Lily Pernoud (she/her)

Relationship challenges often show up as disconnection, communication breakdowns, or recurring patterns that feel difficult to shift. Together, we work to understand what is happening beneath the surface, clarify needs and dynamics, and create more stable, intentional ways of relating. The goal is not just resolution, but deeper clarity, consistency, and connection in how you experience your relationships.

Concerns related to intimacy, desire, or sexual connection can feel difficult to talk about, yet deeply impact a relationship. I work with individuals and couples to explore these concerns with care and clarity, addressing both emotional and relational factors. Together, we focus on building understanding, reducing shame, and creating a more connected and sustainable experience of intimacy.

Couples often seek therapy when something feels off—whether due to distance, conflict, or a breakdown in trust. I provide a structured, supportive space to slow things down, improve communication, and work toward meaningful repair. This may include rebuilding trust, navigating difficult conversations, and strengthening the foundation needed for a more secure and connected relationship.

Couples often seek therapy when something feels off—whether due to distance, conflict, or a breakdown in trust. I provide a structured, supportive space to slow things down, improve communication, and work toward meaningful repair. This may include rebuilding trust, navigating difficult conversations, and strengthening the foundation needed for a more secure and connected relationship.

Concerns related to intimacy, desire, or sexual connection can feel difficult to talk about, yet deeply impact a relationship. I work with individuals and couples to explore these concerns with care and clarity, addressing both emotional and relational factors. Together, we focus on building understanding, reducing shame, and creating a more connected and sustainable experience of intimacy.

Concerns related to intimacy, desire, or sexual connection can feel difficult to talk about, yet deeply impact a relationship. I work with individuals and couples to explore these concerns with care and clarity, addressing both emotional and relational factors. Together, we focus on building understanding, reducing shame, and creating a more connected and sustainable experience of intimacy.

Couples often seek therapy when something feels off—whether due to distance, conflict, or a breakdown in trust. I provide a structured, supportive space to slow things down, improve communication, and work toward meaningful repair. This may include rebuilding trust, navigating difficult conversations, and strengthening the foundation needed for a more secure and connected relationship.

Sex therapy provides a structured, supportive space to explore concerns related to intimacy, desire, and sexual connection. I work with individuals and couples to understand both the emotional and relational factors that shape these experiences. Together, we focus on building clarity, reducing shame, and developing a more connected and sustainable experience of intimacy.

Trauma-informed therapy recognizes how past experiences can shape emotional responses, relational patterns, and a sense of safety. I integrate this perspective into all areas of my work, helping clients move at a pace that feels steady and manageable. The focus is on creating safety, increasing awareness, and supporting meaningful, lasting change.

Relationship counseling helps couples understand painful patterns, improve communication, and rebuild connection. I work with partners facing conflict, disconnection, trust concerns, intimacy challenges, and life transitions. My approach to couples therapy is warm, relational, and structured to support emotional safety, deeper understanding, and meaningful change.