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, MFTC, LPCC
Relationship and
Sex Therapist

Learn more or Schedule with Danielle

Areas of Focus and Specialty

    • Emotional Distance/Disconnection

    • Communication Breakdowns

    • Negative Communication Patterns

    • LGBTQ+/Queer Relationships

    • Neurodiverse Relationships

    • Power, Roles, and Expectations

    • Infidelity and Breaches of Trust

    • Differences in Levels of Desire (Libido)

    • LGBTQ+/Queer Identity Exploration

    • ADHD and Sexuality

    • Sexual Exploration and Discovery

    • Female Sexuality, Health, and Functioning

    • Vulvar/Vaginal Pain and Penetration Issues

    • Pleasure Enrichment

    • Kink/BDSM

    • Non-Traditional Relationships

Joseph Noëlliste, MA, MFTC
Relationship and
Sex Therapist

Learn more or schedule with Joseph

Areas of Focus and 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