Outside the Box Therapy: What does it mean and what can you expect?

We advertise on our counseling website as “Outside the box” mental health therapy. This is something that I believe strongly in professionally and personally. The common Dr. Seuss quote, “Why fit in when you can stand out” fits within this idea. But what can you really expect from this notion? What do we mean when […]

I have a strange fantasy; is there something wrong with me?

This is the question that I so often get asked after the first session in therapy. Many folks, men or women, come into the counseling room and wonder; “why do I enjoy being choked?” or “I can only orgasm when I fantasize about…” Some of the fantasies are more taboo than the others such as […]

Sensate Focus: Healing intervention used in sex therapy modalities

If you have ever talked to me about sex, healing sexual trauma, intimacy or anxiety reduction in sex you have likely heard me make mention of sensate focus. I believe it to be one of the most useful tools or interventions in sex therapy, and in emotional and intimate re-connection. So what exactly is sensate […]

Communication for couples

Coupledom is hard. Long term, short term, casual or official it is difficult to communicate effectively. What would you say the biggest pitfalls to communication are? Misunderstanding? Aggressive tone? Reading between the lines? Dismissing communication? OR not engaging in conversation maybe? I see all of these all the time. They are all common and equally […]

Affairs, Infidelity, and Cheating: The Misconceptions

I have a fair number of clients who enter into couples counseling after cheating, infidelity or an affair. I am seeing clients more and more who have experienced some sort of infidelity, some physical affairs, some emotional or online affairs, or fantasies. As I browse the internet reading research and recent blog posts I am bombarded with […]

Affair Recovery – Healing from Infidelity

Do you suspect your spouse or partner is having or has had an affair? Or has it recently been disclosed that an affair has happened? This can be one of the most trying and emotionally painful times in a individual or couples lives. Many people have swirling thoughts, confusion, anger, and find themselves feeling very […]

Life Transitions

Vancouver Counselor to walk with you in your Life Transitions. Life can throw a curve ball or two and sometimes it can just be too much to manage on your own. I offer therapy that focuses on all the twists and turns that you may have experienced recently. For some this looks like beginning parenthood, […]

Individual Counseling

How do I know if individual counseling is right for me? Most people experience general confusion, sadness, anxiety, and struggle with general life transitions. But for many, these can pile on top of one another, and be too great to manage on your own. Making the decision to engage in individual therapy takes immense courage. […]

Couples and Relationship Therapy

​Let’s be honest, being in a relationship is hard. It isn’t uncommon to experience challenges, and when they arise, it can be really difficult to decide what the next step is. I see my role in couples and relationship therapy as a person to sit with you, where you are in the moment and help […]

Sex Therapy

I’m Marissa Talarico, a sex positive therapist. Ready to talk about sex? Let’s explore some common questions about sex therapy… A Sex Positive Therapist, A No-Shame Space As relationships evolve, it isn’t uncommon to experience sex or intimacy difficulties. As individuals, it isn’t uncommon to experience, anxiety, addiction, or feelings of isolation in regards to […]