By: Will Stanford
In the intersection of mental health, sexuality, and spirituality, Ann Russo has positioned herself as a prominent advocate.
On a recent episode of The Pineapple Express—A Millennial Swingers Podcast, Russo discussed the connection between sexual identity and authenticity. She also covered topics such as stigmas in therapy, societal judgment, and misconceptions of non-monogamy.
A licensed therapist, educator, and lifelong learner, Russo is passionate about creating affirming, inclusive spaces for communities that are often marginalized. Her work through her practice, AMR therapy, and her training platform, Empowering Pathways, is dedicated to empowering both clients and mental health professionals.
Her unique approach centers around supporting the LGBTQ+ community, individuals in non-traditional relationships, and those impacted by religious shame. Truly, during her interview with the podcast’s host, Kiley, her ideals and principles about such issues shone.
The Importance of a Non-Judgmental Space
Early in the episode, Russo discusses the challenges that many individuals face in finding non-judgmental and affirming mental health care. One area she highlighted is the stigma surrounding non-traditional relationship structures.
“I’ve had clients who were hesitant to tell me what they did because they weren’t sure how I felt about it personally,” Russo shares. “Therapists need to let it be known if they have the specialties and experience. Because it’s so difficult for [these] people to find therapists. Or even healthcare providers, period.”
For Russo, the first step in offering effective support is education. She advocates for therapists to deeply understand the populations they serve — particularly when working with individuals from marginalized backgrounds.
“You can’t just say, ‘I’m cool, I can work with you,’” she points out, emphasizing that therapists must understand the community before they make such statements. Russo explains that doing so may unintentionally harm clients if the provider lacks adequate understanding.
On the other hand, she also encourages clients to feel empowered and seek out therapists who they think might be a good fit. She suggests asking them about their experience and their approach before committing.
Using Cognitive Behavioral Therapy (CBT) for Internalized Shame
Russo’s commitment extends to her Empowering Pathways program, which offers continuing education for mental health professionals on often-overlooked topics. These topics include identity, LGBTQ+ concerns, and ethical non-monogamy.
Her goal is to equip clinicians to handle complex issues without judgment. She aims to reduce harm and foster trust in mental health professionals through proper training and education.
“The last thing I want to see is people harmed in therapy,” Russo states firmly. “Too often, people are hesitant to return to therapy because they’ve had a negative experience. They’re traumatized.”
One therapeutic approach Russo frequently uses to address internalized shame and societal stigma is Cognitive Behavioral Therapy (CBT).
With CBT, clients work to identify and reframe negative thoughts that may be deeply rooted due to social messaging around gender and sexuality. Russo explains that society and the deep messaging it’s given people around non-traditional relationships can have a powerful impact on individuals. She works with clients to explore what’s happening mentally and emotionally when they discuss sexuality and identity.
“It’s about flipping the script on those negative messages,” Russo says. “Even though it can feel unnatural at first.”
She goes on to emphasize that reshaping these negative messages is an ongoing process.
“Those new messages might feel wrong and off at first, but with time and consistency, they can become the dominant message,” Russo explains, adding that this process is unique for each individual.
Russo reiterates that this journey isn’t about quick fixes. It’s about building resilience and reframing harmful internal narratives.
Community Support for Non-Traditional Relationships
The role of community is also a vital aspect of healing, especially for those navigating non-traditional relationships or alternative lifestyles.
“When you’re feeling rejected or stigmatized, it may lead to shame, substance abuse, depression, and poor mental health,” she explains. “But it’s not due to the type of relationship you’re engaging in—it’s due to society’s response to it. I like to say it’s an orientation for some. You can’t change who you are.”
Russo believes that visibility and community can help combat this stigma and provide a supportive framework for individuals to explore and accept their identities.
“I think it’s very much akin to sexual orientation or gender identity,” she says. “Some people will seek community, find safety, and be themselves, while others might struggle with shame and negative coping skills. It’s a journey for each person, but finding acceptance has the potential to make a world of difference.”
The Future of Self-Identity and Authenticity
Ultimately, Russo believes that people should not define themselves according to society’s stigma and limited beliefs. They should, instead, focus on what makes sense to them with respect to their identity.
“It’s about being in control of your own body,” she firmly explains. “Whatever that looks like for you. It’s owning your body and your choice.”
Looking forward, she also envisions a society that embraces authenticity. A society where people may live more freely without fear of judgment or marginalization.
“I want to see a world where people can just be themselves and feel supported,” she reflects.
Through her work with AMR Therapy and Empowering Pathways, Ann Russo continues to champion a model of care that seeks to be as inclusive as it is compassionate, reminding us that healing begins when we are seen, understood, and celebrated for who we are.
You can listen to the full episode on the Pineapple Express podcast here. Visit Ann’s website to connect with her or click here to subscribe to her newsletter!
Disclaimer: This content is for informational purposes only and is not intended as medical advice, nor does it replace professional medical expertise or treatment. If you have any concerns or questions about your health, always consult with a physician or other healthcare professional.
Published By: Aize Perez
