Jon Prezant
Gay Couples Therapy in NYC
Direct, evidence-based couples therapy for gay men, from a gay man
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.
Jon Prezant, LCSW, MA, CST
AASECT-Certified Sex and Couples Therapist
For some couples, having a gay therapist doesn’t matter. For most of mine, it matters a lot at the start: a shared baseline, no translating, no wondering whether your therapist privately judges you. What matters most over time is the quality of the work. The shared starting point buys speed and trust.
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 over the course of a lifespan. 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. My clinical insights have been featured in Men’s Health.
I hold an MA in Trauma and Crisis Studies from Tel Aviv University, an MSW from Yeshiva University, and earned certification in sex therapy through the Modern Sex Therapy Institutes.
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)
- 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?
How do you approach couples work?
I ground it in emotionally focused therapy and differentiation-based approaches: understanding the attachment cycle underneath your recurring conflict, then building each partner’s capacity to stay themselves while staying connected. Sessions are direct and structured. You’ll leave with something to do differently, not just insight.
Is sex actually part of couples therapy here?
Yes, explicitly. Most couples therapists steer around the sexual relationship because they were never trained in it. Desire discrepancies, erectile difficulties, and sexual avoidance get treated here with the same directness as everything else.
What is sex therapy?
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.
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
- Leave Your Details
- Free 15-minute consultation
- AASECT-Certified
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My Blogs
Ready 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 MoreSexual Performance Anxiety: Why “Just Relax” Never Works
If you’re reading this, there’s a decent chance it’s late, you’re alone, and something happened...
Read More