Anastasia Fox, LMFT, CST
Individual, relational, and sex therapy for adults.
Credentials
Licensure and certification
- Licensed Marriage and Family Therapist (LMFT)
- AASECT Certified Sex Therapist (CST)
- Advanced Developmental Model training
Education and training
- Graduate training in Couple and Family Therapy, Antioch University Seattle
- Bachelor of Arts in Sociology, San Francisco State University
Professional membership
- American Association of Sexuality Educators, Counselors and Therapists (AASECT)
- American Association for Marriage and Family Therapy (AAMFT)
- Washington Association for Marriage and Family Therapy (WAMFT)
- Mormon Mental Health Association (MMHA)
Modalities/ Approaches
Explore the approaches I draw from. Hover or tap each card to view details.
Developmental Model
The Developmental Model views relationships as evolving through stages, focusing on increasing differentiation and mature connection rather than treating pathology. It combines attachment theory, differentiation, and neuroscience to support facing challenges, improving communication, and building resilient relationships for the long-haul.
A Good Fit
Research indicates that the relationship, or therapeutic alliance between therapist and client is essential for positive outcomes. While part of being a good fit can not be expressed on paper, here are some ways I have been described:
Sex Therapist?
The topic of sex is always welcome, even if you are not here specifically for a sexually related concern. If the topic of sex and intimacy impacts your relationship, your sense of self, or your ability to communicate, it belongs in the room.
Relationally trained
- I pay attention to what happens between people, not just within.
- I help you get closer to your values and closer to the people you love.
- I believe sexuality is part of being human.
How I work
I aim to work in a supportive and nonjudgmental way, to understand what matters to you and identify what feels stuck.
This includes attentive listening, providing psycho-education where useful, and using a whiteboard to map what is happening. You know yourself and your circumstances best. Together, we name what can change, help you practice new responses, and offer homework when it supports momentum.
- Collaborative, structured sessions
- In-session, experiential practice and clear takeaways
- Homework when it supports momentum
Systemic thinker
I consider your immediate concerns through an anti-racist and anti-oppressive lens. This means naming and considering the way race, gender, sexual orientation, socio-economics, family dynamics, culture, generational and relational stressors impact you. We name power imbalances in and out of the room.
Areas of interest
Body Positive and Sex Positive Approach
As a trained sex therapist, I believe sexuality is inherently part of the human experience. An individual’s sexual template begins in childhood and is affected by how they are physically cared for, their relationship to their body, and their experiences with physical touch and bodily autonomy. This template expands as people mature and gain more experience. My approach to the subject is slow, collaborative and follows the PLISSIT model that provides a structured and sensitive approach.
About FAQs
What is a CST?
CST stands for Certified Sex Therapist through AASECT. It means I have advanced training and supervised experience focused on sexuality, intimacy, and relationship dynamics.
Do I need a specific reason to bring up sex?
No. Sex is welcome here. If it impacts your relationship, your sense of self, or your ability to communicate, it belongs in the room.
Is sex therapy only for couples?
No. I work with individuals and couples. We focus on what you want to understand, change, or practice, at a pace that feels steady.
What is your approach like in session?
I am collaborative and structured. That might look like listening and validating, using research and resources, or using a whiteboard to map the pattern. I try to make sure you leave with clear takeaways and a next step you can actually use.
Do you work with faith transitions and mixed faith relationships?
Yes. I work with clients navigating faith transitions, mixed faith relationships, and the impact those changes can have on intimacy, identity, and communication.
Do you work with LGBTQIA+ clients?
Yes. I aim to be inclusive and nonjudgmental. If you have questions about fit or what support might look like, we can talk about it in a free 20 minute consult.