Josh DeSilva

Josh DeSilva, PsyD, Licensed Psychologist

Specializations: Couples counseling, individual relationship therapy, sex therapy, identity concerns, anxiety, depression, men’s mental health, premarital counseling, LGBTQIA+. Racial justice allied.

Seeking out therapy requires courage and a desire to change. I try to honor this courage by being present, warm, and responsive every time we meet.

I specialize in individual, couples, and group therapy and practice from an emotion-focused perspective. Antiracist and identity-affirming practice is very important to me.

Individual Therapy

I specialize in helping clients navigate:

  • Relationship issues
  • Concerns around sex and sexuality
  • Anxiety
  • Depression
  • Trauma
  • Identity conflicts
  • Family of origin issues

Men’s mental health and demystifying therapy for marginalized folks, including LGBTQIA+ and BIPOC communities, Latinx folks, leaders of color, and clients with chronic health conditions are areas of particular expertise.

Couples and Sex Therapy

I enjoy helping couples strengthen their relationships and am experienced working with a range of issues, including:

  • Communication
  • Emotional intimacy and trust
  • Commitment issues
  • Sex and sexuality
  • Identity concerns
  • Premarital and pre-commitment counseling

I’m experienced working with LGBTQIA+ and heterosexual couples, and with monogamous and ethically non-monogamous clients. I’m kink- and BDSM-affirmative.

Training and Experience

I’m a Licensed Psychologist and Certified Group Psychotherapist, and hold a Doctor of Psychology (PsyD) degree from George Washington University. I’ve served as director of clinical training and am on the faculty of psychology doctorate programs. I have advanced training in Accelerated Experiential Dynamic Psychotherapy (AEDP) for trauma, group therapy, liberation psychology, and culturally informed therapy. I provide trainings in psychotherapy and anti-oppression work, and am the president-elect of the Mid-Atlantic Group Psychotherapy Society. I’m licensed to practice in DC and Virginia, and practice in Maryland through PsyPact.

Please feel free to reach out for an initial phone consultation.

Pronouns: they/them

Contact: 202.670.1605,

Lisa Smith Psychotherapy1801 Connecticut Avenue NW, Suite 300, Washington, DC 20009 (Dupont Circle Metro)