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Health Library
Rafaella Smith-Fiallo, MSW, LCSW
Rafaella Smith-Fiallo, MSW, LCSW
Relationship, sex, and trauma therapist and educator, Missouri, US
“I believe that sex education is essential in harm reduction policy. It is my goal to create space for patients’ self-exploration, reflection on relationship needs and patterns, and work toward living the life of satisfaction and pleasure that we all desire.”
— Rafaella Smith-Fiallo, MSW, LCSW
Career Highlights
  • Owner and psychotherapist at Healing Exchange LLC, MO/NV, US, 2018–present
  • Co-owner and sexuality educator, Afrosexology LLC, 2015–present
  • Member of the advisory committee of the sexual health and education specialization, Brown School of Social Work at Washington University in St. Louis, MO, US, 2018–present
  • Academic advisor for the sexual health and education specialization, Brown School of Social Work at Washington University in St. Louis, MO, US, 2017–2020
  • Member of the American Association of Sexuality Educators, Counselors, and Therapists; Association of Black Sexologists and Clinicians; International Association of Trauma Professionals; and National Association of Social Workers
  • Certified clinical trauma professional and sexuality educator
  • Master’s degree in social work and mental health from Washington University in St. Louis, MO, US
  • Postbaccalaureate certificate in advanced Spanish language and Hispanic cultural studies from the University of North Carolina at Greensboro, NC, US 
  • Bachelor’s degree in psychology with a minor in Spanish from North Carolina Agricultural and Technical State University, Greensboro, NC, US
My Journey in Therapy

I am excited to be a therapist who specializes in relationships, sex, and trauma therapy. I also feel proud to be a conduit for the care and support that I and many others needed during our own sexual exploration and healing as people who are queer, kinky, and trauma survivors. 

I have received extensive education and training in sexuality education, couples therapy, trauma-informed care, and post-traumatic stress/trauma-related disorders and am committed to ongoing learning in my personal and professional life. 

Over the years, I have worked with diverse populations, including school-age youth, at-risk youth in group homes, college students, military veterans, and adults in private practice. I’ve learned that no matter the age or circumstance, issues around mental and sexual wellness are always present or inquired about. Everyone encounters issues that overwhelm them at one time or another during life. However, not everyone receives the necessary education or tools that help them make the best choices regarding their health.

Sex-positive sex education decreases harm, reduces shame, emphasizes consent, honors autonomy, includes LGBTQIA+ communities, encourages individuality, affirms choice, centers pleasure, liberates, and saves lives. My role as a sex therapist and educator is to provide education that is sex positive, pleasure based, affirmative, grounded in science, and centered around justice.

We are all experts on our bodies and lived experiences. I value choice and advocate that we all have control over what happens in our lives. Flo provides tools to help people make informed decisions about their bodies and lives, and I’m honored to be part of that experience for millions of people.

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