Typical therapy generally focuses on addressing a broad range of mental health concerns such as anxiety, depression, stress, and relationship issues through individual or couples counseling. Sex therapy, on the other hand, is a specialized form of therapy that specifically addresses sexual health and intimacy concerns, including sexual dysfunction, desire discrepancies, trauma related to sexuality, and communication about sex within relationships. Delivered exclusively via telehealth, our sex therapy services combine clinical expertise with a safe, confidential environment to help clients explore and resolve sexual and intimacy challenges, complementing the broader mental health support offered through typical therapy. This distinction ensures that clients receive targeted care aligned with their unique needs while benefiting from the holistic approach central to my practice.

Tammy can bill a few insurance plans directly and can assist you in seeking reimbursement if she is out of network with your plan. The most up to date information can be found on the Fees and Insurance page.

I believe quality mental health care should be accessible. I partner with Open Path Psychotherapy Collective to offer reduced-rate sessions to clients facing financial hardship or those without mental health insurance benefits.What is Open Path? It is a non-profit network that connects clients in financial need with licensed therapists who agree to provide treatment at a significantly reduced rate.How do I apply?Go to openpathcollective.org and join as a member (requires a one-time membership fee).Search for my profile in their directory.If my Open Path slots are currently open, you can request a session through their portal or contact me directly with your Open Path member ID.Please note: Open Path slots are limited and subject to availability. If my reduced-fee slots are currently full, I can add you to a waitlist or help refer you to other Open Path clinicians in the area.

EMDR (Eye Movement Desensitization and Reprocessing) therapy is a structured, evidence-based psychotherapy approach designed to help individuals process and heal from traumatic experiences and emotional distress. Tammy is EMDR-trained and integrates this approach into work with clients healing from difficult past experiences.

Sex therapy may be a good fit if you're experiencing desire discrepancies, intimacy avoidance, or sexual disconnection in a relationship, especially if past therapy didn't address sexuality directly. It's not a fit if there's ongoing coercion or abuse, a partner unwilling to engage honestly, or if you're looking for insurance-covered care or quick technique -based fixes.

No. Sex therapy with Tammy Wagstaff is talk-based, relational, and insight-oriented. It focuses on understanding the emotional and relational patterns shaping sexual connection - not on physical exercises or prescriptive instruction.

No. Sex therapy services are private pay only. General individual and relationship therapy insurance options are listed on the Fees and Insurance page.

Tammy Wagstaff is licensed to provide online therapy to residents of Michigan, Delaware, Connecticut, and South Carolina. She is also a registered telehealth provider for residents of Florida.

No. All therapy is provided online only using a HIPAA compliant platform.

Sessions are typically 55 minutes.

5 Pointes Wellness isn't a fit for anyone needing crisis or emergency care, court-ordered therapy, inpatient/intensive outpatient treatment, medication management, disability paperwork, or for persons located outside the licensed states.

Your first therapy session is a welcoming and supportive introduction tailored to help you feel comfortable and understood. We begin by getting to know you and discussing what brought you to therapy, whether it's individual challenges, relationship concerns, or questions around intimacy. Tammy will ask about your personal history, current situation, and your goals for therapy to create a personalized treatment plan. This session also provides an opportunity for you to ask questions about the telehealth process, confidentiality, and how therapy works. By the end, you’ll have a clear sense of the therapy approach we’ll use together and feel confident about taking the next steps toward healing and growth.