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I offer affirming psychotherapy and sex therapy for individuals, couples, multiple-partner relationships, chosen families, and families of origin. I am an expert in alternative sexualities, and I specialise in working with adults in the kink/BDSM, polyamorous/non-monogamous, trans/gender-nonconforming/non-binary, LGBQIA+, and sex work communities. I work with those who live openly and out; and those who have more conservative and private lifestyles. My approach is holistic, person-centred, and collaborative. I welcome people of every ability, age, gender, national origin, race/ethnicity, religious affiliation, and sexual orientation. As a white anti-racist therapist, I create space for conversations that de/reconstruct whiteness and cultivate positive racial and intersectional identities.

"Dr. Dulcinea Alex Pitagora is a kink and mental health dynamo. With a wealth of experience and breadth of knowledge in exploring both the inner and outer worlds kink offers us, Alex is an exceptional choice for those wanting to dive into the wisdom held within. Alex is a practitioner quite unlike anyone I have ever met, anywhere in the world. Alex is not only an exemplary clinician, but they are also the embodiment of integrity, community, liberation, and perversion. This combination is both rare and compassionate , and makes Alex incredibly reassuring to be in the presence of, especially when one feels ‘too textured’ for more conventional practitioners. Not one to follow convention, Alex sets the new gold standard by which all sexuality clinicians can measure themselves against, whether from business, activism or insight perspectives. Alex demonstrates what good business practice looks like in a profession often riddled with snakes. Alex is a Master at holding space for the complexity that dwells within each of us. I highly recommend Alex Pitagora as a clinician, supervisor, colleague and confidante."


"Dulcinea truly helped the both of us deconstruct binary and constricting beliefs about our relationship and inspired us to reimagine a relationship that is beyond anything we ever imagined was possible. The specific work Dulcinea did with us deepened our love and connection of familyship to each other in a way we couldn’t have accessed without their help. They truly saved our life with their brilliance and we are now thriving as new versions of ourselves individually and within our relationship."

Anonymous couples therapy client

"Dr. Dulcinea Pitagora is my "go to" for all things kink related as they have been instrumental in my personal and professional growth.  By far, Dulcinea is one of the most gifted professionals I have ever worked with as they are knowledgeable, insightful, intuitive, and compassionate.  As a "once in a generation" talent, Dulcinea empowers their constituents by gracefully guiding them to achieve their goals and dreams.”

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