Toree is the best! I've worked with many therapists in the past and never really felt safe enough…read moreto open up about things. Right from the beginning of my first session I felt comfortable to finally talk about it. I could tell she really cares and truly wants to help. I highly recommend her services. I already feel so much better.

Toree is great. I was going through an extremely stressful period of time with buying a house and…read morescaling a business and she was able to help me get my stress levels down for a 9/10 to a 1/10 in a couple months. Very different from traditional therapy that centers around talking about your problems, Toree focuses on controlling the physical manifestations of stress and anxiety.

Viraja is amazing! She is a gifted healer and bright light. Viraja has an incredible way of holding…read morespace, helping me tap into where I am holding tension and release it from my body. It is deep, powerful somatic work. Viraja has an intuitive knowing, paired with a wealth of modalities, to help in guiding me back to my own inner wisdom. I also started doing couples sessions with my husband after working with Viraja one-on-one. We have found the sessions very connecting, opening up new ways of being and understanding one another. I am excited about the potential this work can do to deepen and enliven our relationship! It has already helped us so much, especially in holding onto our own connection as we navigate early parenting. I can't recommend Viraja more- both on the personal and relationship level!

We have been going to Viraja for a few years now. I love her alternative, non-conventional…read moreapproach, it feels inviting, safe, freeing and helps us open up more. I enjoy some of the movement/somatic practices too. Viraja is such a heart centered being, it's healing even being in her presence! She always gives us good tools to work with also.

Tari truly changed our marriage. After four years of marriage and two kids in two years, my husband…read moreand I found ourselves stuck in a rut. We loved each other deeply, but we felt more like roommates juggling work and parenting than partners. We had tried traditional couples therapy together and individually, but we just weren't making real progress. A friend suggested we try alternative therapy, which I had honestly never considered before. After some research, we found Tari -- and being able to schedule Sunday morning sessions with our busy lives made the decision even easier. From the moment we walked into his office, we realized this experience would be very different from traditional therapy in the best possible way. The environment is private, welcoming, and thoughtfully designed to create comfort and openness. Tari helped us communicate in a way that felt safe, non-judgmental, and focused on genuine connection -- no blame, no scorekeeping, just understanding. On a personal level, Tari helped me reconnect with my sensual side after years of pregnancy and breastfeeding, a part of myself I had truly lost. He helped both of us rediscover the closeness and intimacy we had before kids, and our relationship is stronger because of it. We are so grateful and highly recommend Tari to any couple looking to reconnect. Five stars without hesitation.

Working with Tari at Closeness Therapy has been one of the most impactful parts of my personal…read moregrowth journey. He has a rare ability to truly see and understand both sides of a relationship, and his insight into the male perspective has helped me make sense of dynamics in my marriage in ways I couldn't access on my own. I have felt deeply supported, but never coddled -- Tari offers compassion alongside honest, necessary truths, and that balance is where real change happens. What sets him apart is how practical and usable his guidance is. I don't leave sessions with abstract ideas; I leave with tools, language, and perspectives I can actually apply in real life. His suggestions are thoughtful, grounded, and immediately helpful. One of my favorite parts of our work together lately has been our walking sessions. There's something powerful about moving physically while also working through emotional weight -- burning calories while burning through the things that have been weighing on me. It makes the process feel active, embodied, and forward-moving, just like the growth I've experienced. Tari has supported me through every layer of this journey with steadiness, insight, and care. If you're looking for a therapist who combines deep understanding, practical guidance, and a genuinely human approach, I cannot recommend him highly enough.

Jennelle is an empathetic and well trained healer who gets the mind body soul connection. Highly…read morerecommend!

Great service. Very professional and educational. She listened to my concerns! She gave me great…read moreadvice for my bf and I

Dr. Sayaka has literally been nothing short of a LIFE CHANGER for my husband and I, individually…read moreand as a married couple together. I am aware her main focus is sexual therapy, but she's also an excellent individual and couples relationship therapist, so please consider her if you need that, as well. A note for those afraid of or think therapy is not for them: Luckily, my husband and I have never had hangups about seeking professional assistance off and on when we get "stuck." We've seen a variety of therapists throughout our relationship from about year #2 on. That sounds like we have major issues, but we really don't. We are 16+ years into our very happy and successful monogamous relationship. We love and respect each other, we are each others' best friend, and we enjoy each other's company more than anyone else's on this planet - and always have. We live, work, and spend ~23 hours of every day together - BY CHOICE. No relationship is or can be perfect, but that hasn't stopped us from trying! When we identify an issue that keeps popping up and can't seem to work it out ourselves, we seek help to get past it. We love and respect each other so much that we know it is important. We aren't egotistical enough to think going to therapy is weak or that if we can't work it out on our own, it is not meant to be. We realize that couples who have issues and choose NOT to seek help are the ones that don't value their relationship. We value ours so much that seeking help is a no-brainer and it has always served us well. Having said that, of all the therapists we have seen, Dr. Sayaka has been the best, hands down. She has helped us both individually and in sessions together to fix some MAJOR life-long issues we each have that affected our relationship together and with others. There has to come a time when you "graduate," as she calls it, and while we both would still enjoy fine tuning ALL of our issues, Dr. Sayaka gleefully told us one day that we've graduated and there is no need to come in for regular sessions anymore. In our experience, this is unheard of; almost all therapists are happy to continue to take your money as long as you want to give it. Dr. Sayaka was goal oriented in her approach and knew further sessions would have diminishing returns since we had both grown so much individually and together over the 1.5 year we spent with her. She pushed us out of her nest! Between the two of us, we worked on issues such as letting go of childhood trauma, abandonment issues, alcoholic tendencies, anger, unrealistic expectations, getting closer and deeper emotionally, being vulnerable in general and with others, trust, not needing other's approval and wanting everyone to like you, respecting individual time/needs, perfectionism, and more. We covered a lot of ground and we each have grown a TON. And, so yes, sex is also much better since we are closer. It's all actually pretty amazing. You have to be willing to show up, do the work, and be active in your growth along the way to see the amount of change we have seen. But, it's worth the investment in time and money if you are at a point where you are ready for REAL change. Many people WANT change, but aren't willing to work for it or move through the uncomfortableness needed to achieve it. We were both there and willing, so we saw the results with her guiding us every step of the way. Now that we have graduated, we still practice the homework she assigned us, which is key to having lasting results. We love it though and it doesn't feel like homework; it feels like we get to play fun games together and benefit from them - a win-win! We even proactively share some of the exercises with our friends because we have seen such amazing results from them. I could go on and on about Dr. Sayaka, but in short, if you're stuck, you want change, are willing to work for it, and don't know where to start...RUN (don't walk) to Dr. Sayaka. She will greet you with her warm compassion and smile. She will be direct, present and compassionate. She will sit silently holding a space for you as long as you need and even cry with you through the uncomfortable times and the great breakthroughs. She is emotionally intelligent, as well as very intuitive. She is NOT a normal therapist; I'd put her up against anyone out there...and I have been to MANY therapists in the past. She is the one who has "fixed" us, individually and together, for now. We both have an easily accessible armory of tools to refer to when our instincts kick back in and we could not be more grateful to her for that. Will we likely see her again? Yes. Because we don't have expectations we won't have something in 5 or 10 years that comes up as our lives change that will benefit from an outside impartial professional. But, I can honestly say that I look forward to that day. If you are not growing and changing for the better, what are you doing with your life? And with growth, comes growing pains. It's OK. GO SEE HER.

OMG! Doctor Sayaka has transformed our marriage. "You don't know what you don't know" was the adage…read moreI leaned on when we sought a sex therapist to see what we could learn. Wow, our expectations have been far exceeded. If you live anywhere in San Diego county, you should book a session with Dr Sayaka.

Dr. Goldstein and the entire staff at San Diego Sexual Medicine (SDSM) are absolutely incredible! I…read morespent nearly five years in and out of generic OB-Gyn offices and pelvic floor physical therapy before finally making an appointment at SDSM and receiving the care and treatment that I had been longing for. I was diagnosed with Congenital Neuroproliferative Vestibulodynia at my very first appointment. I greatly appreciated the immense amount of time they give new patients not only for thorough testing but also for education. My first appointment was three hours long, one for testing, one for education with Dr. Goldstein in his office, and one with their in-house professional sex therapist. Specifically for my condition, I value their holistic approach to sexual health and medicine. Making sure their patients are not only physically healed, but since many of us -myself included- are diagnosed with sexual trauma and PTSD, they make sure we are healing mentally as well. It took Dr. Goldstein three hours to diagnose what other doctors had dismissed for five years. I cannot convey the significance of just receiving a diagnosis. This condition had left me emotionally drained for years. It ruined my wedding night because I had no idea why sex had hurt me so much. Educating me on my condition empowered me and allowed me to finally talk about my condition with confidence. All of this goodness and we haven't even covered treatment! My initial blood work showed lower levels of testosterone which can also impact sex so Dr. Goldstein opted to treat that first before moving to surgery. I really appreciated this outlook. He was in NO way pushing surgery as a money grab. If a less invasive approach could work, he took it. After a few months with the testosterone supplementation and no improvement in my condition, I was scheduled for surgery. Dr. Goldstein and his staff do a phenomenal job at preparing you for surgery. Your surgery packet explains everything from your medication regiment, cost breakdown, doctors note, to post-operation care. If asked, he will provide you with names and telephone numbers of other women who have gone through the surgery. Known as the "Vestibulodynia sisters," these women were immensely helpful and considerate to take the time out of their schedule to help other women (like myself) walk through the same process. As someone who is now listed herself to be contacted in case any future women have questions regarding the surgical procedure, I can tell you that we are ASKED to do this and give PERMISSION to Dr. Goldstein to provide our phone numbers to future patients. This is not required of us, and if someone should choose to keep their information private, SDSM would happily do so. He only provides are names and phone numbers, nothing else, and should a new patient reach out to us, it is entirely up to our own personal discretion about what health information we would like to share. Words fall short to commend each and every single woman who helped me when I was first walking through surgery. We live in such a sexually charged culture that experiencing painful sex can often feel incredibly isolating and to know I had this "sisterhood" helping me, encouraging me, and preparing me for this major surgery was so comforting. Lastly, no, they do not accept insurance . But if there is anything I've learned about our healthcare system in the last five years of realizing I had something majorly wrong with my body, it's that our healthcare system is broken. I've been better served by doctors who do not accept insurance than by ones who do. As I mentioned previously, it took Dr. Goldstein hours to do what no other doctor(s) had been able to do in YEARS. If I had just gone straight to SDSM to begin with, I would have saved myself, and my marriage, copious amounts of time and money. Medical procedures are expensive, yes. But, would I trade back the financial investment for more hours crying on my bathroom floor, panic attacks in the bedroom, and inability to look my husband in the eyes?? NEVER. Dr. Goldstein and his entire staff at SDSM gave me back my sex life, my dream of having a family, and renewed intimacy with my husband at nearly 30 years old. 10,000,000 gold stars.

I have been a practicing physician for 45 years. Never have I encountered a physician and staff…read morewho so exemplify cutting edge medicine fused with compassion snd empathy. Right here in San Diego we have an absolutely world class, consummate physician in Dr. Irwin Goldstein, supported by an incomparable staff. We are so fortunate to have them.

The initial conversation I had with her over the phone was very off-putting. She didn't want to…read moreexplain what she did. I told her this was all unfamiliar to me and did even give the slightest explanation. All she Kept repeating was "are you interested in a coaching session?". Yes, I would be but you have to explain what this coaching session entails before I give you $200 per session. Didn't even get past the initial coaching session. Just very rude and condescending off the bat. Yikes!! Bad business woman.

i worked with ashley about 7 or 8 years ago and was just thinkin about my time with her. great…read moreperson, fantastic therapist. she helped start me down a journey that i'm finally closing the chapter to now and wish i had a better way to thank her. she cares deeply about the people she works with and was a significant influence for good, and for change, in my life. definitely recommend getting in touch.