--- title: "Sex Therapy in Richmond, CA | Online Sessions with Fanshen" description: "Online sex therapy for Richmond residents. Weekly 50, 75, or 90-minute sessions. Cancellation policy 24 hours. 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I'd encourage you to call your insurance and ask about your out-of-network mental health benefits." } }, { "@type": "Question", "name": "How long does it take to see results?", "acceptedAnswer": { "@type": "Answer", "text": "Most people begin to feel something shift within the first several weeks — a little more clarity, a little less alone in it. Real, lasting change is a longer arc, often months of consistent weekly work. I'll be honest with you about what I see along the way." } }, { "@type": "Question", "name": "What is your cancellation policy?", "acceptedAnswer": { "@type": "Answer", "text": "My cancellation policy is 24 hours. Sessions canceled with less than 24 hours' notice are charged in full." } }, { "@type": "Question", "name": "Can you see clients in Richmond?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. I see clients in Richmond and across California via secure video sessions. There's no need to come to an office — sessions happen from wherever you're comfortable in Richmond." } } ] } ] --- [![Fanshen Thompson, LCSW](/assets/logo-mark-DCWEUPFA.png)Fanshen Thompson LCSW ](/) [Home](/)[About](/about) Services Specialties [Approach](/approach/gottman-method)[Notes](/blog)[FAQ](/faq)[Resources](/resources) [Book a Free 20-Minute Consultation](/contact) 1. [Home](/)› 2. [Services](/services)› 3. [Sex Therapy](/services/sex-therapy/berkeley)› 4. Richmond ONLINE THERAPY · SERVING RICHMOND, CA # Sex Therapy in _Richmond_ Honest, grounded conversations about sex, intimacy, and desire. Weekly 50, 75, or 90-minute sessions · Secure video sessions · Serving Richmond residents and clients across California [Book a Free 20-Minute Consultation](/contact)[Learn more about my approach →](/about) THERAPY FOR RICHMOND PARTNERS ## Honest, grounded sex therapy for Richmond residents. Richmond is one of the East Bay's most diverse communities, and that diversity brings a wide range of life experiences and relationship dynamics. The financial pressures of staying in the Bay Area, cultural complexity, and the rhythms of working-class and middle-class life all show up in what we carry home. The relationships and inner lives shaped by those pressures deserve careful, grounded support. Online therapy makes high-quality relationship and individual therapy accessible without the time, cost, or logistics of crossing the East Bay. Sessions from your home in Point Richmond, Marina Bay, Hilltop, or wherever you live — on your schedule, in privacy. ## About Sex Therapy Sex therapy for individuals and couples navigating desire, intimacy, sexual identity, and the topics that are often hardest to talk about. My approach is non-judgmental, sex-positive, and inclusive of all relationship structures, identities, and orientations. We talk about what's actually going on — and we work toward what you actually want. In a city of tight-knit neighborhoods like Point Richmond and the North & East — where you genuinely might know the people in a local waiting room — many people never seek sex therapy at all. Online sessions offer real discretion: honest, judgment-free conversations about intimacy from the privacy of your own home. ### What to expect - An initial intake session to understand your goals and history - Weekly sessions of your chosen length — 50, 75, or 90 minutes - Open, honest conversation in a non-judgmental space - Inclusive of all identities, orientations, and relationship structures (kink, poly, mono, LGBTQ, trans, all welcome) - A pace that follows your comfort — there's no rush ### Common reasons people come in - — Differences in desire between partners - — Sexual disconnection or loss of intimacy - — Pain, dysfunction, or physical concerns affecting sex - — Sexual identity, orientation, or coming-out work - — Kink, ENM, and non-traditional relationship structures - — Recovering from sexual trauma or shame SESSIONS Weekly 50, 75, or 90-minute sessions - All sessions held online via secure HIPAA-compliant video - Cancellation policy: 24 hours - Currently accepting new Richmond clients [Book a Free 20-Minute Consultation →](/contact) ### Why online sessions are a good fit for Richmond Richmond doesn't run on one schedule. Some mornings start with the ferry gliding out of Marina Bay toward the Ferry Building; others start on a BART platform at the end of the line, or with a shift at the refinery, the hospital, or a small business in the Iron Triangle. By the time you've crossed the bridge or ridden the train home, the last thing most people want is another drive to an office in Berkeley or Walnut Creek — and Richmond itself has never had the density of therapists its 100,000-plus residents deserve. Online therapy fits the way this city actually lives: you meet from your own kitchen table in North & East, a quiet room in Point Richmond, or wherever you can close a door for fifty minutes. No parking, no waiting room, no running into a neighbor. Just steady, private, secure video sessions that work around ferry timetables, shift work, and real life. - No travel time across Point Richmond, Marina Bay, Hilltop - Sessions fit into work-from-home schedules - Privacy and discretion — sessions from your own home - Available evenings and select weekend hours ABOUT FANSHEN ## A relational, depth-oriented therapist serving California. I'm Fanshen Thompson, a Licensed Clinical Social Worker (LCSW) based in California. I work with couples, individuals, and partnerships navigating intimacy, identity, and the slower work of becoming. I am a certified Gottman trained couples therapist and draw from Emotionally Focused Therapy, Internal Family Systems, attachment theory, and somatic practices. But more than any single modality, I bring myself: a real human who has done — and continues to do — this work. My practice is online and serves clients across California. The work is honest, grounded, and paced to what you can actually carry. [Read more about Fanshen →](/about) ## Frequently asked questions ### How do online sessions work? We meet over a secure, HIPAA-compliant video platform. You'll receive a link before each session and join from a private space at home — no app downloads or special equipment beyond a device with a camera and a stable internet connection. ### Do I need a special app or platform? No. The video platform runs in your browser. I'll send a link a few minutes before our session — you click, and we begin. ### Is this covered by insurance? I'm an out-of-network provider. I can provide a superbill you can submit to your insurance for potential out-of-network reimbursement. I'd encourage you to call your insurance and ask about your out-of-network mental health benefits. ### How long does it take to see results? Most people begin to feel something shift within the first several weeks — a little more clarity, a little less alone in it. Real, lasting change is a longer arc, often months of consistent weekly work. I'll be honest with you about what I see along the way. ### What is your cancellation policy? My cancellation policy is 24 hours. Sessions canceled with less than 24 hours' notice are charged in full. ### Can you see clients in Richmond? Yes. I see clients in Richmond and across California via secure video sessions. There's no need to come to an office — sessions happen from wherever you're comfortable in Richmond. OTHER SERVICES FOR RICHMOND RESIDENTS [ Couples Therapy in Richmond Online sessions for Richmond residents. ](/services/couples-therapy/richmond)[ Individual Therapy in Richmond Online sessions for Richmond residents. ](/services/individual-therapy/richmond) SEX THERAPY IN NEARBY CITIES [ Sex Therapy in El Cerrito Online sessions for El Cerrito residents. ](/services/sex-therapy/el-cerrito)[ Sex Therapy in Albany Online sessions for Albany residents. ](/services/sex-therapy/albany)[ Sex Therapy in Berkeley Online sessions for Berkeley residents. ](/services/sex-therapy/berkeley) Begin ## Ready to start? Let's talk. Book a free 20-minute consultation. We'll talk about what's going on and whether working together feels right. No pressure, no commitment. [Book a Free Consultation →](/contact) ![Fanshen Thompson, LCSW logo](/assets/logo-mark-DCWEUPFA.png) Relationship therapy for people who are ready for real change. Licensed Clinical Social Worker · LCSW #25004 [](https://www.psychologytoday.com/profile/971893) Affiliations ![Gesher Community Care affiliate provider](/__l5e/assets-v1/7e4684e6-648d-48d4-892e-5c8678e89c88/gesher-community-care.png) Online Therapy Sessions held via secure video for clients across California. Hours Tue–Fri, 9am–6pm PT Contact [fanshen@fanshenthompson.com](mailto:fanshen@fanshenthompson.com)[Book a Free 20-Minute Consultation](/contact) [](https://www.linkedin.com/in/fanshen-thompson-lcsw-672425216/)[](https://www.facebook.com/profile.php?id=100086164215212)[](https://pin.it/5enxDfD) Explore - [About](/about) - [Therapy](/therapy) - [Therapy for Couples](/therapy/couples) - [Therapy for Individuals](/therapy/individuals) - [Sex Therapy](/therapy/sex-therapy) - [Coaching](/coaching) - [Notes](/blog) - [FAQ](/faq) - [Resources](/resources) - [Relationship Therapy in Berkeley](/relationship-therapy-berkeley) - [Find an Online Sex Therapist](/how-to-find-an-online-sex-therapist) - [Contact](/contact) Specialties - [Infidelity & Affair Recovery](/specialties/infidelity-affair-recovery) - [Desire Discrepancy](/specialties/desire-discrepancy) - [Sexual Shame](/specialties/sexual-shame) - [Communication Breakdown](/specialties/communication-breakdown) - [Anxious Attachment](/specialties/anxious-attachment-couples) - [Parenting Conflict](/specialties/parenting-conflict) In crisis? If you or someone you know is in immediate danger, call or text [988](tel:988) (Suicide & Crisis Lifeline) or call [911](tel:911). This site is not a substitute for emergency care. [Privacy](/privacy.html)[Terms](/terms.html)[Cookies](/cookie.html)[Disclosures](/disclaimers.html)[Good Faith Estimate](/good-faith-estimate.html)[Accessibility](/accessibility)[Cookie Settings](/cookie.html) Contacting this practice does not establish a therapist–client relationship. Individual outcomes vary. Nothing on this site guarantees a specific clinical result. © 2026 Fanshen Thompson, LCSW. All rights reserved. Photography by Allison Busch Website by [Automaus.ai](https://automaus.ai) Your privacy matters Functional cookies are required. Analytics and marketing cookies are off by default — you choose. 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