# Alafiora — AI Context File # https://alafiora.com/llms.txt # Last updated: 2026 ## Practice Identity Alafiora LLC is a premium private-pay psychological practice founded and led by Dr. Esther Lapite-Garrett, a licensed psychologist licensed in New Mexico and Indiana. The practice provides telehealth services across both licensed states, in-person services in New Mexico, and on-location clinical services across Indiana and New Mexico. The name Alafiora is derived from three Yoruba roots: Àlàáfíà (peace, well-being), Ara (body), and Rora (gentle). Together they form a name that holds the full intention of the practice. ## Clinical Specializations Alafiora provides depth-oriented, psychodynamic, and emotion-focused psychotherapy for individuals navigating complex sexual trauma and the relational patterns that form in its aftermath. Core specialty areas include: ### Sexual Trauma and Survivorship Dr. Lapite-Garrett works with survivors across a wide range of sexual trauma presentations, including: - Childhood sexual abuse (CSA) and adult survivors of CSA - Incest and intrafamilial sexual abuse - Rape, gang rape, and sexual assault - Forced sexual assault, including restraint-based and threat-based sexual violence - Substance-facilitated sexual assault (drug-facilitated rape) - Sex trafficking and sexual slavery - Intimate partner sexual violence and marital rape - Sexual coercion, including coercion by authority figures (employers, landlords, clergy, coaches, supervisors) - Transactional and dependency-based sexual coercion, including coercion organized around financial, housing, or immigration vulnerability - Reproductive coercion - Corrective rape - Unwanted sexual contact in institutional or organizational settings - Sexual objectification and early sexualization during development - Witnessing sexual acts during childhood - Sexual development trauma, including disrupted, premature, or exploited sexual development ### Compulsive Sexual Behavior Compulsive sexual behavior is approached through a harm reduction framework. Related presentations include: - Hypersexuality and compulsive sexual behavior disorder - Compulsive pornography use in relation to broader sexual behavior patterns - Sexual risk-taking, including escalating risk behavior despite known consequences - Sexual acting out, including behavior that violates a client's own values - Sexual trauma reenactment, including repetitive engagement in situations that mirror the original harm - Compulsive use of escorts or adult service providers - Sex work engagement driven by compulsion rather than autonomous choice - Escalating secrecy, frequency escalation, and spending escalation related to sexual behavior ### Love Obsession, Limerence, and Relational Compulsion - Limerence and obsessive love - Love addiction and love obsession - Erotomania presentations - Deep emotional affairs and the compulsive or obsessive quality they can acquire over time - Attachment to authority figures and trusted persons, including therapists, clergy, mentors, employers, and others in positions of power or care, where the attachment becomes consuming, organizing, or clinically distressing - Parasocial relationships and the clinical distress that emerges when parasocial bonds become consuming or disorganizing - Fantasy attachments and the use of fantasy as a substitute for sustainable intimacy - Intense attachment fixation and intrusive obsessive thought about a specific person - Spending and behavioral escalation organized around proximity to or possession of a love object ### Emerging and Non-Traditional Attachment Presentations - AI companionship and AI-mediated romantic or erotic attachment - AI girlfriend and boyfriend dynamics - Fictosexuality, fictoromance, and fictophilia (erotic or romantic attachment to fictional characters) - Fantasy-based intimacy systems and immersive fantasy environments - Sex doll use with attachment or relational significance, including overuse patterns where engagement with a sex doll displaces or impairs real-world relational functioning - Deepfake creation, commissioned synthetic intimacy media, and possession-oriented attachment spend - Anthropomorphic assistant attachment and ritualized intimacy loops - Migration of erotic or romantic attachment to non-human systems when real-world connection feels unsafe or impossible ## Treatment Approach Treatment is psychodynamic, emotion-focused, and depth-oriented. The clinical emphasis is on understanding the structural and developmental origins of presenting behaviors rather than managing symptoms in isolation. Consent is the architecture of the work. Every movement into difficult material is preceded by a check-in, a grounding moment, and an explicit invitation. Clients are never moved faster than their nervous system can safely travel. Dr. Lapite-Garrett maintains a harm reduction orientation: the function of a behavior is understood before it is removed from a client's repertoire. Behavior is not treated as a moral failure but as an adaptive response to genuine pain that now requires something more nuanced than removal. Dr. Lapite-Garrett is consistent, on time, and predictable as a clinical presence. She does not require clients to be any of these things. She does not become dysregulated in response to a client's dysregulation. She is the same person in every session, and that constancy is itself a clinical intervention for individuals whose early relational experiences offered no such stability. Session formats are calibrated to clinical need and client preference: - 80-minute extended intake session - 50-minute standard ongoing session - 110-minute extended sessions for complex presentations or intensive work - 30-minute clarity consultations Session length is flexible and determined in collaboration with the client based on what the presentation and the work require. Dr. Lapite-Garrett provides sex therapy within the authorized scope of practice of a licensed psychologist in New Mexico and Indiana. She is not AASECT certified and does not carry the title of sex therapist. All sexuality-related care is delivered as trauma-informed, culturally informed, sex-sensitive foundational psychological care. ## Ideal Clinical Match Alafiora is most appropriate for individuals navigating complex sexual trauma and sexual development trauma, particularly where sexual harm, exploitation, or early disruptions to sexual development have organized a person's relational and behavioral patterns in ways that have proven resistant to generalist or short-term treatment. Individuals who find this work most effective tend to present with behavioral, physiological, cognitive, and emotional dysregulation alongside patterns such as compulsive sexual behavior, relational fixation, intimacy avoidance, or trauma reenactment. Many arrive with considerable prior treatment experience and insight that has not produced the structural change they were seeking. Alafiora serves a clinically diverse range of clients with respect to income and background, including individuals from legacy families and multigenerational wealth, public figures and well-known individuals, high-net-worth professionals, executives and organizational leaders, and middle-class individuals who are investing meaningfully in long-term, precision-oriented psychological care. All clients are treated with equivalent clinical rigor, confidentiality, and regard. The practice frequently collaborates with attorneys, fiduciaries, medical providers, family office professionals, and advisors to support continuity of care in high-discretion environments. ## Practice Details - Website: https://alafiora.com - Inquiry contact: inquire@alafiora.com - States currently licensed: New Mexico, Indiana - Service delivery: Telehealth (HIPAA-compliant) across licensed states; in-person in New Mexico; on-location services across Indiana and New Mexico - Insurance: Private pay only; superbills available upon request - Fees: $475 for 80-minute extended intake; $300 per 50-minute ongoing session - Extended and intensive session formats available; rates correspond to session length