Sex Therapy & Counseling

Sex Therapy for Transgender Individuals & Couples

We provide sex therapy, marriage counseling, relationship therapy, and individual therapy to transgender clients in Camp Hill, Mechanicsburg, Harrisburg, Hershey, and the East/West Shore. Our therapeutic approach is supportive, collaborative, and integrative. We work to tailor treatment approaches to the needs of our clients and to collaborate on identifying goals. Our goal is to help clients gain insight, improve communication, rekindle intimacy, and strengthen coping skills. Our clients appreciate our warm and accepting style. In accordance with the World Professional Association for Transgender Health (WPATH) standards of care, we are honored to be trusted by a variety of medical practitioners in the Camp Hill, Mechanicsburg, and Harrisburg area to provide mental health evaluation services (and letter/documentation) prior to surgery.

We work with adults from a variety of backgrounds, systems of belief, and sexual preferences. Our specialties include sex therapy, individual, and couples counseling for transgender individuals and couples.

Our Sex Therapy & Counseling Services Focus On:

  • Desire Discrepancy
  • Infidelity
  • Depression/Anxiety
  • Erectile Dysfunction
  • Premature Ejaculation
  • Vaginal Pain Disorders
  • Out-of-control porn use
  • Low Sexual Desire
  • Difficulties with Transition
  • Sex Reassignment Surgery
  • Gender Confirmation Surgery
  • Infertility
  • LGBTQIA+ Issues
  • Alt-Relationship Configurations
  • Sexual Abuse
  • Sex during and/or after Cancer
  • Kink and BDSM

Helpful Terms (Courtesy of GLAAD)


The classification of a person as male or female. At birth, infants are assigned a sex, usually based on the appearance of their external anatomy. (This is what is written on the birth certificate.) A person’s sex, however, is actually a combination of bodily characteristics including: chromosomes, hormones, internal and external reproductive organs, and secondary sex characteristics.

Gender Identity

A person’s internal, deeply held sense of their gender. For transgender people, their own internal gender identity does not match the sex they were assigned at birth. Most people have a gender identity of man or woman (or boy or girl). For some people, their gender identity does not fit neatly into one of those two choices (see non-binary and/or genderqueer below.) Unlike gender expression (see below) gender identity is not visible to others.

Gender Expression

External manifestations of gender, expressed through a person’s name, pronouns, clothing, haircut, behavior, voice, and/or body characteristics. Society identifies these cues as masculine and feminine, although what is considered masculine or feminine changes over time and varies by culture. Typically, transgender people seek to align their gender expression with their gender identity, rather than the sex they were assigned at birth.

Sexual Orientation

Describes a person’s enduring physical, romantic, and/or emotional attraction to another person. Gender identity and sexual orientation are not the same. Transgender people may be straight, lesbian, gay, bisexual, or queer. For example, a person who transitions from male to female and is attracted solely to men would typically identify as a straight woman.

Transgender (adj.)

An umbrella term for people whose gender identity differs from the sex they were assigned at birth. People under the transgender umbrella may describe themselves using one or more of a wide variety of terms – including transgender. Some of those terms are defined below. Use the descriptive term preferred by the person. Many transgender people are prescribed hormones by their doctors to bring their bodies into alignment with their gender identity. Some undergo surgery as well. But not all transgender people can or will take those steps, and a transgender identity is not dependent upon physical appearance or medical procedures.


Used as shorthand to mean transgender or transsexual – or sometimes to be inclusive of a wide variety of identities under the transgender umbrella.


Altering one’s birth sex is not a one-step procedure; it is a complex process that occurs over a long period of time. Transition can include some or all of the following personal, medical, and legal steps: telling one’s family, friends, and co-workers; using a different name and new pronouns; dressing differently; changing one’s name and/or sex on legal documents; hormone therapy; and possibly (though not always) one or more types of surgery. The exact steps involved in transition vary from person to person.

Sex Reassignment Surgery (SRS)

Also called Gender Confirmation Surgery (GCS). Refers to doctor-supervised surgical interventions, and is only one small part of transition (see transition above).


A term used to describe people who are not transgender. “Cis-” is a Latin prefix meaning “on the same side as,” and is, therefore, an antonym of “trans-.”

Gender Non-Conforming

A term used to describe some people whose gender expression is different from conventional expectations of masculinity and femininity. Please note that not all gender non-conforming people identify as transgender; nor are all transgender people gender non-conforming. Many people have gender expressions that are not entirely conventional – that fact alone does not make them transgender. Many transgender men and women have gender expressions that are conventionally masculine or feminine. Simply being transgender does not make someone gender non-conforming. The term is not a synonym for transgender or transsexual and should only be used if someone self-identifies as gender non-conforming.

Non-binary and/or genderqueer

Terms used by some people who experience their gender identity and/or gender expression as falling outside the categories of man and woman. They may define their gender as falling somewhere in between man and woman, or they may define it as wholly different from these terms. The term is not a synonym for transgender or transsexual and should only be used if someone self-identifies as non-binary and/or genderqueer.

Andreya Jones Counseling & Sex Therapy is the West Shore’s premiere sex therapy office. We offer sex therapy & counseling services for couples and individuals in Pennsylvania, in Camp Hill, Mechanicsburg, Harrisburg’s East/West Shore, and Hershey, as well as to residents of Florida.