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Neurodiversity and Sexuality: Intimacy, Consent, and Sensory Experiences

Introduction

Imagine being in a relationship where you love your partner deeply, but a simple kiss feels too intense, or the texture of their touch makes your skin crawl. Or picture wanting closeness but feeling overwhelmed by the sounds, lights, or distractions around you. For many neurodivergent people, those with autism, ADHD, dyslexia, or other brain differences, these are not rare struggles but everyday realities when it comes to intimacy.

Neurodiversity is the recognition that brains are wired in many different ways. Some people experience the world with heightened sensitivity to sound, touch, or smell. Others process emotions and attention differently, bringing bursts of creativity, curiosity, or focus. None of these differences makes a person “less than.” They are simply variations of being human.

Yet when it comes to sexuality and relationships, society has not always been inclusive. Too often, neurodivergent people are left out of sex education, painted as uninterested in intimacy, or misjudged as too impulsive to handle relationships responsibly. These stereotypes not only erase lived experiences but also create barriers to safety, understanding, and self-expression.

The truth is simple: neurodivergent individuals seek love, intimacy, and fulfilling sexual lives just like anyone else. The way they experience those things may differ, shaped by sensory needs, communication styles, and social expectations, but the desire for connection is universal.

This article digs into the heart of neurodiversity and sexuality, exploring how sensory sensitivities impact intimacy, why communication and consent may manifest differently for some, and how partners can support one another with empathy. By breaking stigma and opening up the conversation, we move closer to a world where intimacy and autism, ADHD relationships, and inclusive sexual health are not side notes but integral parts of how we talk about human connection.

What Does Neurodiversity Mean in the Context of Sexuality?

Neurodiversity is a broad term that simply recognizes the wide range of how human brains work. It includes people with autism, ADHD, dyslexia, dyspraxia, Tourette’s, and other neurological differences. These traits can shape how someone processes the world, whether it’s how they focus, communicate, manage emotions, or respond to sensory input.

When we bring sexuality into the conversation, it’s important to remember that neurodivergent people experience attraction, intimacy, and desire in diverse ways, just like everyone else. Some may crave physical closeness, while others prefer more emotional or intellectual intimacy. For some, sensory sensitivities might make physical touch overwhelming at times; for others, touch can be grounding and deeply soothing.

Breaking the Stereotypes About Neurodivergence and Asexuality

One of the most persistent myths is that neurodivergent people, especially those on the autism spectrum, are naturally disinterested in sex or relationships. This stereotype often gets simplified into the idea that all autistic or ADHD individuals are “asexual by default.” The truth is much more nuanced.

Some neurodivergent people do identify as asexual, just as many neurotypical people do. But many others want romantic and sexual relationships, and their desires are just as varied and valid as anyone else’s. Neurodiversity doesn’t determine someone’s sexual orientation or level of interest; it simply shapes how they might approach intimacy.

By challenging this myth, we move toward a more inclusive view of sexuality and neurodiversity, one that respects individual differences without boxing people into labels that don’t fit.

Sensory Processing and Sexual Experiences

For many neurodivergent people, intimacy is shaped as much by the sensory environment as by the relationship itself. A hug, a touch, or even the feel of bedsheets can bring either deep comfort or unexpected discomfort. Understanding these sensory layers can help partners create more fulfilling and inclusive sexual experiences.

Understanding Sensory Sensitivities in Intimacy

Neurodivergent individuals often experience the senses more vividly. A soft brush of fingertips might feel ticklish or unbearable, while steady, firmer pressure can feel grounding and safe. For example, someone with autism may find that a light kiss on the neck feels overwhelming, but a deep hug helps them feel secure and connected.

It’s not just touch; sounds, smells, and even visual details matter. A buzzing ceiling fan, scratchy sheets, or perfume that lingers too strongly can be enough to pull someone out of the moment. These are not quirks, but real sensory differences that deserve acknowledgment in intimate settings.

Sensory Seeking vs. Sensory Avoidance

Neurodivergent people often fall somewhere on a spectrum of sensory seeking and sensory avoidance, and these needs can shift day by day.

  • Sensory seekers may crave intensity. They might enjoy strong scents, textured fabrics, or adventurous touch, finding stimulation exciting and pleasurable. For instance, someone with ADHD might prefer intimacy that’s playful, energetic, and full of novelty.
  • Sensory avoidant individuals may lean toward softer, calmer experiences. They may prefer dim lights, gentle touch, or quiet spaces to reduce sensory overload. An autistic partner might feel safest when intimacy is slow, predictable, and low-stimulation.

Some people alternate between both modes depending on stress levels, trust with their partner, or even their energy on a given day. A person who enjoys deep pressure one night might find it overwhelming the next. The key is flexibility, patience, and open conversation.

Creating Sensory-Friendly Intimacy Environments

The sensory environment can make or break an intimate experience. Adjustments don’t have to be complicated; small changes can open big doors.

  • Lighting: Switch from harsh overhead lights to soft lamps or candles. Some neurodivergent people feel more relaxed when the room is dim.
  • Textures: Choosing smooth sheets, weighted blankets, or specific fabrics can transform comfort levels. Scratchy tags or rough textures, on the other hand, may feel unbearable.
  • Sound: Some may prefer music or white noise to mask distracting sounds, while others need silence. Imagine trying to enjoy intimacy when the ticking of a clock feels deafening.
  • Predictability: Creating rituals or discussing intimacy beforehand can reduce anxiety. For example, agreeing on when and how touch will happen can make an autistic partner feel safe instead of startled.

Relatable scenario: One couple found that instead of “spontaneous romance,” which often led to overwhelm, setting aside quiet time with dim lights and a favorite weighted blanket created the perfect environment for closeness. For them, safety and comfort were the foundation of intimacy, not spontaneity.

By tailoring intimacy to sensory needs, partners can focus less on “what’s expected” and more on what actually feels good and safe for both. It’s a shift from forcing a script to writing your own together.

Communication and Consent

Open, honest communication is the foundation of any healthy relationship, but for neurodivergent individuals, it’s especially crucial when it comes to intimacy. Different communication styles, social cues, and processing speeds can all influence how consent is given, received, and understood. The goal isn’t just to avoid harm but to create intimacy that feels safe, affirming, and mutually enjoyable.

Why Clear Communication Matters

For many neurodivergent people, reading body language or “unspoken signals” isn’t always straightforward. What one partner thinks is an obvious cue may not be interpreted that way at all. For example, a slight hesitation before a kiss might be missed, or a smile could be mistaken for consent when it’s really just politeness.

On the flip side, some neurodivergent people may express themselves more directly than their neurotypical partners expect. An ADHD partner might blurt out exactly what they want at the moment, while an autistic partner might prefer detailed conversations before intimacy. Neither is “wrong”; it’s simply different wiring. That’s why verbal, explicit communication often works best.

Consent Tools and Strategies for Neurodivergent People

Consent doesn’t have to feel clinical; it can be creative, affirming, and even playful. Strategies that support clarity include:

  • Check-ins: Simple phrases like “Is this okay?” or “Do you want me to keep going?” reduce assumptions.
  • Safe words/signals: These can be especially helpful if verbalizing discomfort is difficult at the moment. For example, using a traffic-light system, “green” for go, “yellow” for slow down, and “red” for stop.
  • Written agreements or shared notes: Some couples find it easier to outline boundaries in writing ahead of time. A quick text or a private shared document can make expectations clear without pressure.
  • Visual aids: For some, especially autistic individuals, symbols, emojis, or even mood cards can help express what feels comfortable on a given day.

Relatable scenario: One couple used sticky notes on the fridge to check in with each other before intimacy: “Tonight I’d like cuddles only” vs. “Open to trying new things.” It took pressure off at the moment and gave each partner clarity.

Building Safe and Supportive Conversations

Consent is not a one-time checkbox; it’s an ongoing dialogue. For neurodivergent people, that means recognizing that comfort levels may shift depending on mood, stress, or sensory regulation. A touch that feels soothing one day might feel unbearable the next.

Partners can support each other by:

  • Normalizing “no” and “not right now.” Instead of taking it personally, see it as part of respecting each other’s rhythms.
  • Celebrating honesty. Saying “I don’t like that” is a sign of trust, not rejection.
  • Making space for processing. Some neurodivergent individuals need more time to reflect before giving a clear answer. Silence doesn’t always mean “yes” or “no”; sometimes it means “I need a minute.”

When communication is intentional, consent becomes more than just safety; it becomes a pathway to deeper trust, intimacy, and joy.

Exploring Identity and Expression

Sexuality and gender are complex for everyone, but for neurodivergent people, identity can carry even more layers. Research suggests that individuals with autism, ADHD, and other neurodivergent traits are statistically more likely to identify as LGBTQ+. This doesn’t mean that neurodivergence causes someone to be queer, but it may influence how they understand, question, and express who they are.

Neurodivergent People and Diverse Identities

For many autistic or ADHD individuals, rigid social norms around gender and sexuality may feel less binding. Instead of fitting into narrow boxes like “straight” or “cisgender,” they may feel freer to explore identities that truly resonate. For example, an autistic person might realize early on that traditional dating scripts don’t reflect their desires, leading them to explore nontraditional relationship models or queer identities.

Similarly, people with ADHD, known for curiosity and openness to novelty, may be more willing to question cultural expectations about sexuality and gender. This doesn’t make their identities less valid. In fact, it often reflects an authenticity that comes from resisting pressure to conform.

The Intersection of Neurodivergence and Queer Identities

Living at the crossroads of neurodivergence and LGBTQ+ identity can bring both richness and challenge. On one hand, many people find community and strength in embracing both sides of themselves. On the other hand, they may experience double stigma: navigating misconceptions about autism or ADHD while also dealing with prejudice around sexuality or gender.

A relatable example: a bisexual autistic woman once described how freeing it felt to discover both communities. Yet she also shared that mainstream LGBTQ+ spaces sometimes misunderstood her direct communication style, while autism spaces often assumed she was straight. Straddling two identities meant carving out her own space, often by seeking smaller, more inclusive circles.

Intersectionality also highlights vulnerability. Neurodivergent LGBTQ+ youth, for instance, may face higher risks of bullying, isolation, or mental health challenges. This makes affirming support systems—family, peers, educators, and healthcare providers—especially important.

At the same time, embracing both identities can be profoundly liberating. Neurodivergent LGBTQ+ people often develop innovative ways of building relationships, challenging social scripts, and redefining intimacy on their own terms. Their stories remind us that there’s no “one right way” to love, connect, or express oneself.

By acknowledging the intersection of neurodiversity and LGBTQ+ identities, we move closer to a world where every form of attraction, orientation, and expression is seen as valid. Whether it’s autistic sexuality, ADHD sexual identity, or broader queer experience, these voices deserve visibility and respect.

Challenges and Misconceptions

Despite increasing conversations around inclusivity, many neurodivergent people still encounter stigma, misunderstanding, and stereotypes when it comes to sexuality and relationships. These misconceptions don’t just live in the abstract; they shape how others treat them, how they see themselves, and whether or not they feel safe exploring intimacy.

Myths About Desire and Intimacy

A common misconception is that autistic people are “asexual by nature” or uninterested in relationships. While some autistic individuals identify as asexual (just like many neurotypical people do), others desire romance, sex, and intimacy as strongly as anyone else. To paint all autistic people as “uninterested” erases the diversity of their experiences.

On the other end of the spectrum, ADHD is often linked with hypersexuality or promiscuity. While impulsivity can influence sexual behavior for some, not all ADHD individuals are overly sexual. Some may be disinterested, others may seek connection through intimacy, and many falls somewhere in between. Reducing ADHD sexuality to “reckless behavior” ignores the nuance of human desire.

Relatable scenario: An autistic woman shared that she wanted intimacy but avoided dating apps because friends constantly told her, “You’re too innocent for that world.” Meanwhile, an ADHD man explained that partners often assumed he was unfaithful simply because of his energetic, flirtatious communication style. Both experiences show how stereotypes can invalidate real desires and complicate trust in relationships.

Social Misunderstandings and Stigma

Many challenges stem not from neurodivergence itself, but from social expectations built on neurotypical norms. For example:

  • Flirting cues: A smile, a glance, or “playful teasing” are often loaded with meaning. An autistic person may miss these signals entirely or interpret them literally, leading others to assume they’re “not interested.”
  • Conversation styles: An ADHD partner may interrupt out of enthusiasm, while a dyslexic individual may hesitate to respond quickly in text-based conversations. Both behaviors can be misinterpreted as rudeness or a lack of interest.
  • Boundaries: Tourette’s or impulsive ADHD traits may involve blurting out things that feel “too direct” in traditional dating scripts, which can make neurodivergent people unfairly judged as socially inappropriate.

The result? Neurodivergent people are too often seen as “awkward,” “immature,” or “hard to date.” These stigmas not only harm self-esteem but can also lead to exclusion from communities where love and intimacy should be nurtured.

The Need for Inclusive Sexual Education

Sexual education systems, when they exist at all, often assume that everyone learns and communicates the same way. But neurodivergent learners may need clearer, more direct teaching about intimacy, boundaries, and consent. Without it, they can be left vulnerable to manipulation or unsafe experiences.

Think of:

  • A young autistic adult might not realize that saying “yes” under pressure isn’t the same as freely given consent.
  • Someone with ADHD may struggle to pause long enough to check in with a partner, unless they’ve learned explicit tools for building consent into the moment.
  • A dyslexic or dyspraxic person may miss out when sex ed relies heavily on written text or abstract explanations.

When inclusive approaches are missing, the consequences can be serious. Neurodivergent people are statistically at higher risk of sexual exploitation or abuse, not because of their identities but because they aren’t given the tools, language, or support to navigate complex situations.

At the same time, traditional sex ed often avoids talking about pleasure and desire altogether, especially for neurodivergent audiences, as though safety is the only thing that matters. But intimacy isn’t just about avoiding harm. It’s about learning that sex and relationships can be joyful, fulfilling, and tailored to your own body and needs.

Relatable scenario: A teacher once adapted sex education for autistic teens by using role-play scripts, visual aids, and literal examples rather than vague metaphors. Students reported feeling more confident and prepared because the material finally made sense in a way that applied to their lives. That kind of adaptation should be the rule, not the exception.

Practical Tips for Neurodivergent Individuals and Partners

Every relationship needs patience, humor, and flexibility. For neurodivergent people and their partners, this often means tuning into each other’s unique ways of communicating, thinking, and experiencing the world. Below are some key areas where small adjustments can make intimacy and connection more fulfilling.

Communication Is Everything

Good communication is the backbone of any relationship, but for neurodivergent couples, clarity is especially important. Relying on hints or assumptions can lead to frustration, since reading between the lines might not come naturally. Being explicit doesn’t take away romance; it actually builds trust and reduces anxiety.

Tips:

  • Say it out loud: Don’t wait for subtle cues. Use direct phrases like “I’d like to kiss you” or “I need some space.”
  • Use multiple formats: Some people express themselves better at writing. Notes, messages, or even shared journals can make it easier to say the hard things.
  • Check in regularly: A gentle “Does this feel okay?” during intimacy ensures both partners feel safe and heard.

Sensory Awareness

Sensory processing can be a dealbreaker or a delight in intimacy. A fabric that feels soft to one person may feel unbearable to another. Loud music might energize one partner while completely overwhelming the other. Recognizing and respecting these differences can make intimacy less stressful and more enjoyable.

Tips:

  • Experiment with the environment: Adjust lighting, textures, or background sounds to see what feels right.
  • Plan for transitions: Autistic partners may need decompression before intimacy, while ADHD partners may thrive on spontaneity. Try blending both approaches.
  • Safe words and signals: Create quick ways to pause without explanation. A hand tap, safe word, or traffic-light system (“green/yellow/red”) works well.

Rethinking Romance and Intimacy

Intimacy doesn’t always mean sex. It can look like quiet companionship, shared hobbies, or physical closeness without pressure. For neurodivergent couples, broadening the definition of intimacy can ease performance pressure and open new ways of connecting.

Tips:

  • Expand what “intimacy” means: Cuddling, gaming together, or even cooking side by side can count.
  • Role-play and scripts: Practicing conversations or consent phrases can help lower anxiety around dating or sex.
  • Use focus tools: ADHD partners may lose focus, setting aside distractions or using grounding exercises like eye contact can help.

Building Confidence Together

Confidence grows when differences are respected rather than judged. A relationship that embraces quirks and accommodates needs can feel less like “work” and more like teamwork. Shared learning and outside resources can also normalize the experience and reduce shame.

Tips:

  • Celebrate differences: Frame traits as strengths, like enjoying an ADHD partner’s energy or valuing an autistic partner’s deep attention.
  • Seek inclusive resources: Find books, podcasts, or communities where neurodiversity and sexuality are openly discussed.
  • Professional support: A neurodiversity-affirming therapist can offer strategies tailored to both partners.

Relatable scene: Picture Sam (autistic) and Jordan (ADHD) at the end of the day. Jordan wants closeness right away, but Sam is overstimulated and needs a break. Instead of feeling rejected, Jordan asks, “Do you need 20 minutes to reset?” Sam agrees, and later the cuddle feels natural. That small act of communication flips potential conflict into connection.

📌 Quick Takeaways: Practical Tips for Neurodivergent Couples

  • Speak directly: Clear words > subtle hints.
  • Mix formats: Text, notes, or journals can ease tough talks.
  • Mind the senses: Adjust lighting, textures, and sounds.
  • Balance needs: Blend structure (prep time) with spontaneity.
  • Have signals: Use safe words or gestures to pause safely.
  • Redefine intimacy: Cuddles, shared hobbies, or quiet time count.
  • Stay grounded: Remove distractions, practice eye contact, and breathe together.
  • Celebrate quirks: Turn differences into strengths, not obstacles.
  • Use resources: Books, podcasts, and neurodiversity-affirming therapy help.

💡 Small shifts in communication and environment can turn “frustration moments” into deeper connection.

Resources and Support

Exploring intimacy while being neurodivergent can feel like walking through a maze with half the signs missing. Questions about touch, attraction, or communication don’t always get addressed in standard education or even in therapy. That’s why knowing where to find support, whether professional, peer-based, or self-directed, is a game-changer.

Therapy Approaches That Help

Therapy doesn’t have to mean lying on a couch talking about childhood; it can be practical, skills-based, and affirming. For neurodivergent individuals, the best approaches combine respect for difference with tools for self-advocacy and comfort in intimacy.

  • Sex Therapy: Certified sex therapists can work with individuals or couples to navigate intimacy challenges. For example, someone on the autism spectrum might struggle with changes in routine that affect their sex life; sex therapy can help them and their partner design rituals that feel grounding.
  • Occupational Therapy (OT): Often overlooked in this context, OT helps regulate sensory input. Imagine someone with ADHD who finds it hard to stay focused during sex; they might use weighted blankets or grounding exercises suggested by an OT to stay present and connected.
  • Somatic and Body-Based Therapies: For those who feel “out of sync” with their bodies, somatic practices can build awareness and reduce anxiety, making touch less overwhelming and more pleasurable.
  • CBT & ACT: These approaches help reframe negative beliefs (“I’m too awkward for relationships”) into healthier narratives and support self-acceptance, which is foundational for intimacy.

Important note: Not every professional is trained in neurodiversity and sexuality—asking upfront about their experience can save frustration.

Communities and Peer Support

Support doesn’t always need to be clinical; sometimes the most powerful shift happens in a room (or chat group) where people can laugh about shared quirks, trade advice, or vent about misunderstandings without judgment.

  • Online forums: Reddit communities like r/neurodiversity or r/aspergirls provide spaces where questions about dating, intimacy, and sex are asked candidly.
  • Specialized support groups: Some organizations host meetups for autistic or ADHD adults focused on social and romantic skills. These groups often validate that it’s okay to learn dating “scripts” or practice communication in ways that feel structured.
  • Queer and neurodivergent networks: Many LGBTQ+ centers now recognize the overlap between neurodivergence and queer identity, offering inclusive spaces that embrace both.
  • Social media spaces: TikTok, Instagram, and podcasts have become powerful platforms where neurodivergent creators discuss personal experiences with sex and relationships, often more relatable than a textbook.

Example: A young woman with ADHD described how an online ADHD women’s group became her first safe place to talk openly about sexual rejection and shame. Hearing others share similar stories helped her reframe her self-worth.

Inclusive Sexual Health Resources

Mainstream sexual health education often skips neurodivergent realities, but there are growing resources bridging that gap. These help dismantle stigma and give practical strategies for safer, more enjoyable intimacy.

  • Books and Guides:
    • The Autism-Friendly Guide to Sex by Kate E. Reynolds (written directly for autistic individuals).
    • Neurodiverse Relationships by Joanna Stevenson and Aidan Harvey-Craig.
    • Sex is a Funny Word by Cory Silverberg (great for young people and inclusive education).
  • Websites and Nonprofits:
    • The Autistic Self Advocacy Network (ASAN) for policy and lived-experience-based guides.
    • Autism Sexuality Resources (Australia) for practical tools.
    • ADHD Love for relationship-focused resources.
  • Therapist Directories: Databases like AASECT (American Association of Sexuality Educators, Counselors, and Therapists) allow users to filter for sex therapists trained in working with neurodivergent populations.
  • Sexual Health Clinics: Some progressive clinics now train staff in neurodiversity awareness—meaning appointments take into account sensory sensitivities (e.g., dimmer lighting, clearer explanations).

Key point: These resources matter because they don’t treat sexuality as an “optional extra” for neurodivergent people, they affirm it as a central part of well-being.

Why Inclusive Support Matters

For many neurodivergent adults, the first time they encounter real, affirming information about intimacy isn’t until their 20s or 30s. By then, stigma, shame, or unhealthy experiences may have already left a mark. Access to inclusive resources shortens that learning curve. It makes room for self-acceptance, safer relationships, and even joy.

Support also extends to partners, families, and educators. The more inclusive knowledge spreads, the less isolated neurodivergent people feel, and the more society recognizes that everyone deserves fulfilling relationships, no matter how their brain works.

Conclusion

Neurodiversity and sexuality are not separate worlds, they overlap in ways that are deeply human, sometimes complicated, and often overlooked. Too many neurodivergent people grow up hearing about their challenges but not about their desires, their capacity for intimacy, or their right to explore relationships on their own terms. 

That gap leaves scars. It also creates myths: that neurodivergent people are uninterested in sex, incapable of intimacy, or forever “childlike.” These stereotypes are not only false, but they are also harmful.

The truth is simple: neurodivergent individuals, like anyone else, want relationships that feel safe, affirming, and fulfilling. They may navigate the world differently, processing sensory input in sharper detail, needing clearer communication, or approaching intimacy with creative strategies, but difference is not deficiency. In fact, these perspectives can enrich how we all think about connection, consent, and pleasure.

Creating a world that supports this requires effort on multiple fronts. Education systems need to talk about sexuality in ways that include neurodivergent realities, from sensory sensitivities to diverse communication styles. 

Healthcare providers must be trained to ask better questions and offer practical, non-judgmental support. Families and partners need access to resources that replace stigma with understanding. And society as a whole has to get more comfortable with open, honest conversations about sexuality—conversations that treat neurodivergent people not as exceptions, but as equals.

When these changes happen, the impact is bigger than just better sex or relationships. It’s about dignity. It’s about ensuring that every person, regardless of whether they’re autistic, ADHD, dyslexic, or otherwise, is recognized as a full human being, with desires, needs, and the right to pursue intimacy without shame.

Neurodiversity isn’t a barrier to love or sexual expression; it’s part of the beautiful spectrum of what it means to be human. By breaking stigma and making space for inclusive dialogue, we take one step closer to a society where everyone can belong fully, love freely, and define intimacy in a way that works for them.

📌 Key Takeaways: Neurodiversity and Sexuality

  • Neurodivergent people deserve affirming, safe, and fulfilling sexual lives.
  • Stereotypes (e.g., “not interested in sex” or “incapable of intimacy”) are false and harmful.
  • Difference is not deficiency—sensory, communication, and intimacy needs simply vary.
  • Inclusive education, healthcare, and resources create dignity and belonging.
  • Open, stigma-free conversations help normalize sexuality for everyone.
  • Neurodiversity is part of the beautiful spectrum of human connection.

💡 When we honor neurodiverse voices, intimacy stops being framed as a challenge and becomes recognized as a right.

Written by: Chinyere Okafor

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María Atahona

Educator, Wellbeing & Relationship Coach, and Facilitator

María Atahona Almarche

As an Educator, Coach, and Workshop Facilitator, María Atahona Almarche offers a unique, holistic, and person-centered approach to personal and relational growth.

She is passionate about accompanying individuals, couples, and groups on their journey toward sexual wellbeing, emotional awareness, and meaningful, healthy relationships.

Drawing on her extensive international experience across Spain, the UK, Northern Ireland, and Mexico, and her creative background in Advanced Theatre Arts, she provides a safe and non-judgmental space to explore sexuality, identity, values, beliefs, and the connection with yourself, others, and life.

Her mission is to equip you with practical and compassionate tools —such as Nonviolent Communication (NVC), Neuro-Linguistic Programming (NLP), and Systemic Therapy— to cultivate a life of greater awareness, presence, fulfilment, and joy.

Specializations: Sexual Wellness & Education, Relationship & Communication Coaching, Nonviolent Communication (NVC), Neuroeducation, Gender Equality and Diversity, Personal Growth & Empowerment.

Location: Online globally — with extensive experience in Spain, the UK, Northern Ireland, and Mexico.

Locally qualified as: Educator (Spain) and Level 3 Relationships & Sexuality Educator (UK/Northern Ireland).

Qualified worldwide as: Advanced Coach (ACC-ICF), Educator, and Workshop Facilitator
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1. Individual Coaching for Self-Discovery

This is a one-on-one journey to help you understand yourself and transform the way you relate to your own life. Who it's for: Individuals seeking personal growth, exploring their identity , or feeling disconnected from their desire and pleasure. How I help: We use cognitive restructuring, somatic (body connection) work, and exploration of your personal narratives to help you overcome limiting beliefs and emotional blocks, manage anxiety, and reconnect with your authentic self.

3. Group Workshops & Facilitation

As a facilitator with a Master's in Theatre Arts, I create dynamic, experiential learning environments. Who it's for: Groups and communities seeking to explore well-being, healthy relationships, and sexual empowerment in a shared, supportive setting. How I help: We use tools from theatre, storytelling, and role-playing to move beyond just talking. This creative approach helps release blockages, build confidence, and experience new perspectives in a spontaneous and enjoyable way.

2. Couples Coaching for Healthy Relationships

This process is designed to help couples build more authentic and meaningful connections. Who it's for: Couples who feel "stuck," frustrated by constant arguments, or who have lost their emotional and intimate connection. How I help: My approach is built on Nonviolent Communication (NVC). We use active listening exercises and develop a clearer emotional language to help you express your needs without fear, transforming conflict into connection and complicity.

4. Sexual & Relational Education

As a certified educator, I firmly believe that knowledge is a powerful tool for change. Who it's for: Individuals, couples, or groups who want to build a foundation of healthy practices. How I help: I provide evidence-based, sex-positive education on relationships and sexuality (L3 OCNNI) , communication skills , and gender equality. This empowers you with the self-awareness and understanding needed to foster healthier connections.

My Services

A Path to Awareness, Fullness & Enjoyment

My mission is to empower you on your journey toward sexual wellness, healthy relationships, and personal growth. My approach is holistic, inclusive, and person-centered, creating a safe space where individuals, couples, and groups can explore their identity and relational dynamics authentically and respectfully. I use a unique blend of coaching, education, and creative, theatre-based tools to facilitate your transformation.

Specialist in

Sexuality & Relational Coaching

This is

More Than Just Talk: A Creative Path to Transformation

My work is uniquely creative and experiential. I hold a Master's Degree in Advanced Theatre Arts Studies and I believe that theatre and storytelling have a profound "healing and transformative power". In our sessions, we won't just talk about your challenges; we will actively and safely explore them. I integrate dynamic tools like dramatic arts, storytelling, and role-playing exercises . This powerful, holistic approach allows you to try on new perspectives, release emotional blocks, and build real-world confidence, helping you rewrite your story from a place of creativity, action, and enjoyment.

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Elena Sánchez

Through her help, I reconnected with my authentic self and, as a result, found deeper satisfaction in my sex life.
My clients Experience

Real Stories of Transformation

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Transforming Communication for Couples

I work with couples who, despite loving each other, feel stuck in frustrating, unresolvable arguments. How I help is by using Nonviolent Communication (NVC) techniques and active listening exercises. This helps partners learn to express their needs without fear of conflict, strengthening their bond and finding new forms of connection and complicity .

Reconnecting with Desire & Pleasure

I support individuals who feel a deep guilt or disconnection from their sexual desire, often due to limiting family or cultural beliefs. How I help is through a process of cognitive restructuring and somatic (body) work. This empowers them to question old conditioning, understand their sexuality from a freer place, and enjoy pleasure without guilt or self-judgment.

Affirming & Exploring Identity

I provide a pressure-free, inclusive space for individuals, including members of the LGBTQ+ community, who are exploring their identity. I supported a bisexual client who was struggling with self-doubt. How I help is by using personal narratives, introspection, and creative role-playing, which allowed him to gain self-confidence and define his identity with greater clarity.

Our Process

A Creative & Collaborative Path to Your Goals

Our work is a dynamic, joint process built on trust, respect, and open communication. This is a safe, non-judgmental space where we flexibly adapt to your unique needs. Using creative and experiential tools like Nonviolent Communication (NVC) , reflective exercises, and storytelling , we will collaboratively define meaningful goals. My role is to accompany you as you discover your potential and build a life of greater awareness and fulfillment.

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Are dissatisfied with their sex life
Up to % 0
of women with sexual difficulties ever seek professional help
Only % 0
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Are you

Ready to Take the Next Step?

Taking the first step is often the most courageous one. If you're ready to gain clarity, understand the patterns shaping your life, and build a more empowered future, I invite you to connect. I offer a confidential, non-judgmental space to explore if my approach is the right fit for you. Let's begin the conversation.

Special Focus

The Transformative Power of Creative Expression

My work is built on a unique and powerful foundation: a Master’s Degree in Advanced Theatre Arts Studies. I firmly believe that theatre, movement, and storytelling have a profound "healing and transformative power". My approach is experiential, not just analytical. We will use creative tools like dramatic arts, storytelling, and role-playing to safely explore your emotions, identity, and relational patterns. This dynamic process allows you to move beyond limiting beliefs, practice new ways of being, and rewrite your personal narrative from a place of creativity, action, and empowerment.
María Atahona Almarche
Experiential Coach, Educator & Facilitator
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Marie Claire Altimari Fuoco

Clinical Psychologist & Sex Counsellor

Marie Claire Altimari Fuoco

As a Psychologist and Clinical Sexologist from the University of Padua, Marie Claire Altimari Fuoco offers a uniquely attuned and empathetic approach to therapy, with a passionate focus on supporting adolescents and the LGBTQIA+ community. She thoughtfully blends deep psychodynamic insight to help you understand your inner world, with practical cognitive tools to navigate the challenges of identity, relationships, and sexuality. Her practice is a safe, non-judgmental, and affirming space dedicated to helping you discover your own value and feel empowered on your personal journey.

 

Italy: Clinical Psychologist & Sex Counsellor

World wide: Psychology Counsellor & Sex Counsellor

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1. Therapy for Adolescents & Young Adults

With a Master's in Clinical Developmental Psychology, I have a deep understanding of the unique challenges faced by young people. I offer a supportive space to navigate the pressures of identity formation, social relationships, and the discovery of sexuality, helping you build a strong sense of self-worth and resilience.

 

 

3. Sex Therapy & Relationship counseling

Drawing from my Master's in Clinical Sexology, I help individuals and couples address sexual challenges, improve communication, and navigate relationship transitions. Whether you're dealing with specific dysfunctions or recovering from a separation, we'll use a mix of deep insight and practical tools to guide you toward healthier, more fulfilling connections.

 

2. LGBTQIA+ Affirming Support

As a core focus of my practice, I provide a safe, non-judgmental space for LGBTQIA+ individuals. We work to explore and affirm your identity, navigate the coming-out process, and challenge the negative thoughts that can arise from societal stigma, empowering you to live authentically and confidently.

 

 

4. Psychodynamic Therapy for Individuals

For those seeking a deeper understanding of themselves, my psychodynamic approach helps uncover the "why" behind your feelings, behaviors, and relationship patterns. This is a collaborative exploration of your inner world, designed to help you break free from old patterns and live a more conscious and intentional life.

 
My Services

Support Tailored to Your Needs

My practice is a safe and affirming space dedicated to supporting you on your unique journey. I blend deep, thoughtful exploration with practical tools to help you understand your inner world, navigate relationships, and feel confident in who you are. Below are the primary ways we can work together.

 

Specialist in

Adolescent & LGBTQ+ Therapy

This is

My Philosophy & Journey

My journey into this work began with a clear observation during my studies in developmental psychology: I saw that young people, especially those in the LGBTQIA+ community, were full of essential questions about their identity and sexuality, yet were so often met with silence or stigma. I knew I needed to become the person who could provide a safe, knowledgeable, and affirming space for those conversations to happen.

My practice today is the fulfillment of that mission. I believe that true growth comes from a powerful combination of deep understanding and practical tools. We will use a psychodynamic lens to gently explore your inner world—the "why" behind your feelings and patterns—while also using cognitive strategies to help you navigate real-world challenges with confidence. Ultimately, my work is dedicated to helping you hear and trust your own voice, discover your inherent value, and feel empowered to live and love authentically.

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Vittoria Ricci

She helped me Move on from separations and embrace a fresh path.
My clients Experience

Journeys of Discovery

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Embracing an Authentic LGBTQIA+ Identity

I often support young clients who are struggling with shame and self-acceptance due to societal stigma around their sexual orientation. I once worked with a young woman who, because of derision from her peers, felt unattractive and unworthy of connection. Through our work of redefining her beliefs and taking practical, affirming steps like attending her first Pride Parade, she transformed her self-perception. She discovered a powerful sense of belonging, embraced her identity with pride, and began to confidently build the healthy romantic relationships she deserved.

 

Navigating the Challenges of Adolescence

Adolescence is a time of intense discovery, often filled with confusing questions about identity, friendships, and sexuality. I provide a dedicated space for young people to explore these pressures without judgment. We work to build a strong sense of self-worth and develop the tools to navigate peer dynamics, helping them to find their own voice and feel resilient in the face of social challenges.

Healing in Relationships

For individuals recovering from difficult separations or struggling to form healthy connections, therapy can be a powerful space for healing. We gently explore past relationship patterns and the underlying emotions that drive them. Through a blend of deep insight and practical communication tools, clients learn to build healthier boundaries, foster deeper intimacy, and move forward with the confidence to create the fulfilling relationships they desire.

 
Our Process

Our Collaborative Path to Understanding

Our work together is a trusted partnership where your story is the guide. I believe that therapy is a "tandem work"—you are the expert on your own life, and I am the expert in psychology. We begin with a deep, non-judgmental exploration of your inner world to understand the "why" behind your feelings and behaviors. From this foundation of insight, we then build a practical, step-by-step plan using cognitive tools to help you create the tangible, positive changes you want to see in your life.

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of all first marriages end in divorce
% 0
of second marriages end in divorce.
% 0
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Are you

Ready to Take the Next Step?

Taking the first step is often the most courageous one. If you're ready to gain clarity, understand the patterns shaping your life, and build a more empowered future, I invite you to connect. I offer a confidential, non-judgmental space to explore if my approach is the right fit for you. Let's begin the conversation.

Special Focus

Developmental Sexology

My practice is uniquely positioned at the intersection of Clinical Developmental Psychology and Sexology. I have a deep understanding that adolescence and young adulthood are the most critical times for forming a healthy sense of self, yet they are often when questions about sexuality and identity are met with the most confusion or silence. My special focus is on providing a safe, knowledgeable, and affirming space specifically for young people and the LGBTQIA+ community to navigate these complexities. We work together to explore identity, build self-worth, and integrate their emerging sexuality in a way that feels authentic, confident, and whole.
Marie Claire Altimari Fuoco
Psychologist & Clinical Sexologist
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Emanuele Cosimo Altomare

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Emanuele Cosimo Altomare

Italy: Sex Therapist & Neuroscience-Based Coach

World wide: Sex Counsellor

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A Scientific Approach to Better Intimacy and Performance

As a Psychologist with a PhD in Neuroscience, I offer a uniquely effective and evidence-based approach to sexual wellness and personal growth. My practice is built on a simple principle: understanding how your brain and body work is the key to unlocking lasting change. I provide a safe, competent, and non-judgmental space where we use practical, science-backed tools to address your challenges, whether you are looking to heal your intimate life or optimize your personal performance.

 

1

For Individuals & Couples

Evidence-Based Sex Therapy

This is for individuals and couples dealing with sexual or relational issues like desire, anxiety, pain, or compulsive porn use. It provides a structured, scientific path to help you reconnect and rediscover pleasure.

2

For High-Achievers

Neuroscience-Based Coaching

Renew your relationship through compassionate communication and conscious intimacy. Learn tantric practices that foster understanding, process emotions, and reignite the spark in your connection.

Sexuality is a living language. My role is to offer a safe, competent space to help you rediscover its words, sensations, and connection.

A Path to Wholeness

My Approach Is

My therapeutic approach is built on a powerful synergy of deep scientific understanding and practical, real-world application. I don't believe in vague advice; I believe in giving you a clear roadmap based on what we know about the brain, behavior, and human connection. Below are the four core pillars that guide our work together, ensuring a process that is not only effective but also safe, respectful, and tailored specifically to you.

 

01 The 'Why': Neuroscience-Informed Clarity

My background as a neuroscientist is the foundation of our work. I help you understand why you feel the way you do by explaining the brain-body connection behind desire, anxiety, and habit formation. This knowledge is empowering; it demystifies your challenges and builds your confidence in the process, because you’re working with your biology, not against it.

02 The 'How': Evidence-Based & Actionable Tools

We use only the most effective, scientifically-backed methods to create change. With practical tools from Cognitive Behavioral Therapy (CBT/ACT) and structured intimacy exercises like Sensate Focus, our sessions are highly practical. You will leave with clear, graded tasks and simple ways to track your progress, ensuring you are always moving forward.

03 The 'Pace': Trauma-Informed Safety

Your safety is the absolute priority. My approach is trauma-informed, meaning we always move at a pace that feels right for you. We build a foundation of stability and trust before addressing sensitive issues, and every step is guided by your explicit consent. This ensures that therapy is a space of healing and empowerment, not re-traumatization.

04 The 'Who': A Radically Inclusive Space

This is a competent, non-judgmental, and affirming space for everyone. I have specific training and awareness in working with the LGBTQIA+ community, kink dynamics, and consensually non-monogamous (CNM) relationships. You will not have to educate your therapist; you can simply show up as you are and be understood.

Emanuele Cosimo Altomare

If you're ready for a competent and non-judgmental space to rebuild intimacy or optimize your performance, let’s design a clear, science-backed plan you can trust.

My Journey to This Work

How a deep curiosity for the brain led to a more effective and compassionate approach to therapy.

My path into therapy began with a scientific pursuit: earning a PhD in Neuroscience to understand the "why" behind our most personal challenges. I was driven to uncover the brain's role in desire, anxiety, and intimacy, seeking to ground therapeutic work in concrete, biological reality. This foundational knowledge allows me to see beyond the psychological story to the physiological processes that shape our lives, providing a clear and logical basis for our work.

Today, my practice is the synthesis of that journey. I bridge the gap between the research lab and the therapy room by combining the clarity of neuroscience with the practical, evidence-based tools of modern sex therapy. By explaining the neurological processes we are working to reshape, I demystify healing and empower you with knowledge. This transforms therapy from an abstract experience into a collaborative, logical, and effective science of personal change.

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We Can Work Together

How

Whether you're seeking to heal your intimate life or optimize your performance, my services provide a clear, science-backed path. I offer structured support for individuals, couples, and organizations.

 

01

Sex Therapy

For Individual & Couples

This confidential space is for individuals and couples navigating sexual challenges. Using evidence-based methods like CBT and sensate focus, we'll create a structured plan to address issues like desire, anxiety, or pain, and rebuild your connection with intimacy and pleasure.

02

Neuroscience-Based Coaching

For professionals

For professionals seeking a competitive edge, this service leverages the science of the brain. We'll design a measurable, data-driven plan to manage stress, sharpen focus, and build powerful habits, unlocking your full potential in your career and personal life.

03

Training & Workshops

For Schools, Organizations & Professionals

I offer customized, evidence-based training on topics from modern sex education and consent to creating respectful and inclusive workplace cultures. These engaging sessions provide practical knowledge and skills to foster safer and more well-informed communities.

Your Evidence-Based Session Blueprint

My process is designed to be clear, structured, and effective. We move beyond aimless conversation to create a practical roadmap for change, grounded in neuroscience and proven therapeutic techniques. Every session has a purpose, ensuring you always feel informed, in control, and confident in our shared path toward your goals.

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Assessment & Strategy

Our first sessions are dedicated to creating a clear and comprehensive picture of your unique situation. Through a focused history and collaborative goal-setting, we'll identify the core challenges and define what success looks like for you. This creates a personalized, science-backed plan that will guide all of our subsequent work together.

 

Active Skill-Building

This is where we put the plan into action. You'll learn and practice evidence-based tools from Cognitive Behavioral Therapy (CBT), mindfulness, and structured intimacy exercises like Sensate Focus. Each technique is practical, graded to your comfort level, and explained through the lens of neuroscience, so you understand not just what to do, but why it works.

Progress & Lasting Change

Change requires consistency and feedback. We will regularly review your progress using simple, clear metrics to see what’s working and adjust our strategy as needed. This focus on accountability ensures that the new skills and insights you gain become integrated, sustainable habits for a more fulfilling life.

Beyond the Therapy Room

An Author & Educator

Neuroscience-Based Performance Coach

For professionals who operate in high-stakes environments, generic advice isn't enough. My performance coaching offers a distinct strategic advantage by going directly to the source: your brain. Leveraging my background as a neuroscientist, we move beyond simple "life hacks" to create a personalized, data-driven blueprint for how your mind works best. We'll implement targeted strategies to sharpen your focus, regulate stress responses, and build powerful, sustainable habits. This is a scientific approach to personal optimization, designed to unlock your full potential and give you a measurable edge in your career and life.

A Trusted Educator & Trainer

In a world filled with misinformation, I provide clear, evidence-based, and engaging education grounded in psychological science and neuroscience. For schools, I move beyond outdated models to deliver modern, age-appropriate training on crucial topics like consent, digital safety, and porn literacy, equipping young people with the tools for a healthy future. For organizations and professionals, I design and facilitate powerful workshops on creating respectful, inclusive cultures, preventing harassment, and mastering non-violent communication. My goal is to translate complex research into practical, actionable knowledge that fosters safer, more ethical, and more informed communities.

Why This Approach Works

My Core Commitments

My practice is built on a foundation of two core commitments that ensure your journey is not only effective but also deeply respectful and safe. By integrating the objective clarity of a scientist with the dedicated care of a clinician, I provide a path to change that you can understand and trust.

 

1. Unwavering Scientific Rigor

You deserve an approach grounded in proven science, not guesswork. With a PhD in Neuroscience, I bring a deep understanding of the brain-body connection to our work. We use only the most effective, evidence-based methods like Cognitive Behavioral Therapy (CBT) and structured intimacy exercises, ensuring every step of your plan is logical, practical, and designed for measurable results.

2. Absolute Safety and Inclusivity

Progress is impossible without safety. My practice is a confidential, non-judgmental, and trauma-informed space where your consent and comfort are the absolute priority. As a kink-aware and LGBTQIA+ affirming therapist, I am committed to providing competent care where you will be understood and respected, allowing you to show up as your authentic self without fear or the need for explanation.

Book a Call With

Emanuele Cosimo Altomare

Your Path to Change Starts Here

Whether you are looking to heal your intimate life, overcome sexual challenges, or optimize your personal performance, a clear, science-backed, and non-judgmental path is available to you.

Take the first step today. Reach out to begin a confidential conversation and let’s design a personalized, evidence-based plan you can trust.

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Mariana Barcelos

Psychologist & Sexuality Specialist

Mariana Mendes Barcelos e Santos

As a certified Psychologist and Sexuality Specialist from Brazil, Mariana Barcelos offers a therapeutic space where clinical expertise and profound human understanding meet. Grounded in an existential-phenomenological approach, her work honors the unique lived experience of each individual, focusing on themes of identity, intimacy, and desire. She has dedicated her career to supporting the LGBTQIA+ community, with a particular focus on the experiences of sapphic women. As a lesbian woman and the co-founder of a pioneering LGBTQIA+ psychological clinic, she brings a rare combination of professional knowledge and authentic, lived empathy to her practice, creating a truly safe and affirming environment for clients to explore their most authentic selves.

Location: Brazil

 

Locally qualified: Psychologist & Sexuality Specialist

 

Qualified worldwide: Sexuality Specialist & Relationship Counselor

 

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1. Individual Psychotherapy

This is a confidential, one-on-one space dedicated entirely to you and your unique lived experience. In these sessions, we can delve into topics such as sexuality, desire, self-esteem, anxiety, and personal growth. Using an existential-phenomenological approach, our conversations will focus on helping you find meaning, clarify your values, and build a life that feels authentic and fulfilling.

3. LGBTQIA+ Affirming Therapy

As my core specialty, I provide therapy that is deeply attuned to the experiences of the LGBTQIA+ community. This is a space free from judgment where we can address specific issues such as coming out, navigating queer relationships, overcoming internalized stigma, and exploring gender and sexual identity. My lived experience as a lesbian woman enriches this work, particularly in supporting sapphic individuals.

2. Couples Therapy

For couples seeking to strengthen their bond, I offer a supportive environment to explore relationship dynamics. We will work collaboratively to improve communication, navigate conflicts, and deepen both emotional and physical intimacy. My practice is affirming of all relationship structures and is focused on helping you build a more resilient and connected partnership.

4. Trauma-Informed Support

For clients who have experienced trauma related to sexuality, relationships, or violence, I offer a gentle, trauma-informed approach. Healing is a process that cannot be rushed. My focus is on creating a secure environment where you can process your experiences at your own pace, reclaim a sense of safety, and rebuild a foundation of trust and resilience in your body and relationships.

My Services

How We Can Work Together

My practice is built on creating a warm, collaborative, and non-judgmental space where you can feel safe to explore the most personal aspects of your life. Whether you are seeking to understand your identity, deepen your intimacy, or navigate life's challenges, my goal is to accompany you on your journey with empathy and clinical expertise. Below are the primary ways we can work together.

Specialist in

Unfiltered Talk on Sex, Desire & Sapphic Identity

This is

Your Story, Your Meaning, Your Freedom

I believe therapy is not about diagnosing what is 'wrong,' but about courageously exploring what is true for you. My approach is grounded in the conviction that you are the ultimate expert on your own life. My role is to be a dedicated partner in making sense of your story, honoring your world exactly as you see it, without judgment or assumption. Together, we will navigate the profound questions of identity, desire, and connection, creating a space where you can reclaim your freedom to choose a life that feels authentic and deeply meaningful.

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Sofia and Clara

She gave us a space where we felt truly seen.
My clients Experience

Journeys Toward Wholeness: Real Stories of Transformation

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Identity, Affirmation & Empowerment

Much of my work is dedicated to creating a safe space where you can explore and celebrate who you are, free from societal expectations. I specialize in helping women and LGBTQIA+ individuals navigate the complexities of identity, overcome internalized stigma, and build unshakeable self-acceptance and confidence.

  • For a woman feeling overwhelmed by the pressures of motherhood, we worked to clarify her own authentic desires and values.

  • For a lesbian client struggling with internalized lesbophobia, we reframed her experiences to find pride and freedom in her identity.

  • For a transgender client navigating their transition, we focused on building resilience and self-acceptance against social challenges.

Navigating Relationships & Intimacy

I help individuals and couples build healthier, more connected, and more fulfilling relationships. My approach focuses on improving communication, setting healthy boundaries, and creating a safe space to explore desire, intimacy, and sexual health without shame or judgment.

  • For a couple stuck in a cycle of conflict, we developed tools for active listening and emotional regulation to foster connection.

  • For a client feeling shame around their sexual desire, we worked to reframe their perspective and develop healthier intimacy.

  • For an individual who repeatedly entered unbalanced relationships, we identified underlying patterns to help them build stronger boundaries.

Healing from Trauma & Building Resilience

Therapy is a gentle and patient process of healing from past wounds. I provide a secure, trauma-informed environment where you can process difficult experiences, manage anxiety and depression, and rebuild a sense of safety and agency in your life and relationships at your own pace.

  • For a survivor of sexual trauma, we focused on reclaiming a sense of safety and rebuilding trust in their body and relationships.

  • For a client who experienced homophobic violence, we worked to process the trauma while simultaneously affirming their identity.

  • For a woman experiencing depression linked to suppressing her identity, we guided her to embrace her authentic self and regain energy.

Our Process

A Look Inside Your Therapy Process

It starts with a welcoming first session focused on building trust and understanding your story. We then explore your unique world together, uncovering the deeper meanings behind your experiences. From there, we define what truly matters to you through a flexible, client-led goal-setting process. Our ongoing sessions are dedicated to deepening this insight and supporting your continued growth, ensuring you feel seen and in control of your journey at every step.

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Heterosexual Women Orgasm Frequency
% 0
Lesbian Orgasm Frequency
% 0
Gay Men's Orgasm Frequency
% 0
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Are you

Ready to Take the Next Step?

Taking the first step is often the most courageous one. If you're ready to gain clarity, understand the patterns shaping your life, and build a more empowered future, I invite you to connect. I offer a confidential, non-judgmental space to explore if my approach is the right fit for you. Let's begin the conversation.

Special Focus

Lived Experience & Clinical Expertise

A unique foundation of my practice is the deep integration of clinical excellence with my authentic, lived experience. As both a certified Psychologist and a lesbian woman, I offer more than just a therapeutic method; I provide a space of profound, inherent understanding. This approach is particularly powerful for those who have felt they must translate their identity or justify their experiences in other settings. It allows our work to bypass preliminaries and go deeper, fostering a connection built on shared context and genuine empathy, helping you feel not just heard, but truly seen.
Mariana Barcelos
Psychologist & Sexuality Specialist
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Giuseppe Rotolo

Holistic Sex & Couples Consultant, Functional Medicine Expert

Giuseppe Rotolo

With over 30 years of experience, Dr. Giuseppe Rotolo offers a truly comprehensive and holistic approach to sexual well-being. He is one of the few experts in the world who is a Medical Doctor, a certified Gestalt Psychotherapist , and an expert in Functional Medicine. This powerful integration allows him to provide an unparalleled level of care. He begins by offering medical clarity and reassurance , addressing the physiological factors of sexual health first. From that foundation of safety, he then uses deep psychological exploration and holistic wellness principles to guide individuals and couples toward sustainable, whole-person healing and transformation.

 

Locally (Italy) qualified as: Medical Doctor & Psychotherapist, Functional Medicine Expert

Qualified Worldwide as: Holistic Sex & Couples Consultant

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1.Medical & Sexual Health Assessment

As a Medical Doctor, my first step is to provide a foundation of safety and reassurance. We start with an expert physiological assessment to address your concerns, rule out any underlying pathological involvement, and offer clear, evidence-based answers. This medical clarity dispels fear and allows us to focus on the psychological and emotional path to healing.

 
 
 
 

 

 

3. Functional Medicine & Holistic Wellness

Sexual vitality is deeply connected to your overall wellness. As an expert in Functional Medicine, I look beyond the immediate symptoms to address underlying imbalances. We explore factors like inflammation, immunity, lifestyle, and environment to support your body's natural vitality and create lasting, foundational health.

2. Gestalt Psychotherapy for Individuals & Couples

With 30 years of experience as a psychotherapist, I offer a welcoming and non-judgmental space for both individuals and couples. Using the Gestalt approach, we work to explore deep-seated emotional patterns and foster a more authentic connection with yourself and your partner, moving away from over-analysis and toward genuine experience.

4. Integrated Couples Counseling

I provide a comprehensive approach for couples seeking to reconnect. We integrate all three pillars—medical, psychological, and holistic—to understand the complete picture of your relationship. We address communication breakdowns, explore emotional patterns , and find the root causes of disconnection, guiding you toward a deeper, more authentic, and fulfilling intimacy.

My Services

Support Tailored to Your Needs

My practice is built on a unique, holistic integration of three powerful disciplines. I don't just treat symptoms; I look at you as a whole person, combining medical science, deep psychotherapy, and functional medicine to address the root cause of your concerns and help you achieve sustainable transformation.

 
 
 

Specialist in

A 360° Approach: Integrating Medical, Psychological & Functional Health

This is

My Philosophy & Journey

With over 30 years of experience as a psychotherapist, medical doctor, and university professor, my professional journey has been dedicated to one central philosophy: treating the whole person, not just a set of symptoms. I believe that true sexual well-being emerges from the harmonious integration of multiple dimensions. My approach moves beyond temporary fixes by uniquely combining the reassurance of Medical Science, the deep emotional exploration of Gestalt Psychotherapy, and the root-cause analysis of Functional Medicine to guide you toward sustainable, authentic transformation.

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Alessio R.

He was the only expert who could address my medical fears, our emotional patterns, and my physical health all at once.
My clients Experience

The Benefits of a Truly Holistic Approach

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The Benefit of Medical Clarity

As a Medical Doctor, my first step is to provide a foundation of safety and reassurance. We will medically assess your concerns to rule out any physiological factors. This medical clarity immediately "tranquilizes and reassures" you, dispelling the health fears and anxieties that can block psychological healing.

The Benefit of Deep Emotional Insight

With 30 years of experience as a Gestalt Psychotherapist, I provide a non-judgmental space to explore your emotional patterns. Instead of just over-analyzing, this approach helps you foster a more authentic connection with yourself and your partner, allowing you to experience true growth and deeper intimacy.

 
 
 

The Benefit of Sustainable Vitality

As an expert in Functional Medicine, I look beyond the symptoms to address the root cause of your concerns. We will explore underlying factors like lifestyle, environment, and bodily imbalances that affect your sexual vitality. This "whole-person" approach creates sustainable, long-term health from the inside out.

Our Process

Your Path to Getting Started

Our therapeutic journey is a four-step, whole-person process, typically unfolding in 50-minute sessions. We begin with a compassionate assessment to explore your history and goals in a safe, confidential environment. Next, I use my expertise as a Medical Doctor to provide a gentle medical evaluation, a crucial step that offers immediate reassurance by ruling out physiological factors and dispelling health fears. With this foundation of safety established, we move into the psychological exploration using Gestalt therapy to understand and address your emotional patterns. Finally, we focus on sustainable growth, integrating these insights with holistic wellness principles to ensure you build lasting skills for a more fulfilling life.

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Reported: Female Dysfunction
% 0
Reported: Male Dysfunction
% 15
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Are you

Ready to Take the Next Step?

Taking the first step is often the most courageous one. If you're ready to gain clarity, understand the patterns shaping your life, and build a more empowered future, I invite you to connect. I offer a confidential, non-judgmental space to explore if my approach is the right fit for you. Let's begin the conversation.

Your 3-in-1 path to sexual well-being.

Begin Your Journey to Whole-Person Healing

One of the unique tools I integrate into my practice is Laughter Therapy (Risoterapia), a powerful method for connecting the mind and body. It's more than just humor; it's a guided practice designed to release emotional stagnation, reduce the physical symptoms of stress and depression, and help you reconnect with your natural sense of joy and spontaneity. This approach is particularly effective for those feeling stuck, anxious, or disconnected, offering a path to renewed vitality.
Dr. Giuseppe Rotolo
Medical Doctor, Psychotherapist & Functional Medicine Expert
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Krish Phua

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Krish Phua

Switzerland and Singapore: Certified Sexologist & Psychological Counsellor
World wide: Sex Expert

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A Space for Your Whole Self

My therapy is a safe, affirming, and empowering space guided by the core values of RAISE: Respect, Aspirations, Inclusion, Support, and Engagement. I work with individuals and couples from all walks of life, including adults, seniors, and marginalized communities, to help them reconnect with their authentic selves and cultivate meaningful relationships.

1

Individuals & Couples

Reconnecting With Self & Partner

I provide a safe, person-centered space for individuals to heal from shame and trauma, using mindfulness to restore authenticity. For couples, I use my specialized therapy training to help you strengthen communication, address desire discrepancy, and restore intimacy.

2

Specialized & Affirming Therapy

Deepen Your Connection

I offer a safe, affirming space for the LGBTQIA+ community to explore identity, backed by published research and trauma-formed care. I also use evidence-based Sex Therapy to address specific dysfunctions like vaginismus, erectile issues, and men's sexual health, helping you restore connection and self-acceptance.

Sexuality is more than pleasure; it is a language of connection and self-acceptance.

A Holistic Approach

My Integrative & Humanistic Approach

My approach is integrative, eclectic, and humanistic, tailored to your unique needs. I believe effective therapy honors both the science and the art of human connection, balancing structure with spontaneity to meet you where you are. We will use evidence-based methods within a relational, trauma-informed space to help you heal and grow.

01
A Humanistic & Affirming Space

The foundation of our work is empathy, respect, and authenticity. This Person-Centered approach ensures you feel seen, supported, and empowered on your journey of personal growth.

02
Cognitive & Acceptance Tools

We use evidence-based tools like Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT). These practical methods help you integrate your mind, thoughts, and actions, manage unhelpful patterns, and commit to meaningful, value-driven behaviors.

03
Body-Mind Awareness

Using Mindfulness and Compassion-Focused Therapy, we work to cultivate a stronger, more harmonious body-mind connection. This approach helps you regulate your emotions, practice self-compassion, and find a sense of peace and awareness within yourself.

04
Relational & Trauma-Informed Care

My approach is deeply trauma-informed, prioritizing your safety, pacing, and empowerment. With a relational and experiential focus from Couple and Sex Therapy, we work to heal disconnection and rebuild secure, authentic, and meaningful relationships.

Krish Phua

Ready to reconnect? Book your session for a safe, affirming, and empowering space.

A Mission-Driven Path to Global Expertise

How personal experience and diverse clinical work shaped a mission of service.

My journey into this work began with a personal understanding of how isolating silence and taboo around sex can be, having grown up in Singapore. This inspired a deep, mission-driven commitment to "Give . Share . Serve". My 10+ years of experience are not limited to one setting; I have worked on the front lines of human connection in diverse environments, including hospitals, prisons, recovery centers, and halfway houses, giving me a profound understanding of clients from all walks of life.

This practical experience is backed by deep academic rigor. I am a published researcher in the International Journal of Drug Policy, where I explored the complex role of trauma in the LGBTQIA+ community. I am also a trusted voice in the public conversation about sexual wellness, regularly featured in international media, podcasts, and workshops. This journey is a blend of personal passion, diverse clinical practice, and academic contribution, all focused on helping others reconnect with their authentic selves.

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We Can Work Together

How

My services are diverse, spanning from confidential one-on-one therapy to international workshops, all built on an integrative, trauma-informed, and humanistic approach. I offer individual, couple, and group sessions online or in-person (Zurich/Biel/Bienne), tailored to your unique needs.

01

Counselling & Sex Therapy

A Relational & Experiential Focus

My core service is providing counselling and therapy in 60 to 90-minute sessions for individuals and couples. Using a humanistic, person-centered approach, we create a safe space built on empathy and authenticity. This allows us to address intimacy, sexuality, and relational challenges in a way that helps you restore connection and self-acceptance.

02

Evidence-Based Practical Tools

Integrating Mind, Body & Action

My practice balances the art of human connection with the science of psychology. I practically apply evidence-based tools from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness. This integration helps you manage unhelpful thoughts, foster body-mind harmony, and take committed, value-driven action.

03

Education, Workshops & Research

Advocating for Sexual Wellness

Beyond one-on-one therapy, I am a passionate educator and advocate. I design and lead international workshops (online and in-person) on topics like menopause, gender-affirming sexuality, and LGBTQIA+ relationships. As a published researcher and media contributor, my work is dedicated to destigmatizing sexual health and promoting inclusive, evidence-based conversations.

Your Session: What to Expect

My sessions are a collaborative and integrative journey, typically lasting 60 to 90 minutes, available online or in-person in Zurich and Biel/Bienne. I provide a safe, affirming space where we balance structure and spontaneity, using evidence-based tools and humanistic care to meet your unique needs.

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The First Session: Your Story & Goals

Our first meeting is a safe, confidential space for you to share your background, challenges, and goals at a comfortable pace. My priority is to listen with empathy. Together, we will collaboratively define our focus areas and clarify the outcomes you desire.

The Ongoing Work: Integrative Tools

Our ongoing process is holistic and practical. It includes open dialogue, reflection, emotional regulation, and evidence-based exercises from CBT, ACT, and Mindfulness. We integrate body, mind, and heart to help you overcome challenges and build new, healthier patterns.

The Goal: Connection & Empowerment

My ultimate goal is to help you restore connection and cultivate self-compassion. This trauma-informed, relational process empowers you to overcome shame, rebuild emotional intimacy, and cultivate meaningful, pleasurable, and authentic relationships with yourself and others.

Beyond the Therapy Room

Researcher, Educator & Clinical Supervisor

Educator & Public Advocate

I am a passionate educator and advocate dedicated to destigmatizing sexual health. I design and lead international workshops and educational programmes across Europe and Asia on topics like menopause, gender-affirming sexuality, and LGBTQIA+ relationships. My work is also featured in various international media, articles, and podcasts, helping to promote inclusive and evidence-based conversations.

Clinical Supervisor & Researcher

As a Certified Clinical Supervisor, I provide mentorship and guidance to other therapists and counsellors, helping them grow their skills and maintain high ethical standards. My work is also grounded in academic rigor. I am a published researcher in the International Journal of Drug Policy, where I have contributed to the scientific understanding of the role of trauma within the LGBTQIA+ community.

Real Stories of Transformation

A Safe Space for Your Specific Concerns

My practice is built on creating a safe, non-judgmental environment where clients from all walks of life—whether individuals, couples, or seniors—can find clarity and healing. Below are real experiences from clients who have journeyed with me to overcome challenges, deepen connections, and reclaim their well-being.

Transforming Intimacy & Sexual Wellness

Couple (30s) "Working with Krish has been truly transformative. Over just four sessions, we gained invaluable insights and practical techniques that deepened our connection and improved our sexual wellbeing. His compassionate, professional approach created a safe space where we could openly explore our concerns without fear. We now feel more attuned to each other’s needs and have learned how to create a more fulfilling and pleasurable intimate experience."

Navigating Family Conflict

Female (60s) "Plagued with family disharmony, I was referred to Krish for counselling. I found him very patient and professional, guiding me with clear and succinct sharing of his expertise. He has a unique ability to steer incidents toward the right perspectives and point out areas for improvement. I would highly recommend his counselling services for anyone seeking clarity."

Book a Call With

Krish Phua

Ready to Find Your Real Self?

As a Board-Certified Diplomate, Certified Sexologist, my practice is a safe, affirming, and empowering space dedicated to normalizing conversations around sexuality. My integrative, trauma-informed approach is guided by the core values of “RAISE,” helping you heal from disconnection and shame. If you are ready to cultivate pleasure, restore self-compassion, and reconnect with your authentic self, I invite you to begin this journey together.

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Anand Urhekar

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Anand Urhekar

In India: Medical Doctor & Sexual Medicine Consultant
World wide: Sex Expert

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A Multifactorial Approach to Your Sexual Health

With 25 years of global experience, I offer a comprehensive, "multifactorial" approach to sexual well-being. My background as a Medical Doctor allows me to first evaluate all physical and medical factors, providing a safe and complete diagnosis. From there, we use proven therapeutic techniques to address the psychological and relational aspects of your health in a safe, confidential, and non-judgmental environment.

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Medical Sex Therapy for Sexual Dysfunction

Reclaim Your Power

As a Medical Doctor with a residency in Sexual Medicine, I provide expert care for physical concerns like erectile dysfunction, sexual pain, and performance anxiety. We'll conduct a full medical and psychological evaluation to create a safe and effective treatment plan.

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Couples & Intimacy Counseling

Deepen Your Connection

Renew your relationship through non-violent communication and conscious intimacy. Learn tantric practices that foster understanding, process emotions, and reignite the spark in your connection.

Sexual health is a vital part of our overall health—yet it’s often overlooked, misunderstood, or stigmatized.

Science-Based Therapeutic Care

My Approach Is

My approach is a unique integration of medical science and skilled psychotherapy, allowing us to address the complete picture of your sexual well-being. We move beyond just symptoms to create a holistic, non-judgmental, and evidence-based plan for your health.

01
Medical Evaluation & Diagnosis

As a Medical Doctor, our first step is a complete evaluation to identify all physical, psychological, and relationship factors associated with your concerns. This ensures we are treating the root cause, not just the symptoms, providing a safe and accurate foundation for all our work.

02
Integrated Therapeutic Model

Tantra offers profound tools for connection and healing. Through guided practices involving breath, movement, and sound, you will learn to reconnect with your body's innate intelligence. This is a non-sexual, therapeutic practice focused on building presence, releasing emotional blockages, and cultivating a healthy, conscious relationship with your own sexuality and pleasure.

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Inclusive & Affirming Care

My practice is a safe, trauma-informed, and sex-positive space that respects all identities. I am committed to providing culturally sensitive, LGBTQ+ affirmative care and welcome clients from all walks of life, including those who are kink-aware or exploring non-monogamy.

04
Multidisciplinary & Partner-Inclusive

Sexual disorders can be complex, so I use a multidisciplinary approach. With your consent, we will share decisions with your other health providers. For those with partners, we will involve them in setting common goals and improving communication to ensure a holistic recovery.

Anand Urhekar

Take the first step toward reclaiming your sexual health. As a trusted medical doctor and sex therapist, I offer a safe, confidential, and comprehensive path to wellness.

My Journey to This Work

A 25-Year Mission to Bridge Medicine and Sexual Wellness

I began my career as a Medical Doctor, but I quickly recognized how often sexual health—a vital part of our overall well-being—is overlooked, misunderstood, or stigmatized. This realization became my mission. I pursued a specialized residency in Sexology and Sexual Medicine to bridge this critical gap, ensuring that intimate concerns could be treated with the same level of medical expertise and non-judgmental care as any other health issue.

For the past 25 years, I have practiced this integrated "multifactorial" approach across 9 different countries, working in diverse settings from public health departments to private practice. This extensive global experience has shaped my commitment to providing a safe, confidential, and culturally sensitive space where anyone can receive comprehensive, evidence-based care.

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We Can Work Together

How

My approach is "multifactorial," blending my expertise as a Medical Doctor with advanced sex therapy in a safe, confidential, and non-judgmental environment. We will work together to create a comprehensive plan that addresses every aspect of your well-being, ensuring no concern is overlooked.

01

Medical & Psychological Evaluation

for Individuals & Couples

This is for you and your partner if you have any concerns about your sexual health. How I help is by starting as a Medical Doctor. We begin with a complete evaluation to identify all physical, psychological, and relationship factors. This provides a safe, accurate diagnosis and ensures we are treating the true root cause.

02

Collaborative Counseling & Goal-Setting

for Feeling Anxious or Embarrassed

This is for patients who may feel hesitant, anxious, or embarrassed to discuss their concerns. How I help is by providing compassionate reassurance and collaboratively setting clear goals, which we use to track progress. We then use an integrative model of psychotherapy (CBT, psychodynamic, mindfulness) to address the psychological aspects of your well-being.

03

Holistic & Multimodal Treatment Plan

for The Whole Person, Including Partners

Healing in community can be a powerful experience. Throughout the year, I offer a variety of workshops and group sessions focused on topics like female empowerment, conscious sexuality, and relational skills. These events provide a supportive group environment to learn new tools, share experiences, and grow alongside others.

Your Journey to Sexual Well-being

My sessions are a structured, multidisciplinary journey that provides a safe and confidential environment. We begin with a medical foundation to establish safety and reassurance , then move toward addressing the complete psychological and relational aspects of your health.

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1. The First Step: Assessment & Medical Evaluation

Our work begins with a compassionate initial assessment where we explore your history, concerns, and goals. As a Medical Doctor, I then provide a gentle medical evaluation to rule out any underlying physiological factors. This crucial step provides immediate reassurance and creates a secure foundation for our therapeutic work.

2. The Core Work: Integrated Counseling & Therapy

This is where we address the psychological and relational issues that may be underlying or exacerbating your concerns. We use an integrative model of psychotherapy—including CBT, psychodynamic therapy, and mindfulness—to explore emotional patterns. For couples, we focus on education and improving communication to help negotiate and achieve mutual goals.

3. The Goal: Sustainable Growth & Holistic Integration

My focus is on sustainable transformation, not temporary fixes. In this phase, we ensure all associated medical conditions are treated and lifestyle factors like stress are addressed. We integrate the physical, psychological, and relational aspects of your health to ensure you build lasting skills and insights for a more fulfilling life.

Beyond the Therapy Room

A Leader in Global Sexual Health

An Expert Educator & Clinical Researcher

For the past 25 years, I have been a dedicated educator and public speaker, conducting regular seminars as part of continuing medical education and to create widespread public awareness. My expertise is also grounded in hard science, as I have worked in clinical research focusing on various sexually transmitted infections. This dual role allows me to bridge the gap between scientific discovery and practical, accessible health information.

A Global Voice in Medicine, Research & Education

My 25-year career has extended far beyond private practice, allowing me to contribute to the fields of public health, clinical research, and medical education on an international scale. This diverse experience across 9 countries enriches my practice, providing a unique, global, and "multifactorial" perspective that benefits every client.

Words From My Clients

A Legacy of Global Expertise

The privacy and trust of my clients are paramount. The words shared here are from individuals and couples who have graciously offered to describe their experience to help others who may be on a similar path. They are presented with deep gratitude and respect for their courage and journey.

 

A 25-Year Global Practice

For 25 years, I have worked across 9 different countries in diverse settings, from public health departments in the US and Kenya to private practice and academic institutions. This global experience has given me a unique, culturally-sensitive perspective and a "multifactorial" approach to helping thousands of clients with a comprehensive range of issues.

Expertise in Individual Sexual Health

My practice is a safe space for individuals from all walks of life, including teens and members of the LGBTQ+ community. My expertise covers the full spectrum of sexual health, from providing medical treatment for erectile dysfunction and painful sex to therapy for performance anxiety, low libido, healing from sexual trauma, and overcoming cultural sexual shame.

Book a Call With

Anand Urhekar

Begin Your Path to Sexual Health.

Take the first step toward the vitality you deserve. As a Medical Doctor with 25 years of global experience, I provide a safe, confidential, and comprehensive “multifactorial” approach. Book your session today to get a complete evaluation and a personalized path to wellness.

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Cris González Serrano

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Cris González Serrano

Transpersonal Therapist & Tantra Facilitator

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Awakening Your Authentic Sexuality

As a transpersonal therapist and Tantra facilitator, I guide you in a safe and compassionate space to heal, reconnect with your body, and transform your relationship with intimacy. My approach integrates deep listening with proven therapeutic and tantric tools to help you unlock the joy and fulfillment that are your birthright.

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For Women

Reclaim Your Power

Explore a path to deeper self-knowledge, bodily awareness, and sexual empowerment. We focus on healing your relationship with your body and emotions to live a more vibrant, authentic life.

2

For Couples

Deepen Your Connection

Renew your relationship through non-violent communication and conscious intimacy. Learn tantric practices that foster understanding, process emotions, and reignite the spark in your connection.

Your guide on the transformative journey back to your body, your heart, and your joy.

A Path to Wholeness

My Approach Is

My therapeutic process is built on a foundation of respect for your unique journey. I believe true healing happens when we feel safe enough to explore all parts of ourselves. To guide this exploration, I integrate several powerful modalities and principles.

01
Transpersonal & Integrative Therapy

We are more than just our thoughts. My approach honors you as a whole being—integrating the psychological, emotional, physical, and spiritual dimensions of your experience. We work not only with the stories you tell but also with the wisdom held in your body, creating a path for deep and lasting transformation.

02
The Wisdom of Tantra & Body-Based Practice

Tantra offers profound tools for connection and healing. Through guided practices involving breath, movement, and sound, you will learn to reconnect with your body's innate intelligence. This is a non-sexual, therapeutic practice focused on building presence, releasing emotional blockages, and cultivating a healthy, conscious relationship with your own sexuality and pleasure.

03
A Foundation of Unconditional Safety & Trust

The therapeutic relationship is the most critical element for healing. I am absolutely committed to creating a confidential and non-judgmental space where you can feel secure to open up. I honor your individual pace and collaborate with you to find the tools and techniques that resonate most, ensuring you feel seen, heard, and respected every step of the way.

04
A Gender-Informed Perspective

Our well-being is deeply connected to the world we live in. My work incorporates a gender perspective, acknowledging that social structures, roles, and expectations impact our emotional and sexual lives. This awareness allows for a more complete and relevant healing process that empowers you to navigate your personal life and relationships with greater clarity.

Cris González Serrano

Your path to emotional freedom and authentic connection is a courageous one. If you feel ready to take the next step toward healing and self-discovery, I am here to guide and support you.

My Journey to This Work

My path as a therapist is guided by a deep respect for the human spirit and a firm belief in our innate capacity to heal.

Since 2012, I have accompanied hundreds of individuals and couples, and through this work, I discovered a profound truth: at the root of many emotional and relational challenges, there is a sexual component. This insight led me to specialize, integrating my training as a Transpersonal Therapist with the deep wisdom of Tantra, coaching, and sexuality education.

My mission is to offer more than just techniques; I offer my presence, my intuition, and a compassionate space for you to explore your inner world. I believe the bond between therapist and client is sacred, and I am honored to be a witness to your journey toward wholeness and joy.

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We Can Work Together

How

Whether you are seeking to deepen your own self-knowledge or navigate challenges within your relationship, I offer dedicated spaces for your growth. Below are the primary ways we can embark on a therapeutic journey, tailored to support your unique process of healing and discovery.

01

Individual Therapy

for Women

This is a one-on-one journey designed to help you reconnect with your body, emotions, and innate power. Together, we focus on healing past wounds, cultivating deep self-acceptance, and fostering the sexual and emotional self-knowledge you need to set healthy boundaries and live a more authentic, satisfying life.

02

Conscious Relationship Therapy

for Couples

For couples seeking to move beyond conflict and rediscover their connection, this work focuses on building a foundation of non-violent communication. By learning to truly listen to one another, you can process emotions together and renew your intimacy. We incorporate Tantra and mindfulness practices to foster a deeper, more conscious, and fulfilling bond.

03

Workshops

For Group

Healing in community can be a powerful experience. Throughout the year, I offer a variety of workshops and group sessions focused on topics like female empowerment, conscious sexuality, and relational skills. These events provide a supportive group environment to learn new tools, share experiences, and grow alongside others.

Our Sessions Together: What to Expect

Stepping into a therapeutic space can feel new and uncertain. To create a sense of safety and clarity, our sessions follow a gentle, supportive rhythm. While every meeting is uniquely tailored to your needs on that particular day, this structure provides a consistent and compassionate container for our work together.

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Grounding Arrival

We begin each session by taking a few minutes to arrive fully. Through simple, guided breathing exercises, we leave the outside world behind and gently check in with our bodies. This grounding practice allows us to notice what emotions and sensations are present, creating a calm and centered starting point for our work.

Verbal Exploration & Deep Listening

The heart of our session is a space for you to express yourself freely. This is your time to share your challenges, insights, and feelings. I act as a compassionate witness, listening deeply and asking thoughtful questions to help you uncover new perspectives and connect with your own inner wisdom in a safe, non-judgmental environment.

Embodied Integration

Words can only take us so far. In this phase, we work with the body's intelligence to process emotions and integrate insights on a deeper level. Using gentle, guided Tantric practices such as breath, movement, and sound, you will connect with yourself in a profound way. Please note, this is a therapeutic, individual practice focused entirely on your own healing and self-connection.

Beyond the Therapy Room

An Author & Educator

Published Author — 23 Tales to Keep You Awake

In 2021, I published my first book, a collection of erotic short stories titled “23 cuentos para no dormir.” The book explores characters who defy conventional norms, express their emotions authentically, and create genuine connections without the fear of intimacy. It is a creative exploration of the same themes of freedom, connection, and authentic sexuality that I bring into my therapeutic work. The book is available for purchase on Amazon.

Community Educator & Workshop Facilitator

I am passionate about bringing conversations about healthy sexuality and emotional well-being into the wider community. In addition to my private practice, I am regularly hired by municipalities and schools to conduct workshops. I have experience facilitating groups for women on empowerment, educating parents on how to speak to their children about sexuality, and leading sessions for teenagers in high schools, fostering a foundation of self-respect and awareness from a young age.

Words From My Clients

Journeys of Transformation

The privacy and trust of my clients are paramount. The words shared here are from individuals and couples who have graciously offered to describe their experience to help others who may be on a similar path. They are presented with deep gratitude and respect for their courage and journey.

 

01. Example for an Individual Woman

"Working with Cris has been life-changing. I came to her feeling disconnected from my body and lost in my emotions. She created such a safe and loving space for me to explore parts of myself I had hidden for years. I now feel more confident, joyful, and truly at home in my own skin."

02. Example for a Couple

"My partner and I were stuck in a cycle of misunderstanding and arguments. Cris taught us how to truly listen to each other and communicate from the heart. The tantric practices brought a level of intimacy and connection back to our relationship that we thought was lost forever. We are incredibly grateful."

Book a Call With

Cris González Serrano

Are You Ready to Begin?

Taking the first step is often the most courageous part of any transformative journey. If you feel a calling to heal, connect more deeply with yourself, or cultivate a more conscious relationship, I invite you to reach out. A safe, supportive space is here for you to explore what’s possible.

Let’s connect and discuss how we can work together. Schedule an initial consultation to explore your needs and see if my approach feels right for you. There is no pressure to continue, only an opportunity to start.

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Itxaso Otsoa

Relationship and Intimacy Coach

Miren Itxaso Otsoa

So much of how we feel and relate to others is shaped by forces we can’t easily see: the unspoken rules of our family history, the subtle pressures of cultural expectations, and the echoes of past trauma. As a consultant specializing in these very dynamics—gender, relational patterns, and transgenerational healing—I offer a dedicated space to map out these influences. We will work together to illuminate the patterns holding you back, providing you with the clarity and tools to consciously choose your path forward toward deeper connections and empowered well-being.

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1. Individual Consultation: A Space for Your Personal Journey

These confidential one-on-one sessions are dedicated entirely to you and your story. We'll explore your personal challenges—whether they involve anxiety, emotional stagnation, past trauma, or relational difficulties—to uncover deep insights and develop practical tools for your empowerment and lasting well-being.

3. Group Sessions & Workshops: Collective Growth & Learning

There is immense power in community. This offering includes both thematic support circles for shared healing and dynamic psychoeducational workshops for interactive learning. Whether in a support group or a workshop on topics like gender or empowerment, these spaces are designed to foster connection, mutual support, and collective growth.

2. Couples Guidance: Strengthening Your Connection

Designed for couples seeking to navigate challenges and deepen their bond. In these sessions, we work together to improve communication, resolve conflicts, and explore new approaches to intimacy. This is a supportive space to address the effects of routine and external pressures, and to consciously build a more resilient and connected partnership.

4. Focused Support Packages: Short-Term, Goal-Oriented Guidance

For those seeking support for a specific challenge or during a period of transition, these packages offer a structured path forward. From an introductory package to establish clear goals to short-term support focused on a single issue, we can create a tailored plan designed for tangible progress in a defined timeframe.

My Services

Support Tailored to Your Needs

Every person’s journey toward healing and empowerment is unique. That’s why I offer a range of services designed to meet you where you are. Whether you’re seeking confidential one-on-one guidance, support for your relationship, or the shared energy of a group setting, each offering is a dedicated space for exploration, learning, and growth. Explore the options below to find the path that best suits your needs.

Specialist in

Gender, Sexuality, and Relational Dynamics

This is

My Philosophy & Journey

I believe that personal healing and social awareness are deeply intertwined. We cannot fully understand our personal struggles without also understanding the cultural and relational systems we live in. My work is dedicated to bridging that gap—helping you navigate your personal challenges while staying grounded in a wider perspective of gender, health, and social dynamics.

My path to this work began with a degree in Political Science and a specialization in Gender and Health, which was later deepened by a Master’s in Interdisciplinary Intervention in Gender-Based Violence. This academic and professional journey has provided me with a unique, intersectional lens to support a wide variety of experiences. It informs every aspect of my practice, from addressing transgenerational patterns to incorporating mind-body tools like laughter therapy, all with the ultimate goal of empowering you to build a more authentic and resilient life.

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Mariya alonso

She helped me break free from old cycles.
My clients Experience

Deeper Connections, Conscious Well-being

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Reconnecting the Long-Term Couple

A couple in their late 40s sought guidance feeling more like roommates than partners after two decades together. The pressures of their careers and family life had created a deep sense of disconnection, and their intimacy had become a source of anxiety rather than joy. In our sessions, we worked to rebuild their communication, moving beyond daily logistics to explore the unspoken cultural and gender expectations that had shaped their roles. By redefining intimacy and introducing new ways to connect emotionally, they were given a supportive space to find their way back to each other. This process allowed them to break free from routine, rediscover each other as individuals, and rekindle a deeper, more mature partnership built on renewed understanding and affection.

 

Creating a Community of Support

A group of close female friends wanted to deepen their bond but struggled to talk openly about sensitive topics like sexual health and body image due to social stigma. To help them, I facilitated a series of private group sessions designed to create a structured and safe environment for these exact conversations. Using my expertise as an Equality Agent, we worked to destigmatize their concerns and build a shared language for mutual support. The interactive sessions allowed them to share their experiences and build a stronger collective voice, transforming their friendship into a powerful and lasting support network where they felt empowered to continue supporting each other in an authentic and meaningful way.

Breaking a Generational Cycle

A woman in her early 30s came to me feeling trapped in a recurring cycle of anxiety and unsatisfying relationships, noticing she was drawn to emotionally unavailable partners—a pattern that mirrored her parents' dynamic. Through our individual consultations, we gently mapped out the transgenerational patterns of emotional abandonment in her family that were influencing her present. The work focused on emotional identification and body-mind awareness, allowing her to feel more grounded in her own self-worth. This newfound clarity was empowering; she learned to set firm boundaries, recognize red flags earlier, and invest in relationships that were reciprocal and nourishing, ultimately gaining a profound sense of agency over her life.

Our Process

Your Path to Getting Started

Embarking on a journey of self-discovery and healing is a significant step, and my process is designed to be as clear and supportive as possible. It begins with a simple, confidential consultation where we discuss your needs and goals, ensuring my approach is the right fit for you. From there, we work collaboratively to create a flexible plan—whether it's a short-term package focused on a specific issue or ongoing sessions for deeper exploration. Each meeting is a dedicated space for insightful conversation and practical tool-building, always moving at a pace that honors your unique process and empowers you to integrate what you learn into your daily life.

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Are you

Ready to Take the Next Step?

Taking the first step is often the most courageous one. If you're ready to gain clarity, understand the patterns shaping your life, and build a more empowered future, I invite you to connect. I offer a confidential, non-judgmental space to explore if my approach is the right fit for you. Let's begin the conversation.

Special Focus

Laughter Therapy (Risoterapia)

One of the unique tools I integrate into my practice is Laughter Therapy (Risoterapia), a powerful method for connecting the mind and body. It's more than just humor; it's a guided practice designed to release emotional stagnation, reduce the physical symptoms of stress and depression, and help you reconnect with your natural sense of joy and spontaneity. This approach is particularly effective for those feeling stuck, anxious, or disconnected, offering a path to renewed vitality.
Miren Itxaso Otsoa
Relationship and Intimacy Coach