s going on and whether I’m the right fit. If I’m not, I’ll say so and point you somewhere better.
What is your cancellation policy?
24 hours’ notice. Late cancellations are charged the full session fee, though I’ll always try to reschedule first. Real emergencies happen; contact me as soon as you can.
What is sex therapy?
Sex therapy is psychotherapy for sexual concerns, done by a therapist with specialized training in sexual function, desire, and arousal. It’s talk therapy: no physical contact, no examination. We identify what’s driving the concern, take apart the expectations keeping it going, and you practice specific things between sessions. When a medical factor might be involved, I’ll tell you and refer you to a physician or pelvic floor physical therapist.
Can I come alone even if my concern involves my relationship?
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?
I've never been to therapy. Is this going to be weird?
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.
Do you work with men on sexual health concerns?
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.
My partner and I have really different views on things. Can couples therapy still work for us?
Yes. 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.
Do you work with LGBTQ+ clients?
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.
Contact Me
Jon Prezant, LCSW, CST
Sex and Couples Therapist
- Leave Your Details
- Free 15-minute consultation
- AASECT-Certified
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