This site discusses love obsession and love addiction, compulsive sexual behavior, and sexual trauma directly. If any of it lands harder than expected, the are available at any time, or it is always all right to . Every quoted reflection and every personal account on this site is fiction. Dr. Lapite-Garrett writes them from her own clinical knowledge and expertise. She uses AI as a drafting tool and approves every word. They are never a client’s words and never a client’s history, and no client information of any kind was used to make them.

Depth-Oriented Psychotherapy  ·  Survivor-led Care Across New Mexico & Indiana  ·  Private Pay  ·  Discreet by Design

For When Attachment Lingers Longer, Deeper, or More Intensely than Expected.

Depth-oriented care for the ones who can't delete a number they swore they'd delete, the ones whose Friday night keeps ending the same unplanned way no matter how the week started, and the ones who still brace for a hand that isn't coming anymore. Available virtually, on location, or wherever home happens to be.

Reading a page built to name these experiences precisely can be its own kind of intense encounter, particularly for anyone carrying related personal history, and that possibility deserves acknowledgment before anything else on this page continues.

Alafiora's website discusses love addiction, compulsive sexual behavior, sex addiction, and sexual trauma directly and in some detail, since accurate description is part of how these experiences are recognized and treated. Some readers may find certain sections intense, particularly those with related personal history. Reading at one's own pace, and stepping away at any point, is always the right choice.

Immediate Resources

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The Clients Who Find Their Way Here

Love, sex, and trauma tend to travel together

Love Addiction, Compulsive Sexual Behavior & Sexual Trauma Therapy for Adults and Teens 16+

There is rarely one clean word for what brings someone to this practice first. It might be a phone that gets checked without a decision behind the checking, or a body that goes quiet or floods with heat at moments that make no obvious sense. Often both show up at once, tangled into the same underlying pattern, and a history that only recently started making sense sits underneath either one. Love, sex, and trauma tend to travel together, and treating one without understanding the others rarely produces change that holds.

The clients who find Alafiora most useful are frequently people whose actual pattern has already been misread by someone else. Someone who rereads the same three messages every night before sending gets called "clingy," when what's actually happening is a relational fixation nobody has named for her. A body that goes numb the moment intimacy turns physical has been called "just not that into it" more than once. It is usually a trauma response instead. And a checking-and-relief cycle around sex or a screen, waved off by nearly everyone around it as "a bad habit," is compulsive behavior functioning exactly the way compulsions do. They are often high-performing in ways visible to everyone around them, carrying something underneath that their outward life does not reflect. Some have never named any of this to another person. Others have already tried, more than once, with a generalist who treated the fixation, the compulsive pattern, and the trauma history as three unrelated referrals instead of one connected story. Whether the search that led here started with the word "psychologist" or simply "therapist," what most people are actually looking for is someone who already understands that a fixation on one person, a body that won't cooperate, and an old, unresolved harm are usually the same story told three different ways. A single clinician who already understands how love, sex, and trauma interact removes the need for three separate appointments with three separate providers.

Alafiora provides virtual and in-person psychological care for individuals sixteen and older; a guardian co-signature is required at sixteen and seventeen. Across a wide range of circumstances and populations, this includes leaders and executives managing risk to a public-facing career. It also includes adult entertainment professionals, whose work sits outside most clinicians' assumptions. And it reaches LGBTQIA+ individuals looking for care that starts from their own definitions of what they need. A fuller picture of who actually arrives here, and what they tend to be carrying by the time they do, is laid out on Clients Served Here.

What This Work Is, and What It Is Not

Depth-oriented, attachment-centered psychotherapy, defined plainly

Who tends to arrive here explains a lot. It does not yet say what actually happens once someone walks through the door. There is a name for what this is, and there is a way through it. Love obsession, compulsive sexual behavior, and sexual trauma rarely stay separate from each other. Each one tends to show up in how a person attaches, how they want, how they rest, and how safe an ordinary room feels. The behavior a client brings in is evidence of something else, and reading it correctly changes what happens next.

  • Depth-oriented and attachment-centered. The presenting concern is the entry point; the deeper attachment pattern underneath it is the actual destination, and connection, desire, sleep, and safety are all treated as places that pattern shows up and gets disrupted.
  • Clinically precise and emotionally attuned at once, paced according to the individual nervous system, with a treatment plan built for that specific person rather than assigned by diagnosis.
  • Held in confidence, within the legal and professional limits of confidentiality any licensed psychologist explains before clinical work begins.
  • Available virtually, in office, in a client's home, or at a private location of their choosing, across the states where Dr. Lapite-Garrett is licensed to practice.
  • Provided by a single licensed psychologist who already knows the full history. No client has to re-explain themselves to a rotating team of providers each time.
  • Coping strategies handed over without the clinical structure needed to make them last.
  • Surface-level stabilization offered as a substitute for depth work.
  • A weekly conversation that circles the same material without ever moving through it.
  • Care that requires a client to arrive regulated, composed, or already able to explain what is happening to them.
  • A room where any part of a client's history is sensationalized, judged, or handled at a careful distance.

None of this work is scripted. Every client who walks through this door is met without assumption about what their particular version of this experience is, what it means, or how it should resolve, and no one here is treated as a category or a composite. That same refusal to generalize is exactly why the work is organized around three specific, connected areas instead of one broad label.

The Three Domains This Practice Treats

Love addiction, compulsive sexual behavior and sexual trauma, as one connected system

Love, sex, and trauma rarely stay in their own separate lanes. A history of sexual trauma often shapes how a person loves and how they relate to their own body. A pattern of compulsive checking or fixation often traces back to an earlier scarcity of being chosen or held. Specialized, depth-oriented care is provided across all three, because treating one without understanding the others rarely produces change that holds.

01Love

Love

Attachment that has stopped answering to a person's own decisions about it. A message reread six times before it is sent. The same relational arc, repeating across different people and different years, sometimes with a real person and, increasingly, with an AI companion trained to answer exactly the way someone wanted a real person to.

Love addiction and love obsession · Limerence · Relational dependency · Obsessive attachment · Erotomania · Tenderness hunger · Affection seeking · AI-influenced relational patterns

Explore the Love domain
02Sex

Sex

A relationship with sex that has stopped behaving the way a person would choose, whether that means a compulsive cycle that keeps needing more of itself or a body that tenses or goes numb the moment closeness turns physical. This practice treats desire itself as intact, and works with whatever has gotten in its way.

Compulsive sexual behavior and sex addiction · Hypersexuality · Sexual compulsivity · Sex anxiety · Body betrayal · Sex work · AI-facilitated sexual engagement

Explore the Sex domain
03Trauma

Trauma

A hypervigilance so familiar it has become difficult to tell apart from personality. A trust that was fundamentally altered, once, or more than once, at the hands of someone who should never have been trusted with the harm they caused. A world that has never quite felt safe to move through, the way other people seem to move through it without a second thought.

Sexual trauma · Developmental trauma · Complex trauma · PTSD and CPTSD · Incest · Sex trafficking · Adult survivors of childhood sexual abuse · Trauma from AI-generated imagery

Explore the Trauma domain
Dr. Esther Lapite-Garrett, licensed psychologist and founder of Alafiora.
Dr. Esther Lapite-Garrett
The Psychologist Behind the Practice

One clinician, in one room, session after session

None of the work above happens in the abstract. It happens with one clinician, in one room, session after session, with a client who has decided to trust her with exactly this.

Dr. Esther Lapite-Garrett is a licensed psychologist and the founder of Alafiora. She treats love obsession and love addiction, compulsive sexual behavior, and sexual trauma as one interconnected system, the way these three actually show up for most of the people who come to her. She is soft-spoken, she arrives to every session prepared, and she is, by design, exactly who she was the session before. For clients whose histories include the particular harm of unpredictability, people who appeared safe until the moment they were not, a clinician who is the same every single time is rarely a small thing. Being a solo practice does not mean working in isolation: she participates in regular peer consultation and ongoing clinical training, and she maintains her own personal therapy so that her own life experience never bleeds into the room, keeping the work permanently and entirely about the client in front of her.

What Sets This Care Apart

Carried by specific, checkable facts

Distinction here is carried by specific, checkable facts, not a generic claim of quality. A single clinician who treats love obsession, compulsive sexual behavior, and sexual trauma as one connected system, rather than routing each to a different specialist, changes what the facts below actually mean in practice. Every claim can be verified directly rather than taken on faith.

Full session formats and current rates are detailed on the Rates and Fees page, so cost is never a surprise walked into blind.

01 / 06

Expanded access.

Flexible scheduling for established clients, arranged directly with the psychologist rather than through a queue. This is an outpatient practice, not a crisis service, and it says so plainly wherever it matters.

What May Change With Time

Toward what these patterns interrupted

Clients who engage with this work over time often describe something deeper than symptom relief: a change in what formed the pattern in the first place. An attachment that once carried an intensity nobody could explain may begin to make sense, and when it makes sense, it tends to become more manageable. A relationship with desire may become something a person can actually read, its fear loosening its grip in the process. A body that once felt like proof of what happened to it may begin to feel more like a place that can actually be lived in.

I help my clients become the person they needed to be when they were younger.
— Dr. Esther Lapite-Garrett

Many clients grieve, often for the first time, a version of themselves they might have been before whatever happened to them. Not every client reaches the same destination, and no specific outcome is promised to anyone reading this. What is offered is real, sustained clinical work toward whatever getting a life back, breaking a cycle, or trusting again actually means for that particular person.

How It Begins

First session, consultation, and ongoing care

01

A First Session

The start of care itself, and the step for anyone ready to begin. Those who arrive already certain, who recognize in this practice what they have been looking for without needing a conversation first to confirm it, can schedule the first intake session directly. That knowing is honored rather than tested.

02

A Consultation

The step for anyone not quite ready, or holding a few questions first. A brief conversation, held in confidence within the legal and professional limits of confidentiality any licensed psychologist explains before clinical work begins, where a prospective client can ask whatever they need to feel confident about fit, pacing, and readiness. This is not a sales call. If Dr. Lapite-Garrett is not the right fit, she will say so, and help identify who might be.

03

Work With Direction

From the first session onward, there is a clinical arc rather than an open-ended conversation, paced to the individual and always moving toward something specific: what is actually driving the fixation, the compulsion, or the trauma response in front of us that day, not a generic weekly check-in. Clients tend to leave sessions feeling the work itself in the body as much as they hear it in the conversation.

Where Care Happens, and What Else Is Here

The rest of the practice, plainly laid out

Care is delivered virtually, in the office, at home, or at a private location of the client's choosing, within the states where this practice is licensed. The pages below cover the cities served and the ordinary questions that come before a first session: what it costs, how payment works, what the policies actually say, and who is doing the work.

Where Alafiora Practices

Licensed in New Mexico and Indiana, with additional state licensure underway. Each location page covers what care looks like in that city.

See every location
Begin a Confidential Conversation

Whatever brought someone here is never put on trial

Reading this far is not the same as being ready to talk about any of it out loud, and it does not need to be. Many of the people who eventually call this practice read a page like this one more than once before they did. Nothing about arriving here commits anyone to anything beyond whatever the next single step turns out to be.

Whatever brought someone to this page today, a text reread one more time before it's finally sent, a promise to stop that hasn't held even once, or a flinch at something ordinary the rest of the room never notices, is never judged or put on trial here. The only subject is whatever that person actually wants help with. Those already certain they are ready are equally welcome to begin directly with a first session.

For anyone not ready to reach out today, the specialty page on Synthetic Partners and AI-Influenced Relational Patterns may be a useful next stop, and this page can always be bookmarked, or the QR code in the footer scanned, to keep this practice's information close until the timing feels right.

A Page of Your Own

A blank sheet, and a pen that writes in your hand

Some people cannot begin treatment until they have a story with themselves first. Not a plan, and not a goal anyone else set: a story about what is actually being fought for, what there is to gain or to finally understand, and the version of themselves they are moving toward. Sometimes the clearest way in is to picture an earlier version of yourself, the one who got you this far, and to ask who that person hoped you would become.

This is a sheet of paper for writing that down before anyone else hears it. Write it in cursive, in your own words, or draw whatever symbolizes it if the words are not there yet. Cross something out, clear it, start over. There is no right way to fill it, and no one is reading it.

Nothing typed or drawn here is saved, sent, or stored anywhere. It lives only in this browser window and disappears the moment the page is closed or reloaded, so printing is the only way to keep it. The Escape key still leaves this site immediately from here, exactly as it does everywhere else, and it will take the page with it.

Common Questions

Fees, licensure, format, and getting started

More questions than these come up before most people reach out, and asking them ahead of time is a normal, expected part of researching something this personal.

What happens during the consultation, and does it cost anything?

The consultation is currently offered at no cost, which is subject to change, and its current format and length are confirmed at the time of inquiry. It is a brief conversation with a specific purpose: to assess whether this practice and the person inquiring are well matched for the work ahead. It is not a sales call, and it is not a condensed intake session. There is no clinical material required to prepare, and no expectation that anything difficult will be disclosed before a sense of safety has been established.

During that conversation, prospective clients are invited to ask whatever safety questions they need answered before they can feel confident about Dr. Lapite-Garrett as their clinician. They may ask about her approach to specific presentations, her values in the room, how consent is structured, what the early weeks of treatment typically look like, or anything else that would allow them to feel grounded in the decision. Dr. Lapite-Garrett in turn shares how she practices, what her clinical orientation means in lived terms, and what the next steps would look like should both parties choose to move forward.

If there is not a strong fit, Dr. Lapite-Garrett will say so. She will also help identify who might be better suited to the specific need, because the goal of the consultation is finding the right care for that person, wherever it turns out to live.

For those who arrive already certain, the first intake session is available to schedule directly. That knowing is honored.

How much does this cost?

Full fee information, including session types, lengths, and retainer options, is available on the Rates and Fees page. Alafiora is a private-pay practice. Insurance is not billed directly, and no insurance provider will receive clinical documentation, diagnostic information, or records of any kind without explicit written consent.

Fees at this practice reflect the clinical depth, discretion, and specialized expertise the work requires. The clients who work with Alafiora are often those for whom prior, lower-cost attempts at care did not reach what actually needed to change. The investment here is qualitatively different from generalist therapy in the same way that specialist medical care is qualitatively different from a general practitioner visit. The difference is not cosmetic.

Why doesn't Alafiora take insurance?

This is a deliberate structural choice. Working outside insurance panels means no diagnosis, treatment plan, or session content is shared with a managed-care company, no insurer decides how many sessions are medically necessary, and no session is shortened or redirected to satisfy a utilization review. It also means the work is never constrained to whatever modality an insurance panel will reimburse. What is lost in direct reimbursement is deliberately traded for confidentiality and clinical latitude that an in-network arrangement cannot offer.

Where is Dr. Lapite-Garrett licensed, and where can sessions take place?

Dr. Lapite-Garrett is a licensed psychologist practicing within her licensed states, with sessions available virtually, on-location, or at home depending on what best suits the client and the clinical picture. Full detail on exactly which counties, cities, and communities are currently served, along with license verification information, is maintained on the Where Alafiora Practices page, since licensure is expected to expand over time and that page is kept current as it does.

How does virtual therapy work for trauma this serious?

Virtual therapy functions here as a clinically equivalent modality. Telehealth sessions run through a HIPAA-compliant platform under a signed business associate agreement, and the standard of care held virtually matches, without exception, what is held in person. For some survivors, a familiar room actually lowers the nervous system's guard faster than a clinical office would, which makes virtual or at-home care a genuine clinical advantage in its own right. What matters most for trauma work specifically, a consistent clinician, a paced approach, and a private, uninterrupted setting, is fully achievable through video.

Does Alafiora work with clients who have been labeled difficult, too intense, or too much?

Often, and that labeling is frequently part of what brings someone here in the first place. Clients arrive carrying accumulated labels, too much, too intense, difficult, sometimes formal diagnostic labels used more as judgment than as clinical language, held as evidence of a character flaw when they actually describe coping strategies that formed under real pressure. Reading those patterns as clinical information is a foundational part of how this practice approaches every client who arrives already believing they are simply too much to treat.