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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. As a Registered Yoga Teacher and Certified Somatic Tantra Sex Coach, I thoughtfully incorporate breathwork, mindfulness, nervous system awareness, and body-based interventions to support clients in reconnecting with sensation, embodiment, and agency. This integration allows us to move beyond insight alone—supporting change that is felt, not just understood. 

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 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. 

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