Sara Hill

I will meet you virtually in a cozy sweater, jeans, and sneakers, with a cup of coffee in hand. You can speak openly, ask the uncomfortable questions, and show up exactly as you are.

I have been drawn to honest conversations about sex and pleasure since I was a young adult. Everyone deserves a space to talk about these parts of life, without embarrassment, judgment, or shame. Pleasure is not selfish or something you have to earn. It is a healthy and meaningful part of being human.

With more than 17 years of experience as an occupational therapy assistant, I have supported clients through a wide range of physical, neurological, and behavioral challenges in diverse healthcare settings. My position at Walter Reed National Military Medical Center offered the unique privilege of working with active-duty service members addressing issues of sexual health, intimacy, gender-affirming care, and relationships as a Certified Sexuality Occupational Therapy Practitioner. These experiences sparked my transition into a midlife career of couples and sex therapy.

My approach is holistic, practical, and pleasure-centered. Drawing from attachment theory, the Gottman Method, cognitive behavioral therapy, evidence-based sex therapy, mindfulness, and my rehab background, we’ll explore the mind-body connection, challenge myths and misinformation, strengthen communication, and help you build pleasurable relationships that feel authentic, connected, and fulfilling.

As a bisexual woman married to another woman, I understand the importance of affirming care. I welcome individuals and couples of all sexual orientations, gender identities, and relationship structures.

I am under the direct supervision of Jennifer Keilholtz, LPC, LCPC while attending the University of Kentucky's Master in Counseling Psychology program.