Boulder Psychologist for Love Obsession, Compulsive Sexual Behavior & Sexual Trauma
Boulder drew its own Blue Line up the mountainside in 1959 and has never let the city grow past it, which means the Flatirons still fill the same view from Chautauqua they did a century ago, and a name in this town still travels through the same small startup and research world before it ever reaches the person who needed it. Sessions come to wherever a client in Colorado is sitting: the researcher who takes the call between meetings in a lab building older than most of the tech campus around it, and the founder whose open relationship was never actually the thing he needed to hide.
Licensed in New Mexico and Indiana.
Held entirely by video, wherever in Colorado a client happens to be sitting.
What This Page Covers Six sections. Most take three minutes or less to read; the longest takes eight.
- A City That Drew Its Own Boundary: Confidential Telehealth Therapist for Boulder & Niwot
- Care at Alafiora™: Licensed Psychologist Dr. Esther Lapite-Garrett, Colorado Telehealth Practice
- Serving Boulder and the Surrounding Communities: Telehealth Coverage Area: Niwot, Gunbarrel, Louisville & Superior
- What Some People May Describe: Composite Reflections From Boulder & Niwot
- What Therapy at Alafiora™ Addresses: Confidential Telehealth for Boulder County: How Care Is Structured With a Private-Pay Psychologist
- Common Questions About Therapy in Boulder: Boulder Psychologist FAQ: Love Addiction, Sex Addiction & Sexual Trauma Treatment
Session formats and current rates →
Also in Where Alafiora™ Practices: Colorado · Aspen, CO · Castle Pines & Lone Tree, CO · Cherry Hills Village, CO · Colorado Springs, CO · Indiana · New Mexico
Boulder is small and tightly networked enough, for all its openness, that a referral still travels the way it would in a much smaller town. A name offered here tends to come from a fellow founder, a colleague in the same lab, or a friend from the same yoga studio who has recommended someone entirely outside the usual circle. A name that arrives that way brings all of it along.
Alafiora™ sits outside that circle by design, and in Colorado, by law. Dr. Lapite-Garrett is licensed in Colorado, with a credential status of active, telehealth-only, under SB24-141 (effective for out-of-state telehealth providers January 1, 2026), which permits care by video only; that status does not authorize a Colorado office or any in-person service anywhere in the state, and this page describes only what that license actually allows. Care reaches Boulder, Niwot, Gunbarrel, Louisville, and Superior entirely by video, which means beginning does not require a car parked somewhere a colleague or a fellow parent would notice it.
Every personal account described on this page is fiction. Dr. Lapite-Garrett writes them from her own clinical knowledge and expertise. AI helps shape the first draft, and Dr. Lapite-Garrett reviews and approves every word before it is shared. The individuals, the histories, and the sequences of events here, including those written as he or she and including any pattern shown escalating over time, are not drawn from any current or former client of this practice, and no client information of any kind was used to make them. No one's trajectory appears on this page. What appears is what these psychological phenomena may look like when they occur.
A City That Drew Its Own Boundary
Confidential Telehealth Therapist for Boulder & Niwot
A Boulder County Client Community
Boulder started as a supply town for the 1859 gold rush and might have faded the way most of them did, if the territorial legislature hadn't located the University of Colorado here two years later. That single decision shaped everything the city became. In 1959, decades before most American cities thought this way, Boulder voted to draw a literal Blue Line up the mountainside and refuse to run city water above it, and in 1967 it became the first city in the country to tax itself specifically to buy open space, a decision that has since preserved close to forty-seven thousand acres of land ringing the city in permanent green. The Flatirons still rise directly behind Chautauqua Park the way they have for generations, the Pearl Street Mall still anchors downtown exactly where it was pedestrianized in 1977, and the deliberate scarcity that policy created has made Boulder one of the most land-constrained, expensive small cities in the country, its median home value sitting well north of most of the metro around it.
What grew up inside that boundary is venture capital, startup equity, and research grants rather than old money. Boulder's technology and biotech scene, sometimes called Silicon Flatirons, closed well over a billion dollars in venture investment in a recent year alone, and the university itself, alongside federal research labs studying everything from the atmosphere to quantum physics, draws hundreds of millions of dollars in research funding and a faculty and postdoctoral community that shapes the city's culture as much as any founder does. None of this runs through a country club. It runs through trailheads, climbing gyms, yoga studios, and farm-to-table restaurants, an entire local economy built around wellness and self-optimization that outpaces the national average many times over, and a genuinely progressive social culture, including real openness to non-monogamous relationships, that most other markets Alafiora™ serves simply don't share.
The Private Side of an Optimized Life
Love Obsession, Compulsive Sexual Behavior & Sexual Trauma Among Boulder's Founder, Research, and Wellness Community
A place built this specifically around achievement, whether that achievement is a startup exit, a tenure case, or a personal best on a trail, runs on the appearance of having it handled as its actual currency. The same relentless self-improvement that makes Boulder Boulder can make it genuinely difficult to admit that one particular part of a life hasn't actually been optimized at all.
Some women in this community may hold postdoctoral or early faculty positions at the university, deeply immersed in a small, competitive research world where everyone in a given field knows everyone else's work. A colleague at a nearby lab starts as exactly that: two emails a month, give or take, about a shared research interest. The emails get reread more than twice a month would explain, though, and she can recite the exact way he signs off from memory, listening for a warmth in it that almost certainly isn't there. On trail runs, an entire parallel career takes shape in her head, one where a paper the two of them co-authored had become something else years earlier, entire conversations invented that never actually happened between them. She starts angling for panels and committees that put her in his path, telling herself it's good for her research profile every single time. Then, at a department gathering one spring, she watches him lean toward his own partner across the room with an ease that never once required a rearranged committee assignment or a memorized email to get there, and something she'd been building alone becomes visible to her as exactly that.
Others throughout this same community may carry a compulsive sexual pattern with no real connection to being non-monogamous at all: the actual violation is of the honest, negotiated agreement itself. Take a startup founder in an openly polyamorous relationship, a structure he and his partner built together deliberately and that genuinely works for both of them. Running alongside it, entirely undisclosed, is a separate pattern: encounters arranged through an app, never mentioned to his partner, outside every boundary the two of them actually agreed to. He tells himself, the first few times, that it doesn't technically break their rules. A year later it's closer to weekly, and each encounter requires a slightly more elaborate account of his whereabouts than the last one did. Walking into an office full of people who admire how openly he talks about his relationship, he decides most Monday mornings that this is the week he tells his partner, and believes it completely until the week ends and he hasn't. His partner is the one who eventually notices the pattern in his calendar, not any reckoning he arrives at on his own, and the conversation that follows is one neither of them saw coming inside a relationship built specifically to prevent this kind of secrecy. Kink, CNM & Polyamory speaks directly to this distinction: the openness itself was never the problem, and Alafiora™ treats consensual non-monogamy as one legitimate relationship structure among many, never something to be corrected. Leaders and Executives and Moral Injury and Self-Betrayal name the actual wound directly: the injury of building a relationship on honesty and breaking that specific promise anyway, a self-betrayal worth its own attention independent of anything the relationship's structure permits.
Still others throughout Boulder may carry harm that no amount of the city's own self-improvement culture has actually resolved. A woman who may have spent years in genuinely serious therapeutic and somatic work, someone whose friends would describe her as one of the most self-aware people they know, may still find a specific tone of voice at a dinner party sending her heart rate somewhere none of that work has ever reached. In a community where everyone around her seems to have already processed everything, where saying "I'm still not okay" can feel like admitting she's behind on her own healing, she may have simply stopped bringing it up, even to the therapist she already sees for everything else. The root of it, when she finally traces it, is an assault from her college years that she genuinely believed she had worked through, until a specific detail resurfaced during an unrelated conversation and made clear how much of it she had actually just learned to describe well rather than resolve.
If any of this needs saying to someone right now, 988 answers by call or text, every hour, in English and Spanish, with a chat option at 988lifeline.org if speaking aloud isn't possible where you are. Sexual assault, domestic violence, and trafficking each have their own dedicated line on the practice's list of crisis lines. If you are in immediate danger, 911 is answered locally around the clock.
A department mixer isn't where any of this comes out, and neither is dinner with friends who've already decided that chapter is closed for her. The memorized sign-off, the promise that didn't survive the week, the decade of describing an old assault well without resolving it: those get said to a psychologist instead, one whose only connection to her is this work.
Care at Alafiora™
Licensed Psychologist Dr. Esther Lapite-Garrett, Colorado Telehealth Practice
Nobody is assigned here. The same psychologist takes the first call and every hour after it, so nothing has to be told twice to somebody new. Dr. Esther Lapite-Garrett founded Alafiora™ as a boutique psychological practice, and she trained in psychodynamic and attachment-based approaches to complex trauma, love obsession, and compulsive sexual behavior. She works from the premise that behavior, however distressing, serves a function, and that lasting change begins with understanding that function before attempting to remove it.
Individuals working through the aftermath of sexual assault, betrayal, or cumulative violation often begin with Understanding Sexual Trauma & Its Many Forms, where pacing and consent shape every part of the process. Those caught in patterns of obsessive longing, fixation, or fantasy frequently find language for their experience in Understanding Love Obsession, Love Addiction & Attachment's Many Forms. Individuals whose relationship to sexual behavior has become compulsive, secretive, or beyond their own control are welcomed, without judgment, into the work described in Understanding Compulsive Sexual Behavior, Sex Anxiety & Their Many Forms. Many clients move fluidly between these areas, since attachment, trauma, and compulsion are rarely separate experiences in practice. Among the leaders and executives building companies here, the researchers and faculty embedded in a small, competitive academic world, and individuals in consensually non-monogamous relationships whose actual concern is a broken agreement rather than the structure itself, these three domains tend to arrive together often enough that treating them separately would miss most of what is actually happening.
How Care Is Delivered
Confidential Video Therapy for Clients in Boulder, Niwot, Gunbarrel & Louisville
Dr. Lapite-Garrett is licensed in Colorado, with a credential status of active, telehealth-only, which authorizes care to Colorado residents entirely by video. There is no Colorado office and no in-person option anywhere in the state; video is the entire model this credential authorizes. Sessions are held through a HIPAA-compliant platform backed by a signed business associate agreement, at an ordinary hour's length or as an extended session for anyone who needs longer than one, from wherever a confidential connection can be maintained: a home office in Niwot, a lab building break room, a car after a trail run. Boulder's own comfort with remote work and digital tools tends to make this format feel entirely natural rather than like an adjustment.
Why Is Care in Colorado Video Only, Rather Than On Location Like Some of Alafiora™'s Other Markets?
Indiana and New Mexico give Dr. Lapite-Garrett full licensure, which is why on-location visits exist there alongside video. Colorado works differently: SB24-141 created a telehealth-only credential category, and the license she holds under it authorizes care by video and prohibits any in-person service in the state outright, so this page states that scope plainly rather than gesturing at an option that doesn't exist here. Boulder's own comfort with remote everything means the restriction rarely reads as a restriction at all; if anything, a colleague or a neighbor never sees a car that isn't there to be seen.
What Becomes Possible
Life After Love Addiction, Sex Addiction & Sexual Trauma Treatment in Boulder & Niwot
Further along, the changes people describe are usually small and concrete: a committee seat that stops being about proximity to anyone in particular, a Monday-morning promise that finally gets kept by the weekend, and a dinner party where a familiar tone of voice doesn't send anyone's heart racing anymore. None of the three happens on a predictable timeline, which is exactly the stretch of work this practice is built for.
Serving Boulder and the Surrounding Communities
Telehealth Coverage Area: Niwot, Gunbarrel, Louisville & Superior
Care reaches each of the communities below by video only, on identical clinical terms; what follows are the practical differences in how each client tends to use it.
Boulder. For someone near the university or downtown, the first practical question is usually finding an hour where a roommate, a lab mate, or a partner won't be present for a video call, and that gets settled at the consultation.
Niwot. Video reaches Niwot's quieter, more spread-out properties as readily as anywhere else in the county, typically scheduled around a workday that doesn't require a downtown commute at all.
Gunbarrel. Care reaches Gunbarrel's tech-corridor neighborhoods on the same terms, fitted around the kind of schedule a nearby employer sets.
Louisville & Superior. South of Boulder proper, video care reaches these family-oriented communities exactly as it reaches the city itself, with no difference in format or fee.
Does Care Reach Clients Only While They're Physically in Boulder, or Anywhere in Colorado?
Anywhere in Colorado. The license is statewide, so the only real requirement is that the client be physically located somewhere in Colorado at the time of the session; the communities named above are simply the ones clients here name most often.
The facts most first inquiries ask about, gathered in one place:
| At a Glance | Alafiora™ in Boulder |
|---|---|
| Psychologist | Dr. Esther Lapite-Garrett, a doctoral-level licensed psychologist and Alafiora™'s sole practitioner |
| Colorado licensure | Licensed in Colorado, credential status active, telehealth-only, under SB24-141, effective since January 1, 2026; no Colorado office, no in-person services |
| Also licensed in | Indiana and New Mexico |
| Session format in Colorado | Video only, statewide |
| Session lengths | An ordinary hour, or an extended session for anyone who needs longer than one |
| Communities named on this page | Boulder, Niwot, Gunbarrel, Louisville, Superior |
| Who is seen | Individuals 16 and older, with a guardian co-signature required at 16 and 17 |
| Payment | Private pay. No insurance billed. A superbill for out-of-network reimbursement is available on request |
| Session rates | Published in full on the Rates and Fees page |
| How to begin | A consultation first, or directly with a first session |
What Some People May Describe
Composite Reflections From Boulder & Niwot
The reflections below are fiction. Dr. Lapite-Garrett writes them from her own clinical knowledge and expertise. AI produces a rough draft, and she reviews and personally approves every word that stays. They are not quotations from clients of this practice, whose privacy is protected absolutely, and no client information of any kind was used to make them. They appear here so that anyone who recognizes themselves, whoever they are, does not have to arrive at care carrying an experience they have never once seen written down.
How some may describe this experience:
"i angle to be on whatever panel puts me near him and tell myself it's good for my research profile. i have his exact email sign-off memorized, the little dash before his name. i have entire conversations with him in my head on trail runs, a whole version where our paper became something else years ago, none of which actually happened. watched him lean into his own partner at the department thing like it was nothing and realized he's never once looked at me like that. built an entire career on being rigorous and i genuinely don't know what i was hoping to find in a shared bibliography"
"we built this relationship specifically so neither of us would ever have to lie to the other about anything, and i've been lying about this one specific thing for almost a year. it's not the other people, we're both fine with that part, it's that i never actually told her about this particular one. she noticed a pattern in my calendar that didn't match anything we'd actually agreed to and now i have to explain why the thing we built our whole relationship to prevent is exactly what i did anyway. i've talked about honesty at three separate panels this year"
"i've done actual serious work on myself for six years, somatic stuff, real therapy, the whole thing, and my friends think i'm one of the most put-together people they know. someone used a specific tone of voice at a dinner party last month and my whole body went somewhere else for a second. i don't even know how to tell my own therapist that i'm apparently still not as done with this as i thought i was"
A reader can recognize themselves in a paragraph like this and still be nowhere near ready to say any of it out loud, and that gap is not a problem to solve before reaching out. Careful management is already the norm for most of what this community carries, even among people whose entire public identity is built around having worked through everything. Dr. Esther Lapite-Garrett is the licensed psychologist behind all of it, treating love obsession, compulsive sexual behavior, and sexual trauma together rather than as separate referrals, for individuals throughout Boulder, Niwot, Gunbarrel, and Louisville, starting from whatever a given week actually looks like.
What Therapy at Alafiora™ Addresses
Confidential Telehealth for Boulder County: How Care Is Structured With a Private-Pay Psychologist
What an early session actually contains is a week in detail: the email that got reread, and the committee assignment that got engineered around it. For a client whose own name carries weight in a small research field or a visible startup community, the question of what does and does not leave the room gets answered out loud in the first hour, before any history is asked for. Most ongoing sessions run fifty minutes at $300, following an initial eighty-minute intake at $475; Rates and Fees carries the full schedule.
Dr. Lapite-Garrett names each mechanism out loud rather than treating it as a lapse in discipline. Obsessive checking and rereading get named as love obsession and love addiction, relational dependency, and, where a fixation attaches to one specific individual rather than to being in love generally, person addiction. Compulsive sexual behavior gets named as loss of control and mounting cost, entirely independent of relationship structure, since Alafiora™ is sex positive, sex informed, and affirming of kink, consensual non-monogamy, and polyamory as legitimate relationship models in their own right, alongside being sex work affirming throughout; the clinical question is always about honesty and control, never about the structure a person has chosen. A history of assault, betrayal, or accumulated harm gets named as sexual trauma, whether that is a single acute incident, developmental trauma carried from the years the nervous system was still forming, the relational kind that happened inside a bond a person depended on, or betrayal trauma where the dependence itself suppressed the recognition, and it is worked with at the client's own pace, regardless of how much other therapeutic work a client has already done.
Individuals throughout this community bring this work to Alafiora™ from a genuinely wide range of circumstances: leaders and executives building and running companies, university researchers and faculty embedded in tight, competitive fields, individuals in polyamorous or otherwise non-monogamous relationships whose actual clinical concern has nothing to do with their relationship's structure, and people who have already done years of therapeutic or somatic work and are still surprised to find something unresolved underneath it. What concealment costs depends on what a person has to lose, and in a community built this specifically around being seen as having it together, that cost is often higher than it looks from outside.
A consultation is a brief conversation, by video or phone call as preferred, where anything can be asked in order to feel confident this is the right fit, with nothing decided in advance. A first session is where care itself actually begins: history is gathered at whatever pace it comes, and a treatment plan starts to take shape from there. Alafiora™ works with individuals 16 and older, with a guardian co-signature required for clients age 16 and 17.
Common Questions About Therapy in Boulder
Boulder Psychologist FAQ: Love Addiction, Sex Addiction & Sexual Trauma Treatment
Is there a psychologist for Boulder who treats love obsession, sex addiction, and sexual trauma together, not as separate concerns?
Yes, and this is the practice's actual structure, not a marketing description. Dr. Lapite-Garrett treats love obsession and love addiction, compulsive sexual behavior, and sexual trauma as one interconnected system, since for most clients who bring any one of these three to treatment, the other two are somewhere nearby, whether or not the connection has already been named.
Does Alafiora™ see clients in Boulder in person, or only by video?
Only by video. Dr. Lapite-Garrett is licensed in Colorado, with a credential status of active, telehealth-only, which authorizes telehealth care to Colorado residents but does not permit a Colorado office or in-person services anywhere in the state. A session runs on a HIPAA-compliant platform from wherever a client is physically located in Colorado at the time.
Is compulsive sexual behavior treatment the same thing as being told my open relationship is the problem?
No, and this distinction matters. Alafiora™ treats consensual non-monogamy, polyamory, and kink as legitimate relationship structures, not clinical concerns in themselves. What gets treated is a loss of control or a pattern of dishonesty that violates a person's own agreements, whatever those agreements are, never the decision to be non-monogamous itself.
What kind of therapy does Alafiora™ provide for residents of Boulder and the surrounding communities?
Alafiora™ provides psychotherapy, held entirely by video for Colorado residents, addressing love obsession, compulsive sexual behavior, and sexual trauma as one connected system. Clients are individuals 16 and older, worked with by a single licensed psychologist with no rotating clinical team, throughout Boulder, Niwot, Gunbarrel, Louisville, and Superior.
Is it too late to reach out if this has already cost me a relationship, a career, or my standing in this community?
No, it is not too late, and in a community this small and this achievement-oriented, this is one of the more common reasons people actually reach out, not a reason to have waited longer. A pattern that has already cost something real is not past the point of being treated; the cost is often what finally makes it visible enough to address directly.
Does Alafiora™ bill insurance in Colorado, or is this a private-pay practice?
Boulder sessions are private pay, sometimes called direct pay or out-of-pocket, and Alafiora™ bills no insurance for any of them. A superbill for potential out-of-network reimbursement is available on request, and current rates and session formats sit on the Rates and Fees page. Paying privately keeps the record narrow: no diagnosis or treatment plan goes to an insurer, and nobody outside the room decides how many sessions are appropriate or how long they run, unless the client authorizes a release of information themselves.
Begin a Confidential Conversation
Nothing said in a first conversation leaves the room except within the ordinary legal and professional limits any licensed psychologist states plainly before anything clinical begins, and it is not a conversation where anything gets tried or judged. What gets discussed is entirely up to whoever picks up the phone. For most people in this position, what they actually want afterward turns out to be unremarkable: a dinner party, a department mixer, a Monday morning with nothing in it that needs explaining to anyone. Someone already certain of that step is equally free to begin with a first session directly.
Boulder's own mix of openly discussed relationship structures and quieter, harder-to-name compulsions gets more room on Kink, CNM & Polyamory. A bookmark, or a scan of the footer's QR code, keeps this practice's information within reach for whenever the timing is right.
Every session at Alafiora is held by one licensed psychologist in clinical psychology
Dr. Esther Lapite-Garrett is the founder and sole practitioner of Alafiora. There are no associates, no rotating providers, and no case handoffs: the person who reads a client's history in the first session is the same person still holding it two years later. She is licensed in New Mexico and Indiana, both regular and active, and in Colorado, active for telehealth only.
Her training is doctoral-level, which typically extends several years beyond a master's-level license in assessment, diagnosis, and the treatment of complex, overlapping presentations. She keeps a deliberately small caseload so that depth is possible, participates in ongoing peer consultation and clinical training, and maintains her own personal therapy.
Whatever brought someone to this page today is never put on trial here
A consultation is a brief conversation with no obligation attached. Those already certain they are ready are equally welcome to begin directly with a first session.