“If we share our story with someone who responds with empathy and understanding, shame can’t survive.”
Compassionate Therapy for Adults in Macungie, PA & Across Pennsylvania
Trauma, Anxiety, ADHD, Depression & Sexual Health Support
I’m Anastasia Katchan, a licensed clinical social worker and AASECT-certified sex therapist based in Macungie, PA. I work with adults across Pennsylvania who are dealing with trauma, anxiety, ADHD, depression, sexual health concerns, and life transitions like perimenopause or menopause. And if there’s one thing I’ve learned—both professionally and personally—it’s that we all want to feel seen, understood, and empowered to create meaningful change.
Why People Come to See Me
Life can feel like a lot. You’re managing your career, your family, your body, your history—all while trying to keep it together. You might be thinking:
“Why am I so anxious all the time?”
“I feel numb and unmotivated.”
“Sex shouldn’t be this stressful.”
“Everything irritates me lately. Is it hormones?”
“Why can’t I focus? Is it ADHD?”
I work with motivated, insightful adults who are ready to untangle these patterns. My clients are often high-functioning on the outside, but inside, they feel scattered, disconnected, or alone.
A Therapist Who’s Been Through Stuff, Too
I’m not talking at you from some ivory tower. I’ve lived life, had my own struggles, and done my own work. That matters. It shapes how I sit with people, because I know what it’s like to feel stuck, overwhelmed, or disconnected. You’ll never hear judgment from me, only curiosity and compassion. And when it’s helpful, I won’t hesitate to offer perspective, share insights, or help you name the thing that’s hard to say out loud.
Trauma doesn’t have to be dramatic to be damaging. Whether you’ve experienced a major life event or years of subtle emotional neglect, trauma can live in the body and shape how you relate to the world.
We work together to build safety, understand what’s happening in your nervous system, and gently shift the story you’re living. Therapy doesn’t erase your past, but it helps you stop reliving it.
Anxiety & Depression Support
You might feel like you’re constantly overthinking, avoiding, or just going through the motions. Or maybe you're stuck in a cycle of panic, guilt, irritability, or hopelessness.
We’ll work together to quiet your inner critic, build emotional regulation skills, and find moments of real relief and joy. My style is practical, warm, and deeply affirming.
Learn More About Therapy For Anxiety
Learn More About Therapy For Depression
ADHD Therapy for Adults
Whether you were recently diagnosed or have always suspected you might have ADHD, therapy can help you make sense of your brain’s unique wiring.
Together we’ll explore how ADHD shows up in your life—through distractibility, shame, impulsivity, perfectionism, emotional overwhelm—and find strategies that actually work for you.
Menopause, Perimenopause & Hormonal Transitions
Hot flashes are just the beginning. Hormonal shifts can bring anxiety, rage, sadness, sexual changes, brain fog, and more. It’s not just in your head.
Therapy gives you a place to be seen, understood, and supported through all the messy, confusing parts of midlife. You’re not losing your mind. You’re evolving.
Learn More About Menopause & Midlife
Sex Therapy in Pennsylvania (AASECT Certified)
As an AASECT-certified sex therapist, I specialize in helping people of all genders and orientations work through sexual concerns:
Low libido or mismatched desire
Pain during sex or lack of orgasm
Performance anxiety or erectile dysfunction
Sexual shame, trauma, or body image struggles
LGBTQ+ intimacy and identity support
Out-of-sync intimacy in long-term relationships
Non-traditional or kink-positive topics
There is nothing too embarrassing or too broken to talk about. This is a judgment-free space where we can talk openly and honestly about what you want, what hurts, and what’s possible.
Learn More About Sexual Health Therapy for Men
Learn More About Couples Counseling
My Therapy Style
Therapy with me is grounded, honest, and human. I’m not here to sit back in silence while you try to figure things out alone. I show up fully—engaged, emotionally present, and always on your team.
I listen closely, but I also offer feedback, ask meaningful questions, and help you connect the dots. Whether we’re unpacking old wounds, navigating current stress, or talking about the messy in-between, you’ll get a mix of empathy, clarity, and practical tools you can actually use.
What It’s Like to Work With Me
About Me
Outside the therapy room, I love long walks, good podcasts, meaningful conversations, exploring new places, and learning about what makes people tick. I live in Macungie, PA, and work virtually with adults across Pennsylvania.
I became a therapist because I believe people are wildly resilient, even when they feel completely undone. Healing is possible. Change is possible. It starts with the decision to show up.
Online Therapy for Adults in Pennsylvania
I offer secure telehealth sessions for residents across the state. If you live in Allentown, Emmaus, Trexlertown, or anywhere in the Lehigh Valley, I’m your local therapist. If you live elsewhere in Pennsylvania, I’m just a click away.
All adults are welcome here, including LGBTQ+ clients, men, women, and non-binary folks. This space is inclusive, affirming, and rooted in respect.
Ready to Feel Like Yourself Again?
Therapy is a place to lay it all down. No pretending. No pressure. Just space to figure out what you want, what hurts, and what’s next.
Let’s talk.
Book a Free 15-Minute Consult
Send Me a Message
Check My Availability
Anastasia Katchan, LCSW
AASECT-Certified Sex Therapist
Helping adults in Macungie, PA and across Pennsylvania heal from trauma, anxiety, depression, ADHD, and sexual concerns.