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Ali Rose Lesakowski, LMSW (She/They/We)

Staff Therapist

As a Licensed Master Social Worker, I work with adults and partners who want more honest, connected, and expansive relationships with themselves and others, including folks who are questioning, and those in LGBTQIA+, kink/BDSM, and consensual non-monogamous communities. Starting therapy around sex, relationships, or identity can feel vulnerable—and you don’t have to navigate it alone.

My approach is collaborative, affirming, and rooted in curiosity and compassion. I primarily work from a trauma-informed, Internal Family Systems (IFS) lens, integrating somatic and body-based practices to help you build a deeper connection to yourself, work with protective parts with compassion, and move through shame toward a more authentic expression of desire, pleasure, and relational freedom. I aim to create a space that is warm, direct, and nonjudgmental—where all parts of you are welcome, and where we move at a pace that honors both safety and discomfort, while together finding a healthy edge for growth.

Our first session is a space to get to know each other, talk about what’s bringing you in, and begin shaping what you want more of in your relationships, your sexuality, and your life.

I came to this work through my own healing journey and a deep commitment to accessible, affirming, and liberating care. I believe people deserve spaces where their desires, identities, and relational choices are met with respect and care. If this resonates, I welcome you to reach out when you feel ready.

Ali practices therapy in New York and offers coaching anywhere

Provider Identities

Queer
Cisgender Woman
Kinky and/or BDSM
Non-Monogamous and/or Polyamorous
Relationship Anarchist
Spiritual
Yogi
Genderqueer or Gender fluid
White

Client concerns or identities

Neurodivergent
Fat
Queer
Transgender
Kinky
Non-binary
Asexual
Disabled
Chronic illness/chronic pain
Couples/relationships
Spirituality
Sex therapy
First generation/Immigrant
Trauma
Sex workers
Eating disorders
Anxiety
Depression
Identity exploration
Attachment
Codependency
compulsive sexual behavior

Provider Approach

Narrative
DBT (Dialectical Behavior Therapy)
IFS (Internal Family Systems)
Trauma-informed
Anti-oppressive
Feminist
Decolonizing
Relational
Individual Therapy & Coaching
Relationship Therapy & Coaching
Spiritual Inquiry
Psychodrama