Porter Macey, LMFT

Porter Macey is a licensed marriage and family therapist practicing in Utah with 10 years of professional experience helping individuals, couples, and families navigate complex emotional and relational challenges. He works with a broad range of concerns including LGBTQ+ related issues, relationship and family conflicts, intimacy-related difficulties, and depression, and he has specialized experience supporting people involved in BDSM, kink, and alternative sex cultures as well as those navigating polyamory, non-monogamous relationships, and infidelity. As an LMFT - a Licensed Marriage and Family Therapist - Porter combines training in relational dynamics with practical, evidence-informed strategies to meet clients where they are.

He approaches each person with respect, sensitivity, and compassion, tailoring conversations and treatment plans to each client’s unique needs and goals. Porter emphasizes collaboration, helping clients identify realistic steps toward improved communication, emotional connection, and personal wellbeing. He recognizes that beginning therapy takes courage and affirms the importance of that first step, offering supportive guidance throughout the therapeutic process.

Approaches for Relationships, Sexuality, and Online Care

Porter uses relationship-focused therapy to explore patterns between partners and family members, helping identify communication blocks, recurring conflicts, and ways to strengthen connection and mutual understanding. This approach is useful for couples, families, and anyone facing relational stress.

He also offers sex-positive and kink-affirming support that attends to intimacy, alternative sexual cultures, and questions around consent and desire. This work aims to normalize discussion of sexual values and practical concerns while helping clients set boundaries and improve sexual wellbeing.

For mood-related concerns such as depression, Porter applies evidence-informed interventions that focus on building coping skills, increasing behavioral activation, and addressing interpersonal factors that affect mood. These techniques are chosen to match the client’s goals and level of need.

Finding the right approach is part of the therapeutic process, and Porter collaborates with clients to determine which methods best align with their needs, goals, and preferences. He adjusts plans over time based on progress and feedback.

Online therapy offers flexibility and accessibility, allowing sessions by video, phone, live chat, or text-based messaging so clients can engage in therapy from home or elsewhere. These options make it easier to fit care into busy schedules and to maintain continuity when life circumstances change, while still connecting with licensed professionals and therapists for consistent support.