Pau(she/her)la
Leech.
Sex therapist, supervisor & author.
In short.
AASECT Certified sex therapist, clinical supervisor, and instructor. Licensed marriage and family therapist.
Therapy: Massachusetts, Oregon, and New York.
Supervision: worldwide.
Performance anxiety, sexual “Dysfunction,” infidelity, and finding easeful sexual connection.
Virtual or in-person sessions. Steady, direct, and compassionate — with a little levity when it helps.
Anxiety, shame, disconnection — the parts of intimacy nobody taught us how to navigate. My work is to make change possible, with steadiness, honesty, and work you can get started on today.
Where I've
shown up.
Podcasts, articles, talks, and a handful of conversations I'm glad I said yes to.
Full archive →
Overcoming Anxiety
in Sex and Relationships.
A Comprehensive Guide for Individuals, Couples & Therapists
Learn how anxiety, stress, and pressure affect pleasure, connection, and sexual functioning. This book explores how anxiety shapes our physiology, understanding of ourselves, and our interactions with the world. Paula Leech guides readers to identify key sources of anxiety — from family and culture to relationship dynamics and sexual trauma.
Offering practical tips and techniques, Leech encourages readers to rethink their definitions of sex, sexuality, and intimacy. Through mindfulness and embodiment exercises, she provides tools to release tension, work through sexual struggles, and reconnect with the body.
Accessible and comprehensive, this guide is ideal for sex therapists and anyone facing anxiety-related challenges with themselves and/or their partners.