PORTLAND, OR - SEX & COUPLES THERAPY
Find your way back to closeness.
Individual and couples sex therapy for people untangling desire, intimacy, and connection - in Portland, OR and anywhere virtually in Oregon
Licensed Marriage and Family Therapist · LGBTQIA & Non-Monogamy affirming · EFT Trained
Individual & Couples Sessions
Based in Portland, OR · Virtual across Oregon
Free 20 minute consultation
WHAT BRINGS PEOPLE HERE
You don’t need the right words.
You just need a place to start.
Most people don’t arrive with a tidy explanation, but a feeling that something is off. Maybe its showing up as distance, or silence, or a version of intimacy that used to feel easy and doesn’t anymore. Here’s what that tends to look like:
Desire & Connection
The physical and emotional sides of a relationship stop aligning or showing up at all.
- Mismatched desire
- Reconnecting in a sexless marriage
- Wanting better intimacy
- Communication during stress
Identity & Shame
Sex and identity can carry a lot of invisible weight that we didn’t choose.
- Exploring gender or sexual identity
- Shame around sex, kink or desire
- Untangling religious shame or cultural messaging
- Body image and its role in pleasure
Trust & Structure
Sometimes the relationship itself is going through a transition and the old rules no longer apply.
- Healing after betrayal or affair
- Opening up a relationship
- Navigating day to day non - monogamy
-Rebuilding trust
Couples and individual sex therapy, built for where you are.
HERE’S HOW I CAN HELP
Whatever brought you here, the work is the same at it’s core: understanding whats actually happening beneath the surface issue, the building something studier in it’s place.
Couples Therapy
For partners - two or more - working through communication, desire, trust, or simply wanting to feel closer. Emotional connection is key.
Individual Sex Therapy
One-on-One work on desire, body image, identity, shame, and past experiences that are shaping how you relate to sex and intimacy today.
Free Consultation
A no-pressure 20-minute call to ask questions, share what’s going on, and find out if we’re a good fit before booking a first session.
Meet Madeline Ball, LMFT
I am a Licensed Marriage and Family Therapist here to help you have a better relationship with your body and in your relationship. I’m a couples and sex therapist in Portland, OR and meet with people virtually across Oregon.
I work with couples building healthier sexualities, LGBTQIA+ folx exploring gender and sexual expression, and people on their own intimate healing path — ENM, poly, or monogamous. I love to work with individuals to have more pleasurable experiences in their bodies. This process of alignment is focused on expanding sexuality to have more fun, more pleasure, and less pain.
From the beginning, I’ve been passionate about working with couples and individuals searching to understand how sexual health fits into their lives. Opening MBWellbeing is a small step in the direction of my long term goal to ignite sexual health in a big way.
If you need help finding your way back to sexual intimacy, I would be honored to guide you on the journey.
An oyster doesn’t choose the grain of sand. It chooses what to do with it.
WHY THE OYSTER
Something isn’t working
You show up because the old patterns stopped serving you. Whether it was a difficult conversation, a quiet distance, or a question about who you are that won’t go away.
FRICTION
You do the work
We name what’s actually happening underneath the surface issue, using attachment, somatic, and evidenced-based approaches suited to you.
PRESSURE
Insight becomes practice
Session by session, awareness turning into new habits through communication, how you ask for what you want, and how you show up for your needs and each others needs.
LAYERING
Something precious, on purpose
Not a return to how things were, but something sturdier. Built from what the friction taught you
PEARL
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No - I see individuals as well as couples and partners of any configuration, monogamous or non-monogamous.
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Not at all. Many clients come in for communication, trust, or general relationship support. Sex is often part of the picture, but never the only focus.
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Yes - virtual sessions are available anywhere in Oregon.
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It’s a free, no-obligation 20 minute call to share what’s bring you to therapy, ask questions, and see if we’re a good fit before scheduling a first session.
Before you book
COMMON QUESTIONS
What People Are Saying
LEARN MORE
Need more information?
What is sex therapy?
Learn more about who sex therapists are and how could they help you
Fees and Insurance
View my rates, policies, and insurances disclosures.
Learn more
Start with my blog to read some of the most common concerns I see in couples therapy and sex therapy before individual sessions.
FAQs
Answers to most commonly asked questions about my practice
READY WHEN YOU ARE