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A space to ask questions of someone who is both a mental health and physical health expert, and to share your experiences with others going through the same change.
Details and interest listPsychotherapy & sex therapy · West Concord, MA
Sex, relationships, identity, bodies, and everything tangled up in them. Therapy for adults with Kara Katz, LICSW, AASECT Certified Sex Therapist and registered nurse. In person in West Concord, and by telehealth anywhere in Massachusetts.
Right now

Start where you are
No quiz and no forms. Pick the hoop that fits and read on.
Identity, gender, anxiety, mood, trauma, and the emotional side of health changes.
Read moreTwo partners or more. Monogamous, open, polyamorous, kinky. Every structure is welcome.
Read moreDesire, pleasure, pain, performance, shame. Talk therapy with a certified sex therapist.
Read moreConsultation, education and training for therapists and organizations.
Read more
Body and mind, in the same room
“After working as a family health nurse for 10 years, I switched careers to social work. Because of my background, I have experience in helping people navigate the emotional complexities of health diagnoses as well as issues surrounding sex and sexuality.”
A trained sex educator, and later an adjunct professor in a social work program. Plus a post-graduate certificate in Sex, Culture, and Society from the University of Amsterdam.
“I firmly believe that the client knows themselves better than I do. I am here to guide clients through difficult times using not only my education and skills, but also by using warmth, empathy, and mutual respect.”
“I will challenge you and encourage you to do the work that you need to do.” More about Kara
As a liberal, “woke” person, Kara (she/her) embraces the “radical” views that…
“Therapy can be a radical act in and of itself, and therapy is political.” Read the rest in her words
Affirming, without asterisks
Adults 18 and over: individuals, couples and polycules. If you work in the adult industry, Kara is a Pineapple Support provider and sees sex work as work.

Where
A second-floor office steps from the West Concord commuter rail station, with free parking behind the building. Or video sessions from anywhere in the Commonwealth.
114R Commonwealth Ave., up one flight of stairs. See the route, photo by photo.
From anywhere in Massachusetts. Kara is licensed here, and only here.
How it starts
Pick a time online, or ask Kara to reach out. Bring your questions about fit, fees and format.
In person or by video. Together you name what you hope will change and set goals you can actually reach.
Weekly when possible. Expect warmth, some homework, and a challenge now and then. That’s the point.
Groups
A space to ask questions of someone who is both a mental health and physical health expert, and to share your experiences with others going through the same change.
Details and interest list
Notes
Short, plain-spoken pieces on therapy, boundaries, her AI pledge, and what to expect when you start.
Read her notesReady when you are
Email is the best way to reach Kara: karakatzmsw@gmail.com. Please keep private details out of email and forms; there’s time for all of that once you meet.
Not for emergencies: call or text 988.
Let’s talk about it.
West Concord · Telehealth across MA