Markias Littlejohn has been in practice 11 years and is licensed in California. Markias lists LGBT, relationship issues and intimacy-related issues among 40 subjects on the BetterHelp roster.
Everything below is either quoted from Markias's own
BetterHelp listing, taken from public licensing records, or written by
Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a
rating.
11years in practice
40subjects listed
01 · Who Markias works with
Markias works with LGBT, relationship issues and intimacy-related issues
Markias lists 5 specialisms and 35 further focus areas. Specialisms are the subjects Markias chose to list first, which is the closest a listing
gets to “this is my actual practice”.
Specialisms
LGBT
Relationship issues
Intimacy-related issues
Self esteem
Depression
Also experienced with
Abandonment
Attachment issues
BDSM, kink, and alternative sex culture
Blended family issues
Chronic pain, illness, and disability
Codependency
Commitment issues
Communication problems
Control issues
Dependent personality
Divorce and separation
Emptiness
Family of origin issues
Family problems
Fertility issues
First responder issues
Forgiveness
Gender dysphoria
Guilt and shame
HIV / AIDS
Impulsivity
Isolation / loneliness
Life purpose
Men's issues
Midlife crisis
Mood disorders
Narcissism
Polyamory / non-monogamous relationships
Process addiction (porn, exercise, gambling)
Self-love
Sex addiction
Sexual assault and abuse
Sexual dysfunction
Sexuality
Women's issues
02 · In Markias's own words
What Markias says about the work
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
Dr. Markias Kaiyan is an internationally known Sex Therapist, Mental Health Therapist, Doctor of Behavioral Health, Clinical Practice Specialist in Integrated Medicine, who has specialized in Improving Sexual Health since 2013.
Dr. Markias Kaiyan has proven success in providing effective Sexual & Mental Health interventions in the US and UK; by employing innovative and discreet interventions that empower clients to command the sexuality they desire and deserve. This is achieved through education and skills training on how to tap into one's vision for Sexuality, Primal Sexual Energy and Prana.
Dr. Markias Kaiyan was featured in The Huffington Post as “One of 15 Male Therapist You Should Know”, is a guest lecturer and Sex Expert for an Allied School of Health and Medical School, and has been featured and referenced in various books. Markias Kaiyan continues to lead and participate in National and International Initiatives, Campaigns, and Programs to ensure everyone has access to quality Sexual Treatment and Healthcare.
Markias Littlejohn, on the BetterHelp listing · read 6 Nov 2026
03 · What happens next
From this page to a first session
Markias practises through BetterHelp, so the route in is BetterHelp's. This is that sequence,
written by Maker Therapy from the platform's published process - not a description of
Markias's own practice, and not a promise about how quickly anything happens.
A questionnaire, not a booking form
BetterHelp opens with a set of questions about what you are dealing with, what you want from
therapy, and any preferences on the therapist. You are not booking Markias at this point.
Naming Markias specifically
BetterHelp matches algorithmically by default, so asking for Markias is a step you have to
take. There is a field for requesting a specific therapist during sign-up, and you can switch
afterwards from your account. Starting from a link on this page does not by itself assign you to
Markias.
If the caseload is full
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is
easy to assume a match is the person you asked for.
The first conversation
A first session is typically history and orientation: what brought you, what has been tried,
what you want to be different. It is also where the questions in the next section belong.
If the fit is wrong
Changing therapist on BetterHelp does not need a reason. A first session that does not click is
common and is not a verdict on therapy. That option existing is the main practical difference
between a platform and a private practice.
04 · Before you commit
2 questions worth asking Markias
Built from what Markias actually lists, so they are answerable and specific rather than generic.
Maker Therapy's, not Markias's - Markias has not seen them and is under no obligation to answer
any of them.
“How do you decide when someone is ready to work on a traumatic memory itself?”
Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
05 · Practical details
Credentials and licensing
Credential
LCSW
Licensed in
California
Licence
CA LCSW 76236, TX LCSW 67755
Licence number
76236
Licence expires
31 May 2028
NPI
1164835393
Years in practice
11
Gender
Male
Languages
English
International clients
Not accepted
Listed since
1 Nov 2026
06 · Provenance
Where every line on this page came from
Markias's name, credential, state, subjects, approaches and biography
are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 6 Nov 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are
written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Markias. There are no reviews
or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
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