Sandra Koellmann

she / her
Licensed Clinical Social Worker (LCSW 107435)

Monday: 10:00am – 7:00pm (In-Office and Telehealth)
Tuesday: 10:00am – 7:00pm (Telehealth)
Wednesday: 10:00am – 7:00pm (In-Office and Telehealth)
Thursday: 10:00am – 7:00pm (Telehealth)
Friday: 10:00am – 7:00pm (In-Office and Telehealth)

Fees for Individual / Personal Therapy:
$210 (Daytime), $240 (Evening / Weekend)
Fees for Couples / Relationship / Family Therapy:
$230 (Daytime), $270 (Evening / Weekend)
See Fees tab for more information.

Phone: (619) 895-6023
Email: Sandra@AffirmingTherapyCenter.com

Where Does Your Sense of Sexuality Come From?

Much of what we believe about sex, intimacy, and identity comes from the stories we absorbed long before we understood what we were being taught. If you were raised like I was—in a conservative, religious, traditional, silence-heavy environment—you may have been led to believe that certain aspects of yourself were “too much,” “not allowed,” whispered about, or even considered off-limits or taboo.

I understand firsthand the experience of trying to reconcile what you were taught with what you really feel inside. Fortunately, as adults, we get the chance to revisit these messages with new eyes and ask: What feels true for me? What feels authentic? What feels good?

And sometimes we need a space where these questions can finally be asked out loud.

Walking Toward Your Unique Sexual Expression

I believe you don’t have to hold onto beliefs that no longer serve you, that no longer fit who you’ve become and who you want to become. Instead, you can re-examine those aspects of yourself, unravel your unique experiences, needs, longings, and identities, and begin the process of growing into “you”—knowing that, discovering and exploring “you” can be an exciting, vulnerable, and deeply personal journey.

It isn’t always easy to navigate that path alone. Having a guide who understands how meaningful (and how intimidating) this exploration can be makes all the difference. My role is to walk beside you, not ahead of you, as you uncover those parts of yourself that have been quieted, hidden, or waiting.

Welcome to a Space for Every Kind of Love and Identity

As a therapist who identifies as a member of the LGBTQIA+ and kink communities, I offer more than clinical knowledge—I offer a perspective rooted in shared understanding. I have devoted over 15 years to the study and practice of sexual health and well-being, providing an informed, non-judgmental, and pleasure-positive space dedicated exclusively to adult individual clients.

Inclusive Support for Your Diverse Identities and Relationships

I am deeply familiar with the wide range of Gender, Sexual, and Relationship Diversity (GSRD) and the many ways which love and connection can be expressed.

You will find competent and accepting support here, particularly if you are navigating any of the following areas of your life and identity:

Kink, Fetish, and BDSM: I work collaboratively with individuals engaging in D/s relationships, power exchange, leather culture, pet play and age play such as DD/lg or ABDL and a variety of sensual, erotic, and sexual desires and dynamics.
Consensual Non-Monogamy (CNM): For those who are navigating the swinger lifestyle, polyamory, open relationships, or questioning relationship structures outside of traditional monogamy, I can help you manage complexity, clarify needs, and strengthen communication.
Gender Exploration: If you’re questioning or examining your gender expression or gender identity, I provide a safe, informed space to support your path to self-discovery.

I provide a setting where you can feel at home, without the need to educate your therapist or translate your world.

**Beyond Specialization: Focus on Your Life**

While these specializations are central to my practice, remember that therapy is ultimately about you. My commitment is to support your whole self. Even within specialized work, we address foundational experiences that you want to focus on: anxiety, self-worth, healing from past wounds, relationship stress, communication challenges, and life transitions.

If you are an adult seeking individual therapy, I can help you discover a path to a safe, happy, and fulfilling life. You might be looking for deep personal growth, or simply a comfortable, open-minded space to discuss sensitive topics—you deserve to be seen and heard. I am honored to be with you in this space, supporting you if you are out and proud, or offering a quiet, non-judgmental place to reflect and explore.

Are You Ready to Begin?

Your journey toward growth, healing, and self-discovery starts with a conversation.
Contact me today for a complimentary 15-minute consultation.

Contact Sandra

Contact me now to schedule an initial session:
• Call or text me at (619) 895-6023 or
• Send an e-mail to Sandra@AffirmingTherapyCenter.com