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Frequently Asked Questions

  • Vaginismus FAQ
  • Working with me

Vaginismus FAQ

Note: I use medically accepted terms for ease of understanding on my website. However, during your sessions, I will always ask and use your preferred words for your anatomy.

You know how your eye flinches if someone tries to poke it?

Vaginismus is like that — a vaginal flinch, so to speak. It’s an involuntary contraction, clenching, or spasm of the pelvic floor muscles that makes vaginal insertion either very difficult or downright impossible — and extremely painful.

The body is trying to protect the area, even though the person doesn't want their muscles to react that way.

These muscle contractions are totally involuntary, NOT deliberate or intentional, and NOT within the person’s control — and sometimes not even within their conscious awareness.

Different types of insertion can trigger vaginismus in different people. Some people are triggered by insertive sex and ob/gyn exams but can still use a tampon without pain. Still others experience pain with ALL kinds of insertion. It’s normal to fall anywhere on this spectrum.

The pelvic floor muscles usually soften and return to their normal, relaxed state when the attempted insertion stops.

There are different degrees of vaginismus, from mild to severe.

  • In milder cases, insertion is physically possible but feels TERRIBLE, like burning, stinging, or sharp, stabbing pain. It can feel like their partner is “hitting a wall” during insertive sex.
  • In severe cases, insertion is completely impossible, which can be for physical reasons (extreme pain), emotional ones (extreme fear), or both.

It’s common for people experiencing vaginismus to have a sense of fear, anxiety, dread, revulsion, or general “DO NOT WANT” gut feeling associated with the thought of insertion. And sometimes this is an even bigger part of the vaginismus than the actual muscle contraction!

When vaginismus is activated, you might find that other muscle groups in the body — like the gluteals, inner thighs, and abdominal muscles — start to contract too. Your activities might be limited: for instance, if you can’t use a tampon, maybe that means you can’t swimming while you’re having your period. You also might not be able to have a routine ob/gyn exam or get a pap, preventing you from getting needed medical care.

Perhaps the worst part of all is that vaginismus can prevent you from having the romantic relationship and sex life you want, which can wreak havoc on a marriage or partnership. Your vaginismus might be so overwhelming that you find yourself avoiding all kinds of sexual or intimate encounters entirely.

You might start to believe that something is terribly wrong with you, that your body is broken and has betrayed them. This can lead to debilitating negative self-talk, which makes the situation worse and destroys your motivation and sense of hope that you will ever get better. 🙁

Many people who experience vaginismus feel intense shame and devastation — understandably! — and so they don’t talk about it.

I want you to know it doesn’t have to be this way. I know you desperately want to have satisfying, confident, pain-free, fulfilling sex life with your partner or spouse. You CAN get better. Vaginismus is entirely treatable.

Remember that any of the items in the “physical” category below can also have an emotional component tied to them. This depends on the person.

Category Description and examples Physical or emotional
Pelvic health issues
Vulvodynia, vestibulodynia, endometriosis, pelvic organ prolapse, chronic UTIs, yeast infections, lichen sclerosis, cancer, etc.
Physical
Physical trauma to the pelvic region
Sports injury, gymnastics injury, bike accident, car accident, falling on pubic area, etc.
Physical
Pregnancy & childbirth
Changes in the muscles, organs, connective tissue, even if the pregnancy was uncomplicated, even if the birth went well, even if it was a C-section. Complications and difficult or prolonged births increase the risk of vaginismus.
Physical
Natural aging process
Changes in the muscles, organs, connective tissue, even if the pregnancy was uncomplicated, even if the birth went well, even if it was a C-section. Complications and difficult or prolonged births increase the risk of vaginismus.
Physical
Situational discomfort
Lack of foreplay, lack of sufficient lubrication (natural or added), position of cervix during the menstrual cycle, uncomfortable positions, uncomfortable environment, etc.
Physical
Side-effects of medication
Dryness, lowered libido, depression, pelvic pain, pelvic congestion, cramps, and more.
Physical
Medical trauma
  • A doctor who was rough, uncaring, belittling, gaslighting, or not respectful of your body, autonomy, consent, or lived experience.
  • A medical procedure you didn’t want or consent to.
  • Complications, injuries, trauma, or other unwanted changes that happened during a wanted medical procedure.
    Physical and emotional
    Physical abuse
    Physical attack, sexual abuse, assault, rape, partner unwilling to practice safe sex (condoms, etc.) or unwilling to honor the types of sex that feel safe to you.
    Physical and emotional
    Interpersonal relationship issues
    Communication problems, feeling that your partner doesn’t respect you, emotional or verbal abuse, mistrust, gaslighting, commitment issues, etc.
    Emotional
    Intense negative emotional state
    • Fear of pain, insertion, sex, pregnancy, STIs, judgment, etc.; a sense of not feeling safe in your own body.
    • Stress over job, family, moving, wedding, etc.
    • Anxiety about sex, relationships, fertility, the state of the world.
    • Guilt about not meeting your or others’ expectations.
    • Perfectionism; placing intense pressure on yourself to be perfect and constantly achieve.
    • Shame about self, body, desires, identity, etc.
      Emotional
      Adverse childhood experiences
      Excessively strict parenting, lack of sufficient or age-appropriate sex education, witnessing domestic violence, seeing shocking sexual images at a young age.
      Emotional
      Purity culture
      • Shame-based messages from family, friends, school, community, place of worship, the media, etc.
      • Narratives that sex is “bad,” that our bodies are “dirty,” that “good kids don’t touch themselves there.”
      • Lack of sufficient or age-appropriate sex education.
        Emotional
        No identifiable cause
        In some cases, we can’t find any known physical or emotional cause for vaginismus.
        Unknown

        TL;DR:

        The most common, cost-effective, and successful treatment options are a combination of dilators + pelvic floor therapy. There's often an emotional/brain-health component to vaginismus as well, which can be addressed through hypnotherapy, sex therapy, talk therapy, EMDR, energy healing, or whatever each person finds most nourishing as they start to mend their emotions and spirit.

        Full answer:


        To recover from vaginismus, the goal is to stop the pain and muscle spasm that happens with attempted insertion. With most cases of vaginismus, it’s necessary to treat the underlying causes.

        • For some people, this will involve therapy or mindset work if emotional issues are involved.
        • Others will need to address pain conditions like vestibulodynia or vulvodynia.
        • Still others may not need to focus on what initially caused their problem (some may not even know their cause) and instead simply focus on relearning how to properly engage and relax the pelvic floor muscles — that is, changing the learned muscle patterns.

        Learning new pelvic floor muscle patterns can be done in many different ways. The most common way is to gently insert progressively larger objects (called dilators) into the vagina so that the body and mind learn not to trigger the muscle spasm response.

        Sometimes, the muscle spasm remains even after the person has worked through their anxieties and resolved any physical issues. So, learning to control, reduce, and eventually eliminate this spasm is how you fully recover from vaginismus.

        Physical treatment options

        Currently, the most popular treatment option with the highest success rate is using a set of dilators to learn new patterns of muscle contraction and relaxation. This helps your body and mind learn what pain-free insertion feels like and to start getting comfortable with the sensation. Dilators help you re-train your muscles, your mind, and your nervous system so that insertion no longer triggers vaginismus.

        Treatment with dilators is very gentle, slow, and progressive — meaning you keep moving up in size until you either get to the end of the dilator set or you get to the size you want to stop at (for instance, the size of your partner’s penis or the toy you wish to use).

        Other types of physical treatment options can include:

        • Seeing a pelvic floor therapist
        • Using a pelvic wand to release trigger points and adhesions in the pelvic floor muscles
        • Biofeedback-assisted muscle rehab
        • Using topical medication (such as lidocaine) or suppositories for muscle relaxation
        • Stretches
        • Movement exercises
        • Botox injections (for severe cases)

        Emotional & nervous-system treatment options

        It’s crucial to supplement the physical treatment with tools and techniques that address the emotional health and nervous-system aspects of vaginismus. If these aren’t addressed, the physical treatment either may not work or may not last very long — in other words, it may not “stick.”

        To address the emotional component of vaginismus, treatment options can include:

        • Talk therapy
        • Sex therapy
        • Hypnotherapy
        • EMDR
        • Time Line Therapy®
        • Neurolinguistic Programming (NLP) Coaching
        • Sound therapy
        • Movement therapy
        • Energy healing
        • Relaxation exercises (yoga, qi gong)

        These tools are essential for down-training the nervous system (that is, learning to fully relax, have a deep sense of internal calm, and not feel constantly on edge), discovering the root cause of the issue, untangling your limiting beliefs, stopping your critical self-talk, staying motivated, and healing your broken spirit. This is why, in addition to being a Pelvic Therapist, I’m also a Certified Hypnotherapist, Time Line Therapy® Practitioner, NLP Practitioner & Coach, EFT (Emotional Freedom Technique, aka "Tapping") Practitioner, and Reiki Master.

        • Primary vaginismus is when you've experienced vaginismus for your whole life, including when trying to use tampons or getting ob/gyn exams. Essentially, insertion has always been painful, and there's never been a time it wasn't.
        • Secondary vaginismus is when you previously had pain-free vaginal insertion at some point in your life, and vaginismus showed up at some point later.

        Not necessarily. Painful insertion can be caused by any number of factors (see the question immediately above for examples), and vaginismus isn't even the most common of these.

        Often, painful insertion due to other causes may lead to vaginismus; so even if you do have vaginismus, you may have another underlying primary cause of pain.

        The most common causes of chronic painful insertion (or attempts at insertion) are vulvodynia or vestibulodynia.

        • Vaginismus is painful vaginal insertion caused by involuntary spasm of the pelvic floor muscles.
        • Vulvodynia is pain and increased sensitivity on, in, or around the vulva, including the labia, clitoris, perineum, etc. The location and severity vary by person.
        • Vestibulodynia is a subtype of vulvodynia that shows up specifically in, on, or around the vaginal opening or the vestibule (area of skin between the vaginal opening and the urethra).

        Vulvodynia and vestibulodynia are both examples of vulvar pain, and in some cases, they may lead to vaginismus. They can occur at any age and typically show up with no visible symptoms. They can be essential (which means the pain is constant) or provoked (which means the pain only arises when touched).

        It shouldn’t hurt to gently touch any part of your vulva. If it does, you should see a doctor and look into the possibility of a vulvar pain condition. Vulvar pain is extremely common but rarely diagnosed. Vulvar pain is often misdiagnosed as (or alongside) vaginismus.

        Many ob/gyns unfortunately do not widely understand, recognize, or test for vulvar pain. The test simply involves using a moistened Q-tip to gently touch certain areas (corresponding to your vestibular glands) and seeing if you feel any pain. Sometimes the doctor will take a culture of your vestibular microbiome.

        Some of the causes of vulvar pain can include an overgrowth of nerves, increased sensitivity of nerve endings, skin changes (e.g., lichen sclerosis) hormonal changes, hypertonic (overly tight) pelvic floor muscles, infections, allergies, physical irritation, and more.

        Treatment can include dilators, pelvic floor therapy, creams, muscle relaxants, behavioral/technique changes, and more.

        A little history note: Until about 2013/2014, the medical establishment widely referred to vulvodynia and vestibulodynia collectively as “vulvar vestibulitis syndrome (VVS)” or even just “vestibulitis” for short. Vestibulitis means “inflammation of the vestibule,” with the suffix “-itis” indicating inflammation. However, there’s often no inflammation present, so “vestibulitis” was recognized as a bit of a misnomer. Now the medical establishment recognizes the condition as vulvodynia or vestibulodynia.

        This might happen for a few reasons. Remember, though, that you don't need a diagnosis in order to begin treatment and start feeling better.

        First, some doctors are hesitant to give a formal diagnosis of vaginismus unless all four of these elements are present:

        1. painful vaginal insertion, caused by...
        2. involuntary pelvic floor muscle contractions/spasms, typically coupled with...
        3. an unconscious fear-avoidance nervous-system response...
        4. which, all together, lasts for 3+ months.

        Notably, the official medical pathology name of the condition is GPPPD, genito-pelvic pain/penetration disorder, but it is more colloquially referred to as vaginismus.

        The second factor to consider is that some people feel safe in medical settings, and so their vaginismus might not show up during an ob/gyn exam. Unless the hallmark of vaginismus — that involuntary pelvic floor muscle spasm — happens DURING your exam, your doctor might not have even noticed anything amiss or unusual.

        Third, they may simply not know much about vaginismus and weren’t able to identify or diagnose it when you presented with it. See the question below for more information on this aspect.

        Unfortunately, many ob/gyns and urologists, and especially doctors in other fields (family doctors, GPs, etc.), do not understand vaginismus because medical schools do not teach it as part of the curriculum. Then, if they don't encounter it during residency, it just ends up being a condition they never learn about or train in.

        So unless your doctor has:

        • Experienced vaginismus themselves
        • Personally known someone with it
        • Seen patients with it
        • Done extra training and/or taken it upon themselves to learn about it

        …they may not even know it exists.

        They aren’t trying to intentionally gaslight you or deny you the care you need; they’re just doing the best they can with the information they have, which is likely limited when it comes to vaginismus.

        Fortunately, this is slowly changing with doctors who have completed medical school more recently and who are generally more informed than their predecessors about healthcare for people with vaginas and vulvas.

        Doctors do incredible, life-saving work and deserve our gratitude and respect. But it’s important to recognize that they are human beings, just like the rest of us. They aren’t encyclopedias and do not necessarily know everything about every possible medical condition. Sometimes they get it wrong or respond in a way that is unhelpful, hurtful, or even traumatic for the patient.

        Remember: you always have the option to switch doctors or get a second (or third, or fourth) opinion. It’s OK to call around and ask if the clinicians at a certain medical practice specialize in vaginismus or other types of pelvic pain or sexual dysfunction. If they don't, ask they can provide a recommendation.

        Honestly, it’s different for each person. Some people find that their vaginismus gets better after giving birth; for others, it stays the same or gets worse. Childbirth is not a reliable treatment option for vaginismus.

        Botox is truly fantastic for some people but not for everyone. The vast majority of people do not need Botox to overcome vaginismus. It is not a “magic bullet” cure, and it is definitely not the first step we turn to as pelvic therapists when creating a treatment plan. 

        That said, it can be a great option for more severe cases of vaginismus, when people have tried everything else — dilators, pelvic therapy, pelvic wands, sex therapy, etc. — but nothing has worked!

        Botox is an injection containing botulinum toxin, which essentially “turns off” the muscles and prevents them from contracting. With vaginismus, Botox is injected directly into the pelvic floor muscles while the patient is under anesthesia. It costs $4000-6000 (USD) and is not covered by insurance. The effects typically last three months.

        The main benefit of Botox is that it's like a "hard reset" of the brain/pain connection. It allows people to have pain-free insertion right away. But, they still need to do the physical work (dilators, wand, pelvic therapy) to lengthen the muscles and release restrictions in the fascia.

        I do not perform Botox injections but will be glad to help you find resources if this is something that is right for you.

        Your partner may not be interested in having insertive sex right now — which is their right, because it's their body. Start exploring other forms of intimacy and sex. Sex means a thousand different things to a thousand different people; it does not mean "only insertive sex" or PIV.

        It's wonderful that you want to help your partner. To this aim, please try to let go of your own expectations around this. Your partner’s pain is NOT about you, and they are not rejecting you. There are deeper issues going on that your partner doesn't feel comfortable addressing (or may not even be consciously aware of), and pushing them to resolve their physical pain so that you can resume insertive sex/PIV will only make things worse.

        If you are in the United States, I strongly encourage you to find an AASECT-certified sex therapist who sees couples and specializes in pain with sex. You can locate one through the AASECT directory at https://www.aasect.org/.

        If you're not in the U.S., please try to find a sex therapist who is certified in your country or region.

        A sex therapist is best qualified to help work through these issues, as most psychologists and marriage therapists have never worked with sexual pain (unless they specifically say they do). A sex therapist will give you a path forward and let you know if you would each benefit from individual therapy as well.

        After these issues get resolved, then your partner can decide if they want to try dilators or work on overcoming the muscle spasm issue with vaginismus. But in this case, the emotional issues need to be addressed first.

        There are support groups on Facebook, Reddit, and private forums for partners of people experiencing vaginismus where you might be able to find some additional resources.

        Working With Me

        Note: I use medically accepted terms for ease of understanding on my website. However, during your sessions, I will always ask and use your preferred words for your anatomy.

        Yep! Although I am a pelvic therapist and have worked with a variety of different pelvic conditions, vaginismus is my area of expertise — including other pelvic issues that commonly arise alongside vaginismus, like chronic constipation, difficulty fully emptying the bladder, trigger points in surrounding muscle groups, and more. I’m happy to advise you on these topics during your session!

        Not at this time. Many insurance companies do not cover telehealth (or haven't made decisions about covering it yet), and most are particular about how long sessions can be. I want my clients to have the freedom to see me for longer sessions, as with my Vaginismus Recovery Program.

        Additionally, not all insurance companies have caught up to accepting telehealth appointments; especially given our current COVID-19 public health crisis, I still want to be able to provide my clients with the services they need.

        No, but having a diagnosis from an ob/gyn or pelvic PT/physio whom you see for an in-person appointment can help to rule out other possible causes of painful insertion, like vulvodynia or physical issues with the labia, hymen, or skin. I can share some common signs of these issues, but just know that I can’t give you a formal diagnosis.

        That said, I realize it’s not always possible to get a diagnosis based on cost, location, insurance, accessibility, doctor availability/knowledge, and many other factors. I’m also an advocate for challenging the ways in which the medical industrial complex makes it difficult for marginalized folx to obtain not just diagnoses but even a baseline of compassionate, informed medical care.

        Maybe there’s only one ob/gyn in your town, and they have never heard of vaginismus. You went in for an appointment, advocated valiantly for yourself, and had to explain vaginismus TO the doctor. But they brushed you off, told you to “drink a glass of wine and just use more lube,” and refused to give you a diagnosis.

        I recognize that these kinds of extremely unhelpful and defeating situations do happen. And I never want them to stop you from healing. You can (and should!) absolutely still seek treatment and a full recovery even if you don’t have a formal diagnosis in hand.

        My clients are incredibly smart, resourceful people and have typically spent hundreds of hours researching, scouring medical sources, and talking to healthcare professionals as they try to figure out what is happening in their body that makes insertion so painful. I want you to know that, as a person who has professional training and certification in this area AND subscribes to radical healing culture, I validate your self-diagnosis and your lived experience.

        In short: A diagnosis is helpful but not necessary to work with me. In the absence of a diagnosis, I request that you do your research and come to me 99% sure that what you’re experiencing is vaginismus. I’ll help you figure out your next steps.

        No — for a few reasons, and certainly not if you don’t want to.

         

        First, we may not even get to the point of doing dilator work right away because there's so much I want to hear from you about your unique situation, including your emotional health, how you feel about your relationship, how your menstrual cycles have been, and more.

         

        Second, there are so many external muscle groups and regions we need to assess first. Because of the way trigger-point pain works, we can address a LOT of pelvic pain just by working with external muscle groups. I will show you specific exercises, tools, and techniques to relieve these trigger points in the comfort of your own home. (This is one of the benefits of me being an LMT in addition to a pelvic therapist!)

         

        Third, if you're scared about starting to use dilators, I want to reassure you that I will NEVER hurry you to do something you aren’t ready for. We will always go at the pace you are most comfortable with.

        No problem at all! If you need to take extra care of yourself during your cycle and not have our session that day, I completely understand and support you. Please do remember to honor my cancellation and rescheduling policy.

        If possible, try to wear stretchy/loose clothing that will move with you. Yoga clothes are fantastic! I often do therapeutic movement and muscle-energy techniques with my clients, which are easier if you’re wearing stretchy or loose clothing. 🙂

        YES! I am delighted to work with folx who identify as nonbinary, trans, or any or no gender at all, regardless of anatomy, as long as you either have a diagnosis of vaginismus or are experiencing the signs and symptoms of it.

        Note that I use medically accepted terms for ease of understanding on my website; however, during your session, I will always ask and use your preferred words for your anatomy.

        Check their credentials, training, and experience. There are a few other vaginismus guides out there, but they either aren't pelvic therapists or haven't experienced vaginismus in their own bodies. Some have more training than others.

        Being a pelvic therapist means I have the training, licensure, and professional scope to develop treatment plans, perform internal pelvic floor manual therapy, address related pelvic health issues, and collaborate with doctors and therapists.

        Additionally, I'm the only vaginismus expert in the entire world who's also an LMT and Board-Certified Hypnotherapist, Time Line® Therapist, Neurolinguistic Programming (NLP) Coach & Practitioner, and Reiki Master. These certifications demonstrate my commitment to providing my clients with proven tools and techniques for facilitating rapid, transformational healing for the emotions and unconscious mind — to supplement the physical treatment!

        I'm the only vaginismus expert who uses a trauma-informed approach. I’m the only one who is a HAES® registered provider. I'm the only one who has trained in LGBTQ+ care and incorporates gender affirmation into every level of my practice.

        I've also recovered from vaginismus myself, so I have the wisdom of personal experience in this exact area. Your frustrations, hopes, triumphs, tribulations? I know those. Because I've lived them, too!

        That combination is about as close to a golden ticket as you can get. 😉

        I do not do work with people who:

         

        • Are under 18.
        • Are wanting to help another person, usually their spouses or partners. (The person experiencing vaginismus in their own body needs to reach out to me directly. Because of my NLP Practitioner tenets, I do not work with people who are not personally interested or invested in making a change, doing the work, and getting better.)

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering "diet talk" can be, so I actually have a policy on it. What I do like to talk about are ways we can foster love and acceptance for the bodies we’re in!

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES® approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES® Provider Registry, my practice is fat-positive and size-inclusive.

        • General FAQ
        • Pelvic Therapy FAQ
        • Massage FAQ

        General FAQ

        Not at this time. Many insurance companies do not cover telehealth (or haven't even considered it or made decisions/rules about covering it yet), and most are particular about how long sessions can be. I want my clients to have the freedom to see me for longer sessions, as with my Vaginismus Recovery Program.

         

        Additionally, not all insurance companies have caught up to accepting telehealth appointments; especially given our current COVID-19 public health crisis, I still want to be able to provide my clients with the services they need.

        I always say that hypnotherapy is like a spa for your brain! You aren't asleep — you're fully awake and using the creativity of your unconscious mind to place yourself into your body's natural state of deep, therapeutic relaxation. This is called the "trance" state.

        Contrary to some widespread misconceptions, hypnotherapy will not make you suddenly do a backflip, quack like a duck, or do anything you don't want to do. You remain in control the whole time.

        If you've ever done a guided meditation, you've been in the same state of trance that hypnotherapy elicits. The goal of the trance state is to bypass your critical faculty and allow messages of healing and affirmation to be delivered straight into your unconscious mind, providing a new internal dialogue and supporting your healing.

        Nope! Because of the clinical nature of my work, I’m part of your healthcare team. This is why I charge a fixed rate for all my services and do not accept gratuity. The prices you see on my Services page are exactly what you can plan on paying.

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering "diet talk" can be, so I actually have a policy on it. What I do like to talk about, though, are ways we can foster love and acceptance for the bodies we’re in!

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES®) approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES® Provider Registry, my practice is fat-positive and size-inclusive.

        Not while we are still under state mandate to shelter in place.

        If you've booked a pelvic therapy session, I recommend you wear a skirt, sarong, dress, or other clothing that will allow you to easily access your vulva and vagina* during our session, if needed.

        For all other types of sessions (Hypnotherapy, Reiki, Soul Repair), just wear whatever feels comfortable!

        *I use medically accepted terms for ease of understanding on my website; however, during your session, I will use your preferred words for your anatomy.

        I always say that hypnotherapy is like a spa for your brain! You aren't asleep — you're fully awake and using the creativity of your unconscious mind to place yourself into your body's natural state of deep, therapeutic relaxation. This is called the "trance" state.

        Contrary to some widespread misconceptions, hypnotherapy will not make you suddenly do a backflip, quack like a duck, or do anything you don't want to do. You remain in control the whole time.

        If you've ever done a guided meditation, you've been in the same state of trance that hypnotherapy elicits. The goal of the trance state is to bypass your critical faculty and allow messages of healing and affirmation to be delivered straight into your unconscious mind, providing a new internal dialogue and supporting your healing.

        Not at this time. Many insurance companies do not cover telehealth (or haven't even considered it or made decisions/rules about covering it yet), and most are particular about how long sessions can be. I want my clients to have the freedom to see me for longer sessions, as with my Vaginismus Recovery Program.

         

        Additionally, not all insurance companies have caught up to accepting telehealth appointments; especially given our current COVID-19 public health crisis, I still want to be able to provide my clients with the services they need.

        Nope! Because of the clinical nature of my work, I’m part of your healthcare team. This is why I charge a fixed rate for all my services and do not accept gratuity. The prices you see on my Services page are exactly what you can plan on paying.

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering "diet talk" can be, so I actually have a policy on it. What I do like to talk about, though, are ways we can foster love and acceptance for the bodies we’re in!

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES®) approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES® Provider Registry, my practice is fat-positive and size-inclusive.

        Short answer: no. Although I am primarily a pelvic specialist, I offer three different types of bodywork, all available on my Appointments page.

        Type of appointment What is it? Who is it best for?
        Pelvic therapy
        Evidence-based internal and external manual therapy (e.g., myofascial, neuromuscular, trigger-point work, positional release) to address muscular pain and dysfunction in the pelvic floor.
        People experiencing pain with sex (vaginismus, vestibulodynia, etc.), endometriosis, incontinence, prolapse; people healing after pelvic surgery or giving birth.
        Therapeutic massage
        Goal-focused bodywork in key muscle groups that affect the pelvis. Bolsters your existing treatment plan and accelerates your recovery. (No pelvic work.)
        People who are already seeing a PT, ND, chiropractor, or other provider for pelvic floor treatment.
        Relaxation massage
        Gentle, restorative, spirit-nourishing massage that decreases pain, stress, and tension, and increases deep relaxation, recentering, and embodiment. (No pelvic work.)
        Anyone who is highly sensitive or who is experiencing (or recovering from) stress, anxiety, overwhelm, or burnout.

        Nope! Because of the clinical nature of my work, I’m part of your healthcare team. This is why I charge a fixed rate for all my services and do not accept gratuity. The prices you see on my Services page are exactly what you can plan on paying.

        If possible, please wear stretchy/loose clothing that will move with you. Yoga clothes are fantastic! I often do therapeutic movement and muscle-energy techniques with my clients, which are easier if you’re wearing stretchy or loose clothing.

        Not at this time, but it's something I'm working on and will hopefully offer soon.

        For the health of everyone who visits my office, please reschedule if you have a cold or other contagious symptoms.

         

        Receiving any kind of bodywork or massage when sick will only make it harder for your immune system to fight the illness, and you will be sicker for longer (boo!).

         

        If you have any questions or concerns, feel free to contact me at 503-776-0182. Sometimes things that seem small can be irritated by a massage, and we want to avoid that!

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering "diet talk" can be, so I actually have a policy on it. What I do like to talk about, though, are ways we can foster love and acceptance for the bodies we’re in!

         

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

         

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES®) approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES® Provider Registry, my practice is fat-positive and size-inclusive.

        Yes! Everyone can get discounts on their sessions by purchasing my packages, with options for both pelvic therapy and therapeutic massage. Buying in bulk lets you save on the price of each session.

         

        I am also delighted to offer a discount for BIPOC and trans folks. Call me to book and get your discount: 503-776-0182.

        Outcall/in-home appointments are occasionally available, but I require a personal reference (someone we both know) or that you be an established client of mine already. Call me if you want to discuss this option: 503-776-0182.

        Short answer: no. Although I am primarily a pelvic specialist, I offer three different types of bodywork, all available on my Appointments page.

        Type of appointment

        What is it?

        Who is it best for?

        Pelvic therapy

        Evidence-based internal and external manual therapy (e.g., myofascial, neuromuscular, trigger-point work, positional release) to address muscular pain and dysfunction in the pelvic floor.

        People experiencing pain with sex (vaginismus, vestibulodynia, etc.), endometriosis, incontinence, prolapse; people healing after pelvic surgery or giving birth.

        Therapeutic massage

        Goal-focused bodywork in key muscle groups that affect the pelvis. Bolsters your existing treatment plan and accelerates your recovery. (No pelvic work.)

        People who are already seeing a PT, ND, chiropractor, or other provider for pelvic floor treatment.

        Relaxation massage

        Gentle, restorative, spirit-nourishing massage that decreases pain, stress, and tension, and increases deep relaxation, recentering, and embodiment. (No pelvic work.)

        Anyone who is highly sensitive or who is experiencing (or recovering from) stress, anxiety, overwhelm, or burnout.

        Short answer: no. Although I am primarily a pelvic specialist, I offer three different types of bodywork, all available on my Appointments page.

        Type of appointment

        What is it?

        Who is it best for?

        Pelvic therapy

        Evidence-based internal and external manual therapy (e.g., myofascial, neuromuscular, trigger-point work, positional release) to address muscular pain and dysfunction in the pelvic floor.

        People experiencing pain with sex (vaginismus, vestibulodynia, etc.), endometriosis, incontinence, prolapse; people healing after pelvic surgery or giving birth.

        Therapeutic massage

        Goal-focused bodywork in key muscle groups that affect the pelvis. Bolsters your existing treatment plan and accelerates your recovery. (No pelvic work.)

        People who are already seeing a PT, ND, chiropractor, or other provider for pelvic floor treatment.

        Relaxation massage

        Gentle, restorative, spirit-nourishing massage that decreases pain, stress, and tension, and increases deep relaxation, recentering, and embodiment. (No pelvic work.)

        Anyone who is highly sensitive or who is experiencing (or recovering from) stress, anxiety, overwhelm, or burnout.

         

         

        Nope! Because of the clinical nature of my work, I’m part of your healthcare team. This is why I charge a fixed rate for all my services and do not accept gratuity. The prices you see on my Services page are exactly what you can plan on paying.

        If possible, please wear stretchy/loose clothing that will move with you. Yoga clothes are fantastic! I often do therapeutic movement and muscle-energy techniques with my clients, which are easier if you’re wearing stretchy or loose clothing.

        Not at this time, but it’s something I’m working on and will hopefully offer soon.

        For the health of everyone who visits my office, please reschedule if you have a cold or other contagious symptoms.

        Receiving any kind of bodywork or massage when sick will only make it harder for your immune system to fight the illness, and you will be sicker for longer (boo!).

        If you have any questions or concerns, feel free to contact me at 503-776-0182. Sometimes things that seem small can be irritated by a massage, and we want to avoid that!

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering “diet talk” can be, so I actually have a policy on it. What I do like to talk about, though, are ways we can foster love and acceptance for the bodies we’re in!

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES®) approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES® Provider Registry, my practice is fat-positive and size-inclusive.

        Yes! Everyone can get discounts on their sessions by purchasing my packages, with options for both pelvic therapy and therapeutic massage. Buying in bulk lets you save on the price of each session.

        I am also delighted to offer a discount for BIPOC and trans folks. Call me to book and get your discount: 503-776-0182.

        Outcall/in-home appointments are occasionally available, but I require a personal reference (someone we both know) or that you be an established client of mine already. Call me if you want to discuss this option: 503-776-0182.

        Pelvic Therapy FAQ

        NOTE TO SELF: edit trans question below once Jasper gives approval to be linked on this page.

        If it would most support you to see a trans provider for pelvic work, I highly recommend Jasper Moon, CPM, LMT, who is also located here in Portland.

        I customize each pelvic therapy session to the client’s unique needs and situation. In general, telehealth sessions for pelvic therapy involve gentle, guided exposure therapy to help you release fear and relax the pelvic floor muscles. You use your own hands for manual bodywork, as directed by me. An average one-hour telehealth session might include any of the following:

        1. If you're a new client, we start by discussing your symptoms, history, and goals in-depth; we also review general education of the pelvic structures and muscles using medical models and a hand mirror. If you're a returning client, we review your treatment plan and any changes to your current symptoms or goals.
        2. Making sure you're in a comfortable position where you won't be disturbed, we begin with breathing exercises and Reiki for a few moments to calm the nervous system.
        3. We then move into external work. I will provide clear, gentle guidance on how to use your own hands to assess your diaphragm, abdominal muscles, hip muscles, hamstrings, and externally palpable pelvic muscles. We will address any areas holding tension or adhesions.
        4. If you decide that you’d like to move to internal work, you will continue to use your own hand as I guide you in how to perform gentle myofascial and trigger-point release, coupled with visualization and focused breath work.
        5. We may move externally again and do some positional release/strain-counterstrain on any relevant muscle groups in the abdomen, hips, adductors, hamstrings, or glutes. Again, I will guide you every step of the way through this!
        6. We close the session with guided breath work and energy clearing. I will likely demonstrate some gentle movements and relaxation exercises for you to do at home.


        Whew! The truth is that I have so many more tools than I can possibly describe here. Rest assured that your session will be individualized for you and will incorporate the techniques that best support your treatment goals.

        This is my immersive flagship program that helps:

        • 90% of participants make a full recovery from vaginismus.
        • 100% of participants see improvement and meaningful changes toward their goals.


        Learn more about it on the Vaginismus Recovery Program page!

        It’s not so much a matter of seeing me instead of a physical therapist (PT) but, rather, that I can support, enhance, and complement the work you’re doing with your existing PT — in turn helping you heal faster. Or perhaps you may have tried working with PTs and simply find that a more holistic approach better supports your needs and goals.

        Aspect of care I offer PTs offer
        Primary focus: addressing muscular and soft-tissue problems that cause pain and dysfunction
         
        Primary focus: improving movement and mobility; maintaining physical function after injury, illness, or surgery
         
        Hygiene: Sanitized treatment room; use of gloves for internal work; disinfecting of all surfaces between appointments
        Office environment: Warm, cozy healing space with soft blankets, a heated table, soothing music, organic herbal tea, and only one client in the office at a time
         
        Office environment: Traditional medical environment, typically with fluorescent overhead lighting, paper sheets, and bustling office with multiple patients present
         
        Aspect of care I offer PTs offer
        Primary focus: addressing muscular and soft-tissue problems that cause pain and dysfunction
         
        Primary focus: improving movement and mobility; maintaining physical function after injury, illness, or surgery
         
        Hygiene: Sanitized treatment room; use of gloves for internal work; disinfecting of all surfaces between appointments
        Office environment: Warm, cozy healing space with soft blankets, a heated table, soothing music, organic herbal tea, and only one client in the office at a time
         
        Office environment: Traditional medical environment, typically with fluorescent overhead lighting, paper sheets, and bustling office with multiple patients present
         
        Therapeutic tools & techniques I offer PTs offer
        Clinical intake (health history, goals), physical assessments (posture, gait, range of motion), pelvic function questionnaires
        Dedicating time to hear your full story
        (usually)
        Skilled manual techniques and movement therapies (myofascial release, trigger-point therapy, neuromuscular facilitation, positional release, etc.)
        Internal and external pelvic work
        Treatment plan customized for you
        Discussion of lifestyle factors that support pelvic health, like water intake, fiber, vitamins, sleep, joyful movement
        Diagnosis of movement dysfunction and functional limitations
         
        Administering biofeedback (visually or tactilely monitoring what the body is doing to increase muscular learning & control)
        Administering electrical stimulation (e-stim/TENS) devices, ultrasound, or topical prescription meds
         
        Tools and techniques to help mend a broken spirit, like guided meditations, Reiki, craniosacral therapy, chakra work
         
        Better palpation skills (using the hands to “see what’s going on” in the muscles and tissues)
         
        Training & approach I offer PTs offer
        Certified in pelvic floor specialization
        Medical model: Western only, where the goal is to isolate and fix the physical symptoms, often ignoring the complexity of the whole person
         
        Medical model: Blend of Eastern + Western, seeing the whole, complex person with lived experience and many physical, emotional, and social factors influencing health
         
        150+ hours of continuing education dedicated to pelvic bodywork
        (depends)
        Trauma-informed approach
        (depends)
        Honoring the mind-body-spirit connection
        (depends)
        Certified Reiki Master
         
        Certified Hypnotherapist
         
        Certified Time Line Therapy® Practitioner
         
        Certified Neurolinguistic Programming Practitioner & Coach
         
        Health at Every Size (HAES®) approach
         
        Training & approach I offer PTs offer
        Certified in pelvic floor specialization
        Medical model: Western only, where the goal is to isolate and fix the physical symptoms, often ignoring the complexity of the whole person
         
        Medical model: Blend of Eastern + Western, seeing the whole, complex person with lived experience and many physical, emotional, and social factors influencing health
         
        150+ hours of continuing education dedicated to pelvic bodywork
        (depends)
        Trauma-informed approach
        (depends)
        Honoring the mind-body-spirit connection
        (depends)
        Certified Reiki Master
         
        Certified Hypnotherapist
         
        Certified Time Line Therapy® Practitioner
         
        Certified Neurolinguistic Programming Practitioner & Coach
         
        Health at Every Size (HAES®) approach
         

        Not at all. A common myth with any kind of bodywork is “no pain, no gain.” This simply isn’t true, especially for pelvic work. Even gentle techniques can have big, lasting results. Pelvic floor therapy uses light pressure and is extremely careful, respectful, and only ever done with your consent.

         

        As we work, you may feel a slight pressure in the muscles in your pelvic floor, hips, or low back. You may feel an unwinding of connective tissue (fascia), somewhat like a soft “click” or a rubber band releasing. But, it should not hurt.

         

        I stay in constant communication with you the entire time, so if there’s ever any discomfort, we will immediately stop. We can make adjustments, change techniques, move to a different region of the pelvic floor, or stop internal work entirely and switch to external therapies or energy work.

        Yes! Even if you have vaginismus, vestibulodynia (which used to be called "vestibulitis"), vulvodynia, endometriosis, or another issue that causes discomfort anywhere in your vagina*, there are still so many tools and techniques we can use to ease your pain, decrease muscle spasms, calm your nervous system, and start to repair your spirit — all without doing any internal pelvic floor work.

         

        A sampling might include: external assessment of key muscle groups that affect the pelvis (abdomen, diaphragm, hips, adductors, hamstrings), proprioceptive neuromuscular facilitation, positional release, movement therapies, breathing exercises, craniosacral therapy, reflexology, acupressure, Reiki, chakra healing, herbal packs, and more.

         

        We will continue doing external work until you are comfortable and ready for internal pelvic floor work, no matter how long it takes. I myself have had several painful pelvic conditions, and I know how scary it can be when a practitioner has their own agenda and isn't considering my pain levels. I always remember this when I am working with my clients, and I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

         

        *I use medically accepted terms for ease of understanding on my website; however, during your session, I will use your preferred words for your anatomy.

        No — for a few reasons, and certainly not if you don't want to.

         

        First, we may not even reach the point of doing internal work during your first session because there's so much I want to hear from you, and because there are many external muscle groups and regions we need to assess before ever moving internally. Because of the way trigger-point pain works, we can address a LOT of pelvic pain just by working externally.

         

        Second, if you're scared about getting internal work, I want to reassure you that we will never do anything you aren't comfortable with. We will continue doing external work until you feel ready for internal pelvic floor work, no matter how long it takes. I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

        No problem at all! If we’re going to do any internal work, you’ll just need to remove any cups, tampons, caps, or other internal menstrual products before we get started. (You can always do so in the restroom adjacent to my office.) If you’re using a product that needs to be reinserted, please remember to bring a small bag or container where you can place it during your session.

        No need, unless you want to. It doesn't affect my work either way. I fully support you in doing whatever is most comfortable for you to exist in your body.

        Yes! I am delighted to see pelvic therapy clients who are nonbinary, trans, or any or no gender at all. If you are wanting internal work, we can use whatever entrance points you are comfortable with, and I will always ask (and use) your preferred words for your anatomy.

         

        I know pelvic therapy can be an important part of your healthcare. As a person who falls outside the gender binary myself, I do my best to support queer and trans folks — including making referrals to trans and trans-competent providers. My top priority is making sure you get the best possible care, even if that means you see another provider.

        Anyone who wants to...

         

        • Break free of painful intercourse, debilitating period cramps, chronic UTIs, effects of trauma, bladder leaks, or organ prolapse
        • Heal from a traumatic birth, miscarriage, or termination
        • No longer feel trapped by shame, guilt, fear, or victimhood
        • Stop feeling constantly depleted and off-balance
        • Release old wounds, narratives, and imprints that no longer serve you, and rewrite them to reflect ease, abundance, and joy
        • Release emotional, physical, and ancestral/familial burdens


        No matter where your life path has taken you, it's never too late to address the physical and energetic wounds manifesting in your body as pelvic pain and dysfunction, and embrace a new, vibrant connection with your body, mind, and spirit.

        I do not do internal pelvic work if you:

         

        • Are currently pregnant.
        • Are under 18.
        • Have a surgical mesh implant* for pelvic organ prolapse (POP).
        • Are a cis man without a current referral from your primary care provider.

         

        I do not work with anyone who is seeking sexual or romantic services. Conduct, comments, and requests of this nature are not tolerated and will result in immediate ending of the session. If you are seeking somatic education to deepen your experience of embodiment or pleasure, I would be delighted to provide a referral to a certified sex coach or sexological bodyworker.

         

        *If you have a surgical mesh implant for stress urinary incontinence (SUI), there is a chance that we may be able to do a bit of internal work, depending on your unique situation.

        I customize each pelvic therapy session to the client’s unique needs and situation — for instance, the techniques I use for endometriosis won’t be the same as what I use for incontinence!

        With that HUGE caveat out of the way, an average session for a returning client might look something like the following:

        1. We start by reviewing your treatment plan and any changes to your current symptoms or goals.
        2. You get on the table (no stirrups! it’s a heated massage table with pillows and a soft, fluffy blanket), and we begin with breathing exercises.
        3. We begin with some gentle Reiki for a few moments and then move into external work. I may assess the diaphragm, abdominal muscles, hip muscles, hamstrings, externally palpable pelvic muscles, and position of the pelvic organs. We would address any areas holding tension or adhesions.
        4. If you decide that you’d like to move to internal work, it would include assessment of muscle engagement and trigger points, some gentle myofascial release, and guided visualization coupled with focused breath work.
        5. We move externally again and do some positional release/strain-counterstrain on any relevant muscle groups in the abdomen, hips, adductors, hamstrings, or glutes.
        6. We close the session with guided breath work and energy clearing. I may demonstrate some gentle movements and strengthening exercises for you to do at home.


        Whew! The truth is that I have so many more tools than I can possibly describe here. Rest assured that your session will be individualized for you and will incorporate the techniques that best support your treatment goals.

        I customize each pelvic therapy session to the client’s unique needs and situation — for instance, the techniques I use for endometriosis won’t be the same as what I use for incontinence!

        With that HUGE caveat out of the way, an average session for a returning client might look something like the following:

        1. We start by reviewing your treatment plan and any changes to your current symptoms or goals.
        2. You get on the table (no stirrups! it’s a heated massage table with pillows and a soft, fluffy blanket), and we begin with breathing exercises.
        3. We begin with some gentle Reiki for a few moments and then move into external work. I may assess the diaphragm, abdominal muscles, hip muscles, hamstrings, externally palpable pelvic muscles, and position of the pelvic organs. We would address any areas holding tension or adhesions.
        4. If you decide that you’d like to move to internal work, it would include assessment of muscle engagement and trigger points, some gentle myofascial release, and guided visualization coupled with focused breath work.
        5. We move externally again and do some positional release/strain-counterstrain on any relevant muscle groups in the abdomen, hips, adductors, hamstrings, or glutes.
        6. We close the session with guided breath work and energy clearing. I may demonstrate some gentle movements and strengthening exercises for you to do at home.


        Whew! The truth is that I have so many more tools than I can possibly describe here. Rest assured that your session will be individualized for you and will incorporate the techniques that best support your treatment goals.

        It’s not so much a matter of seeing me instead of a physical therapist (PT) but, rather, that I can support, enhance, and complement the work you’re doing with your existing PT — in turn helping you heal faster. Or perhaps you may have tried working with PTs and simply find that a more holistic approach better supports your needs and goals.

        Aspect of care

        I offer:

        PTs offer:

        Focus: addressing muscular and soft-tissue problems that cause pain and dysfunction

        Focus: improving movement and mobility; maintaining physical function after injury, illness, or surgery

        Hygiene: Sanitized treatment room; use of gloves for internal work; disinfecting of all surfaces between appointments

        Office environment: Warm, cozy healing space with soft blankets, a heated table, soothing music, organic herbal tea, and only one client in the office at a time

        Office environment: Traditional medical environment, typically with fluorescent overhead lighting, paper sheets, and bustling office with multiple patients present

        Therapeutic tools & techniques

        I offer:

        PTs offer:

        Clinical intake (health history, goals) and assessments (posture, gait, range of motion)

        Dedicating time to hear your full story

        (depends on PT)

        Skilled manual techniques and movement therapies (myofascial release, trigger-point therapy, neuromuscular facilitation, positional release, etc.)

        Internal and external pelvic work

        Treatment plan customized for you

        Discussion of lifestyle factors that support pelvic health, like water intake, fiber, vitamins, sleep, joyful movement

        Diagnosis of movement dysfunction and functional limitations

        Administering biofeedback, e-stim, ultrasound, or topical prescription meds

        Tools and techniques to help mend a broken spirit, like guided meditations, Reiki, craniosacral therapy, chakra work

        Better palpation skills (using the hands to “see what’s going on” in the muscles and tissues)

        Training & approach

        I offer:

        PTs offer:

        Certified in pelvic floor specialization

        Medical model: Western only, where the goal is to isolate and fix the physical symptoms, often ignoring the complexity of the whole person

        Medical model: Blend of Eastern + Western, seeing the whole, complex person with lived experience and many physical, emotional, and social factors influencing health

        120+ hours of continuing education dedicated to pelvic bodywork

        (depends on PT)

        Trauma-informed approach

        (depends on PT)

        Honoring the mind-body-spirit connection

        (depends on PT)

        Certified Reiki Master

        Health at Every Size (HAES®) approach/philosophy

        So what does all this mean?

        1. I can complement the work you’re already doing with your PT (if applicable).
        2. We will only ever do the work you’re comfortable with. I honor your needs and boundaries throughout our time working together.
        3. I can quickly and adeptly identify problem areas in the tissues in, around, and connected to the pelvis.
        4. We’ll look at your life holistically to figure out where your symptoms may be originating.
        5. We’ll use ALL the tools in my toolkit — including manual therapy, exercises, and energetic techniques — and immediately start working on a treatment plan created just for you.

        Not at all. A common myth with any kind of bodywork is “no pain, no gain.” This simply isn’t true, especially for pelvic work. Even gentle techniques can have big, lasting results. Pelvic floor therapy uses light pressure and is extremely careful, respectful, and only ever done with your consent.

        As we work, you may feel a slight pressure in the muscles in your pelvic floor, hips, or low back. You may feel an unwinding of connective tissue (fascia), somewhat like a soft “click” or a rubber band releasing. But, it should not hurt.

        I stay in constant communication with you the entire time, so if there’s ever any discomfort, we will immediately stop. We can make adjustments, change techniques, move to a different region of the pelvic floor, or stop internal work entirely and switch to external therapies or energy work.

        Yes! Even if you have vaginismus, vestibulodynia (which used to be called “vestibulitis”), vulvodynia, endometriosis, or another issue that causes discomfort anywhere in your vagina*, there are still so many tools and techniques we can use to ease your pain, decrease muscle spasms, calm your nervous system, and start to repair your spirit — all without doing any internal pelvic floor work.

        A sampling might include: external assessment of key muscle groups that affect the pelvis (abdomen, diaphragm, hips, adductors, hamstrings), proprioceptive neuromuscular facilitation, positional release, movement therapies, breathing exercises, craniosacral therapy, reflexology, acupressure, Reiki, chakra healing, herbal packs, and more.

        We will continue doing external work until you are comfortable and ready for internal pelvic floor work, no matter how long it takes. I myself have had several painful pelvic conditions, and I know how scary it can be when a practitioner has their own agenda and isn’t considering my pain levels. I always remember this when I am working with my clients, and I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

        *I use medically accepted terms for ease of understanding on my website; however, during your session, I will use your preferred words for your anatomy.

        No — for a few reasons, and certainly not if you don’t want to.

        First, we may not even reach the point of doing internal work during your first session because there’s so much I want to hear from you, and because there are many external muscle groups and regions we need to assess before ever moving internally. Because of the way trigger-point pain works, we can address a LOT of pelvic pain just by working externally.

        Second, if you’re scared about getting internal work, I want to reassure you that we will never do anything you aren’t comfortable with. We will continue doing external work until you feel ready for internal pelvic floor work, no matter how long it takes. I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

        No problem at all! If we’re going to do any internal work, you’ll just need to remove any cups, tampons, caps, or other internal menstrual products before we get started. (You can always do so in the restroom adjacent to my office.) If you’re using a product that needs to be reinserted, please remember to bring a small bag or container where you can place it during your session.

        No need, unless you want to. I get asked this question a LOT, and the truth is that it doesn’t affect my work either way. I fully support you in doing whatever is most comfortable for you to exist in your body.

        Yes! I am delighted to see pelvic therapy clients who are nonbinary, trans, or any or no gender at all. If you are wanting internal work, we can use whatever entrance points you are comfortable with, and I will always ask (and use) your preferred words for your anatomy.

        I know pelvic therapy can be an important part of your healthcare. As a person who falls outside the gender binary myself, I do my best to support queer and trans folks — including making referrals to trans and trans-competent providers. My top priority is making sure you get the best possible care, even if that means you see another provider.

        Anyone who wants to…

        • Break free of painful intercourse, debilitating period cramps, chronic UTIs, effects of trauma, bladder leaks, or organ prolapse
        • Heal from a traumatic birth, miscarriage, or termination
        • No longer feel trapped by shame, guilt, fear, or victimhood
        • Stop feeling constantly depleted and off-balance
        • Release old wounds, narratives, and imprints that no longer serve you, and rewrite them to reflect ease, abundance, and joy
        • Release emotional, physical, and ancestral/familial burdens


        No matter where your life path has taken you, it’s never too late to address the physical and energetic wounds manifesting in your body as pelvic pain and dysfunction, and embrace a new, vibrant connection with your body, mind, and spirit.

        I do not do internal pelvic work if you:

        • Are currently pregnant.
        • Are under 18.
        • Have a surgical mesh implant* for pelvic organ prolapse (POP).
        • Are a cis man without a current referral from your primary care provider.


        But, we can certainly do external work if you fall into any of these categories!

        I do not work with anyone who is seeking sexual or romantic services. Conduct, comments, and requests of this nature are not tolerated and will result in immediate ending of the session.

        Along the same lines, I am not a sexological bodyworker. If you are seeking somatic education to deepen your experience of embodiment or pleasure, I would be delighted to provide a referral to a certified sex coach or sexological bodyworker.

        *If you have a surgical mesh implant for stress urinary incontinence (SUI), there is a chance that we may be able to do a bit of internal work, depending on your unique situation.

        Massage FAQ

        Please note that the content in this section applies only to in-person appointments that take place in my office, which is closed for the time being due to the COVID-19 public health crisis.

        Yes! If you are highly sensitive or experiencing stress, anxiety, or overwhelm, my relaxation massage can help you release your stressors, reset your frazzled nervous system, and return to a state of soul-nourishing calm through groundedness and recentering.

         

        When booking an appointment on my Appointments page, simply select the Massage category and then the appointment duration you want (60, 90, or 120 minutes).

        First, please know that the pressure is always adjustable to suit your comfort level! You'll love the relative pressure scale I use, which guarantees it's always the perfect "Goldilocks" pressure for you every time.

         

        Generally, I provide light to medium pressure as an overall experience. At your request, I can temporarily apply deeper pressure to areas where you want focused work — but causing you pain is not part of my healing plan. Your body does not have to hurt in order to heal!

         

        If you’ve had past massages where the pressure was too deep and left you aching for days afterwards, I want you to know that massage doesn't have to be this way. The pressure should feel good to YOUR body and shouldn't cause you to hold your breath or clench your jaw. In a session with me, you'll receive just-right pressure that feels therapeutic, helps you accomplish your treatment goals, and leaves you profoundly relaxed.

         

        If you're seeking a full session of very deep, heavy pressure all over, we may not be well matched. In this case, I have some truly excellent referrals for you! 😉

        Yes! Massage newbies are welcome! I’m delighted to take as much time as needed to explain everything so that you feel comfortable. Feel free to call me at 503-776-0182 if you have questions or just want to talk through things before booking.

        Your session will be customized to meet your needs! First, we’ll review your intake form and discuss any treatment considerations (like injuries, conditions, and medications), your existing treatment plan with your PT or other provider, your massage preferences, and any goals you have for your session.

         

        As a first-time client, you'll benefit from my consent-based and trauma-informed communication style. I will provide guidance on aspects of the massage that no massage therapist has ever told you! I always use a pressure scale customized just for you (it works perfectly every time), and then I offer language you can use to provide in-the-moment feedback, plus ways to stay connected and embodied during the session so that you get the most out of your massage.

         

        I will offer gentle instruction on how to position yourself on the table and the level of undress that would best meet your treatment goals. During your session, only the area of your body being worked on will be undraped.

         

        Communication is key! I’ll ask for your feedback at a few points so that I can make adjustments to your liking. Because your satisfaction is my TOP priority, please be open and honest if anything needs to be changed to meet your needs — even if you decide halfway through that you don’t want the bolster anymore, or that the face cradle is starting to bother you. I don’t want any part of your session to be uncomfortable or distracting, and I am delighted to make any adjustments at any time. You are never offending me by speaking up!

         

        After the massage is done, you will get dressed, and we will have a quick conversation where I share anything I noticed, make a few recommendations that would support your goals, and ask for your feedback. Post-session feedback is extremely important to me! It’s what I use to improve your future sessions so they are even more supportive for you, ensuring that you receive exactly the bodywork you want.

        Yes! During your appointment, you can mix and match from any of my modalities, including relaxation massage, craniosacral therapy, myofascial release, neuromuscular facilitation, lymph drainage, and Reiki. If you want a full-length session of one particular modality, we can absolutely do that.

         

        Just book a massage in your desired duration (60, 90, or 120 minutes), and let me know either on your intake form or when you arrive that you're looking for a full session of one particular modality.

        Absolutely! I am trained in both prenatal and fertility massage techniques, and I am delighted to offer relaxation and pain relief for clients who are pregnant.

         

        When booking an appointment on my Appointments page, simply select Relaxation Massage and then the duration you want (60, 90, or 120 minutes); then, check the box for prenatal massage. That way, I can have my special body cushions — which comfortably support any size belly — ready when you arrive.

         

        Note that I do not do internal pelvic work with pregnant clients.

        Yes! If you are highly sensitive or experiencing stress, anxiety, or overwhelm, my relaxation massage can help you release your stressors, reset your frazzled nervous system, and return to a state of soul-nourishing calm through groundedness and recentering.

        When booking an appointment on my Appointments page, simply select the Massage category and then the appointment duration you want (60, 90, or 120 minutes).

        Yes! If you are highly sensitive or experiencing stress, anxiety, or overwhelm, my relaxation massage can help you release your stressors, reset your frazzled nervous system, and return to a state of soul-nourishing calm through groundedness and recentering.

        When booking an appointment on my Appointments page, simply select the Massage category and then the appointment duration you want (60, 90, or 120 minutes).

        First, please know that the pressure is always adjustable to suit your comfort level! You’ll love the relative pressure scale I use, which guarantees it’s always the perfect “Goldilocks” pressure for you every time.

        Generally, I provide light to medium pressure as an overall experience. At your request, I can temporarily apply deeper pressure to areas where you want focused work — but causing you pain is not part of my healing plan. Your body does not have to hurt in order to heal!

        If you’ve had past massages where the pressure was too deep and left you aching for days afterwards, I want you to know that massage doesn’t have to be this way. The pressure should feel good to YOUR body and shouldn’t cause you to hold your breath or clench your jaw. In a session with me, you’ll receive just-right pressure that feels therapeutic, helps you accomplish your treatment goals, and leaves you profoundly relaxed.

        If you’re seeking a full session of very deep, heavy pressure all over, we may not be well matched. In this case, I have some truly excellent referrals for you! 😉

        Yes! Massage newbies are welcome! I’m delighted to take as much time as needed to explain everything so that you feel comfortable. Feel free to call me at 503-776-0182 if you have questions or just want to talk through things before booking.

        Your session will be customized to meet your needs! First, we’ll review your intake form and discuss any treatment considerations (like injuries, conditions, and medications), your existing treatment plan with your PT or other provider, your massage preferences, and any goals you have for your session.

        As a first-time client, you’ll benefit from my consent-based and trauma-informed communication style. I will provide guidance on aspects of the massage that no massage therapist has ever told you! I always use a pressure scale customized just for you (it works perfectly every time), and then I offer language you can use to provide in-the-moment feedback, plus ways to stay connected and embodied during the session so that you get the most out of your massage.

        I will offer gentle instruction on how to position yourself on the table and the level of undress that would best meet your treatment goals. During your session, only the area of your body being worked on will be undraped.

        Communication is key! I’ll ask for your feedback at a few points so that I can make adjustments to your liking. Because your satisfaction is my TOP priority, please be open and honest if anything needs to be changed to meet your needs — even if you decide halfway through that you don’t want the bolster anymore, or that the face cradle is starting to bother you. I don’t want any part of your session to be uncomfortable or distracting, and I am delighted to make any adjustments at any time. You are never offending me by speaking up!

        After the massage is done, you will get dressed, and we will have a quick conversation where I share anything I noticed, make a few recommendations that would support your goals, and ask for your feedback. Post-session feedback is extremely important to me! It’s what I use to improve your future sessions so they are even more supportive for you, ensuring that you receive exactly the bodywork you want.

        Yes! During your appointment, you can mix and match from any of my modalities, including relaxation massage, craniosacral therapy, myofascial release, neuromuscular facilitation, lymph drainage, and Reiki. If you want a full-length session of one particular modality, we can absolutely do that.

        Just book a massage in your desired duration (60, 90, or 120 minutes), and let me know either on your intake form or when you arrive that you’re looking for a full session of one particular modality.

        Absolutely! I am trained in both prenatal and fertility massage techniques, and I am delighted to offer relaxation and pain relief for clients who are pregnant.

        When booking an appointment on my Appointments page, simply select Relaxation Massage and then the duration you want (60, 90, or 120 minutes); then, check the box for prenatal massage. That way, I can have my special body cushions — which comfortably support any size belly — ready when you arrive.

        Note that I do not do internal pelvic work with pregnant clients.

        If you have questions I haven’t answered on this page, or if you’re ready to schedule your appointment, call me at 503-776-0182. You’re also welcome to book your session on my Appointments page. I look forward to working with you!

        General FAQ

        Short answer: no. Although I am primarily a pelvic specialist, I offer three different types of bodywork, all available on my Appointments page.

        Type of appointment

        What is it?

        Who is it best for?

        Pelvic therapy

        Evidence-based internal and external manual therapy (e.g., myofascial, neuromuscular, trigger-point work, positional release) to address muscular pain and dysfunction in the pelvic floor.

        People experiencing pain with sex (vaginismus, vestibulodynia, etc.), endometriosis, incontinence, prolapse; people healing after pelvic surgery or giving birth.

        Therapeutic massage

        Goal-focused bodywork in key muscle groups that affect the pelvis. Bolsters your existing treatment plan and accelerates your recovery. (No pelvic work.)

        People who are already seeing a PT, ND, chiropractor, or other provider for pelvic floor treatment.

        Relaxation massage

        Gentle, restorative, spirit-nourishing massage that decreases pain, stress, and tension, and increases deep relaxation, recentering, and embodiment. (No pelvic work.)

        Anyone who is highly sensitive or who is experiencing (or recovering from) stress, anxiety, overwhelm, or burnout.

         

         

        Nope! Because of the clinical nature of my work, I’m part of your healthcare team. This is why I charge a fixed rate for all my services and do not accept gratuity. The prices you see on my Services page are exactly what you can plan on paying.

        If possible, please wear stretchy/loose clothing that will move with you. Yoga clothes are fantastic! I often do therapeutic movement and muscle-energy techniques with my clients, which are easier if you’re wearing stretchy or loose clothing.

        Not at this time, but it’s something I’m working on and will hopefully offer soon.

        For the health of everyone who visits my office, please reschedule if you have a cold or other contagious symptoms.

        Receiving any kind of bodywork or massage when sick will only make it harder for your immune system to fight the illness, and you will be sicker for longer (boo!).

        If you have any questions or concerns, feel free to contact me at 503-776-0182. Sometimes things that seem small can be irritated by a massage, and we want to avoid that!

        I will NEVER recommend weight loss, restrictive eating, or dieting to my clients. I know how triggering “diet talk” can be, so I actually have a policy on it. What I do like to talk about, though, are ways we can foster love and acceptance for the bodies we’re in!

        During your session, we might talk about ways you find joyful movement, or (for pelvic therapy clients) various sources of fiber or vitamins that support pelvic health; but it will never be in the context of weight loss or scrutiny of your food choices.

        I am a student of Linda Bacon, Evelyn Tribole, and Christy Harrison — I follow a Health At Every Size (HAES) approach in my work, and I support intuitive eating and body liberation principles. Proudly listed on the HAES Community Registry, my practice is fat-positive and size-inclusive.

        Yes! Everyone can get discounts on their sessions by purchasing my packages, with options for both pelvic therapy and therapeutic massage.  Buying in bulk lets you save on the price of each session.

        I am also delighted to offer a discount for BIPOC and trans folks. Call me to book and get your discount: 503-776-0182.

        Outcall/in-home appointments are occasionally available, but I require a personal reference (someone we both know) or that you be an established client of mine already. Call me if you want to discuss this option: 503-776-0182.

        Pelvic Therapy FAQ

        NOTE TO SELF: edit trans question below once Jasper gives approval to be linked on this page.

        If it would most support you to see a trans provider for pelvic work, I highly recommend Jasper Moon, CPM, LMT, who is also located here in Portland.

        I customize each pelvic therapy session to the client’s unique needs and situation — for instance, the techniques I use for endometriosis won’t be the same as what I use for incontinence!

        With that HUGE caveat out of the way, an average session for a returning client might look something like the following:

        1. We start by reviewing your treatment plan and any changes to your current symptoms or goals.
        2. You get on the table (no stirrups! it’s a heated massage table with pillows and a soft, fluffy blanket), and we begin with breathing exercises.
        3. We begin with some gentle Reiki for a few moments and then move into external work. I may assess the diaphragm, abdominal muscles, hip muscles, hamstrings, externally palpable pelvic muscles, and position of the pelvic organs. We would address any areas holding tension or adhesions.
        4. If you decide that you’d like to move to internal work, it would include assessment of muscle engagement and trigger points, some gentle myofascial release, and guided visualization coupled with focused breath work.
        5. We move externally again and do some positional release/strain-counterstrain on any relevant muscle groups in the abdomen, hips, adductors, hamstrings, or glutes.
        6. We close the session with guided breath work and energy clearing. I may demonstrate some gentle movements and strengthening exercises for you to do at home.


        Whew! The truth is that I have so many more tools than I can possibly describe here. Rest assured that your session will be individualized for you and will incorporate the techniques that best support your treatment goals.

        It’s not so much a matter of seeing me instead of a physical therapist (PT) but, rather, that I can support, enhance, and complement the work you’re doing with your existing PT — in turn helping you heal faster. Or perhaps you may have tried working with PTs and simply find that a more holistic approach better supports your needs and goals.

        Aspect of care

        I offer:

        PTs offer:

        Focus: addressing muscular and soft-tissue problems that cause pain and dysfunction

         

        Focus: improving movement and mobility; maintaining physical function after injury, illness, or surgery

         

        Hygiene: Sanitized treatment room; use of gloves for internal work; disinfecting of all surfaces between appointments

        Office environment: Warm, cozy healing space with soft blankets, a heated table, soothing music, organic herbal tea, and only one client in the office at a time

         

        Office environment: Traditional medical environment, typically with fluorescent overhead lighting, paper sheets, and bustling office with multiple patients present

         

        Therapeutic tools & techniques

        I offer:

        PTs offer:

        Clinical intake (health history, goals) and assessments (posture, gait, range of motion)

        Dedicating time to hear your full story

        (depends on PT)

        Skilled manual techniques and movement therapies (myofascial release, trigger-point therapy, neuromuscular facilitation, positional release, etc.)

        Internal and external pelvic work

        Treatment plan customized for you

        Discussion of lifestyle factors that support pelvic health, like water intake, fiber, vitamins, sleep, joyful movement

        Diagnosis of movement dysfunction and functional limitations

         

        Administering biofeedback, e-stim, ultrasound, or topical prescription meds

         

        Tools and techniques to help mend a broken spirit, like guided meditations, Reiki, craniosacral therapy, chakra work

         

        Better palpation skills (using the hands to “see what’s going on” in the muscles and tissues)

         

        Training & approach

        I offer:

        PTs offer:

        Certified in pelvic floor specialization

        Medical model: Western only, where the goal is to isolate and fix the physical symptoms, often ignoring the complexity of the whole person

         

        Medical model: Blend of Eastern + Western, seeing the whole, complex person with lived experience and many physical, emotional, and social factors influencing health

         

        120+ hours of continuing education dedicated to pelvic bodywork

        (depends on PT)

        Trauma-informed approach

        (depends on PT)

        Honoring the mind-body-spirit connection

        (depends on PT)

        Certified Reiki Master

         

        Health at Every Size (HAES) approach/philosophy

         

        So what does all this mean?

        1. I can complement the work you’re already doing with your PT (if applicable).
        2. We will only ever do the work you’re comfortable with. I honor your needs and boundaries throughout our time working together.
        3. I can quickly and adeptly identify problem areas in the tissues in, around, and connected to the pelvis.
        4. We’ll look at your life holistically to figure out where your symptoms may be originating.
        5. We’ll use ALL the tools in my toolkit — including manual therapy, exercises, and energetic techniques — and immediately start working on a treatment plan created just for you.

        Not at all. A common myth with any kind of bodywork is “no pain, no gain.” This simply isn’t true, especially for pelvic work. Even gentle techniques can have big, lasting results. Pelvic floor therapy uses light pressure and is extremely careful, respectful, and only ever done with your consent.

        As we work, you may feel a slight pressure in the muscles in your pelvic floor, hips, or low back. You may feel an unwinding of connective tissue (fascia), somewhat like a soft “click” or a rubber band releasing. But, it should not hurt.

        I stay in constant communication with you the entire time, so if there’s ever any discomfort, we will immediately stop. We can make adjustments, change techniques, move to a different region of the pelvic floor, or stop internal work entirely and switch to external therapies or energy work.

        Yes! Even if you have vaginismus, vestibulodynia (which used to be called “vestibulitis”), vulvodynia, endometriosis, or another issue that causes discomfort anywhere in your vagina*, there are still so many tools and techniques we can use to ease your pain, decrease muscle spasms, calm your nervous system, and start to repair your spirit — all without doing any internal pelvic floor work.

        A sampling might include: external assessment of key muscle groups that affect the pelvis (abdomen, diaphragm, hips, adductors, hamstrings), proprioceptive neuromuscular facilitation, positional release, movement therapies, breathing exercises, craniosacral therapy, reflexology, acupressure, Reiki, chakra healing, herbal packs, and more.

        We will continue doing external work until you are comfortable and ready for internal pelvic floor work, no matter how long it takes. I myself have had several painful pelvic conditions, and I know how scary it can be when a practitioner has their own agenda and isn’t considering my pain levels. I always remember this when I am working with my clients, and I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

        *I use medically accepted terms for ease of understanding on my website; however, during your session, I will use your preferred words for your anatomy.

        No — for a few reasons.

        First, we almost never get to the point of doing internal work during your first session because there’s so much I want to hear from you, and because there are many external muscle groups and regions we need to assess before ever moving internally. Because of the way trigger-point pain works, we can address a LOT of pelvic pain just by working externally.

        Second, if you’re scared about getting internal work, I want to reassure you that we will never do anything you aren’t comfortable with. We will continue doing external work until you feel ready for internal pelvic floor work, no matter how long it takes. I will NEVER hurry you to do something you aren’t ready for. You are always in control of the session.

        No problem at all! If we’re going to do any internal work, you’ll just need to remove any cups, tampons, caps, or other internal menstrual products before we get started. (You can always do so in the restroom adjacent to my office.) If you’re using a product that needs to be reinserted, please remember to bring a small bag or container where you can place it during your session.

        No need, unless you want to. I get asked this question a LOT, and the truth is that it doesn’t affect my work either way. I fully support you in doing whatever is most comfortable for you to exist in your body.

        Yes! I am delighted to see pelvic therapy clients who are nonbinary, trans, or any or no gender at all. If you are wanting internal work, we can use whatever entrance points you are comfortable with, and I will always ask (and use) your preferred words for your anatomy.

        I know pelvic therapy can be an important part of your healthcare. As a person who falls outside the gender binary myself, I do my best to support queer and trans folks — including making referrals to trans and trans-competent providers. My top priority is making sure you get the best possible care, even if that means you see another provider.

        Anyone who wants to…

        • Break free of painful intercourse, debilitating period cramps, chronic UTIs, effects of trauma, incontinence, or organ prolapse
        • Heal from a traumatic birth, miscarriage, or termination
        • No longer feel trapped by shame, guilt, fear, or victimhood
        • Stop feeling constantly depleted and off-balance
        • Release old wounds, narratives, and imprints that no longer serve you, and rewrite them to reflect ease, abundance, and joy
        • Release emotional, physical, and ancestral/familial burdens


        No matter where your life path has taken you, it’s never too late to address the physical and energetic wounds manifesting in your body as pelvic pain and dysfunction, and embrace a new, vibrant connection with your body, mind, and spirit.

        I do not do internal pelvic work if you:

        • Are currently pregnant.
        • Are under 18.
        • Have a surgical mesh implant* for pelvic organ prolapse (POP).
        • Are a cis man without a current referral from your physical therapist (PT) or urologist.


        But, we can certainly do external work if you fall into any of these categories!

        I do not work with anyone who is seeking sexual or romantic services. Conduct, comments, and requests of this nature are not tolerated and will result in immediate ending of the session.

        *If you have a surgical mesh implant for stress urinary incontinence (SUI), there is a chance that we may be able to do a bit of internal work, depending on your unique situation.

        Massage FAQ

        Yes! If you are highly sensitive or experiencing stress, anxiety, or overwhelm, my relaxation massage can help you release your stressors, reset your frazzled nervous system, and return to a state of soul-nourishing calm through groundedness and recentering.

        When booking an appointment on my Appointments page, simply select the Massage category and then the appointment duration you want (60, 90, or 120 minutes).

        First, please know that the pressure is always adjustable to suit your comfort level! You’ll love the relative pressure scale I use, which guarantees it’s always the perfect “Goldilocks” pressure for you every time.

        Generally, I provide light to medium pressure as an overall experience. At your request, I can temporarily apply deeper pressure to areas where you want focused work — but causing you pain is not part of my healing plan. Your body does not have to hurt in order to heal!

        If you’ve had past massages where the pressure was too deep and left you aching for days afterwards, I want you to know that massage doesn’t have to be this way. The pressure should feel good to YOUR body and shouldn’t cause you to hold your breath or clench your jaw. In a session with me, you’ll receive just-right pressure that feels therapeutic, helps you accomplish your treatment goals, and leaves you profoundly relaxed.

        If you’re seeking a full session of very deep, heavy pressure all over, we may not be well matched. In this case, I have some truly excellent referrals for you! 😉

        Yes! Massage newbies are welcome! I’m delighted to take as much time as needed to explain everything so that you feel comfortable. Feel free to call me at 503-776-0182 if you have questions or just want to talk through things before booking.

        Your session will be customized to meet your needs! First, we’ll review your intake form and discuss any treatment considerations (like injuries, conditions, and medications), your existing treatment plan with your PT or other provider, your massage preferences, and any goals you have for your session.

        As a first-time client, you’ll benefit from my consent-based and trauma-informed communication style. I will provide guidance on aspects of the massage that no massage therapist has ever told you! I always use a pressure scale customized just for you (it works perfectly every time), and then I offer language you can use to provide in-the-moment feedback, plus ways to stay connected and embodied during the session so that you get the most out of your massage.

        I will offer gentle instruction on how to position yourself on the table and the level of undress that would best meet your treatment goals. During your session, only the area of your body being worked on will be undraped.

        Communication is key! I’ll ask for your feedback at a few points so that I can make adjustments to your liking. Because your satisfaction is my TOP priority, please be open and honest if anything needs to be changed to meet your needs — even if you decide halfway through that you don’t want the bolster anymore, or that the face cradle is starting to bother you. I don’t want any part of your session to be uncomfortable or distracting, and I am delighted to make any adjustments at any time. You are never offending me by speaking up!

        After the massage is done, you will get dressed, and we will have a quick conversation where I share anything I noticed, make a few recommendations that would support your goals, and ask for your feedback. Post-session feedback is extremely important to me! It’s what I use to improve your future sessions so they are even more supportive for you, ensuring that you receive exactly the bodywork you want.

        Yes! During your appointment, you can mix and match from any of my modalities, including relaxation massage, craniosacral therapy, myofascial release, neuromuscular facilitation, lymph drainage, and Reiki. If you want a full-length session of one particular modality, we can absolutely do that.

        Just book a massage in your desired duration (60, 90, or 120 minutes), and let me know either on your intake form or when you arrive that you’re looking for a full session of one particular modality.

        Absolutely! I am trained in both prenatal and fertility massage techniques, and I am delighted to offer relaxation and pain relief for clients who are pregnant.

        When booking an appointment on my Appointments page, simply select Relaxation Massage and then the duration you want (60, 90, or 120 minutes); then, check the box for prenatal massage. That way, I can have my special body cushions — which comfortably support any size belly — ready when you arrive.

        Note that I do not do internal pelvic work with pregnant clients.

        If you still have questions, or if you’re ready to schedule your appointment, call me at 503-776-0182. You’re also welcome to book your session on my Appointments page.

        If you still have questions, I invite you to book a free Discovery Session to see how you can get your life back.

        Have a question? Contact me.

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