Many people feel intimidated or ambivalent about starting therapy. They worry about whether they will be able to talk to a stranger about their concerns, goals, hopes, and fears. They may be concerned about being judged based on what they are thinking or things they have experienced in their past. Or they may be uncomfortable around new people. They may not be able to identify exactly what brings them to therapy, simply knowing that their lives are not unfolding as they want them to be.

At Stumptown Psychotherapy and Stumptown Sex Therapy, I work to provide excellent individual and couples counseling in a warm, open atmosphere. I prize honest therapeutic connections built in a non-judgmental environment. Therapy is a collaboration between therapist and client. We work together to identify your goals and priorities, understanding that you are the expert on your experience, coming to me for skilled guidance through the obstacles you face — sexual, psychological, or intertwined.



(503) 307-2843


kfriedmantherapy at gmail dot com



1135 SE Salmon Ave

Suite 213

Portland, OR, 97214



Contemporary neuroscience tells us that our minds are shaped by the collection of experiences we have had throughout our lives. In therapy, we work together to discover and explore the experiences that have shaped the way you approach new situations, giving you the opportunity to heal and transform. As a mindfulness and body-centered psychotherapist, I encourage my clients to use curiosity and compassion about thoughts, feelings, sensations, and impulses to learn about habitual patterns so they can be observed, accepted, and transformed.

I treat patients suffering from a wide array of mental health challenges including Depression, Anxiety, ADHD, Trauma, Grief and Loss. My specialty is working with clients navigating the aftermath of childhood emotional trauma, abuse, and neglect, such as Adult Children of Alcoholics and adult children of parents with personality disorders. I work with people going through all kinds of life transitions, including women’s life transitions such as pregnancy, post-partum, leaving or reentering the workforce, menopause and perimenopause. I also specialize in working with clients with chronic relationship difficulties. I work with diverse clientele on issues arising from oppression and inequality, and welcome queer clients and people engaged in alternative relationship and sexual behaviors to my practice.

Sex Therapy

Holistic Sex Therapy approaches sexuality as a vital area of life which shifts and changes based on its interplay with all other areas — our emotions, thoughts, sensations, beliefs, histories, and relationships. Together, my clients and I create an environment where it is safe to talk about sex.

I treat clients suffering from problems with sexual function and pain such as erectile dysfunction, pelvic pain, vaginismus, premature ejaculation, and difficulty achieving orgasm. As a trained trauma therapist, I treasure the opportunity to help work through sexual trauma to find safety and autonomy in their bodies and sexual lives. I also work with clients to make sense of and change what they think of as problematic or compulsive sexual behaviors.

I work with individuals and relationship partners to understand and transform their obstacles to satisfying, connected sexual intimacy. I assist clients curious about kink/BDSM and alternative relationship styles work through obstacles to exploration so they can embrace their desires and find ways to bring them to life.

Couples & Relationship Counseling

Are you and your partner feeling stuck? Do you feel like you have the same fight over and over again? Has the intimacy and affection you once had fallen away, leaving conflict and distrust? Do you struggle with talking to your partner about what really matters? Are you thinking about breaking up? Did you used to have an exciting sexual relationship but now the spark is gone? Do you have sexual desires you are afraid to talk with your partner about?Does one of you always seem to want more sex than the other? Thinking about opening your relationship? Are you in polyamorous relationships but struggling to find balance and meet everyone’s needs?

Intimate relationships are a powerful crucible which can cement longstanding patterns or cultivate profound change. They create chances to learn about our deepest psychological patterns and transform ourselves in ways that not only enhance our relationships but our whole lives. I offer couple and relationship counseling that can help you understand and transform the patterns that are keeping you and your relationship partner(s) from connecting the way you want — emotionally, psychologically, and sexually.


Katherine Friedman, LPC

I believe a therapist’s role is to provide supportive guidance, insight, and gentle challenges during a client’s search for healing. Self-knowledge, discovery, and acceptance are the keys to psychological change. I work with my clients to develop curiosity and compassion about themselves and their suffering. With greater self-awareness, life becomes easier to manage, and choices multiply.

My counseling style is characterized by warmth, authenticity, compassion, and humor. I combine relational, cognitive, somatic, and psychodynamic therapies in a holistic approach. Working together, my clients and I create an atmosphere that encourages psychological depth: I serve as a partner, witness, and guide as we uncover the way you think, feel, sense, and understand the world.

I was born and raised in New York City and received my BA from Cornell University and an MA, MPhil. from New York University. I have been working as a counselor in professional settings since 2005. I received a Master’s Degree in Somatic Counseling Psychology from Naropa — a Mindfulness-driven University in Boulder, CO — in 2008. I have been practicing mindfulness for 23 years and teaching mindfulness practices for 13 years. These practices include yoga, meditation, and contemplative dance.

Before starting private practice in 2014, I worked in Detox, Residential, and Outpatient settings.  I worked with acute cases of both Addiction and Mental Health Disorders in Boulder, CO and here in Portland.

I feel that continued learning is an essential part of my job as a psychotherapist. My current study is focused on relationship therapy and Holistic Sex Therapy. I completed the Oregon Psychoanalytic Center’s year-long seminar in Fundamentals of Psychoanalytic Psychotherapy in 2014, and continue to study Psychoanalysis and Psychodynamic Psychotherapy at OPC. Additionally, I have years of experience and training in Dialectical Behavior Therapy, Cognitive Behavioral Therapy, Body-Centered, and Mindfulness- based therapies. I have extensive training in Trauma-informed therapy including the Sensorimotor Psychotherapy Institute’s year-long Level I Training for the Treatment of Trauma taught by Pat Ogden, Ph.D.

getting started


free 30 minute in office consultation

The first step is to make an appointment. Please email me at kfriedmantherapy at gmail dot com or call at (503) 307-2843.


50 minute Self-Pay Psychotherapy/Sex Therapy appointment: $130

55 minute Insurance Psychotherapy/Sex Therapy appointment: $130

50 minute Relationship/Couples Therapy appointment: $150

Limited sliding scale and low fee slots are available based on need.

No Shows/Late Cancellations: An appointment reserves a specific time for you. If you need to cancel or reschedule your appointment, please notify me at least 48 hours in advance. Otherwise all missed appointments are charged at full fee.


Insurance Accepted: Aetna, HealthNet/MHN, Regence BC/BS.

If you have other insurance you can investigate whether I will be accepted as an Out of Network provider. I will be happy to give you a superbill to give to them. You will be responsible for full payment.

Copayment or self-pay agreed upon fee is due at time of session (cash, check, or credit card accepted) unless other billing arrangements have been made.

Please Note: Mental Health benefits and plan details must be verified before we begin treatment. I will need your full name, date of birth, and insurance member number to determine this information. You may have a deductible that needs to be met before insurance covers your sessions. In that case you will be billed my contracted amount with the insurance provider until the deductible is complete.



I write frequently about therapy, sex, relationships, mindfulness, embodiment, kink, non monogamy, feminism, and empowerment.

If you are interested in my writing please follow me on Instagram @stumptownsextherapy or like my professional facebook page: Katherine Friedman, LPC. .



I always wanted to be a teacher. Teaching has been an integral part of my life since I was taught yoga and embodiment in New York in the 1990s. In my early therapy career, I taught DBT skills classes to rooms of up to 55 adjudicated men or 35 adjudicated women.

I love teaching: from mentoring individuals to speaking on podcasts to sharing information with a room full of people,

I teach on a wide array of subjects. Everything from embodied therapy skills to feminism and sex positivity to how to evaluate desires and kinks for healthy exploration, I teach about Trauma and Kink with my teaching partner, Ray Nelson, NCC.

If you are interested in any of the classes listed below or would like a class designed for your venue, please contact me.

Upcoming classes:

How Do I Know What I Want: Intro to Self-Awareness for Kink and Sex Positive Exploration. Tuesday, June 25 7-8:30pm at Sex Positive Portland.

Trauma Informed Kink: An Introduction. Co-Taught with Ray Nelson, NCC. Sunday, July 21, 6-7:30pm. Pan Eros Foundation, Seattle.

Asking for What You Want: Negotiation Tips for the Empowered Bottom. Wednesday, August 14, 7-8:30 at Sex Positive Portland.