Get the care you deserve

Transforming Relationships and Promoting Sexual Health
Client Portal
Offers Telehealth
Online Payments
Accepting New


We listen, care & transform

NW Reflections Counseling was created by Dr. Elisabeth Wilson to help individuals, families and people in relationship find health and wholeness. Dr. Elisabeth specializes in couples and sex therapy, and enjoys working with both individuals and couples. Her approach integrates attachment theory and family systems theory, focusing on building safe, secure connections that foster sexual pleasure. Dr. Elisabeth is committed to helping people connect, heal, and create mutually respectful, loving relationships. Our team includes: Jeff Wilson – Virtual Office Manager If you call us you’ll likely speak with me first. With my background in finance and customer support, I enjoy helping new clients onboard with Dr. Elisabeth, and I’m here to schedule appointments and offer any billing support you need. Dr. Elisabeth Esmiol Wilson, PhD, LMFT – Marriage & Family Therapist , Sex Therapist, AAMFT Approved Supervisor, former Professor & Published Author I am passionate about supporting people in rebuilding ruptured relationships, deepening emotional connection, and achieving sexual health and intimacy. As an AASECT Certified Sex Therapist I specialize in infidelity, sexual abuse, out of control sexual behaviors, sexual pain, erectile, desire and arousal disorders, and perinatal issues from infertility and pregnancy loss to traumatic births. As a trained Christian Spiritual Director I support healing from shame-based purity culture messages while integrating faith in ways that foster mental health. Good Faith Estimate The total amount you will spend on therapy is dependent on how many sessions you decide to schedule. There is no required number of sessions and we cannot anticipate how many you will feel you need to reach your goals. You are entitled to, and we are happy to furnish upon request, a good faith estimate of charges. We recommend an 80 minute intake session, followed by a 50 minute session weekly or every other week.
Dr. Elisabeth Esmiol Wilson


We help people with

  • Relationship Issues
  • Couples Counseling
  • Sex Therapy
  • Sexual Addiction
  • Infidelity
  • Marital and Premarital
  • Cultural and Systemic Oppression
  • Pregnancy, Prenatal, Postpartum
  • Postpartum Depression
  • Depression
  • Anxiety
  • Chronic Illness
  • Divorce
  • Infertility
  • Spirituality and Religion
  • Mediation
  • Grief
  • Stress
  • Family Conflict
  • Women's Issues
  • Women's Health
  • Bipolar Disorder
  • Mood Disorders
  • Arousal Disorders


  • Emotionally Focused
  • Attachment-Based
  • Experiential Therapy
  • Family/Marital Therapy
  • Multicultural

Insurance Accepted

  • Out of Network


  • PhD for 53 Min: $220 - $260
  • PhD Guest Lecture: $400 - $600


“Dr. Wilson was a saving grace in my life when I was having a very difficult time leaving a toxic relationship. She helped me to take control of my life and make positive changes towards my own self-empowerment. I am a new person now and am forever grateful!”

Former Client