Welcome, I’m Michelle Fischler

  • Registered Social Worker (RSW)
  • Registered Psychotherapist (RP)
  • ASTO Certified Sex Therapist
  • ASTO Approved Supervisor

As a member of the Association of Sex Therapists in Ontario (ASTO),
I meet rigorous standards of clinical competence and ethical practice.
Care is collaborative, confidential, and affirming.

Unshaming Sex Therapy & Clinical Supervision

I have been working in the mental health field since 2003, beginning in hospitals and, for the last 10 years, in private practice. Over the years, I discovered that many widely known therapeutic approaches did not address clients’ relationships with sex and sexuality. When these concerns did appear, there was often little guidance about how to respond or provide the most effective recommendations.

As a result, I sought out specialized training so I could bring sexuality into my therapeutic work with greater depth. This commitment shaped my practice into what I now describe as
unshaming sex therapy—helping clients move beyond shame and toward authentic connection. In addition, this approach allows me to provide treatment recommendations that are both inclusive and practical.
If you’re new here, you can also learn more about what to expect in sex therapy.

How Unshaming Sex Therapy Supports Your Healing

My practice centers on unshaming sex therapy, which helps individuals and couples move from shame to confidence in their sexual lives. For example, we often begin by exploring the stories and values you grew up with around sex and intimacy. These conversations frequently reveal how early experiences continue to shape present‑day struggles.

As we work together, I may ask questions such as:
“What messages about sex and sexuality were brought into your home?” or
“How have past experiences influenced the way you connect today?”
These discussions open up meaningful dialogue around a wide range of topics, including:

  • Family of origin
  • Religion and culture
  • Race and identity
  • Trauma or illness
  • Gender and sexual identity
  • Sexually transmitted infections
  • Dating and relationships
  • Parenting, fertility, and career stress
  • Anxiety and depression

By approaching these areas through an unshaming lens, clients often discover new ways of understanding themselves, fostering healthier connections, and releasing shame.

  • Family of origin
  • Religion
  • Culture
  • Race
  • Trauma
  • Illness
  • Abuse
  • Gender
  • Sexual Identity
  • Sexually Transmitted Infections
  • Confusion
  • Dating
  • Relationships
  • Parenting
  • Fertility
  • Career
  • Anxiety
  • Depression

Although much of my work continues to support clients with concerns
unrelated to sex, I’ve chosen to refine my practice so that clients who do
have concerns about sex and sexuality, in addition to other life
stressors—such as grief, life transitions, dating, loneliness, heartache,
relationship conflict, communication issues, and affairs—can feel
confident that I have the knowledge to support them.

Practice Topics & Expertise

I feel so privileged to be able to do this work and to help support
individuals and partners in dealing with a broad range of sexual concerns:

  • LGBTQ issues
  • Gender Dysphoria
  • Sexuality and Aging
  • Sex and Disability
  • Low Sexual Desire
  • Painful Intercourse
  • Orgasm Difficulties
  • Erectile dysfunction
  • Rapid ejaculation
  • Sexual dissatisfaction
  • Sexual trauma
  • Consensual non-monogamy
  • BDSM
  • Kink

My practice, whether physical or virtual, is a safe space where each
person’s human rights, dignity, and autonomy are respected.

People who are transgender, non-binary, intersex, gay, lesbian, bisexual,
queer, Two-Spirit, questioning, and their friends and allies are treated
with respect, appreciation, and care. Everyone is valued, welcomed, and
supported.

Therapeutic Approach

My personality is friendly, open-minded, warm, and curious—qualities that create a safe therapeutic space where you can explore sensitive topics without judgment. My goal is to help you feel relaxed and safe as we work together to create a personalized sex therapy treatment plan that feels both achievable and meaningful.

My unshaming approach is trauma-informed, evidence-based, and affirming.
I draw on:

  • Mindfulness-Based Therapy for present-moment awareness

  • Body-Oriented Psychotherapy for reconnecting with your body

  • Narrative Therapy rewriting shame-based sexual stories

  • Psychodynamic Sex Therapy for deeper understanding of patterns

  • Cognitive Behaviour Therapy (CBT) for sexual anxiety and negative thought patterns

Evidence-Based Approaches for Sexual Wellness

For sexual and intimacy concerns, I integrate these approaches with
sex-positive interventions that address:

  • Desire
  • Arousal
  • Orgasm
  • Relationship dynamics

Whether you’re navigating sexual anxiety, intimacy after trauma,
desire differences, or communication challenges, my approach emphasizes
shame-free sexual wellness while building confidence and connection.

Certifications & Affiliations

  • Master of Social Work – University of Toronto
  • Bachelor of Social Work – York University
  • Cognitive Behaviour Therapy Certificate – University of Toronto
  • Intensive Sex Therapy Training Program – University of Guelph
  • Emotion-Focused Therapy Training for Couples – York University
  • Externship in Emotionally Focused Couples Therapy – Ackerman Institute for the Family, New York, New York
  • Emotionally Focused Couples Therapy Core Skills Training with Gail Palmer – Toronto, Ontario
  • Mindfulness-Based Stress Reduction – Mount Sinai Hospital