Photo of Sandra Simmons, Clinical Social Work/Therapist in San Antonio, TX
Sandra Simmons
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
I am a sex positive therapist; I focus on sexual health and body positivity.
Choosing a therapist you feel you can work well with is critical to successful treatment. I offer a safe, collaborative, empathic & trusting relational space in which you can explore your issues and concerns without fear of judgment. We will work together to help you develop greater self-understanding, foster close, connected relationships, uncover thought & behavioral patterns that interfere with happiness, master coping skills and achieve the emotional vitality necessary to a healthy, productive and satisfying life.
I am a sex positive therapist; I focus on sexual health and body positivity.
Choosing a therapist you feel you can work well with is critical to successful treatment. I offer a safe, collaborative, empathic & trusting relational space in which you can explore your issues and concerns without fear of judgment. We will work together to help you develop greater self-understanding, foster close, connected relationships, uncover thought & behavioral patterns that interfere with happiness, master coping skills and achieve the emotional vitality necessary to a healthy, productive and satisfying life.
(210) 880-9104 View (210) 880-9104
Photo of Austin Mcneel Siegel, Licensed Professional Counselor in San Antonio, TX
Austin Mcneel Siegel
Licensed Professional Counselor, MA, LPC, CST
Verified Verified
San Antonio, TX 78213  (Online Only)
I am a Licensed Professional Counselor and AASECT-certified Sex Therapist providing sex therapy to individuals and couples, helping them to overcome obstacles that interfere with sexual fulfillment to improve their relationships and strengthen their sexual expression. My practice addresses a wide range of issues ranging from erectile dysfunction to difficulty in achieving female orgasm, but much of my practice involves helping couples resolve issues to obtain a fulfilling sex life. Many therapists dislike or are uncomfortable with marital and couples therapy. I consider it to be one of my passions, strengths, and specialties.
I am a Licensed Professional Counselor and AASECT-certified Sex Therapist providing sex therapy to individuals and couples, helping them to overcome obstacles that interfere with sexual fulfillment to improve their relationships and strengthen their sexual expression. My practice addresses a wide range of issues ranging from erectile dysfunction to difficulty in achieving female orgasm, but much of my practice involves helping couples resolve issues to obtain a fulfilling sex life. Many therapists dislike or are uncomfortable with marital and couples therapy. I consider it to be one of my passions, strengths, and specialties.
(210) 899-5672 View (210) 899-5672
Photo of Marti Stany, Clinical Social Work/Therapist in San Antonio, TX
Marti Stany
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78213  (Online Only)
If you're reading this, you're likely feeling overwhelmed, shame, or alone due to trauma or problems in your sex life or relationship. Perhaps you feel confused about your sexual identity or aren’t accepted and celebrated for who you are. Maybe you are stuck in a negative loop of excessive porn use or a compulsive desire for sex that is ruining your relationships and your life. Together, we'll navigate the parts of your life you've buried deep out of shame and pain. I know it can be terrifying to plunge into these depths alone. I'll be by your side every step of the way, offering a loving and non-judgmental space.
If you're reading this, you're likely feeling overwhelmed, shame, or alone due to trauma or problems in your sex life or relationship. Perhaps you feel confused about your sexual identity or aren’t accepted and celebrated for who you are. Maybe you are stuck in a negative loop of excessive porn use or a compulsive desire for sex that is ruining your relationships and your life. Together, we'll navigate the parts of your life you've buried deep out of shame and pain. I know it can be terrifying to plunge into these depths alone. I'll be by your side every step of the way, offering a loving and non-judgmental space.
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Photo of Yvette Massey - Certified Sex Therapist, Licensed Professional Counselor in San Antonio, TX
Yvette Massey - Certified Sex Therapist
Licensed Professional Counselor, MA, LPC, CST
Verified Verified
San Antonio, TX 78258
I am a Licensed Professional Counselor and AASECT - Certified Sex Therapist.
Need help with sexual issues or other life challenges? I help couples and individuals overcome obstacles that interfere with living their best life. Maybe you struggle with anxiety or depression. Maybe you have low sexual desire, or pain during intercourse. Maybe you just had a baby and have postpartum depression. Maybe you want more enjoyable sex, or you want to stop watching porn. Maybe you're haunted by past trauma and can't move forward. Maybe you've never had an orgasm, or you have erection difficulties. Maybe you just need a safe place to talk about life. I can help with all these issues and more. Call me and let's talk!
I am a Licensed Professional Counselor and AASECT - Certified Sex Therapist.
Need help with sexual issues or other life challenges? I help couples and individuals overcome obstacles that interfere with living their best life. Maybe you struggle with anxiety or depression. Maybe you have low sexual desire, or pain during intercourse. Maybe you just had a baby and have postpartum depression. Maybe you want more enjoyable sex, or you want to stop watching porn. Maybe you're haunted by past trauma and can't move forward. Maybe you've never had an orgasm, or you have erection difficulties. Maybe you just need a safe place to talk about life. I can help with all these issues and more. Call me and let's talk!
(210) 887-1670 View (210) 887-1670
Photo of Kizzy Griffin, Licensed Professional Counselor in San Antonio, TX
Kizzy Griffin
Licensed Professional Counselor, MS, LPC, LMSW
Verified Verified
San Antonio, TX 78229  (Online Only)
My experience includes working with life transitions (military and civilian), intimacy barriers, sexuality connections, depression, anxiety, LGBTQIA+ challenges, trauma, race-related trauma, Military Trauma, PTSD, and addiction.
Since 2018, I have utilized person-centered and strength-based practices to promote the "Power of Self." These practices empower individuals to direct their therapeutic process. Establishing a safe zone and welcoming client feedback allows methods that are proven to be effective in managing difficulties, promoting personal growth, and accomplishing personal goals. I also provide therapy services to individuals exploring their sexuality; sexually fluent; and those that are experiencing a decrease or increase in sexual functioning.
My experience includes working with life transitions (military and civilian), intimacy barriers, sexuality connections, depression, anxiety, LGBTQIA+ challenges, trauma, race-related trauma, Military Trauma, PTSD, and addiction.
Since 2018, I have utilized person-centered and strength-based practices to promote the "Power of Self." These practices empower individuals to direct their therapeutic process. Establishing a safe zone and welcoming client feedback allows methods that are proven to be effective in managing difficulties, promoting personal growth, and accomplishing personal goals. I also provide therapy services to individuals exploring their sexuality; sexually fluent; and those that are experiencing a decrease or increase in sexual functioning.
(254) 232-5631 View (254) 232-5631
Photo of Dr. Faith Christie Leigh Roby, Marriage & Family Therapist in San Antonio, TX
Dr. Faith Christie Leigh Roby
Marriage & Family Therapist, LMFT, EdD, MMFT, MA, BS
Verified Verified
2 Endorsed
San Antonio, TX 78205  (Online Only)
Life has a way of throwing curve balls that may feel insurmountable. The curve balls of life can affect you mentally, emotionally, physically, and spiritually. Do you have sex-based issues in your marriage? Do you have an ongoing issue with your children & believe as though you are the most clueless parent in the world? Have you experienced trauma, adultery, abuse, church/religious issues, or mental anguish? There is hope. I specialize in marital, premarital, individual & family therapy. Bring your mustard of seed faith & I will bring my empathetic care with expertise. Together through God healing can be achieved!
Life has a way of throwing curve balls that may feel insurmountable. The curve balls of life can affect you mentally, emotionally, physically, and spiritually. Do you have sex-based issues in your marriage? Do you have an ongoing issue with your children & believe as though you are the most clueless parent in the world? Have you experienced trauma, adultery, abuse, church/religious issues, or mental anguish? There is hope. I specialize in marital, premarital, individual & family therapy. Bring your mustard of seed faith & I will bring my empathetic care with expertise. Together through God healing can be achieved!
(901) 245-5248 View (901) 245-5248
Photo of Jennive Henry, Licensed Professional Counselor in San Antonio, TX
Jennive Henry
Licensed Professional Counselor, MS, NCC, LPC, CST
Verified Verified
San Antonio, TX 78254  (Online Only)
I expand my counseling services to include and encompass mental and sexual health. My aim is to provide a safe, respectful, supportive, and confidential space to explore and address a wide range of concerns to foster healthy, enhancing, and fulfilling life and relationships. Many of my clients come to me with issues with confidence, self-esteem, depression, intimacy issues, sexual dysfunction, low libido, communication problems, trauma or abuse, sexual identity exploration, infidelity, kink/fetish/BDSM, sexual compulsivity, sexual education, relationship enhancement, and/or preparation for major life changes. Virtual/Telehealth only
I expand my counseling services to include and encompass mental and sexual health. My aim is to provide a safe, respectful, supportive, and confidential space to explore and address a wide range of concerns to foster healthy, enhancing, and fulfilling life and relationships. Many of my clients come to me with issues with confidence, self-esteem, depression, intimacy issues, sexual dysfunction, low libido, communication problems, trauma or abuse, sexual identity exploration, infidelity, kink/fetish/BDSM, sexual compulsivity, sexual education, relationship enhancement, and/or preparation for major life changes. Virtual/Telehealth only
(361) 204-1844 View (361) 204-1844
Photo of Riaz Counseling, Licensed Professional Counselor in San Antonio, TX
Riaz Counseling
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78249  (Online Only)
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
(210) 934-7770 View (210) 934-7770
Photo of Gloria Tijerina, Clinical Social Work/Therapist in San Antonio, TX
Gloria Tijerina
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78211
I am a licensed therapist with over 25 yrs experience with adults, the elderly, teens, couples, families, the chronic mentally ill, and the military. I have been in private practice since 2001, and previously worked at partial hospitalization day treatment clinics doing individual and group therapy. I served as program director of an inpatient psychiatric unit in a local hospital. I have a working knowledge of anxiety disorders including PTSD, depression and suicidal ideation, bipolar disorder, marital conflict and relationship issues, crisis and trauma, grief issues, sexual abuse, sexual identity issues, and Christian counseling.
I am a licensed therapist with over 25 yrs experience with adults, the elderly, teens, couples, families, the chronic mentally ill, and the military. I have been in private practice since 2001, and previously worked at partial hospitalization day treatment clinics doing individual and group therapy. I served as program director of an inpatient psychiatric unit in a local hospital. I have a working knowledge of anxiety disorders including PTSD, depression and suicidal ideation, bipolar disorder, marital conflict and relationship issues, crisis and trauma, grief issues, sexual abuse, sexual identity issues, and Christian counseling.
(726) 227-0588 View (726) 227-0588
Photo of Custom Counseling, Licensed Professional Counselor in San Antonio, TX
Custom Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78258  (Online Only)
You've taken that first step. Something is not right. You need help. We barely have enough time to do the things that are required. How do we fit anything else in? That's why I would like to be your therapist. I have designed my practice to suit your needs through 100% tele-sessions. With the resources that are available to us now, there is just no reason that any of us should endure these trials alone. I have the expertise to provide you with the care necessary to address your specific concerns.
You've taken that first step. Something is not right. You need help. We barely have enough time to do the things that are required. How do we fit anything else in? That's why I would like to be your therapist. I have designed my practice to suit your needs through 100% tele-sessions. With the resources that are available to us now, there is just no reason that any of us should endure these trials alone. I have the expertise to provide you with the care necessary to address your specific concerns.
(210) 625-5863 View (210) 625-5863
Photo of Online Virtual Therapy With Shaudi Adel, Clinical Social Work/Therapist in San Antonio, TX
Online Virtual Therapy With Shaudi Adel
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Antonio, TX 78250
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life. My goal is to help you find compassion for yourself, develop skills to help you navigate life stressors, and be confident in the resilient person you are.
(858) 736-9964 View (858) 736-9964
Photo of Clifton Fuller, Clinical Social Work/Therapist in San Antonio, TX
Clifton Fuller
Clinical Social Work/Therapist, LCSW-S, LPC-S, LMFT-S
Verified Verified
San Antonio, TX 78230  (Online Only)
I'm here to help my counseling and coaching clients discover personal strengths, address life issues, find direction, as well as reach their goals, resolve issues, and move forward as quickly and effectively as possible. I work closely with those evaluating life, relationships, education, or career changes. I am a Certified Life Coach and hold multiple licenses: Licensed Clinical Social Worker, Licensed Marriage & Family Therapist, Licensed Professional Counselor, Approved Supervisor for LPC, LMFT, & LCSW's). Author "Marriage Vampire-Living with a Narcissist" (on Amazon) and other publications at FullerLifePublishing website.
I'm here to help my counseling and coaching clients discover personal strengths, address life issues, find direction, as well as reach their goals, resolve issues, and move forward as quickly and effectively as possible. I work closely with those evaluating life, relationships, education, or career changes. I am a Certified Life Coach and hold multiple licenses: Licensed Clinical Social Worker, Licensed Marriage & Family Therapist, Licensed Professional Counselor, Approved Supervisor for LPC, LMFT, & LCSW's). Author "Marriage Vampire-Living with a Narcissist" (on Amazon) and other publications at FullerLifePublishing website.
(210) 598-5053 View (210) 598-5053
Photo of Amanda Jones, Clinical Social Work/Therapist in San Antonio, TX
Amanda Jones
Clinical Social Work/Therapist, LCSW-S, C-SWHC
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
(210) 633-8756 View (210) 633-8756
Photo of Valerie J Vineyard, Licensed Professional Counselor in San Antonio, TX
Valerie J Vineyard
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78258  (Online Only)
If you feel stuck, overwhelmed, confused, powerless, helpless to control life issues, a healthy first step toward realizing positive change in your life, is to invest in therapy. By discovering your strengths, gifts, and unique perception, we can begin utilizing these attributes toward effective thoughtful problem solving and decision making behaviors.
If you feel stuck, overwhelmed, confused, powerless, helpless to control life issues, a healthy first step toward realizing positive change in your life, is to invest in therapy. By discovering your strengths, gifts, and unique perception, we can begin utilizing these attributes toward effective thoughtful problem solving and decision making behaviors.
(210) 879-6713 View (210) 879-6713
Photo of Rhonda Katan in San Antonio, TX
Rhonda Katan
RN, FMP, BCBC, CLC, Lic Min
Verified Verified
San Antonio, TX 78254
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
(210) 796-2644 View (210) 796-2644
Photo of Dr. Kay Schanzer, Licensed Professional Counselor in San Antonio, TX
Dr. Kay Schanzer
Licensed Professional Counselor, PhD, LPC, CCP
Verified Verified
San Antonio, TX 78212
If we are to live into our potential and experience lives that are meaningful to us, it is helpful to gain insight into where we feel blocked and what needs to happen to move us closer to our authentic self. As a psychotherapist and certified psychoanalyst, I can often help you on this journey. There are many reasons why we seek individual or couple therapy. Understanding ourselves better seems to be reason enough. But for some this decision comes when we are at a particularly difficult moment in life--a death, divorce, relationship concerns, retirement or any situation which may constellate strong feelings.
If we are to live into our potential and experience lives that are meaningful to us, it is helpful to gain insight into where we feel blocked and what needs to happen to move us closer to our authentic self. As a psychotherapist and certified psychoanalyst, I can often help you on this journey. There are many reasons why we seek individual or couple therapy. Understanding ourselves better seems to be reason enough. But for some this decision comes when we are at a particularly difficult moment in life--a death, divorce, relationship concerns, retirement or any situation which may constellate strong feelings.
(210) 255-2006 View (210) 255-2006
SPA, LLC - Supportive Psychological Associates
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I believe in a therapeutic process that revolves around life's changes and the journeys it takes us on. Choosing to change your focus is a powerful way of transforming any situation. Focusing on the positive doesn't mean that we are denying reality or avoiding what isn't working. It simply allows us to work from a grounded place in order to make the most informed decision from a less emotional place of clarity. Within our sessions, the goal is to cultivate a trusting and collaborative therapeutic relationship where an individual can bring their full self into session without any fear.
I believe in a therapeutic process that revolves around life's changes and the journeys it takes us on. Choosing to change your focus is a powerful way of transforming any situation. Focusing on the positive doesn't mean that we are denying reality or avoiding what isn't working. It simply allows us to work from a grounded place in order to make the most informed decision from a less emotional place of clarity. Within our sessions, the goal is to cultivate a trusting and collaborative therapeutic relationship where an individual can bring their full self into session without any fear.
(210) 934-9262 View (210) 934-9262
Photo of Desiree Medina - Rekindling Hope Therapy, Licensed Professional Counselor in San Antonio, TX
Desiree Medina - Rekindling Hope Therapy
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78257
Are you tired of having the same argument with your partner and not feeling heard? Are you stressed and overwhelmed feeling like no matter what you do, nothing is ever good enough? Anxiety, comparison, and trying to keep it together is draining. You’ve realized all the people pleasing and unrealistic expectations to be perfect isn’t serving you anymore. Whether you need help adjusting to life transitions, communicating within your relationships, or want to work through some negative past experiences, together we can figure out what's getting in the way and rekindle the hope that's been lost.
Are you tired of having the same argument with your partner and not feeling heard? Are you stressed and overwhelmed feeling like no matter what you do, nothing is ever good enough? Anxiety, comparison, and trying to keep it together is draining. You’ve realized all the people pleasing and unrealistic expectations to be perfect isn’t serving you anymore. Whether you need help adjusting to life transitions, communicating within your relationships, or want to work through some negative past experiences, together we can figure out what's getting in the way and rekindle the hope that's been lost.
(210) 941-2597 View (210) 941-2597
Photo of Sandra Teniente Cnslg Srvcs, Licensed Professional Counselor in San Antonio, TX
Sandra Teniente Cnslg Srvcs
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78212  (Online Only)
I strive to tailor treatment to a client’s specific needs by addressing their personal strengths to reach their goals. Focus is on changing problematic behaviors, feelings, & thoughts by discovering their meanings by challenging and replacing negative thinking patterns. I offer Diagnostic Assessments & testing to clarify or rule out specific diagnoses (ADHD, ASD, Substance Abuse); Psychological Evaluations to assess a person’s current level of cognitive, academic, emotional & social functioning & provide administration of The Anger-Aggression-Violence-Assessment AAVA. MEDICATION MANAGEMENT COMING SOON!!!!!!!!!!!
I strive to tailor treatment to a client’s specific needs by addressing their personal strengths to reach their goals. Focus is on changing problematic behaviors, feelings, & thoughts by discovering their meanings by challenging and replacing negative thinking patterns. I offer Diagnostic Assessments & testing to clarify or rule out specific diagnoses (ADHD, ASD, Substance Abuse); Psychological Evaluations to assess a person’s current level of cognitive, academic, emotional & social functioning & provide administration of The Anger-Aggression-Violence-Assessment AAVA. MEDICATION MANAGEMENT COMING SOON!!!!!!!!!!!
(210) 361-2878 View (210) 361-2878
Photo of Susan R Smart, Licensed Professional Counselor in San Antonio, TX
Susan R Smart
Licensed Professional Counselor, MAC, LPC
Verified Verified
San Antonio, TX 78217
Anyone who needs help is my ideal client. I will deal with any issue or need regardless of severity. I want people to achieve all their goals and lead successful lives.
Anyone who needs help is my ideal client. I will deal with any issue or need regardless of severity. I want people to achieve all their goals and lead successful lives.
(210) 972-5963 x232 View (210) 972-5963 x232

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.