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Monday 9am - 7pm Tuesday 9am - 7pm Wednesday 10am - 7pm Thursday 9am - 7pm Friday 9am - 4pm Saturday 9am - 5pm Sunday 9am - 5pm

Los Angeles Sex Therapy - LAST Collective

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Los Angeles Sex Therapy - LAST Collective

Sex Therapy Group Practice based in Los Angeles- serving California. free gender letters, support groups, training. Founded by Moushumi Ghose, MFT

Amplifying voices of LGBTQIA, bipoc, sw, kink/bdsm, ENM/CNM/Polyamory 🏳️‍🌈 🏳️‍⚧️ since 2007. LAST provides virtual psychotherapy, sex therapy, coaching sessions regardless of location, to break down barriers in intimacy and relationships. All session virtual. Psychotherapy, Sex Therapy, Coaching, Gender Letters, Psychedelic Assisted Therapy
Our therapists are Licensed in California USA
We also off

er courses, as well as CEU's for professionals via LAST University plus our Pleasure Psychology Sexology Training and Certification
please visit us at lastcollective.org

08/31/2026

Join us Wednesday, September 2nd at 4pm PT for the LAST Book Club!

Resident therapists Jessica Hyatt, LMFT + Vanessa Icazbalceta- Soto, LPCC will continue discussing "The Art of Giving and Receiving: the Wheel of Consent" by Betty Martin D.C

Chapters 20-30

This book club is open to practitioners of all sorts - coaches to therapists who want to develop a deeper understanding of boundaries and desire. The implications of this approach to consent education extend beyond touch and intimate relationships.

$25 drop in

Sign Up at info (at) lastcollective (dot) org

08/24/2026

The Intersections of Neurodivergence, S🤫x, and Intimacy
By Jamie Azar, Intimacy Coach
Jamie Azar, CSRC
Most of the 🤫 scripts we inherit are built around assumptions about how bodies, brains, relationships, communication, desire, and intimacy are “supposed” to work. They tend to be neurotypical, cisheteronormative, and highly scripted in their standards, frameworks, expectations, and definitions of what “good 🤫” looks like.

But what happens when your brain or nervous system doesn’t operate according to those scripts? This is where “neurospicy” s🤫x comes in.

Neurodivergent experiences of 🤫 and intimacy remain understudied and under-discussed. And that matters because people with ADHD, autism, anxiety, CPTSD, and other forms of neurodivergence may encounter 🤫 challenges that aren’t actually about being “broken,” dysfunctional, or incapable of intimacy.

Sometimes the problem is the framework itself.

Read More at our Substack ~> Pleasure For The Masses

08/17/2026

Differentiation in Relationships - Reigniting Connection
by Jamie Azar, Intimacy Coach
Jamie Azar, CSRC

When we neglect to maintain our independence and autonomy in a long-term relationship, we risk “merging,” “fusing” or “enmeshment” with our partner. In essence, what this means is we lose our own sense of individuality; we may become attached, we may stop seeing our partner or spouse as an erotic being, and we may forget to see ourselves as a separate erotic being.

Fusing or enmeshment may be a conscious or subconscious coping technique enacted when you’re anxious, upset, or afraid. You may want to try and appease your partner or just “smooth things over” when addressing an issue.

Perhaps one person or both people fear moving towards autonomy as they harbor self-doubt and seek validation for their self-worth.

Perhaps it happens due to domestic patterns or habituation...

Read More at our Substack ~> Pleasure For The Masses

08/11/2026

3 Common Blocks to Pleasure and Intimacy
By Jamie Azar, Intimacy Coach

One of the first diagnostic tools I use with my clients is a Blocks to Intimacy Questionnaire. It has 20 questions that assess where there may be barriers to intimacy and 🤫, whether that falls in the realm of emotional intimacy, physiological or hormonal changes, relational breakdowns like communication, or personal barriers to pleasure like guilt or shame, to name a few.

Surprisingly, most of us want to jump right into hitting the accelerators, or those 🤫 exciters I’ve talked about in previous articles. But that’s kind of like trying to hit the gas pedal and the brakes at the same time, which, to continue the car analogy, will essentially stall you out.

This doesn’t mean you’re broken, or that there’s anything wrong with you. Pleasure and 🤫, should you choose to be having it, much like anything, are an art, skill, and practice. That’s not to imply there’s some magical tool, trick, or technique that will make you a master of 🤫. It’s more about the approach and the relationship you curate with your own pleasure and your partner’s pleasure.

The more intention, attunement, creativity, and presence we can bring to honoring pleasure, both 🤫 and non-🤫, the more we signal to our brains and bodies that pleasure is not a luxury. It’s not indulgent or superfluous.

It deserves to be a priority.

Read More at our Substack ~> Pleasure For The Masses

08/05/2026

Join St*****rs United for their next SWer Wellness Circle. Wednesday 8/12 at 5pm PST on Zoom.

Topic: “Taking The Night Off”

"Do you prioritize refreshing your mind and body? The industry is full of peaks and valleys and many SWers grapple with inconsistent income. Many of us worry that the one night we take off might be THE night when a big spender comes in. We often continue working, despite how we feel to avoid financial loss.

Even when we take time, we may still grapple with nervous energy, anxious about not being “productive” despite acknowledging that we need a break.

Please join us for a SWer exclusive wellness event. We will be inviting conversation around this topic or anything else that feels alive and present for the group.

This is a space run by SWers for SWers designed to help you process challenges unique to this industry.

We hope to see you there!"

Sign up at givebutter dot com /aug-swer-wellness-circle

You can also find the link in our story or in the St*****rs United bio

08/03/2026

What You Need to Know About Individual Therapy from a Couple’s Therapist

by Moushumi Ghose
moushumi ghose | s*x therapist,author,filmmaker

What happens when one partner is in therapy and the other is not? Much as we might sing its praises, not every person out there is in therapy, and fewer still have “always” been in therapy. It comes as no surprise, then, that therapy–whether you’re in it or not–can shift relationship dynamics, particularly when it’s newly introduced. In a partnership, when one partner begins individual therapy and the other does not, that shift may disrupt what is called the homeostasis of the relationship. Homeostasis is the natural state of your relationship–the patterns that you have created with one another over your time together–and when one partner starts making adjustments and changes for themselves, it follows that this “order” of things within the partnership is going to be thrown off.

As those who have been there know, therapy encourages and requires the hard work of uncovering and examining the patterns within a client’s life that may or may not be serving them, and then helps them implement the major changes to those patterns. If homeostasis is a set of patterns between two people, when one person starts changing their patterns, the patterns between the two must necessarily change as well. Understandably, the partner who is not in therapy will feel the changes, which can be scary, hard, and different–to name a few choice emotions that often prelude change.

Read More at our Substack ~> Pleasure For The Masses

07/30/2026

Join us Wednesday, August 5th at 4pm PT for the newest installment of the LAST Book Club!

Resident therapists Jessica Hyatt, LMFT + Vanessa Icazbalceta- Soto, LPCC will discuss "The Art of Receiving and Giving: the Wheel of Consent" by Betty Martin D.C

Aug 5- Chapters 1-5
Aug 19- Chapters 10-19
Sept 2- Chapters 20-30

This book club is open to practitioners of all sorts - coaches to therapists who want to develop a deeper understanding of boundaries and desire. The implications of this approach to consent education extend beyond touch and intimate relationships.

$25 drop in

07/28/2026

The Relationship We Never Talk About
By Jamie Azar, Intimacy Coach
Jamie Azar, CSRC

The most important relationship you’ll ever have is the one we don’t talk about enough: the relationship you have with yourself.

The ways in which we develop self-trust, build our capacity for setting boundaries, check in with our internal consent, and practice radical self-compassion create the foundation for more expansive and meaningful relationships with others, both beyond and within the 🤫 and romantic spectrums.

And at the root of self-trust and healthy boundaries is the ability to check in with, and interpret, your body’s signals of internal consent.

Internal consent is one of my favorite concepts because it expands our understanding of consent beyond simply saying “yes” or “no” to another person. It asks an equally important question:

"Have I said yes to myself?"

And perhaps just as importantly:

"Can I say no to others without an apology, without an excuse, and without guilt?"

Read More at our Substack ~> Pleasure For The Masses

07/20/2026

Reclaiming Yourself: How to Know It Might be Time to Change or End a Relationship
by Jamie Azar, Intimacy Coach

Heteronormative society both romanticizes lifelong commitments and everlasting love, while simultaneously demonizing and stigmatizing singlehood, separation, and divorce. However, the intentional and conscious uncoupling, or the decision to leave a relationship that no longer serves us, can be one of the healthiest choices—for both the relationship and ourselves—especially if that relationship is rooted in disharmony, disrepair, or dysfunction.

What happens when a relationship’s homeostasis gets trapped in a cycle of dysfunction? When disconnection becomes the norm and neither person is willing to commit to repair, accountability, or change?

Read More at our Substack ~> Pleasure For the Masses

07/14/2026

Beyond One Size Fits All: Understanding Different Styles of Polyamory
By Jamie Azar: Intimacy Coach and Writer

When conversations about nonmonogamy come up, I tend to hear the same responses.

“I don’t see how that could ever work.” “I could never share my partner.” “I’m too jealous for that.” Or perhaps the most common misconception of all: that nonmonogamous people are simply 🤫 obsessed or incapable of commitment (definitely not true!)

These assumptions are rooted in the cultural narratives many of us have inherited. We live in a society where monogamy is positioned as the default relationship structure, allonormativity assumes that everyone experiences 🤫 attraction, and amatonormativity teaches us that a single, exclusive romantic relationship should be the center of our lives.

When one model is treated as the only legitimate option, every other relationship structure becomes invisible, misunderstood, or stigmatized.

Read More at our Substack ~> Pleasure For The Masses

Address

Los Angeles, CA

Opening Hours

Monday	9am - 7pm
Tuesday	9am - 7pm
Wednesday	10am - 7pm
Thursday	9am - 7pm
Friday	9am - 4pm
Saturday	9am - 5pm
Sunday	9am - 5pm

Telephone

+13237394820

Website

https://www.lastcollective.org/

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Mary Kay Cocharo, MFT
11500 W. Olympic, Suite 614

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