Andi Grushka



I work specifically with adults struggling with sex-related issues. These include, but are not limited to: intimacy issues in relationships; lack of sexual education in young adulthood; infidelity; sexual dysfunction; couples in ethical non-monogamous relationships looking for guidance with communication or other relationships; and individuals who are in the kink, BDSM, or sex-work communities and would like informed therapeutic care.

In addition to out-patient treatment, I have worked in in-patient hospitals with patients with severe mental disorders in addition to co-occurring substance treatment facilities. I currently support clients in abstinence, 12-step programs, Smart Recovery, and harm-reduction models.


Badges are awarded based on verified hours of advanced training in specialized areas

How I can help you

In my practice, I use a relationally focused psychodynamic framework. While I do work within a trauma-informed lens that recognizes the impact of trauma on our functioning and spirit, I do not work in trauma-related recovery interventions, such as EMDR or any exposure therapies, but I do work with an amazing team of clinicians who I refer to for trauma work, and clients can begin the process of therapy with me. As a social worker, my approach to therapy is informed by the client’s needs, meeting the client where they are in their process with therapy, and encouraging clients to share and build rapport at their own pace. I use a holistic approach to provide a non-judgmental space to discuss family dynamics, work stress, sexual health, and major life events. I encourage a sex-positive and LBGTQ+ safe space in all communications, and I am sex work affirmative.

Typical first meeting

During the initial 75-minute assessment session, we will engage in a comprehensive evaluation to understand your unique circumstances and develop a personalized treatment plan tailored to your specific needs. My aim is to provide guidance and support to individuals who are curious about exploring different areas of interest in sexuality, including consensual BDSM, open relationships or polyamory, or other relationship styles, in order for clients to foster their own safe and compassionate play spaces. By promoting open and honest communication, we work together to build healthy relationships based on consent, trust, and mutual respect. I am informed by both Safe, Sane, Consensual and Risk-Aware Consensual Kink frameworks.

What I specialize in

I am a National Coalition for Sexual Freedom (NCSF) Kink-Aware Professional. I am currently working toward Kink-Informed Certification with celebrated educator, Midori, and sex therapist certification from the Sexual Health Alliance that meets the requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT), of which I am a member. My mission is to foster a deeper understanding and appreciation for the numerous kinks and fetishes that exist within our society. With a focus on education and advocacy, I strive to create an inclusive environment where individuals can explore their desires without fear of judgment or shame.


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License type: LCSW
States practicing: Maryland