Hannah Paduano LCAT, ATR-BC

Therapist, Eldest Daughter, Libra

To Schedule:

Email hannah@loudthoughtstherapy.com or Call (585)280-1981

  • Licensed to see clients in NY

  • Hannah exclusively sees clients virtually

  • Hannah works with clients who are 18+

    • Insurance options coming soon!

  • If you are not using insurance for sessions, Loud Thoughts Therapy’s self-pay fees are as follows. We strive to make our fee structure clear and straightforward: visit our FAQ’s for full self-pay details.

    • Individual Therapy (50 minute sessions):

      • Intake Appointment: $200

      • Follow-Up Appointments: $150

Hi! I’m Hannah, an LCAT based out of New York!

My therapy style is warm, holistic, and client-centered, blending creative expression with deep emotional insight. I approach each session with compassion and non-judgment, meeting clients where they are and honoring their unique identities, relationships, and life experiences. With a background in art therapy and somatic principles, I create space for clients to explore and express themselves beyond words, supporting healing through both conversation and creativity. As a sex therapist, I help individuals and people in all kinds of relationship structures navigate intimacy, desire, and connection in ways that align with their values and needs. I’m sex-positive, kink-informed, and inclusive in my practice. I hold strong ethical boundaries while empowering clients to trust their inner wisdom and grow at their own pace.

I work with adults and people in all forms of consensual relationships, including those practicing ethical non-monogamy, kink, and other non-traditional dynamics. Many of my clients are navigating the effects of trauma—whether relational, developmental, or situational—and are seeking a safe, supportive space to heal. Others come to therapy to explore intimacy, identity, relationship challenges, or personal growth. My clients are often drawn to a creative and holistic approach that honors the mind-body connection and allows for authentic self-expression.

Outside of work, you can find me living my DIY dreams this summer by building a catio for my four very spoiled cats—because, apparently, bird-watching through a window just doesn’t cut it anymore.

Ready to take the next step? Let’s connect and get your first appointment on the books!