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Category:

Mental Health

Published:

September 13, 2025

⭐ Featured Article

How to Find a Kink-Aware Therapist (and Why It Matters)

Finding a kink-competent therapist can be tricky. Here's how to screen, what to ask, and where to look - based on the NCSF Guide by Kolmes & Weitzman.

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How to Find a Kink-Aware Therapist (and Why It Matters) If you've ever worked up the courage to mention your kink life to a therapist

  • only to be met with blank stares, awkward silence, or worse, judgment

  • you know how discouraging that feels. You deserve mental health care that sees the whole you, including the kinky parts. That's where kink-aware therapy comes in

  • and why the 2010 guide A Guide to Choosing a Kink-Aware Therapist by Dr. Keely Kolmes and Dr. Geri Weitzman (published by the National Coalition for Sexual Freedom) is still one of the best resources out there. This article pulls from their guide and adds practical, lived-experience advice to help you find a therapist who respects, supports, and understands your kink.

What Does "Kink-Aware" Actually Mean? Kolmes & Weitzman make an important distinction: Kink-Aware Therapist: Someone with actual knowledge of BDSM, power exchange, fetish culture, and kink communities. They know the difference between consensual play and abuse, and won't misdiagnose your kinks as mental illness. Kink-Friendly Therapist: Open-minded, affirming, and willing to learn, but may not have deep training or experience. This can still be a great option

  • especially in rural areas

  • but you might need to explain more about your practices.

Why This Matters So Much Mental health care can go very wrong when the therapist doesn't "get it." People in the NCSF survey reported:

  • Being pressured to stop all kink activities

  • Having consensual play labeled as abuse

  • Being told their identities or fetishes were "immature" or "deviant" A kink-aware therapist, on the other hand, helps you explore:

  • Negotiation skills and boundary setting

  • Processing scene drop, guilt, or shame

  • Relationship dynamics (poly, D/s, caregiver/little, etc.)

  • Trauma recovery without conflating kink with harm

Screening Questions to Ask a Potential Therapist Think of it like negotiating a scene

  • you're interviewing them too. Here are questions adapted from Kolmes & Weitzman's guide:

  • Experience: "Have you worked with clients who are part of BDSM or kink communities?"

  • Perspective: "How do you view consensual BDSM

  • as pathology, or as healthy sexual diversity?"

  • Specificity: "Are you comfortable discussing practices like spanking, bondage, or power exchange?"

  • Confidentiality: "What happens if we see each other at a kink event? How do you handle community overlap?"

  • Cultural Fit: "Are you affirming of LGBTQ+, polyamory, and alternative relationships?" Tip: If they seem defensive, judgmental, or dismissive, trust your gut. The right therapist won't make you feel shamed for asking these questions.

Where to Look for a Kink-Aware Therapist Kolmes & Weitzman suggest several practical steps:

  • KAP Directory: The Kink Aware Professionals directory is the easiest place to start.

  • Community Referrals: Ask trusted folks in your local munch, play space, or online community.

  • Online Directories: Psychology Today allows you to search by "sex-positive" or "LGBTQ+ affirming," which often overlaps with kink-friendly.

  • Interview More Than One: It's okay to shop around until you find a therapist you click with.

Books & Resources They Recommend Kolmes & Weitzman list several books and resources therapists often recommend to kink clients. Add these to your personal library:

  • The New Topping Book & The New Bottoming Book

  • Dossie Easton & Janet Hardy

  • Health Care Without Shame

  • Charles Moser

  • Different Loving

  • Gloria Brame Reading these yourself can help you articulate what kink means to you and give your therapist context if they're new to it.

Putting It Into Practice Imagine you're starting therapy because you've been having post-scene drop that hits for days afterward. A kink-aware therapist won't tell you to quit BDSM

  • they'll work with you to:

  • Identify emotional triggers

  • Build stronger aftercare rituals

  • Improve communication with partners

  • Integrate kink into your life in a way that feels healthy and sustainable This is why the right therapist is a game-changer

  • they help you keep what nourishes you while working through what hurts.

Final Thoughts You deserve therapy that respects who you are

  • not therapy that treats your sexuality like a problem to fix. As Drs. Kolmes & Weitzman put it, "Your therapist should support you in making the changes you want in your life, not the ones they think you should make." Start by interviewing therapists, asking the tough questions, and trusting your instincts. Your mental health

  • and your kink

  • will thank you.

Resources & Further Reading

Full Credit / Citation Kolmes, K. & Weitzman, G. (2010). A Guide to Choosing a Kink-Aware Therapist. National Coalition for Sexual Freedom. Read the full guide here

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