Jon Prezant
Gay Couples Therapy in NYC
Direct, evidence-based couples therapy for gay men, from a gay man
Gay couples therapy in New York City, online
Jon Prezant, LCSW, MA, CST — AASECT-Certified Sex and Couples Therapist
I see gay couples across New York City, all of it online. I’ve practiced here my whole career and I live in Brooklyn, so the couples I work with are usually describing a city I know from the inside. The apartment in Astoria that’s too small to have a real fight in, so the fight happens in text messages instead. The Chelsea couple who’ve been together eleven years inside a dating market that never stops advertising what else is available. The partner in Hell’s Kitchen whose job quietly became the third person in the relationship, and the one in Park Slope who’s furious about it but can’t say so without sounding unsupportive. The standing assumption, rarely said out loud, that every other gay couple in this city is having more sex than you are, or better sex, or more honestly negotiated sex.
Most of my clients tell me it mattered that I’m gay when they were deciding who to call, and mattered less once we got going. That tracks. What it buys you early is speed: you don’t spend three sessions building context, and you’re not watching my face for a reaction. After that, what carries the work is the work.
I’m a licensed clinical social worker and an AASECT-certified sex therapist. Most couples therapists have no sex therapy training, and most sex therapists don’t do sustained couples work. The overlap is where I spend my time: erections that cooperate alone but not with a partner, desire that went quiet, sex that turned into negotiation, agreements that got broken. I work from emotionally focused therapy for the attachment pattern underneath the conflict, and from differentiation-based approaches for the harder part, where each of you has to hold your own ground without leaving the room. Men’s Health has quoted my clinical work on sex and desire.
I’m licensed in New York and see couples in Westchester, on Long Island, and up the Hudson Valley, plus New Jersey, New Hampshire, and Florida. MSW from Yeshiva University, MA in Trauma and Crisis Studies from Tel Aviv University, sex therapy certification through AASECT and the Modern Sex Therapy Institutes. I live in Brooklyn with my husband and our dog, Bernie, and produce music when I’m not in session.
My Services
What Gay Couples Bring to Therapy:
The Repeating Fight
The argument that wears different costumes but runs the same loop, or the silence that replaced it. We get underneath the choreography to the attachment cycle driving it, and interrupt it there.
Open Relationships & Agreements
Monogamous, open, or disagreeing about which to be. I have no agenda about your structure. What I care about is whether your agreements are honest and whether the structure serves the relationship or hides from it.
Desire & Sex
Desire that faded and the fear of what that means. Sex that became routine, infrequent, or a tension neither of you names. I treat the sexual side of your disconnection in the same room as the emotional side, not as a separate referral.
Trust & Betrayal
An agreement violated, and the question of whether it counts as cheating and what happens now. Concentrated repair work, including the conversations that are impossible to have at home.
Your Questions, Answered.
Everything you need to know about starting your journey with me.
How Does This Work?
Do you see couples in person in New York City?
No, I work entirely online, including with couples a subway ride from me in Brooklyn. That’s a deliberate choice rather than a limitation. Couples therapy tends to hold better when neither partner has to leave work early, cross the city in rush hour, and arrive already irritated with each other. It also means we can meet consistently through travel, bad weather, and the weeks when your schedules don’t overlap.
Can we join from two different locations?
Yes, and plenty of couples do – one at home, one still at the office, or one traveling. It’s not ideal as a permanent arrangement, since some of the work depends on you being in the same physical space, but it’s far better than cancelling. Both of you do need to be somewhere private. A session where one partner is in a shared office with headphones on will be a session where he doesn’t say much.
Do you only work with couples in the city?
No. I’m licensed in New York State, so I can see couples anywhere in New York – Westchester, Long Island, the Hudson Valley, upstate. I’m also licensed in New Jersey, New Hampshire, and Florida, which matters if one of you has relocated or you split time between two states.
Is This For Us?
One of us wants to open the relationship and one doesn't. Can therapy help?
This is one of the most common reasons gay couples call me. The work isn’t me refereeing toward a verdict; it’s getting underneath what openness means to each of you, what the fear and the wanting are about, and finding a decision you can both genuinely live with.
We're not in crisis. Is this still worth it?
The couples who get the most from this work often aren’t in crisis. They’ve hit a plateau, sexually or emotionally, and want more than stability. That’s a growth project, and it’s good work.
We already tried couples therapy. Why would this go differently?
Ask yourselves whether sex was ever honestly on the table in that treatment. If it wasn’t, you may still be avoiding key issues related to your initial complaint. Sex is often the crucible for profound relationship concerns.
Contact Me
Jon Prezant, LCSW, MA
Gay Couples Therapist in NYC
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- Free 15-minute consultation
- AASECT-Certified
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My Blogs
Gay Men and Porn: When It Becomes a Problem (And When It Doesn’t)
Almost everything written about gay men and porn splits into two camps, and neither one...
Read MoreReady for a Relationship? Why That’s the Wrong Question
Most people asking whether they’re ready for a relationship are working from a story our...
Read MoreCouples Therapy and the Growth Edge: Rethinking Low Desire, Erectile Dysfunction, and Sexual Boredom
Most couples who come in for couples therapy for sexual issues arrive convinced that something...
Read More