About us

Dr. Carolin Klein sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Any kind of sexual concerns, including desire discrepancies in couples; sexual pain conditions; sexual difficulties; sexual anxieties; and problematic sexual behaviours.
• Navigating and exploring new and diverse ways of being sexual (including navigating open relationships; exploring atypical sexual interests; and/or finding new ways of being sexual following physical changes due to a medical condition/medications/surgery).
• Relationship concerns and enhancing non-sexual intimacy.
• Emotional distress, including depression, anxiety, grief, dealing with major life changes/stressors, and difficulties regulating emotions.
• Changing problematic behaviours, including problematic sexual and non-sexual behaviours (e.g., suicidal and self-harm behaviours; skin-picking; substance use; problematic eating).

Office Hours:  Mondays through Thursdays during daytime hours

More about Dr. Carolin Klein:
Dr. Klein is a Registered Psychologist and a Director of the West Coast Centre for Sex Therapy. She has a PhD in clinical psychology from the University of British Columbia (UBC). In addition to her graduate training, she completed a clinical and research fellowship with the UBC Sexual Health Laboratory, as well as a concurrent clinical fellowship with the Dialectical Behaviour Therapy Centre of Vancouver in 2010-2011. Prior to opening the West Coast Centre for Sex Therapy, she served as Director of the Multidisciplinary Vulvodynia Program at Vancouver Hospital, and before that, as Associate Director of the UBC Psychology Clinic. In addition to her clinical work, she currently sits on the executive council for the Society for Sex Therapy and Research as their Development Officer, and she sits on the medical advisory board for the Lichen Sclerosus Support Network. She also regularly provides workshops and presentations to the general public and to other professionals designed to provide accurate information and challenge unhelpful ideas about sexuality.

Dr. Jason Winters sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Problem sexual behaviours, or what is often called sex addiction, porn addiction, compulsive sexual behaviour, hypersexuality, out of control sexual behaviour, etc.
• Unusual or atypical sexual interests, otherwise known as kinks, fetishes, or paraphilias.
• Performance difficulties and anxiety, including erectile dysfunction or early (premature) ejaculation.
• Difficulties with orgasm.
• Low sexual desire or low libido.
• Poor sexual self-esteem, or lack of sexual confidence.
• Sexual anxiety or guilt.
• Sexual OCD (obsessive compulsive disorder), such as homosexual OCD and pedophilic OCD.
• Sexual orientation difficulties.
• Sexual pain, including vulvodynia.
• Sexual desire discrepancies.
• Couples therapy, and couples sex therapy.
• Non-sexual problems such as anxiety, depression, OCD, psychosis, emotion regulation difficulties, behavioural problems, etc.

Office Hours:  Mondays, Tuesdays, Thursdays, and Fridays 9:00-4:30 for in-person appointments.

More about Dr. Jason Winters:

Dr. Karen AuYeung sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual function and performance concerns, including difficulties with erection, ejaculation, desire, arousal, and orgasm
• Couple’s concerns including desire discrepancies, enhancing sexual and non-sexual intimacy.
• Navigating and exploring interpersonal and romantic relationships; exploring diverse ways to be sexual (including navigating open relationships; exploring atypical sexual interests, kinks, and/or fetishes)
• Self-identity, particularly within the realm of exploring sexual and gender identities and orientations, cultural identity, and familial relationships
• Self-esteem and body image
• Perfectionism
• Other emotional difficulties, including depression, anxiety, OCD, eating disorders, grief, difficulty regulating emotions, self-harm and suicidal behaviours, etc.
• Coping with stress, adjustment, and life changes

Office Hours:

Karen offers virtual and in-person appointments on Wednesday 10:00am-6:00pm

More about Dr. Karen AuYeung:

Dr. Karen AuYeung is Registered Psychologist who received her Ph.D. in Clinical Psychology from the University of British Columbia in 2017. In addition to WCCST, she works in private practice at the North Shore Stress and Anxiety and is the Youth Clinical Consultant for BounceBack BC. She has previously worked with the Provincial Eating Disorders Program at BC Children’s Hospital and Vancouver Coastal Health.

Dr. AuYeung’s approach to therapy is active, collaborative, and compassionate. She has training in multiple evidence-based therapies, including Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), CBT and Family Based Therapy for Eating Disorders, and Mindfulness. Where she will bring evidence-based techniques and expertise, she believes that therapy needs to be integrative and responsive to each individual’s or couple’s unique needs and barriers.

Dr. AuYeung strives to create a safe and trusting therapeutic relationship and provide recommendations and strategies that are responsive to your specific interests, strengths, and values. Her approach is open, non-judgmental, and intersectional, acknowledging that the different systems and contexts that we exist in strongly impact our well-being, sense of identity, and experience of mental health. She aims to provide a safe, non-judgmental space that is affirming and respectful of diverse backgrounds, including but not limited to gender, sexual orientation, racial, cultural, ability, and class identities.

Dr. Dang is not accepting new client until June 2026

Dr. Silvain Dang sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual function and performance concerns, including difficulties with erection, ejaculation, desire, arousal, and orgasm
• Problematic sexual behaviours, including difficulties related to pornography use, infidelity, and “sex addiction”/”hypersexuality”
• Coping with kinks, paraphilias, fetishes, and uncommon sexual interests
• Self-identity, self-esteem, and body image
• Navigating interpersonal and romantic relationships
• Perfectionism
• Emotional distress, including depression, anxiety, and panic
• Coping with stress, adjustment, and life changes

Office Hours:

Dr. Dang offers virtual and in-person appointments on Monday 9:00am-6:00pm, Tuesdays 12:00pm-6:00pm and Friday from 9:00am-5:00pm.

More about Dr. Silvain Dang
As a therapist, Dr. Dang’s foremost goal is helping people overcome difficulties, achieve personal growth, and live in greater accordance to their values and passions. To achieve this, he uses a range of scientifically-supported therapy treatment approaches. These include cognitive behavioural therapy (CBT) to help clients find relief from current difficulties and distress, and psychodynamic treatments to help clients gain more self-understanding and achieve long-term goals.

His approach is collaborative and non-judgmental, with an emphasis on understanding the whole person and creating lasting positive change. He always aim to provide knowledge, insight, and strategies that work in the context of the individual client’s unique life experiences and circumstances.

Dr. Dang provides services for overcoming sexual difficulties and problems, navigating sexuality and sexual identity, and managing unwanted sexual behaviours. He also offers treatment for perfectionism, mood and anxiety, relationship problems, and cultural issues/acculturation.

Dr. Dang has a PhD in Clinical Psychology from the University of British Columbia, and completed his psychology residency at Vancouver Coastal Health. His training sites have included St. Paul’s Hospital, Burnaby Hospital, Surrey Memorial Hospital, GF Strong Rehabilitation Centre, and the UBC Psychology Clinic.

He has particular research interests in how culture, family environment, and society intersect with someone’s individual experience to shape their sexuality. He also have extensive specialized expertise in the treatment of perfectionism and its impacts on sexual health, mental health, and interpersonal relationships.

Dr. Samantha Dawson sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Any kind of sexual concerns, including low sexual desire, desire discrepancies in couples, problems with orgasm and arousal, sexual pain conditions; and changes or difficulties related to sexuality in the context of a chronic health or medical condition.
• Sexual concerns related to pregnancy, postpartum, and parenthood.
• Couple’s concerns including desire discrepancies, enhancing sexual and non-sexual intimacy.
• Emotional distress, including depression, anxiety, grief, dealing with major life changes/stressors, and difficulties regulating emotions.

Office Hours:  Mon-Fri 9:00-5:00pm

More about Dr. Samantha Dawson:
Dr. Dawson is a Registered Psychologist. She graduated with her Ph.D. in Clinical Psychology from Queen’s University in 2018 followed by a postdoctoral fellowship at Dalhousie University from 2018-2020. She is currently an Assistant Professor in the Department of Psychology at the University of British Columbia where she directs the Sexuality and Well-being (SWell) Lab (https://swelllab.psych.ubc.ca/). For the last 15 years she has been conducting research into risk and protective factors associated with individuals’ and couples’ sexual well-being with the goal of developing novel evidence-based interventions. She has experience working with a variety of emotional, sexual and relationship concerns including women’s health issues, couples’ concerns, and sexuality during periods of vulnerability such as the transition to parenthood. She has published over 50 scholarly articles and book chapters in sexual health and well-being.

Dr. Cara Dunkley sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual concerns, including low sexual desire, desire discrepancies in relationships, sexual anxiety, sexual pain, sexual performance concerns, and orgasm difficulties.
• Problematic sexual behaviours (e.g. “sex addiction”/“hypersexuality”).
• Consensual BDSM/kink-related sexual and relational concerns, such as navigating power dynamics, exploring alternative sexual activities, interests, and relationship dynamics, addressing shame associated with sexual preferences, coping with fetishes and paraphilias, and managing stressors surrounding social stigma.
• Emotional distress resulting from sexual trauma or abuse.
• Sexual difficulties associated with menopause.
• Body-image concerns and the impact of body dissatisfaction on sexuality.
• Intrusive, unwanted, and distressing thoughts, images, and urges relating to sexuality.
• Problematic anxiety, including generalized anxiety, social anxiety, panic, illness anxiety, and obsessive compulsive disorder
• Insomnia.

Office Hours: Cara offers virtual appointments Tuesday- Fridays during daytime hours, and in-person appointments on Wednesday mornings.

More about Cara Dunkley:
Dr. Dunkley is a Registered Psychologist. She has a PhD in clinical psychology from the University of British Columbia (UBC), where she studied in the UBC Sexual Health Research laboratory. Her doctoral research focused on 1) the association between disordered eating and sexual concerns, and 2) alternative sexual behaviours and interests. She completed her clinical residency at St. Joseph’s Healthcare in Ontario, with rotations in the Anxiety Treatment and Research Clinic, Women’s Health Clinic, Mood Disorders Program, and Sleep Medicine Clinic. Additional clinical training sites include the Vancouver Cognitive Behavioural Therapy Centre, Vancouver Coastal Health, and the UBC Psychology Clinic. Dr. Dunkley specializes in sex therapy and the treatment of anxiety disorders, predominantly using cognitive behavioural therapy and mindfulness-based cognitive therapy approaches.

Dr. Jessica Ferreira sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual concerns, including low desire, persistent genital arousal, difficulty reaching orgasm, erectile issues, difficulties with ejaculation, pornography use or “sex addiction”, sexual anxiety or shame, genital pain, and navigating sexuality in the context of a chronic health conditions
• Relationship concerns, including communication issues, navigating non- monogamy, recovering from breaches of trust or infidelity, and improving sexual and emotional intimacy
• Individual concerns, including sexual and other trauma, depression, anxiety, OCD, and difficulties with emotion regulation

Office Hours: Thursdays 10:00-5:00, and Fridays 9:00-12:00

More about Dr. Jessica Ferriera:

Dr. Ferreira is a Registered Psychologist with the College of Health and Care Professionals of British Columbia. She received her Ph.D. in Clinical Psychology from Simon Fraser University. She completed a predoctoral residency at Vancouver Coastal Health, with rotations in the BC Centre for Vulvar Health, the BC Operational Stress Injury Clinic, the Transitional Pain Clinic, and the Outpatient Mental Health Clinic.

Dr. Ferreira believes that the foundation for meaningful therapeutic change starts with building a supportive and trusting relationship. With a combination of warmth and humour, she strives to create a non-judgemental and empathic environment where clients can feel comfortable exploring themselves and developing new skills to meet their goals. Dr. Ferreira integrates a number of evidence-based therapeutic approaches in collaboration with her clients to meet their unique needs. She draws primarily from Dialectical Behavioural Therapy (DBT), Cognitive Behavioural Therapy (CBT), and mindfulness and acceptance-based approaches. She also has training in several trauma- specific therapies including Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), and Cognitive Behavioural Conjoint Therapy (CBCT) for PTSD.

In addition to working at WCCST, Dr. Ferreira holds a position at the BC Operational Stress Injury Clinic where she works with RCMP and Canadian Armed Forces members who are dealing with service-related mental health conditions and their families. She has co-authored and presented research on various topics including sexual and relationship satisfaction, self-compassion about sexual problems, sexual communication, obsessive-compulsive disorder, emotion regulation, borderline personality disorder, and suicide.

Dr. Kaitlyn Goldsmith sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Women’s sexual concerns including sexual arousal difficulties, sexual pain conditions, body image concerns, sexual anxiety, sexuality in the context of a chronic health or medical condition, and problematic sexual behaviours.
• Concerns related to pregnancy, postpartum, motherhood, miscarriage, and infant loss.
• Couple’s concerns including desire discrepancies, enhancing sexual and non-sexual intimacy, and relationship concerns.
• Emotional distress, including depression, anxiety, grief, dealing with major life changes/stressors, and difficulties regulating emotions.
• Changing problematic behaviours, including problematic sexual and non-sexual behaviours (e.g., suicidal and self-harm behaviours; substance use; problematic eating).

Office Hours:  Monday, Tuesday, Thursday, and Friday 9am-5:30pm.

More about Dr. Kaitlyn Goldsmith
Dr. Kaitlyn Goldsmith is a Registered Psychologist and completed her Ph.D. in Clinical Psychology in 2018. She has experience working with a variety of emotional, sexual and relationship concerns including women’s health issues, couples concerns, and chronic health conditions affecting relationships and sexuality. Dr. Goldsmith is also an Adjunct Professor in the Department of Psychology at the University of British Columbia, teaching Human Sexuality (UBC, Vancouver) and Clinical Instructor in the Department of Obstetrics and Gynaecology at UBC. She also practices at the B.C. Centre for Vulvar Health at Vancouver General Hospital where she sees patients with a variety of vulvar health concerns. She has published several scholarly articles and book chapters in the area of sexual health and well-being.

Dr. Madeline Hannan-Leith sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Problematic or unwanted sexual behaviours, sometimes referred to as “sexual addiction,” “hypersexuality,” or “compulsive sexual behaviours.”
• Uncommon or atypical sexual interests, such as paraphilias, kinks, or fetishes.
• Sexual functioning concerns, including erectile dysfunction and delayed/premature ejaculation.
• Relationship and intimacy concerns, including desire discrepancies, relational dynamics impacting sexual desire, infidelity, navigating monogamy/non-monogamy, and enhancing sexual and non-sexual intimacy.
• Trauma-related difficulties, including sexual, occupational, and other forms of trauma.
• Other non-sexual concerns, including psychosis (bipolar and schizophrenia spectrum disorders), substance use, personality-related difficulties, and obsessive-compulsive disorder (OCD), particularly sexual-related subtypes (e.g., pedophilic, sexual orientation, and relationship OCD).

Dr. Hannan-Leith is a Registered Psychologist with a Ph.D. in Clinical and Counselling Psychology from the University of Toronto. She completed her predoctoral residency with the BC Forensic Psychiatric Services Commission, where she where she worked with clients presenting with complex concerns, including psychosis, schizophrenia, substance use, and trauma. She also completed doctoral-level clinical placements in Toronto at the Centre for Addiction and Mental Health (Sexual Behaviours Clinic) and Sunnybrook Hospital, where she received specialized training in the assessment and treatment of problematic sexual behaviours and OCD, respectively.

Dr. Hannan-Leith’s therapeutic style is warm, relational, non-judgmental, and trauma-informed. She adopts a collaborative approach to help her clients identify and pursue meaningful goals, enhance self-understanding, highlight strengths, and develop strategies for improving their quality of life. Her work is grounded in cognitive behavioural therapy (CBT), with a focus on the interpersonal process (how relational experiences impact well-being and functioning). She also incorporates elements of other evidence-based modalities, such as acceptance and commitment therapy (ACT) and compassion-focused therapy (CFT), according to her clients’ needs and goals.

In addition to her private practice at WCCST, Dr. Hannan-Leith holds a Forensic Psychologist position at the Forensic Psychiatric Hospital in Coquitlam, where she works with individuals found Not Criminally Responsible or unfit to stand trial due to a mental disorder. Her research contributions include published and presented work on sexual health, trauma-informed forensic practice, and social support and well-being within LGBTQ+ communities. She is also a member of the North American CBT for Psychosis Network (NACBTpN) and American Psychology-Law Society (APLS).

Before becoming a psychologist, Dr. Hannan-Leith spent many years building a career as a musician. This experience strengthened her appreciation for creativity, emotional expression, and connection; principles that continue to shape and guide her therapeutic work.

Dr. Roanne Millman sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual concerns including low sexual desire; desire discrepancies in couples; difficulties with arousal and orgasm; sexual pain conditions; and sexual anxieties
• Exploring new and diverse ways of being sexual in the context of a chronic health or medical condition
• Consensual kinks and fetishes
• Emotional distress, including depression, anxiety, grief, navigating major life transitions (i.e., pregnancy/postpartum, menopause, chronic illness), dealing with major life changes/stressors, and difficulties regulating emotions

More about Dr. Millman
Dr. Millman is a Registered Psychologist. She completed her PhD in clinical psychology at Simon Fraser University. Dr. Millman completed rotations in psychosocial oncology, chronic pain, and couples therapy during her residency, followed by a specialized clinical and research fellowship in sexuality and oncology through the Tom Baker Cancer Centre in Calgary, Alberta. Dr. Millman has co-authored and presented research on topics including sexual and relationship satisfaction, sexual communication, mindfulness-based treatment for sexual concerns, and interventions for vaginal and sexual health following cancer treatment.

Dr. Millman integrates a number of evidence-based approaches (e.g., cognitive behavioral, mindfulness) in collaboration with her clients to meet their unique needs and goals.

Dr. Julia O’Loughlin sees clients virtually through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Low sexual desire/low libido
• Desire discrepancies in couples
• Enhancing intimacy in couples
• Sexual pain conditions
• Post-partum sexual difficulties
• Sexual anxieties/performance difficulties including erectile dysfunction and premature ejaculation
• Difficulties with arousal and orgasm
• Exploring new and diverse ways of being sexual (e.g., atypical sexual interests and/or finding new ways of being sexual following physical changes due to a medical condition/medications/surgery)
• Navigating changes to a relationship structure (e.g., opening a relationship, polyamory, etc.)
• Increasing sexual-esteem/confidence
• Exploring sexual orientation (including asexuality), relationship orientation (including aromantic), gender identity, and/or gender expression
• Coping with a loved one’s sexual difficulties
• Non-sexual mental health concerns including depression, anxiety, difficulty regulating emotions, difficulty tolerating distress, struggles related to major life transitions/stressors, poor self-esteem/lack of confidence/lack of self-acceptance

Office Hours: Virtual appointment only. Monday 4:00-7:00, Friday 10:00-5:30 and  Saturday 10:00-1:00 

More about Dr. Julia O’Loughlin:

Dr. Julia O’Loughlin holds a PhD Counseling Psychology from the University of British Columbia (UBC) and has received both generalist training and specialized training in sex therapy. Julia draws from a wide variety of evidence-based treatment approaches including cognitive behavioural therapy (CBT), mindfulness-based treatment, dialectical behaviour therapy (DBT), self-compassion, acceptance and commitment therapy, and motivational interviewing. Her clinical style is collaborative, personalized and relational—all work is built upon trust, safety, authenticity, and non-judgment. She strives to support her clients to gain greater insight into the factors that contributed to, and are maintaining, the difficulties being experienced and empowers them to translate these insights into actionable change.

In addition to her clinical work, Julia is an Assistant Teaching Professor at the University of Victoria. She co-authored several research papers on topics including biological and psychological correlates of low sexual desire in women, the impact of trauma on sexual desire in women, and treatment of sexual difficulties in men following prostate cancer treatment.

Dr. Laurel Paterson sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Any kind of sexual concerns, including low sexual desire; desire discrepancies in couples; sexual pain conditions; sexual arousal/orgasm difficulties; and sexual anxieties.
• Navigating and exploring new and diverse ways of being sexual (including navigating open relationships/non-monogamy; exploring atypical sexual interests; and/or finding new ways of being sexual following physical changes due to aging/medical conditions/medications/surgery).
• Emotional difficulties (e.g., low mood/depression, anxiety, coping with major life changes/stressors).

Office Hours:  Tuesday and Thursday mornings and early afternoon

More about Dr. Laurel Paterson:
Dr. Paterson is a Registered Psychologist. She has a PhD in clinical psychology from McGill University, where she worked with Dr. Irv Binik and studied patterns of sexual arousal, orgasm, and pleasure in women and men. Following her return to Vancouver, she completed a fellowship at the UBC Sexual Health Laboratory, where she worked with Dr. Lori Brotto and studied mindfulness-based therapies for women’s low sexual desire.

Dr. Paterson has a special interest in helping individuals and couples improve and enhance their sex lives, and has extensive training and experience in sex therapy, as well as in addressing any low mood, anxiety, or self-criticism that may be contributing to sexual difficulties. She aims to create a warm and light atmosphere where clients feel comfortable talking about sex and intimacy. She uses a blend of cognitive-behavioural and mindfulness-based approaches to help individuals and couples create a sex life that is pleasurable and meaningful, and that honours their preferences and values.

Olivia Fischer, PhD (they/them) is a sex therapist at the West Coast Centre for Sex Therapy. Olivia works with individuals and couples seeking support with:

• Sexual and/or gender identity
• Gender transition
• Relationship concerns and dynamics
• Navigating open relationships, including polyamory and ethical non-monogamy (ENM)
• Challenges related to a partner’s gender identity or transition
• Consensual non-normative sexual interests (e.g., kink, fetishes, paraphilias)
• Sexuality in the context of chronic illness or medical conditions
• Reproductive and perinatal experiences (e.g., fertility, pregnancy, miscarriage, new parenthood)
• Broader life concerns such as anxiety, depression, grief, emotional regulation, identity exploration, and life transitions
• Sexual function concerns for all genders, including difficulties with arousal, desire, erection, ejaculation, and orgasm.

Office Hours:  Tuesdays 10:00-5:00

More about Olivia Fischer:

Dr. Olivia Fischer holds a PhD in Counselling Psychology from the University of British Columbia and brings extensive clinical, research, and community experience supporting 2SLGBTQ+ individuals. Their approach is affirming, collaborative, and grounded in the belief that sexuality is a deeply personal and evolving experience. Olivia strives to create a non-judgmental, inclusive space where clients can explore themselves and their relationships with openness and authenticity.

Adrienne sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Sexual concerns including sexual pain conditions, difficulties with sexual arousal or orgasmic function, low sexual desire/discrepant desire, persistent/unwanted arousal, sexual anxiety/shame, sexuality in the context of a chronic health or medical condition, and problematic sexual behaviours.
• Non-sexual mental health concerns including anxiety, grief, difficulty tolerating distress, adjusting to major life transitions/stressors, trauma, lack of confidence/lack of self-acceptance, perfectionism, managing chronic health conditions, substance use
• Relationship challenges including coping with a loved one’s sexual difficulties, exploring new ways of being sexual (e.g. due to medical challenges, discrepant desire, discordant or atypical sexual interests), enhancing both sexual and non-sexual intimacy and satisfaction, concerns with pornography use, affairs/infidelity
• Exploring sexual orientation, gender identity and/or gender expression, consensual non-monogamy

Adrienne received an MA in Counselling Psychology from the University of British Columbia. As a therapist, she values a holistic approach to addressing personal and relational sexual challenges that considers the individual physical, psychological, social and cultural contexts that influence our sexual expectations and experiences. Beginning from a foundation based on collaboration, trust and safety, she strives to empower individuals and couples to meet their therapeutic goals. Adrienne employs strategies from a variety of therapeutic orientations including narrative therapy and relational interviewing, acceptance and commitment therapy, cognitive behavioural therapy and mindfulness-based interventions, motivational interviewing, self-compassion and solution-focused therapy to tailor a therapeutic approach that responds to your individual circumstances.  She is passionate about continuing to develop a culturally responsive and trauma informed practice and supporting individuals and couples of diverse backgrounds, genders and orientations.

In addition to her clinical education and experience, Adrienne has been involved in psychological treatment research examining effective interventions for sexual pain, substance misuse and disruptions to sexual functioning from cancer diagnosis and treatment. Her thesis research focused on the long-term impacts of participating in a psychological group intervention on the lives and relationships of women with chronic genital pain. She previously worked with the UBC Sexual Health Lab, UBC Centre of Sexual Medicine and the BC Centre for Vulvar Health.

Dr. Lauren McRae sees individual and couple clients at West Coast Centre for Sex Therapy who are looking for support with:

• Sexual concerns (e.g., low desire, genital pain, persistent genital arousal, sexual anxiety, difficulty reaching orgasm, erectile issues, pornography use)
• Relationship concerns (e.g., navigating non-monogamy, establishing boundaries, recovering from breaches of trust, reconnecting sexually)
• Individual concerns (e.g., trauma, depression, grief, eating disorders, anxiety, OCD, insomnia, challenges in emotion regulation, suicidal thoughts)
• Concerns related to prenatal and postpartum experiences (e.g., trying to conceive, pregnancy, miscarriage, new parenthood)

Availability for in-person and virtual sessions:

Wednesdays & Thursdays 10am-5pm

Fridays 8am-2pm

More about Lauren: 

Dr. Lauren McRae (she/her) is a Registered Clinical Counsellor (RCC #21422), and an applicant for registration with the College of Health and Care Professionals of British Columbia. She completed her PhD in Clinical Psychology in 2025. Her dissertation research focused on how individuals in consensually non-monogamous relationships construct boundaries and communicate about their sexual experiences.

Lauren recently completed her predoctoral residency training with Vancouver Coastal Health, where she specialized in sexual medicine, eating disorders, and assessing and treating trauma and stressor related disorders. She has received advanced clinical training in Cognitive Behavioral (CBT), Dialectical Behavior (DBT) and Mindfulness-Based Cognitive Therapy (MBCT), as well as specialized protocols for treating PTSD, insomnia, and grief.

Lauren believes that therapeutic change is most powerful when clients are open to investigating how their past might be linked to their current behaviour, to develop new compassion for themselves, and are able to learn and practice new skills. Lauren is interested in building strong and supportive relationships with her clients, and she hopes that they experience her therapy style as warm, non-judgmental, and lighthearted.

Aleesa Sutton sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Relationship therapy.
• Clarity/discernment coaching to determine future of relationship.
• Concerns with low sexual desire/libido.
• Concerns about pornography use.
• Affairs/infidelity.
• Sexual anxiety/low sexual self-esteem.
• Sexual shame (including conflicts between sexuality and religion or cultural values).
• Non-monogamy/polyamory.
• Dealing with major life changes or stressors.
• Anger management.
• Difficulties regulating emotions.
• Perfectionism.
• Rebuilding trust.

Hours:
Mondays & Wednesdays 1:00-7:30, Tuesdays & Thursdays 12:30- 6:30

More about Aleesa Sutton:

Savannah is not accepting new clients at this time.

Savannah sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Desire discrepancies in couples, low libido and sexual anxiety
• Enhancing intimacy, increasing sexual confidence and self-esteem
• Affairs and infidelity
• Sexual pain and orgasm difficulties including post SSRI sexual dysfunction (PSSD)
• Problematic and impulsive sexual behaviour
• Consensual non-monogamy and navigating relationship structure
• Navigating diverse ways to be sexual with kinks and/or fetishes
• Sexual and gender identity
• Trauma and sexual abuse
• Sexual shame from religious institutions
• Conflict communication
• Major life transitions
• People pleasing

Hours: – Tuesday: 1 pm to 8 pm; Wednesday 8 am to 12pm; Thursday: 1 pm to 8 pm; Every second Sunday: 12 pm to 6 pm

Savannah holds a Masters of Counselling Psychology (MACP) from Yorkville University and is a Registered Clinical Counsellor (RCC). She holds a BA in women in religion and interdisciplinary studies of sexuality from Concordia University and completed her internship at the non for profit Moving Forward Family Counselling. Savannah volunteered for several years at the Crisis and Suicide Prevention Centre and an NGO dedicated to helping integrate newcomers called MOSAIC. In session, she uses holistic methods by incorporating Internal Family Systems (IFS), narrative therapy, body-centred psychotherapy, and Gottman Method working with couples.

My goal as a relationship and sex therapist is to translate missed connections by listening carefully and empowering my clients through vulnerability and courage. The holistic model I use helps my clients narrate different parts of themselves by offering acceptance and compassion towards those which are disconnected. I believe we are always in relation to ourselves, our bodies, to others, creating an opportunity to foster love and belonging which strengthens our meaning in life. With couples, we will work together to reconnect your emotional and sexual intimacy with communication, skills and tools. You deserve to experience love making and I can help you achieve this.

When I am not working, you can find me trail running in any forest with my husband or gardening.

Dr. Ray McKie sees clients (individuals and couples) through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Couples sex and relationship therapy, including desire discrepancies, difficulties with sexual and emotional intimacy, monogamy/non-monogamy concerns, and infidelity
•  Sexual trauma, and non-sex specific trauma
•  Sexual function and performance concerns, including difficulties with desire, arousal, erectile function, ejaculation, orgasm, sexual anxiety or shame, sexual pain
• Sexual health conditions (e.g., Peyronie’s, vaginismus, vulvodynia)
• Exploring sexual and/or gender identity
• LGBTQ+ specific issues
• Problematic sexual behaviours, including difficulties related to pornography use, infidelity, and “sex addiction”/”hypersexuality”
• Coping with kinks, paraphilias, fetishes, and uncommon sexual interests
• Emotional distress, including depression, anxiety, suicidal thoughts, self-harm, and difficulties regulating emotions
• Coping with stress, adjustment, and life changes

Office Hours: Wednesdays and Thursdays from 10-6pm. Virtual and in-person.

More about Dr. McKie:

Dr. McKie completed his Predoctoral Residency with Vancouver Coastal Health, where he trained across three specialized settings. These included a Sexual Health Clinic, where he worked alongside multidisciplinary medical teams through Vancouver General Hospital—including referrals from gynaecology, urology, and sexual oncology—to support clients experiencing a wide range of sexual health concerns. He also trained at the BC Operational Stress Injury Clinic, providing treatment to current and former RCMP members and Canadian Armed Forces personnel, as well as their family members, coping with service-related trauma; and at the Outpatient Mental Health and Substance Use Unit, with a particular emphasis on the assessment and treatment of suicidality. Across his training and early career, Dr. McKie has also worked in a variety of hospital, private practice, and community-based settings.

Furthermore, Dr. McKie completed his PhD in Clinical Psychology at the University of Ottawa and is currently pursuing registration with the newly amalgamated College of Health and Care Professionals of British Columbia (CHCPBC). He works two days per week at West Coast Centre for Sex Therapy (under the supervision of Dr. Carolin Klein), two days per week at Changeways Clinic (under the supervision of Dr. Randy Paterson), and dedicates one day weekly to completing a previously started PhD in Community Psychology through Wilfrid Laurier University. His earlier studies were completed at the University of Guelph and Trent University.

Clinically, Dr. McKie integrates evidence-based approaches, most commonly Cognitive Behavioural Therapy (CBT) and Emotion-Focused Therapy (EFT). He weaves in elements of Dialectical Behaviour Therapy (DBT), Solution-Focused Therapy, and mindfulness-based approaches to help clients better understand their emotions, develop adaptive coping strategies, and create meaningful change. He is also trained in several trauma-specific therapies, including Prolonged Exposure (PE), Cognitive Processing Therapy (CPT), Trauma-Focused Cognitive Behavioural Therapy (TF-CBT), and Emotion-Focused Therapy for Trauma (EFTT). His therapeutic style is direct yet warm, open, and collaborative, and grounded in culturally sensitive, diversity-informed, and reflective practice.

In addition to his clinical work, Dr. McKie is an active researcher in sexual health, with a particular focus on the psychological and sexual well-being of gay and bisexual men. His broader research also explores sex research methodology and sexual behaviour more generally. Dr. McKie’s work has been recognized with several research awards from the University of Ottawa and the Society for the Scientific Study of Sexuality (SSSS). He continues to publish and collaborate on research that advances understanding and clinical care in the fields of sexuality and psychology.

Titania Dixon-Luinenburg (she/her) is completing her PhD in Clinical Psychology at the University of British Columbia and a therapist at the West Coast Centre for Sex Therapy. She works with individuals and couples seeking support with a wide range of sexual and psychological concerns, including:

• Poor sexual self-esteem, lack of sexual confidence, and sexual anxiety or guilt
• Difficulties with orgasm
• Sexual pain conditions
• Low sexual desire or low libido
• Problem sexual behaviours, or what is often called sex addiction, porn addiction, compulsive sexual behaviour, hypersexuality, out of control sexual behaviour, etc.
• Performance difficulties and anxiety, including erectile dysfunction or early (premature) ejaculation
• Exploring atypical sexual interests, otherwise known as kinks, fetishes, or paraphilias.
• Sexual desire discrepancies
• Sexual orientation difficulties
• Obsessive-compulsive disorder (including sexual OCD)
• Non-sexual problems such as anxiety, depression, OCD, emotion regulation difficulties, body image concerns etc.

Office Hours:  Titania sees clients on Wednesdays

More about Titania Dixon-Luinenburg:  Titania completed her BA (Honours) at the University of Ottawa and her MA at UBC under the supervision of Dr. David Klonsky. Her research explores how needs for autonomy, competence, and connection relate to anorexia.

Titania draws from a variety of therapeutic approaches, including cognitive behavioural therapy, acceptance and commitment therapy, psychodynamic therapy, and dialectical behavioural therapy. In addition to working with sexual difficulties, she has worked with psychological concerns such as depression, anxiety disorders, shame, relationship and personality difficulties, self-harm, and obsessive-compulsive disorder. Titania aims to provide a warm, collaborative, and non-judgemental space where clients feel supported in expressing their authentic selves and cultivating more fulfilling lives.

Vasileia Karasavva sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Couples sex and relationship therapy, including navigating desire or libido discrepancies
• Individuals experiencing performance difficulties and anxiety, such as erectile difficulties, premature or delayed ejaculation, or concerns about maintaining an erection
• Concerns related to sexual arousal or orgasmic function
• Low sexual desire or libido
• Exploration of gender identity or sexual orientation
• Problematic sexual behaviours, including concerns related to pornography use, “sex addiction,” or “hypersexuality”
• Mental health concerns such as anxiety, depression, panic, trauma, or grief.
• Obsessive-compulsive disorder (including sexual-related subtypes, e.g., sexual orientation or relationship-focused OCD)
• Alternative sexual interests, including paraphilias, kinks, or fetishes

Office Hours:

Vasiliea offers virtual and in-person appointments on Mondays between  9:00am-5:00pm

More about Vasileia:

Vasileia Karasavva (she/her) is a PhD Candidate in Clinical Psychology at the University of British Columbia. Vasileia takes a collaborative, warm, and evidence-based approach to therapy, integrating cognitive-behavioral techniques with compassion-focused strategies to tailor treatment to each individual. Her research on online mental health information has been featured in major media outlets, including The New York Times, NPR, CBC, and CTV.

Originally from Greece, Vasileia brings a multicultural lens and a deep appreciation for how cultural context shapes our understanding of sexuality and relationships. She takes a holistic approach to therapy, centering the unique values, identities, and lived experiences each person brings. Clients often describe her therapeutic style as warm, genuine, and grounded in evidence-based clinical practice with a (thoughtful) sprinkle of humor.

Vasileia has advanced training in evidence-based approaches such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and psychodynamic therapy. She has experience working with individuals, couples, and groups with diverse interpersonal and psychological concerns, including anxiety disorders, depression, and obsessive-compulsive disorder.

Kiarah O’Kane sees clients through the West Coast Centre for Sex Therapy who are looking for assistance with:

• Couples or individual sex therapy related to low sexual desire or sexual desire discrepancies between partners, difficulties with sexual arousal and orgasm, sexual pain, performance concerns including erectile dysfunction, early (premature) ejaculation, and performance anxiety, concerns related to monogamy/non-monogamy.
• Enhancing or rediscovering intimacy.
• Low sexual self-esteem, sexual shame and guilt, lack of confidence surrounding sex
• Problem sexual behaviours, or what is often called sex addiction, porn addiction, compulsive sexual behaviour, hypersexuality, out of control sexual behaviour, etc.
• Exploring sexual orientation (including asexuality) and gender identity. Kiarah’s research expertise is in 2S/LGBTQIA+ identity and sexual well-being!
• Exploring atypical sexual interests, otherwise known as kinks, fetishes, or paraphilias.
• Mental health concerns or emotional distress including obsessive-compulsive
  disorder—including sexuality-related subtypes (e.g., sexual orientation, relationship focused), emotion regulation concerns, body image and eating concerns, anxiety, panic, depression, grief, and trauma.
• Coping with life changes, adjustments, and interpersonal challenges.

Office Hours:

Kiarah offers virtual and in-person appointments on Tuesdays between  10:00am-5:00pm

More about Kiarah: 

Kiarah has received training in Cognitive-Behavioural Therapy, Psychodynamic Therapy, and Dialectical Behavioural Therapy. They take a compassionate and collaborative approach when working with clients in order to center each client’s unique needs and goals. Kiarah values exploring the role of identity, culture, and lived experiences alongside clients to bolster clients’ ability to be their authentic selves and navigate challenges. They aim to foster a warm, curious, and non-judgemental environment during therapy. Kiarah has experience working with clients on a range of concerns, including sexual and relationship difficulties, depression, anxiety disorders, obsessive-compulsive disorder, attention deficit/hyperactivity disorder, eating disorders, coping with chronic health conditions, interpersonal challenges, and gender identity and sexual orientation exploration.

Yvonne has a Master’s degree in Clinical Counselling from UBC, and is a Registered Clinical Counsellor. She has worked in the areas of women’s health and sexual health as the Lab Coordinator for the UBC Sexual Health Lab, the VGH site Research Manager for the UBC Department of Obstetrics & Gynaecology, and the Program Coordinator at the Multidisciplinary Vulvodynia Program.