Sex Therapists in Portland, OR

Photo of Dr. Jessica Moran, Marriage & Family Therapist in Portland, OR
Dr. Jessica Moran
Marriage & Family Therapist, LMFT, PhD
Verified Verified
Portland, OR 97229
I am a certified sex therapist that focus on sexual satisfaction for adults and couples.
You are successful. Others often make comments about how "perfect your life is" because from the outside they see someone with a perfect marriage, great kids, and a wonderful job. But on the inside you feel anything but perfect. You are struggling to keep your head above water, you haven't felt connected to your spouse in months, sex has disappeared and you no longer have the energy to even try to initiate intimacy. You're frustrated with most or all areas of your life and feel like you have no one to turn to that will understand.
I am a certified sex therapist that focus on sexual satisfaction for adults and couples.
You are successful. Others often make comments about how "perfect your life is" because from the outside they see someone with a perfect marriage, great kids, and a wonderful job. But on the inside you feel anything but perfect. You are struggling to keep your head above water, you haven't felt connected to your spouse in months, sex has disappeared and you no longer have the energy to even try to initiate intimacy. You're frustrated with most or all areas of your life and feel like you have no one to turn to that will understand.
(971) 351-0738 View (971) 351-0738
Photo of Monica Maragos, Marriage & Family Therapist Associate in Portland, OR
Monica Maragos
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97215
I have deep respect for the ways our lived and inherited experiences show up in our relationships and sexuality, and how both of these are impacted by larger systems. It's an honor to work with clients who have curiosity about their experiences and a desire to overcome the obstacles that are preventing them from experiencing joy and belonging in their lives and their relationships. I’m particularly drawn to working with relationship systems: friends, families, partnerships, polyamorous/non-monogamous relationships, and kink/BDSM relationships.
I have deep respect for the ways our lived and inherited experiences show up in our relationships and sexuality, and how both of these are impacted by larger systems. It's an honor to work with clients who have curiosity about their experiences and a desire to overcome the obstacles that are preventing them from experiencing joy and belonging in their lives and their relationships. I’m particularly drawn to working with relationship systems: friends, families, partnerships, polyamorous/non-monogamous relationships, and kink/BDSM relationships.
(503) 272-1908 View (503) 272-1908
Photo of Ajay Dheer, Marriage & Family Therapist Associate in Portland, OR
Ajay Dheer
Marriage & Family Therapist Associate, MS, MFT-A
Verified Verified
Portland, OR 97212  (Online Only)
I work with people ages 15 and older on a myriad of topics. I am especially interested in working with interracial couples, first/second generation immigrants, queer folx, BIPOCs, men, and sex workers. Areas of specialities include mindfulness, BDSM, gender, non-monogamy, social justice, anxiety, depression, neurodivergence, bp.d, sex therapy, and trauma. I place you at the center of your own story. I incorporate mind-body connection, emotional experiences, and relationships of all kinds into the therapy space. I truly believe that you deserve to live your best life, and I am here to offer whatever help I may toward that end.
I work with people ages 15 and older on a myriad of topics. I am especially interested in working with interracial couples, first/second generation immigrants, queer folx, BIPOCs, men, and sex workers. Areas of specialities include mindfulness, BDSM, gender, non-monogamy, social justice, anxiety, depression, neurodivergence, bp.d, sex therapy, and trauma. I place you at the center of your own story. I incorporate mind-body connection, emotional experiences, and relationships of all kinds into the therapy space. I truly believe that you deserve to live your best life, and I am here to offer whatever help I may toward that end.
(971) 247-3048 View (971) 247-3048
Photo of Seth Chapman, Marriage & Family Therapist in Portland, OR
Seth Chapman
Marriage & Family Therapist, MA, LMFT, CSAT
Verified Verified
Portland, OR 97205  (Online Only)
I use humor, empathy, and cognitive behavioral therapy (CBT) to help people struggling with issues ranging from anxiety and depression to trauma, co-dependency and sex & love addiction / compulsivity.
I help individuals and couples clarify and strengthen their relationship goals. Learning how to build more satisfying relationships leads to lasting change and empowerment. Old, less helpful ways of thinking are replaced with new, more realistic ideas of self-acceptance and how to rely on others. The result is a clearer picture of one's strengths, limitations, and belonging in the world.
I use humor, empathy, and cognitive behavioral therapy (CBT) to help people struggling with issues ranging from anxiety and depression to trauma, co-dependency and sex & love addiction / compulsivity.
I help individuals and couples clarify and strengthen their relationship goals. Learning how to build more satisfying relationships leads to lasting change and empowerment. Old, less helpful ways of thinking are replaced with new, more realistic ideas of self-acceptance and how to rely on others. The result is a clearer picture of one's strengths, limitations, and belonging in the world.
(971) 306-4814 View (971) 306-4814
Photo of Gary Conachan III, Pre-Licensed Professional in Portland, OR
Gary Conachan III
Pre-Licensed Professional, MS, NCC
Verified Verified
Portland, OR 97266  (Online Only)
As an ex-evangelical queer person, I am passionate about partnering with LGBTQIA+ adults to help them live authentic and fulfilling sexual, relational, and spiritual lives through sex and relationship therapy. Client issues include but are not limited to navigating non-affirming relationships, sexual concerns and "dysfunctions," and breakdowns in communication or values conflicts. I collaborate with my clients to increase self-understanding, foster agency, clarify self-defined values, build communication skills, increase emotional well-being in relationships, heal from religious trauma, and explore spirituality.
As an ex-evangelical queer person, I am passionate about partnering with LGBTQIA+ adults to help them live authentic and fulfilling sexual, relational, and spiritual lives through sex and relationship therapy. Client issues include but are not limited to navigating non-affirming relationships, sexual concerns and "dysfunctions," and breakdowns in communication or values conflicts. I collaborate with my clients to increase self-understanding, foster agency, clarify self-defined values, build communication skills, increase emotional well-being in relationships, heal from religious trauma, and explore spirituality.
(503) 543-1994 View (503) 543-1994
Photo of Joshua Bytendorp, Licensed Professional Counselor in Portland, OR
Joshua Bytendorp
Licensed Professional Counselor, LPC, LCMHC
Verified Verified
2 Endorsed
Portland, OR 97266  (Online Only)
As a queer neurodivergent (autism/ADHD) sex therapist, I provide a unique experience for my clients to be able to work through issues around sex, sexuality, trauma, religious trauma, gender dysphoria and other mental health issues. I provide a safe nonjudgmental place for those who identify as queer, neurodivergent, kinky, ENM who wants a therapist who has extensive training and understanding of the issues that you face and deal with.
As a queer neurodivergent (autism/ADHD) sex therapist, I provide a unique experience for my clients to be able to work through issues around sex, sexuality, trauma, religious trauma, gender dysphoria and other mental health issues. I provide a safe nonjudgmental place for those who identify as queer, neurodivergent, kinky, ENM who wants a therapist who has extensive training and understanding of the issues that you face and deal with.
(503) 400-3683 View (503) 400-3683
Photo of Sarah Sumner, Clinical Social Worker Associate in Portland, OR
Sarah Sumner
Clinical Social Worker Associate, C-YT
Verified Verified
Portland, OR 97214  (Online Only)
From personal and professional experience I know how hard it can be to navigate difficult circumstances without support- and I’m so glad you’re here. I enjoy working with a range of clients and specialize in assisting individuals and couples who are neurodivergent, LGBTQ+, and/or adult survivors of complex trauma and their partners navigate anxiety, depression, communication issues, and cultivate healthy sexuality. I am also kink/BDSM affirming and poly/ethical non-monogamy affirming.
From personal and professional experience I know how hard it can be to navigate difficult circumstances without support- and I’m so glad you’re here. I enjoy working with a range of clients and specialize in assisting individuals and couples who are neurodivergent, LGBTQ+, and/or adult survivors of complex trauma and their partners navigate anxiety, depression, communication issues, and cultivate healthy sexuality. I am also kink/BDSM affirming and poly/ethical non-monogamy affirming.
(503) 212-6551 View (503) 212-6551
Photo of The Center for Couple's & Sex Therapy , Marriage & Family Therapist in Portland, OR
The Center for Couple's & Sex Therapy
Marriage & Family Therapist, LMFT, LPC, LCSW
Verified Verified
Portland, OR 97232  (Online Only)
Our therapists are highly specialized, compassionate, and dedicated to helping you create more pleasure and connection in your life. We believe that everyone deserves access to high-quality, specialized therapeutic care. The Center stands with and supports LGBTQIA+, BIPOC, Latinx, AAPI, Immigrant and Native communities. We are gender and trans-affirming, anti-racist, and open to supporting folks in monogamous and non-mongamous relationships of any kind. We pride ourselves on providing sex positive therapy to all individuals in our community.
Our therapists are highly specialized, compassionate, and dedicated to helping you create more pleasure and connection in your life. We believe that everyone deserves access to high-quality, specialized therapeutic care. The Center stands with and supports LGBTQIA+, BIPOC, Latinx, AAPI, Immigrant and Native communities. We are gender and trans-affirming, anti-racist, and open to supporting folks in monogamous and non-mongamous relationships of any kind. We pride ourselves on providing sex positive therapy to all individuals in our community.
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Photo of Gary Neil Reiss, Clinical Social Work/Therapist in Portland, OR
Gary Neil Reiss
Clinical Social Work/Therapist, PhD, , LCSW
Verified Verified
1 Endorsed
Portland, OR 97209
My specialties include working with body symptoms; dreams; couples and family issues; sex therapy and intimacy work; trauma personal and collective; and working with money issues.
I work with a wide range of people. My clients like deep work, As a Process Oriented therapist and teacher I use dreamwork, symptoms work, bodywork, movement, relationship work, conflict work, inner work and meditation, art and creativity, and many other methods based on the individuals client's process. I work with individuals, couples, and families. I have helped develop Process Oriented family therapy; Process Oriented sex and intimacy work; Process Oriented personal and historical trauma work; Process oriented coma and brain injury work, I have written 11 books on these topics. My work integrates mind body and spirit.
My specialties include working with body symptoms; dreams; couples and family issues; sex therapy and intimacy work; trauma personal and collective; and working with money issues.
I work with a wide range of people. My clients like deep work, As a Process Oriented therapist and teacher I use dreamwork, symptoms work, bodywork, movement, relationship work, conflict work, inner work and meditation, art and creativity, and many other methods based on the individuals client's process. I work with individuals, couples, and families. I have helped develop Process Oriented family therapy; Process Oriented sex and intimacy work; Process Oriented personal and historical trauma work; Process oriented coma and brain injury work, I have written 11 books on these topics. My work integrates mind body and spirit.
(458) 218-8186 View (458) 218-8186
Photo of Colleen Quigley, Clinical Social Work/Therapist in Portland, OR
Colleen Quigley
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
1 Endorsed
Portland, OR 97218  (Online Only)
Are you experiencing difficulties in achieving sexual satisfaction or pleasure? Do you feel there's a gap between your sexual desires and how they align with your identity? Do you find it challenging to communicate openly about your sexual needs and preferences with your partner(s)? Are you exploring new facets of your sexuality and seeking guidance in doing so in a supportive, affirming environment? Has googling these questions left you more confused and frustrated? My mission as a sex therapist is to guide you through this journey of self-discovery and provide you with the sexual & relational skills that you are looking for.
Are you experiencing difficulties in achieving sexual satisfaction or pleasure? Do you feel there's a gap between your sexual desires and how they align with your identity? Do you find it challenging to communicate openly about your sexual needs and preferences with your partner(s)? Are you exploring new facets of your sexuality and seeking guidance in doing so in a supportive, affirming environment? Has googling these questions left you more confused and frustrated? My mission as a sex therapist is to guide you through this journey of self-discovery and provide you with the sexual & relational skills that you are looking for.
(347) 429-7998 View (347) 429-7998
Photo of Anissa Bahrenburg, Clinical Social Work/Therapist in Portland, OR
Anissa Bahrenburg
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97232
I am enrolled in an advanced certification program for Relationship and Sex Therapy at the Modern Sex Therapy Institute.
Hi, I'm Anissa, I'm a therapist and the founder of Carnelian Counseling, LLC. I'm excited to explore the work that we can do together. I am fortunate to do work that I love. Therapy is one of the greatest gifts that you can give yourself. It is an investment of time, money and most of all ENERGY in yourself. You are worth it and you can do the work! I offer Sex & Relationship Therapy as well as Clinical Supervision. I work from a trauma informed and strengths based perspective. I believe that you are resilient, strong and wise. I am present-focused and have a collaborative and direct approach.
I am enrolled in an advanced certification program for Relationship and Sex Therapy at the Modern Sex Therapy Institute.
Hi, I'm Anissa, I'm a therapist and the founder of Carnelian Counseling, LLC. I'm excited to explore the work that we can do together. I am fortunate to do work that I love. Therapy is one of the greatest gifts that you can give yourself. It is an investment of time, money and most of all ENERGY in yourself. You are worth it and you can do the work! I offer Sex & Relationship Therapy as well as Clinical Supervision. I work from a trauma informed and strengths based perspective. I believe that you are resilient, strong and wise. I am present-focused and have a collaborative and direct approach.
(503) 568-1201 View (503) 568-1201
Photo of Heidi Swartzmiller, Marriage & Family Therapist in Portland, OR
Heidi Swartzmiller
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Portland, OR 97214
I have a Master’s Degree in Marriage, Couples, and Family Therapy from Lewis and Clark with a focus on International Families and Sex Therapy.
Welcome! I enjoy working with individuals and couples, and walking alongside them in their healing. I believe therapy is a collaborative experience between the family and therapist, that each client has the resiliency and resources they need already within, and that it is our job to uncover them. My work with clients considers biological, psychological, social, and spiritual factors. I specialize in working with clients who are experiencing relational distress, sex concerns, infertility/pregnancy issues, transracial/transnational family dynamics, processing trauma, religion and spirituality, body-image concerns, or low self esteem.
I have a Master’s Degree in Marriage, Couples, and Family Therapy from Lewis and Clark with a focus on International Families and Sex Therapy.
Welcome! I enjoy working with individuals and couples, and walking alongside them in their healing. I believe therapy is a collaborative experience between the family and therapist, that each client has the resiliency and resources they need already within, and that it is our job to uncover them. My work with clients considers biological, psychological, social, and spiritual factors. I specialize in working with clients who are experiencing relational distress, sex concerns, infertility/pregnancy issues, transracial/transnational family dynamics, processing trauma, religion and spirituality, body-image concerns, or low self esteem.
(503) 966-8786 View (503) 966-8786
Photo of Eden Swartz, LPC Intern in Portland, OR
Eden Swartz
LPC Intern, MA
Verified Verified
4 Endorsed
Portland, OR 97206
Waitlist for new clients
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
My favorite thing to do is support people. Being human can feel difficult and confusing at times. Communication can feel even trickier. I support my clients with lovingkindness and unlimited compassion. I am vibrant and down-to-earth. I definitely want all of my clients to feel safe, heard, and grounded. I specialize in transitions, anxiety, depression, sex, couples, parenting, divorce, insecurities, etc. I have a special place in my heart for the perinatal community. I have been working with new families for almost 20 years.
(503) 470-4753 View (503) 470-4753
Photo of Dr. Marisol G Westberg, Marriage & Family Therapist in Portland, OR
Dr. Marisol G Westberg
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Portland, OR 97205  (Online Only)
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy in Portland, Oregon. I have been a therapist for 10 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating, and nurturing.
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy in Portland, Oregon. I have been a therapist for 10 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating, and nurturing.
(971) 232-3136 View (971) 232-3136
Photo of Demir Crone, Pre-Licensed Professional in Portland, OR
Demir Crone
Pre-Licensed Professional, MA, AMFT
Verified Verified
Portland, OR 97202  (Online Only)
I am currently training as a sex therapist via the Institute of Relational Intimacy.
I am an Associate Marriage and Family Therapist. I was trained at Sofia University where I received a Masters in Counseling Psychology with a specialization in creative expression. I worked primarily with children and teenagers in community health and with HeadStart. After graduating in 2013 and briefly working as an associate therapist, I wanted to take therapy out of the confines of the therapy office and into as many places as I could. For 11 years, I operated my own business as a whole person running coach, couples coach, life coach, summer camp organizer and facilitator, massage therapist, and tai chi and qigong instructor.
I am currently training as a sex therapist via the Institute of Relational Intimacy.
I am an Associate Marriage and Family Therapist. I was trained at Sofia University where I received a Masters in Counseling Psychology with a specialization in creative expression. I worked primarily with children and teenagers in community health and with HeadStart. After graduating in 2013 and briefly working as an associate therapist, I wanted to take therapy out of the confines of the therapy office and into as many places as I could. For 11 years, I operated my own business as a whole person running coach, couples coach, life coach, summer camp organizer and facilitator, massage therapist, and tai chi and qigong instructor.
(503) 594-7676 View (503) 594-7676
Photo of Terra Anderson in Portland, OR
Terra Anderson
MA, R-DMT
Verified Verified
1 Endorsed
Portland, OR 97214
As a somatic sex therapist, I help you tap into what your body needs to relax, unfurl, and connect to pleasure.
So... you want more ease, confidence and connection in your intimate relationships? You want to feel more awake to pleasure, present in your body, and clear about what you want and how to ask for it. Are you ready find more freedom in your sex life without feeling weighed down by shame, fear, or the past? If you're looking for a queer, trans, poly-experienced, kink-affirming, and somatically-oriented counselor to help you navigate the hard stuff on your path towards your most empowered sexual expression - I'm here for you.
As a somatic sex therapist, I help you tap into what your body needs to relax, unfurl, and connect to pleasure.
So... you want more ease, confidence and connection in your intimate relationships? You want to feel more awake to pleasure, present in your body, and clear about what you want and how to ask for it. Are you ready find more freedom in your sex life without feeling weighed down by shame, fear, or the past? If you're looking for a queer, trans, poly-experienced, kink-affirming, and somatically-oriented counselor to help you navigate the hard stuff on your path towards your most empowered sexual expression - I'm here for you.
(971) 259-6680 View (971) 259-6680
Photo of Heather Shannon | Certified Sex Therapist, Counselor in Portland, OR
Heather Shannon | Certified Sex Therapist
Counselor, LCPC, CST
Verified Verified
Portland, OR 97229  (Online Only)
Has sex become an elephant in the room instead of a way to feel close and connected? Maybe it seems like you trigger each other when it comes to sex. Or sex has simply become a chore. You might be feeling more like friends, co-parents or roommates instead of romantic partners. And it can be so difficult to talk to your partner about intimacy when it's a stressor....or you're not being intimate at all. Sex is admittedly a sensitive area that can bring up insecurities or ego, but there is a way to get back to feeling passionate and excited again. My goal is for you to feel safe, understood and able to express your authentic sexuality.
Has sex become an elephant in the room instead of a way to feel close and connected? Maybe it seems like you trigger each other when it comes to sex. Or sex has simply become a chore. You might be feeling more like friends, co-parents or roommates instead of romantic partners. And it can be so difficult to talk to your partner about intimacy when it's a stressor....or you're not being intimate at all. Sex is admittedly a sensitive area that can bring up insecurities or ego, but there is a way to get back to feeling passionate and excited again. My goal is for you to feel safe, understood and able to express your authentic sexuality.
(971) 265-3207 View (971) 265-3207
Photo of Abby Hall, Licensed Professional Counselor in Portland, OR
Abby Hall
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97214
Have you had desires of what your sex life or relationships could look like, but never known how to make that a reality? Do you find yourself stuck in navigating relationships with others of varying sexual orientations or sexual lifestyles? Perhaps you struggle with communicating and navigating those differences in desire or needs with your partners. Whether that is an addition of a new partner, a child, a new dynamic in your relationship, or not feeling your most authentic self in your sexuality or relationships, you are ready to take that next step and embrace your identity and sexuality in this phase of your life.
Have you had desires of what your sex life or relationships could look like, but never known how to make that a reality? Do you find yourself stuck in navigating relationships with others of varying sexual orientations or sexual lifestyles? Perhaps you struggle with communicating and navigating those differences in desire or needs with your partners. Whether that is an addition of a new partner, a child, a new dynamic in your relationship, or not feeling your most authentic self in your sexuality or relationships, you are ready to take that next step and embrace your identity and sexuality in this phase of your life.
(971) 265-8082 View (971) 265-8082
Photo of The Gender and Sex Therapy Clinic, PLLC, Licensed Professional Counselor in Portland, OR
The Gender and Sex Therapy Clinic, PLLC
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
3 Endorsed
Portland, OR 97232  (Online Only)
Understanding of Queer, Trans, Kink, Poly, Sex Positive and BDSM lifestyles.
Finding trustworthy professionals to help you with intimate issues is embarrassing and difficult. You can find a safe space in therapy when you can find it nowhere else. This is my most important skill, something not learned in school: unconditional positive acceptance and honest, non-threatening communication about intimate problems. Here you will find sensitivity to private behaviors which are regarded with non-judgmental acceptance and respect, never shame nor intolerance. Now accepting CareOregon members.
Understanding of Queer, Trans, Kink, Poly, Sex Positive and BDSM lifestyles.
Finding trustworthy professionals to help you with intimate issues is embarrassing and difficult. You can find a safe space in therapy when you can find it nowhere else. This is my most important skill, something not learned in school: unconditional positive acceptance and honest, non-threatening communication about intimate problems. Here you will find sensitivity to private behaviors which are regarded with non-judgmental acceptance and respect, never shame nor intolerance. Now accepting CareOregon members.
(360) 209-2950 View (360) 209-2950
Photo of Jena Kunimune, Pre-Licensed Professional in Portland, OR
Jena Kunimune
Pre-Licensed Professional, MS
Verified Verified
Portland, OR 97232  (Online Only)
Are you looking for a couples or individual therapist? I'm glad you are taking the first steps! I am experienced working with diverse couple systems navigating interracial couple dynamics, intimacy and sex in relationships, and addressing conflict and communication patterns. I also offer individual therapy where my goal is to help you reconnect with your authentic-self and navigate ways to cope with the challenges life can throw at us. I am here to support you as you navigate the journey toward healing. I identify as a transracial and transnational Chinese adoptee and I have a special interest in serving transracial adoptees.
Are you looking for a couples or individual therapist? I'm glad you are taking the first steps! I am experienced working with diverse couple systems navigating interracial couple dynamics, intimacy and sex in relationships, and addressing conflict and communication patterns. I also offer individual therapy where my goal is to help you reconnect with your authentic-self and navigate ways to cope with the challenges life can throw at us. I am here to support you as you navigate the journey toward healing. I identify as a transracial and transnational Chinese adoptee and I have a special interest in serving transracial adoptees.
(503) 382-8521 View (503) 382-8521
Sex Therapy

Who is sex therapy for?

Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.

Why do people need sex therapy?

Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.

What happens in sex therapy?

People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.

What kinds of problems do sex therapists treat?

Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.