THERAPY SERVICES
Therapy for the patterns that keep getting in the way.
Ilana Grines, LMFT, provides individual therapy, couples therapy, and sex therapy for adults and partners in Los Angeles and virtually throughout California. The work is candid, collaborative, affirming, and grounded in the belief that relationships, sexuality, and identity are never one-size-fits-all.
YOU MAY BE HERE BECAUSE
You understand the pattern, but understanding it has not been enough to change it.
WAYS TO WORK TOGETHER
Find the kind of support that fits what you are navigating.
Each service is tailored to the person or relationship in front of me. You do not need to arrive with the perfect words or a neatly defined goal.
FOR ADULTS
Individual Therapy
A space to understand the anxiety, relationship patterns, identity questions, self-doubt, and emotional defenses that keep following you.
- Anxiety and overthinking
- Relationship and attachment patterns
- Identity, sexuality, and self-worth
- Boundaries and life transitions
FOR PARTNERS
Couples Therapy
Therapy for couples who care about each other but feel caught in conflict, distance, resentment, mistrust, or the slow drift of daily life.
- Recurring conflict and communication
- Emotional disconnection
- Trust, repair, and major transitions
- Intimacy and relationship patterns
FOR INDIVIDUALS & PARTNERS
Sex Therapy
Shame-free therapy for the parts of sexuality that are often the hardest to name, including desire, pleasure, pain, performance, and identity.
- Low or mismatched desire
- Sexual shame and performance pressure
- Pain, pleasure, and orgasm concerns
- Postpartum and changing sexuality
FOR DIVERSE RELATIONSHIPS
Non-Traditional Relationships
Affirming support for people creating relationships outside conventional expectations, without treating the structure itself as the problem.
- Consensual non-monogamy and polyamory
- Open relationships and agreements
- Jealousy, boundaries, and uneven readiness
- Opening, closing, or redefining a relationship
AFFIRMING ACROSS THE SPECTRUM
LGBTQ+ affirming therapy is not a separate corner of the practice. It is part of how I work.
I provide inclusive and affirming care for LGBTQ+ individuals, couples, and partners across all of my services. Your identity, sexuality, gender, body, and relationship structure will not be reduced to a problem that needs to be explained or defended.
MY APPROACH
Warm enough to feel safe. Direct enough to help something move.
Therapy with me is collaborative, conversational, and candid. We will look beneath the argument, shutdown, anxiety, or loss of desire to understand the needs, fears, and protective patterns driving it.
I am not here to hand you a generic checklist or decide what your life or relationship should look like. The goal is greater honesty, self-trust, emotional flexibility, and a deeper capacity for intimacy.
FEES & LOGISTICS
Clear information before you begin.
50-minute session
50-minute session
Virtual sessions available statewide
I do not currently accept insurance. Depending on your plan, you may be eligible for out-of-network reimbursement. Sliding-scale availability is limited and may vary.
Read frequently asked questions →STARTING THERAPY
You do not need to know exactly where to begin.
A complimentary consultation gives us time to discuss what is bringing you to therapy, answer questions, and decide whether working together feels like a good fit.