EXPRESS YOURSELF THERAPY
LOWELL DECOSTA, LCSW, SIFI
(they/them/he/his)
Therapist, Virtual

Lowell is an LCSW who works with individuals, couples, polycules, and friends at Express Yourself Therapy in Manhattan. They came to this work after years of direct service in supporting survivors of sexual and domestic violence, elder abuse, and incarceration. Lowell was inspired to pursue a degree in social work after finding the field of therapy woefully underrepresented in the marginalized communities he comes from. His sessions tend to be client-centered, without making you do all the work, respectfully challenging, and full of space for laughter.
Lowell’s approach draws on Internal Family Systems (IFS), Relational-Cultural Therapy, and Sex Therapy. He believes you are the expert on your own system, and have all the qualities needed to heal with the right support. He works collaboratively with clients to explore the complex ways life shapes our experiences, while keeping them grounded in working towards stated goals.
Lowell has particular depth of experience working with neurodivergent individuals navigating relational conflict, sexual issues, and executive function challenges. He is kink-competent, sex-positive, and ENM/Poly-affirming, and approaches sexuality and intimacy without judgment or pathologizing. He also works with disabled and chronically ill people navigating an ableist world, and understands the systemic and complex issues that entail.
Lowell is a Black, queer, trans/nonbinary, neurodivergent, and disabled person, and brings that lived context to their clinical work. Outside of sessions, they can be found lost in a fantasy novel in Prospect Park, cooking Southern food for their chosen family, or teaching kink-education workshops.
Education: MSW, Columbia University School of Social Work, 2022
License: LCSW, State of New York
Additional training: Supporting Self-Leadership with Obsessive-Compulsive Systems (ongoing), Institute for Contemporary Psychotherapy Sex Therapy Program (ongoing), IFS Level 1, LGBTQ+ EFCT Externship, IFS Foundations for Trans, Nonbinary, and Queer Clinicians, InformED Clinical Training Program
Availability: Monday–Thursday, daytime and evening slots up until 8pm · Currently accepting new clients
Fee range: $175–$400 per session (sliding scale)
Specialties: ADD/ADHD · Autism spectrum · Chronic Illness · Ethical/Consensual non-monogamy · Gender exploration and transition · Kink, BDSM · Self-esteem · Sexual / intimacy difficulties · Life transitions · Sex work
If you are curious about working together, please email intake@expressyourselftherapynyc.com to set up a free consultation.