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Mental Health & Sexual Health Counseling for California Residents

If you live outside of California, but would like to be be informed of future growth into new states, please sign up for our Mental Health Waitlist.

Your mental health and well-being are essential to your overall health and wellness. At HerMD, we treat the whole patient – from head to toe, and that includes your mind and your body. We offer the below services via our telehealth platform to address your most intimate concerns. All sessions are live online and are 50 minutes in length.

Mental Health Services

  • Counseling for Anxiety & Depression

    Anxiety and depression are types of mood disorders. Depression can result in feelings of sadness, hopelessness, and reduced energy. Anxiety includes heightened feelings of nervousness, worry, or dread. Although depression and anxiety are different, you can experience them at the same time, negatively impacting your quality of life if not treated. We offer counseling for both

  • Coping with Menopause

    Changes in your hormones during menopause can impact your mental health as well as your physical health. You may experience feelings of anxiety, stress or even depression. At HerMD, we treat the whole patient, from head to toe and offer our patients counseling to help cope with menopause.

  • Sex Therapy

    HerMD sex therapy is led by a board-certified OBGYN and AASECT trained sex therapist (specialized training in sex therapy). Our goal is to help you and/or you & your partner with your sexual concerns.

  • Sexual Trauma, Assault, & Abuse

    Sexual trauma, assault, or abuse can mean many things. We practice compassionate care with patients who have experienced non-consensual sexual trauma to help them on their healing journey.

  • Sexual Orientation, Gender Identity, & Transgender Care

    We understand that queer women, transgender, and non-binary people face disproportionate barriers to healthcare access. At HerMD, we take the time to listen to each of our patient’s unique needs, including gender-nonconforming persons.

  • Sexual Pain, Vaginismus, & Vulvodynia

    As many as 75% of women will experience pain during sex at some point, according to the American College of Obstetricians and Gynecologists. This can greatly impact your mental health and quality of life as well as your relationship with your partner. Although it can feel overwhelming, most sexual pain and penetration disorders are very treatable – and often require a multidisciplinary approach including your mental & physical health.

  • Chronic Pelvic Pain

    Chronic pelvic pain disorders often begin with trauma, co-exist with anxiety, depression, and sleep disorders, and require an integrated care approach.

  • Low or Mismatched Libido

    Couples often have different levels of desire. Low libido or mismatched libido can often impact both you and your partner- it can lead to frustration, hurt, and confusion – but there is something we can do about it.

  • Orgasm Dysfunction

    We believe that the brain is your biggest sex organ – a complex combination of emotional realities that impact your ability to have satisfying sex. Issues with orgasm can lead to frustration, feelings of inadequacy, and can also impact your relationship. Our providers can help unpack the “why” behind your concerns and offer combination of treatment options can be used to alleviate certain symptoms associated with orgasm dysfunction.

  • Sexual Addiction & Compulsive Sexual Behavior

    Our primary goal of treatment for sexual addiction & compulsive sexual behavior is to help you manage urges and reduce excessive behaviors while maintaining healthy sexual activities.

  • Non-traditional Sexual Expression / Fetishes

    Non-traditional sexual sxpression/fetishes can often lead to shame and emotional distress in individuals. Internal conflict and fear of judgment can lead to isolation and difficulty finding or honestly communicating in sexual relationships. Partners may feel inadequate, unattractive or worried about the implications of non-traditional sexual expression/fetishes.

  • Fertility Concerns

    The American Psychiatric Association (APA) Resource Document recently noted that the “psychological impact of being unable to conceive is a profound loss and significant life crisis.” The feelings around and reactions to infertility may include anger, sadness, shame or grief. Infertility impacts both the individual and the couple and may cause feelings of isolation, shame, and stigma especially when around other couples and their children.

  • Premarital Counseling

    Premarital counseling can help couples who are struggling to communicate.. At HerMD we address the following topics: healthy communication, body image and self esteem issues, sex and intimacy, addiction and compulsion issues, work-life balance, divorce recovery (for second marriages), trauma, emotional needs, and stress management.

  • Recovering from Infidelity

    The best therapy approach with affairs and infidelity is when both partners are in individual therapy along with couples therapy. We understand that that isn’t always an option – so we encourage you to think what is the most important need? Recovering from an affair takes time. Healing that needs to take place, Trust has to be rebuilt, and we have to go back and understand the core pieces that contributed to the affair to then be able to move forward to something that works better for you and for your partner(s).

  • Cancer Survivorship

    Cancer can impact survivors and their loved ones.Cancer can affect your physical, emotional, and social aspects of life. The impact of cancer not only affects survivors, but their loved ones.

  • Coping with Chronic Medical Conditions

    If you have a chrnoic medical condition, you may experience pain, fatigue, stress, and anxiety on a daily basis. Therapy can help give you the tools to cope and improve your quality of life.

  • Paranoid Personality Disorder

    Paranoid Personality Disorder (PPD) is a mental health condition defined by mistrust and/or paranoia. People with PPD can find forming and maintaining close relationships difficult. Therapy can help you recognize destructive or harmful thought patterns and help you develop skills to build empathy and trust.

  • Premenstrual Dysphoric Disorder

    Premenstrual Dysphoric Disorder (PMDD) is a chronic condition that can affect people assigned female at birth around the childbearing age. Symptoms can appear around the time of menstruation and negatively impact your quality of life. Symptoms can include: Anxiety, anger, fagitue or low energy, cravings, headaches and insomnia. Your provider will work with you to identify by evaluating your symptoms and figuring out a personalized treatment plan.

  • Life Coaching

    Are you having a difficulty managing time, stress, and/or personal realtionships? Our team can help you reach your goals.


Why Is Mental Health Important?

Our biology and psychology are interconnected. In medical care, no matter the physical illness or medical condition, these processes can impact an individual’s body, brain, and emotional well-being. There is always an emotional reaction to a physical condition. Many gynecological conditions can cause both short-term and long-term pain and lead to a decrease in quality of life if not treated appropriately. We are so proud to now offer Sex-aware Mental Health & Sexual Health Counseling at HerMD in California!

What is Sexual Health Counseling?

At HerMD, we often say the brain is the biggest sex organ. This may seem like a shocking statement. However, when you consider the relationship between the mind-body connection and your whole body health, it starts to make a bit more sense. Sexual health concerns such as lowered libido, changes in arousal, or inability to have an orgasm can also have implications on your overall mental health.

Menopause & Mental Health

Menopause is a key time frame to integrate mental health counseling into your care plan because of the hormonal shift, and related symptoms patients will experience.  Symptoms like hot flashes are disruptive to sleep, chronic sweating in public, and painful vaginal dryness during sexual intimacy, can all create a situation which can predispose you to developing a lowered mood.

Meet Your Provider

Dr. Michael Krychman is a Board Certified OBGYN and an AASECT Certified Sexual Counselor and Supervisor. He specializes in menopausal health, hormone therapy, sexual pain disorders, vulvar disorders and loss of libido, chronic medical illness, and medical devices and their impact on female sexual function. 


$195 / session

Services are cash-based. We do not provide in-network care for any insurance provider. But, your insurance provider may cover out-of-network mental health benefits. If so, we can provide you with documentation of your treatment that you can file with your claims. We also accept HSA and FSA cards.

How does it work?

California residents can schedule an appointment with our provider online, selecting the topics they would like to cover in their introductory call. You will be sent a secure appointment link ahead of your appointment. You and your provider will log in at the time of your appointment and begin your session. Each session is 50 minutes. Your provider will spend the first few minutes getting to know you and working out a best treatment plan based on your concerns/goals.

Where do you offer mental health counseling services?

We offer these services, virtually, to residents of California. We will be launching in OH, KY, IN, NJ, and TN soon! Please fill out this form to join our waitlist! 

How many sessions do I need?

You and your provider will work together to determine how many sessions is best based on your goals.

What if my partner won’t attend?

We will work with you individually to achieve your goals.

Can mental health therapists at HerMD prescribe antidepressants or other medications? 

Mental health therapists at HerMD do not prescribe psychiatric medication and/or Hormone Therapy, via telehealth counseling services. 

Mental Health Counseling Waitlist



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