Meet The Pivotal Counseling Team

Life is lived best when OUR RELATIONSHIPS are healthy: with self, with others, and with sexuality.

Our passion is helping people create those healtHy relationships

We work with both individuals and Couples/relationships of all types on all of the issues listed below.

Ethan L. Bratt, MS, LMFT-S, CST-S
Clinical Director,
Certified Sex Therapist

Learn More or Schedule With Ethan

Areas of Focus and Specialty

- Infidelity and Breaches of Trust
- Mixed Faith Relationships
- Unwanted/Out of Control Sexual Behavior (“Sex Addiction”)
- Differences in Levels of Desire (Libido)
- Sexless/Unconsummated Marriages/Relationships
- Religion and Sexuality
- Men’s Sexuality, Health, and Functioning
- Depression and Anxiety
- Shame and Self-Worth
- Couples Connection
- Existential or Spiritual Distress
- Trauma
- Religious Trauma and Shame

Danielle DeSalvo, MA, LPCC
Relationship and
Sex Therapist

Learn more or Schedule with Danielle

Areas of Focus of Specialty

- Emotional Distance/Disconnection
- Communication Breakdowns
- Negative Communication Patterns
- LGBTQ+/Queer Relationships
- Power, Roles, and Expectations
- Infidelity and Breaches of Trust
- Differences in Levels of Desire (Libido)
- LGBTQ+/Queer Identity Exploration
- Sexual Exploration and Discovery
- Pleasure Enrichment
- Kink/BDSM
- Non-Traditional Relationships

Joseph Noëlliste, BA
Relationship and Sexuality
Clinical Intern

Learn more or schedule with Joseph

Areas of Focus or Specialty

- High Conflict
- Emotional Distance/Disconnection
- Negative Communication Patterns
- Mixed Faith Relationships
- Mixed Political Beliefs Relationships
- Religious Trauma
- Boundary Issues with Extended Family
- Infidelity and Breaches of Trust
- Premarital Counseling
- Proactive Couples Therapy
- Premature Ejaculation
- Differences in Levels of Desire (Libido)
- Non-Traditional Relationships
- Consensual/Ethical Non-Monogamy
- Pleasure Enrichment
- Sexuality and Religion
- Sexuality and Trauma
- Sexuality and Aging