Adrian Scharfetter (he/him)

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Accepting Clients

A sex therapist helping individuals and couples navigate intimacy, relationships, and sexuality with compassion, depth, and zero judgment.

Sex Therapist in Sacramento, CA

About My Clients

Struggling with sex, intimacy, or relationships? Whether you're dealing with erectile dysfunction, performance anxiety, low desire, premature ejaculation, or relationship challenges, or exploring open/polyamorous dynamics, these questions can feel overwhelming. I offer a holistic, compassionate approach to help you understand your sexuality, heal old patterns, and build the connection and confidence you're looking for. You don't have to navigate this alone.

My Background and Approach

I'm here to walk alongside you as you work through stress, anxiety, depression, life transitions, and struggles around sex and sexuality. During moments of doubt, frustration, or uncertainty, I'll show up as a present, focused ally. My approach blends solution-focused work with depth therapy, I'm more process-oriented than directive, meaning we follow what unfolds naturally rather than sticking to a rigid script. Life throws a lot at us. Conflict with loved ones. Major transitions. Painful circumstances. Struggles with intimacy, sexuality, or feeling "othered" because of who you are. Difficulty managing your own emotions. When these challenges arise, we usually have three options: resist the change, just white-knuckle through it, or learn from it and grow something bigger as a result. My goal is to help you uncover your true potential, reconnect with your own inner wisdom, and start building a life that actually feels like yours, one that's more authentic, more aligned, and more free.

My Personal Beliefs and Interests

I believe therapy works best when you feel truly seen, not just heard, but understood at a deeper level. Healing doesn't happen through tips and techniques alone. It happens in relationship, in the space between us, where you can finally slow down enough to notice what's really going on inside. My approach is relational and process-oriented. I'm not here to tell you what to do or fix you like something's broken. I'm here to walk alongside you as you untangle old patterns, reconnect with your body and desires, and find your way back to yourself. I blend depth work with practical tools, psychoeducation, mindfulness, somatic awareness but I follow your pace, not a script. We'll explore what's beneath the surface: the pain, the shame, the ways you've learned to protect yourself, and the parts of you that are ready to come back to life. I'm sex-positive, kink-aware, and deeply committed to creating a space free from judgment.

Insurance Plans Accepted
  • Out of Network
I offer online counseling in the following states:
I have experience with the following
  • Agnosticism
  • Atheism

At A Glance

  • Experience: 12 years of practice
  • Rate: $200 - 230/session

Reach out to Adrian