Sex Therapy
Sex and physical intimacy are very important in having connection in relationships. Therapy helps individuals and couples explore and enhance their sexual experiences, fostering a more fulfilling and satisfying intimate life. Treatment may include learning new techniques for pleasure, expanding sexual repertoires, or addressing specific fantasies and desires. Sex therapy can be done in conjunction with therapy that addresses the relationship as a whole. It is common to work on things that are concerns in a relationship (such as communication, parenting differences, finances, etc) simultaneously as with sex therapy.
What sex therapy can help with
Sex therapy can help with a wide range of concerns individuals and couples may face. Some examples of individual concerns can include:
•Low libido
•Erectile dysfunction or premature ejaculation
•Difficulty achieving orgasm
•Pain during intercourse
•Body image issues affecting sexual confidence
•Sexual anxiety or performance anxiety
•Gender identity or sexual orientation concerns
•Challenges related to aging and sexuality
•Concerns about sexual compulsive behaviors
•Sexual concerns related to chronic illness or disability
•Sexual side effects of hormonal changes (such as menopause or andropause)
•Sexual trauma. Sexual trauma can interfere with a person’s interest in, and ability to engage in, intimacy and sex.
Some people may need individualized trauma therapy before they are ready to explore sexual concerns. It’s always the individual’s choice if they want to pursue sex therapy.
Sex therapy can also address concerns within the relationship such as:
•Differences in desire levels between partners (one of the more common struggles in relationships)
•Navigating non-traditional relationship structures (such as polyamory or open relationships)
•Rebuilding intimacy after childbirth, surgery, or major life changes
•Improving sexual communication skills
•Overcoming differences in religious or cultural barriers to sexual expression
•Developing strategies for maintaining long-term sexual satisfaction in relationships
•Intimacy problems or trust issues following infidelity
•Mismatched sexual preferences
What to expect from sex therapy
In sex therapy, clients can expect a confidential and non-judgmental environment. The therapist will begin with a thorough assessment of the individual’s or couple’s concerns, sexual history, and relationship dynamics.
Sessions typically involve open discussions, practical education, and homework assignments to practice new skills or techniques outside of therapy. The duration of treatment varies depending on the specific issues being addressed. When it comes to specific sex therapy techniques, the approach will likely be shaped by the therapist you choose to work with and the issues you’re facing.
Sex therapy can include cognitive/mindfulness-based interventions, communication skills building, emotionally focused therapy, etc. There’s no one-size-fits-all approach.
What NOT to expect from sex therapy
It’s important to note that sex therapy doesn’t involve any physical contact between the therapist and client. All physical exercises are performed privately by the client or couple. The therapist will not instruct client to undress or instruct sexual intimacy in the moment. This is extremely inappropriate and should be reported to the Department of Regulatory Agencies at
303-894-7800
or online by filing a complaint here.
Additionally, sex therapists do not “choose sides” when working with a couple. They will also not try to convince or manipulate a client into doing anything they do not want to do.
Sex therapy for individuals vs. couples
Sex therapy can be beneficial for both individuals and couples, but the approach may differ. For individuals, therapy may focus on personal sexual concerns, self-exploration, and building confidence. Couples sex therapy may address relationship dynamics, communication issues, and mutual sexual satisfaction. In both cases, the therapist tailors treatment to clients’ specific needs.
Individual therapy may involve more introspective work, while sex therapy for couples emphasizes joint problem-solving and improving intimacy. Some couples may choose to attend both individual and joint sessions. This allows each person to address personal issues alongside relationship concerns.
Is sex therapy awkward?
It is common to feel uncomfortable discussing intimate details of your sex lives. Sex is an incredibly private topic and we are often not taught how to talk about it, even with our partners. Experienced sex therapists are skilled at creating a safe and non-judgmental space for their clients. They approach sensitive topics professionally and compassionately, helping clients feel more at ease over time.
It’s normal to feel some awkwardness at first, but this usually diminishes as therapy progresses. Therapists may use humor and normalizing language to reduce tension and help clients open up. Keep in mind that sex therapists are trained professionals who have heard a wide range of concerns and are there to help, not judge.
Is sex therapy effective?
Research indicates that sex therapy can be highly effective for many sexual concerns. Cognitive behavioral sex therapy, for instance, may be as effective as medication for treating nonorganic erectile dysfunction in men. For women, mindfulness-based sex therapy has been shown to help with sexual desire and arousal. Success rates vary depending on the issue being addressed and individual circumstances. Factors that can contribute to effectiveness include client motivation, therapist expertise, and the willingness of partners to participate fully in treatment.