Dr. Mary Minten is a Licensed Marriage and Family Therapist, Board Certified Sex Therapist, and Licensed Drug and Alcohol Counselor.

We Specialize in Emotional, Relational,
and Sexual Health

Contact us at:

775 329-4582 ext 8
​We do not correspond by email or text.
New Leaf Counseling and Counsulting
Mary Minten, PhD, MFT, CST, LCADC
Welcome/OverviewOur Practice MethodsOur StaffRelationship Checkup
Out of Control BehaviorContact Us 

Our therapy services provide support for mental, emotional, relational, sexual, intimate, and erotic health concerns. We view sex and erotic health as a fundamental, beneficial, and critical aspect of human life. 

Sex is not just about performance. Though sex therapists readily work with concerns related to desire, arousal, orgasm, and other performance issues, sex therapy embraces a view of sex as part of human nature, a mixture of pleasure and connection, and performance is not the ultimate goal for all sex therapy clients. We consider goals such as sexual empathy, sexual sense of humor, self-acceptance, capacity to navigate inevitable ups and downs in performance, a deeper understanding of one's erotic map and how to use this map to experience pleasure even when pleasure is not from "typical" experiences or responses, tools to navigate self-criticism and shame, pleasure and touch that are not focused on orgasm as a goal, accepting aging and the changes to our lives and our bodies, connecting with our erotic and sexual nature in new and playful ways, improving authenticity and communication, and more.

We provide services for a variety of concerns, including:
                Support for transition for transgender individuals, partners, and families
                Therapy for parents and partners of transgender and genderqueer people
                Therapy for individuals understanding their gender identity: genderqueer, non-binary,                 gender fluid, gender creative, gender non-conforming etc.

Sex therapy utilizes many disciplines to assist with sexual health concerns - medical, anthropological/sociological/cultural, psychological, spiritual, and historical. Thus board certification, which includes coursework and supervision along with continuing education requirements, allows clinicians to assist with sexual and erotic health concerns from a broad base of knowledge and experience. Challenging typical but inaccurate and unhelpful advice and our culture's deeply ingrained myths and beliefs about sex is critical to sexual health. Human sexuality is essentially variable and vulnerable - quite different that portrayed by media and other common sources of information. Good sex is not necessarily "typical" sex or the sex we often see in movies, TV, etc. Good sex is not about what "men" and "women" want. Good sex is personal, based on the individuals involved, and may not be ordinary or typical in any sense or may be in every sense. An orgasm from a foot massage is still an orgasm, and may be more pleasurable to the person.

Both the American Association of Sex Educators, Counselors, and Therapists and the American Board of Sexology have set rigorous standards for national board certification.  Dr. Minten has been certified by both boards, and she has remained a board certified sex therapist since 2006. 

No therapist can promise results. Our office provides advanced practice and research-based services. Dr Minten stays current with sexual health, relational health, teaching, supervision, and clinical practice research to provide quality programs to clients, professionals, students, interns, and organizations. 
One would expect that millions of years of evolution produced a very reliable human reproductive system with build-in redundancies, resulting in a robust sex drive, unfailing physiological mechanisms, and simple, consistent patterns of reproductive behavior and responsiveness...

In reality, however, humans exhibit an enormous variety of sexual behaviors and preferences, while population studies reveal a surprisingly high prevalence of sexual problems and dysfunctions. Clearly, human sexuality appears to be characterized by diversity and fragility rather than by evolutionary conformity and sturdiness.

(Verhulst & Reynolds, 2009, p. 320)
It’s no longer enough to grab a bite then go home and do a little shagging. Today, we have to understand why we do this, why our partner does this, how we can do it longer, more artfully, and more frequently, and why we are not doing it in with someone in a higher income bracket. As a result we mostly wind up doing it with ourselves.  

We’ve been entered against our will in some sort of sexual Olympics, when all we ever wanted was a three-legged race at the company picnic.

Rich Herschlag 
from Women are from Manhattan 
Men are from Brooklyn

What can I expect fromTherapy at New Leaf Counseling and Consulting?