Sex Therapists in Provo, UT

Photo of Covenant Sex Therapy, Marriage & Family Therapist in Provo, UT
Covenant Sex Therapy
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Provo, UT 84604
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
(385) 244-4036 View (385) 244-4036
Photo of Covenant Sex Therapy, Marriage & Family Therapist in Provo, UT
Covenant Sex Therapy
Marriage & Family Therapist, PhD, LMFT, CST
Verified Verified
Provo, UT 84604
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. Most of my clients are from a conservative religious background, but this is not a must. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment. We also have a Spanish speaking therapist.
(385) 312-9844 View (385) 312-9844
Photo of Daniel Allen Burgess, Marriage & Family Therapist in Provo, UT
Daniel Allen Burgess
Marriage & Family Therapist, LMFT, MA
Verified Verified
2 Endorsed
Provo, UT 84604
His expertise lies in addressing anxiety, fears, and distractions like sex or porn issues.
Desiring for deeper, more fulfilling relationships but feeling hindered by obstacles like anxiety and fear are my ideal clients. They seek to form healthy, loving bonds with themselves, others, and their faith. Their goals are to understand their reactions, communicate openly, and embrace their purpose confidently. They desire transformative experiences to overcome challenges and distractions, fostering genuine connections and enriched lives.
His expertise lies in addressing anxiety, fears, and distractions like sex or porn issues.
Desiring for deeper, more fulfilling relationships but feeling hindered by obstacles like anxiety and fear are my ideal clients. They seek to form healthy, loving bonds with themselves, others, and their faith. Their goals are to understand their reactions, communicate openly, and embrace their purpose confidently. They desire transformative experiences to overcome challenges and distractions, fostering genuine connections and enriched lives.
(408) 542-0564 View (408) 542-0564
Photo of Bryner Therapy, Clinical Social Work/Therapist in Provo, UT
Bryner Therapy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Provo, UT 84604
Hey there! I'm Annie Bryner. As a clinician, I treat the whole person. As a sex therapist, I help my clients have a healthy, positive relationship with sex. I promise to make you comfortable about areas that have caused you discomfort. You are not flawed or broken. As a trauma therapist, it is important to me to understand what trauma you have experienced in your life that may be causing your depression, anxiety, anger, or pain. My main treatment modalities are Brainspotting and EMDR. With these therapies, even severe symptoms of PTSD can be treated and hope can be found.
Hey there! I'm Annie Bryner. As a clinician, I treat the whole person. As a sex therapist, I help my clients have a healthy, positive relationship with sex. I promise to make you comfortable about areas that have caused you discomfort. You are not flawed or broken. As a trauma therapist, it is important to me to understand what trauma you have experienced in your life that may be causing your depression, anxiety, anger, or pain. My main treatment modalities are Brainspotting and EMDR. With these therapies, even severe symptoms of PTSD can be treated and hope can be found.
(385) 393-6798 View (385) 393-6798
Photo of Andrew Renick, Clinical Social Work/Therapist in Provo, UT
Andrew Renick
Clinical Social Work/Therapist, LCSW
Verified Verified
Provo, UT 84601
I provide individual & couples counseling and sex therapy using evidence-based practices tailored to your unique goals and situation.
Are you struggling with a sexual health or relationship challenge that is interacting unhelpfully with your current or past faith commitments or worldview? I specialize in helping individuals and couples meet their relationship needs and promote their sexual health. I have a particular interest in working on these issues with individuals who currently or historically have a relationship with The Church of Jesus Christ of Latter-day Saints. Many of my clients have worked through sexual shame, conflict, and dysfunction and have vastly improved the quality of their most important relationships.
I provide individual & couples counseling and sex therapy using evidence-based practices tailored to your unique goals and situation.
Are you struggling with a sexual health or relationship challenge that is interacting unhelpfully with your current or past faith commitments or worldview? I specialize in helping individuals and couples meet their relationship needs and promote their sexual health. I have a particular interest in working on these issues with individuals who currently or historically have a relationship with The Church of Jesus Christ of Latter-day Saints. Many of my clients have worked through sexual shame, conflict, and dysfunction and have vastly improved the quality of their most important relationships.
(801) 658-9875 View (801) 658-9875
Photo of Laura M. Brotherson, Marriage & Family Therapist in Provo, UT
Laura M. Brotherson
Marriage & Family Therapist, LMFT, CST, CFLE
Verified Verified
2 Endorsed
Provo, UT 84604
Therapy is akin to walking on sacred ground. I am passionate about helping clients achieve personal wholeness and the loving connections that they long for. As a sex therapist, I am especially enthusiastic about helping couples create "sextraordinary" marriages! I provide a safe, friendly, encouraging and active counseling environment for us to explore what is needed to help you have the best relationships possible. As founder of "The Marital Intimacy Institute," I look forward to working with you online or in person at my Utah office. Visit the MaritalIntimacyInstitute.com for info about my waitlist and Priority Client options.
Therapy is akin to walking on sacred ground. I am passionate about helping clients achieve personal wholeness and the loving connections that they long for. As a sex therapist, I am especially enthusiastic about helping couples create "sextraordinary" marriages! I provide a safe, friendly, encouraging and active counseling environment for us to explore what is needed to help you have the best relationships possible. As founder of "The Marital Intimacy Institute," I look forward to working with you online or in person at my Utah office. Visit the MaritalIntimacyInstitute.com for info about my waitlist and Priority Client options.
(385) 217-3966 View (385) 217-3966
Photo of Ellen Hersam, Marriage & Family Therapist in Provo, UT
Ellen Hersam
Marriage & Family Therapist, LMFT, MA
Verified Verified
5 Endorsed
Provo, UT 84604  (Online Only)
It takes great courage to recognize when you need help and even more to ask for it. Even the strongest and most healthy need a trusted mentor, healer, and guide in their life at some point. Do you find yourself asking questions about sex, sexual health, sexual relationships, or intimacy within your relationship? Do you feel you have a place to ask and explore sexual topics and understand your sexual body? Understanding this part of yourself is an important part of your ability to relate and interact with yourself AND to connect, relate, and interact with others throughout your life. Here is a space for you.
It takes great courage to recognize when you need help and even more to ask for it. Even the strongest and most healthy need a trusted mentor, healer, and guide in their life at some point. Do you find yourself asking questions about sex, sexual health, sexual relationships, or intimacy within your relationship? Do you feel you have a place to ask and explore sexual topics and understand your sexual body? Understanding this part of yourself is an important part of your ability to relate and interact with yourself AND to connect, relate, and interact with others throughout your life. Here is a space for you.
(408) 547-2354 View (408) 547-2354
Photo of Covenant Sex Therapy, Marriage & Family Therapist in Provo, UT
Covenant Sex Therapy
Marriage & Family Therapist, PhD, LMFT, CST
Verified Verified
Provo, UT 84604
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment.
Covenant Sex Therapy is a highly specialized clinic.
Our typical clients are those with issues of sexual dysfunction. This includes those with issues of sexual desire, arousal, orgasm, pain, satisfaction, or out-of-control sexual behavior/addiction. We see clients that have a range of personal beliefs and values. We meet regularly with individuals and couples. Meeting as a couple is not a must. Individuals dealing with sexual dysfunction or out-of-control sexual behavior/addiction that are not in a committed relationship are also welcomed in treatment.
(385) 325-8718 View (385) 325-8718
Photo of Mark Kim Malan in Provo, UT
Mark Kim Malan
PhD, MPH, DACS
Verified Verified
Provo, UT 84601
Dr Mark Malan, PhD, MPH, DACS and Colette Malan, MSW, LCSW, CST are a husband and wife clinical team specializing in sexology and psychotherapy. Mark is a Board Certified Clinical Sexologist and IPC Certified Couple Communications Facilitator. Colette is an AASECT Certified Sex Therapist and Psychotherapist.
Dr Mark Malan, PhD, MPH, DACS and Colette Malan, MSW, LCSW, CST are a husband and wife clinical team specializing in sexology and psychotherapy. Mark is a Board Certified Clinical Sexologist and IPC Certified Couple Communications Facilitator. Colette is an AASECT Certified Sex Therapist and Psychotherapist.
(801) 921-7389 View (801) 921-7389
Photo of Colette Malan, Clinical Social Work/Therapist in Provo, UT
Colette Malan
Clinical Social Work/Therapist, MSW, LCSW, CST
Verified Verified
Provo, UT 84601
I am fully certified through the American Association of Sexuality Educators, Counselors and Therapists as a Certified Sex Therapist.
I am an AASECT certified sex therapist and psychotherapist specializing in marriage and family therapy. My husband, Dr. Mark Malan, are a husband-wife clinical team helping people to have better marriages, happier families, and more rewarding love lives. I provide marriage and sex therapy. I help people with low sexual desire, sexual pain, inability to orgasm, vaginismus, erectile dysfunction, premature ejaculation, and all the other sexual dysfunctions.
I am fully certified through the American Association of Sexuality Educators, Counselors and Therapists as a Certified Sex Therapist.
I am an AASECT certified sex therapist and psychotherapist specializing in marriage and family therapy. My husband, Dr. Mark Malan, are a husband-wife clinical team helping people to have better marriages, happier families, and more rewarding love lives. I provide marriage and sex therapy. I help people with low sexual desire, sexual pain, inability to orgasm, vaginismus, erectile dysfunction, premature ejaculation, and all the other sexual dysfunctions.
(385) 213-1368 View (385) 213-1368
Photo of Natasha Helfer, Marriage & Family Therapist in Provo, UT
Natasha Helfer
Marriage & Family Therapist, LMFT, CST-S
Verified Verified
Provo, UT 84604
Are you, or is someone you love, facing a faith transition that is affecting your relationships and other areas of your life? ​ Are you LGBT+ and looking for services that will support your journey? ​ Do you have sexuality concerns or are you looking for a sex-positive perspective? ​ Are you dealing with issues that require sexual healing?
Are you, or is someone you love, facing a faith transition that is affecting your relationships and other areas of your life? ​ Are you LGBT+ and looking for services that will support your journey? ​ Do you have sexuality concerns or are you looking for a sex-positive perspective? ​ Are you dealing with issues that require sexual healing?
(208) 391-7804 View (208) 391-7804
Photo of Melissa Barton, Marriage & Family Therapist in Provo, UT
Melissa Barton
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Provo, UT 84604
Waitlist for new clients
I am formally trained in sex therapy and am completing my requirements to become Certified Sex Therapist.
I am passionate about connecting with my clients and creating a space for healing and understanding. Working with couples and Individuals has been a beautiful and incredible. I desire to assist you through anxiety, depression, trauma, sexual blocks and explore sexual narratives that have been created over your lifetime. We often get caught up in negative relationship cycles and negative sexual cycles, making you feel stuck and somewhat crazy. It is my honor and privilege to assist in relieving the pain you are experiencing and create HOPE/CHANGE in your life.
I am formally trained in sex therapy and am completing my requirements to become Certified Sex Therapist.
I am passionate about connecting with my clients and creating a space for healing and understanding. Working with couples and Individuals has been a beautiful and incredible. I desire to assist you through anxiety, depression, trauma, sexual blocks and explore sexual narratives that have been created over your lifetime. We often get caught up in negative relationship cycles and negative sexual cycles, making you feel stuck and somewhat crazy. It is my honor and privilege to assist in relieving the pain you are experiencing and create HOPE/CHANGE in your life.
(385) 474-8237 View (385) 474-8237
Photo of Tiffany Russell, Marriage & Family Therapist in Provo, UT
Tiffany Russell
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Provo, UT 84606
Do you ever feel like you have a roommate instead of a partner? Perhaps you find that the "spark" just isn't there anymore. Maybe you find that you fight over and over again about the same things, or maybe your sex life isn't where you want it to be. This may leave you feeling hopeless, lonely, or uncertain about what the future may hold. You are deserving of a relationship that feels safe, secure, and fulfilling. I'm passionate about helping couples and individuals create intimacy both IN and OUT of the bedroom.
Do you ever feel like you have a roommate instead of a partner? Perhaps you find that the "spark" just isn't there anymore. Maybe you find that you fight over and over again about the same things, or maybe your sex life isn't where you want it to be. This may leave you feeling hopeless, lonely, or uncertain about what the future may hold. You are deserving of a relationship that feels safe, secure, and fulfilling. I'm passionate about helping couples and individuals create intimacy both IN and OUT of the bedroom.
(385) 265-8505 View (385) 265-8505
Photo of Dr. Carrie Hatch, Marriage & Family Therapist in Provo, UT
Dr. Carrie Hatch
Marriage & Family Therapist, PhD, LCMFT
Verified Verified
Provo, UT 84601  (Online Only)
If you're searching for an experienced therapist to help you overcome challenges and achieve a fulfilling life, look no further. As a passionate therapist, activist, and scholar specializing in repairing trauma and relational dysfunction, I offer specialized expertise in improving relationships, sex therapy, trauma therapy, and gender-affirming care. My trauma-informed approach focuses on exploring and understanding unmet attachment needs, which can often unconsciously sabotage our well-being. Contact me today to take the first step towards a happier, more fulfilling life. If you're struggling with:
If you're searching for an experienced therapist to help you overcome challenges and achieve a fulfilling life, look no further. As a passionate therapist, activist, and scholar specializing in repairing trauma and relational dysfunction, I offer specialized expertise in improving relationships, sex therapy, trauma therapy, and gender-affirming care. My trauma-informed approach focuses on exploring and understanding unmet attachment needs, which can often unconsciously sabotage our well-being. Contact me today to take the first step towards a happier, more fulfilling life. If you're struggling with:
(913) 347-4919 View (913) 347-4919
Photo of Ty R. Mansfield, PhD, Marriage & Family Therapist in Provo, UT
Ty R. Mansfield, PhD
Marriage & Family Therapist, PhD, LMFT
Verified Verified
9 Endorsed
Provo, UT 84604
Waitlist for new clients
I’ve received advanced training in differentiation and attachment theories, sexual health and sex therapy, Internal Family Systems (IFS), Emotionally Focused Therapy (EFT), Gottman Method, Imago, and Mindfulness-based therapies.
I believe that humans are wired for meaning, connection, and belonging. Most of our struggles in life are intimately tied to how we experience our relationships—including with ourselves—and how we find purpose. Through a unique integration of Western and Eastern principles of human thriving, I support individuals and couples seeking emotional, sexual, and spiritual wholeness, as well as deeper healing and intimacy in their relationships with themselves and others. As awareness precedes power, my goal is to help clients increase in self-understanding so they feel empowered to then address personal difficulties on their own terms.
I’ve received advanced training in differentiation and attachment theories, sexual health and sex therapy, Internal Family Systems (IFS), Emotionally Focused Therapy (EFT), Gottman Method, Imago, and Mindfulness-based therapies.
I believe that humans are wired for meaning, connection, and belonging. Most of our struggles in life are intimately tied to how we experience our relationships—including with ourselves—and how we find purpose. Through a unique integration of Western and Eastern principles of human thriving, I support individuals and couples seeking emotional, sexual, and spiritual wholeness, as well as deeper healing and intimacy in their relationships with themselves and others. As awareness precedes power, my goal is to help clients increase in self-understanding so they feel empowered to then address personal difficulties on their own terms.
(801) 396-9816 View (801) 396-9816
Photo of Jeremy Boberg, Clinical Social Work/Therapist in Provo, UT
Jeremy Boberg
Clinical Social Work/Therapist, LCSW, CSAT, CMAT, EMDR
Verified Verified
Provo, UT 84601
I am a certified EMDR International Association (EMDRIA), National Interventionist level 2, National Chemical Addiction Counselor Level 2, a Certified Sex Addiction and Multiple Addiction Therapist (CSAT/CMAT) through the International Institute for Trauma and Addiction Professionals and have extensive training in the Othmer method of Neurofeedback.
With over 20 years in behavioral health and dual diagnosis treatment, I designed and founded the Utah Addiction Centers. Specializing in holistic and person centered treatment for mental health and addictions. As a clinical therapist, I specialize in the treatment of substance abuse, sexual/pornography addiction, compulsive behaviors, Post Traumatic Stress Disorder (PTSD), Mood Disorders, and Personality Disorders.
I am a certified EMDR International Association (EMDRIA), National Interventionist level 2, National Chemical Addiction Counselor Level 2, a Certified Sex Addiction and Multiple Addiction Therapist (CSAT/CMAT) through the International Institute for Trauma and Addiction Professionals and have extensive training in the Othmer method of Neurofeedback.
With over 20 years in behavioral health and dual diagnosis treatment, I designed and founded the Utah Addiction Centers. Specializing in holistic and person centered treatment for mental health and addictions. As a clinical therapist, I specialize in the treatment of substance abuse, sexual/pornography addiction, compulsive behaviors, Post Traumatic Stress Disorder (PTSD), Mood Disorders, and Personality Disorders.
(801) 528-7207 View (801) 528-7207
Photo of Jordan Gibby at Intimo Couples Counseling, Marriage & Family Therapist in Provo, UT
Jordan Gibby at Intimo Couples Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Provo, UT 84604
I primarily use emotionally focused therapy, although I also use principles from narrative, internal family systems, sex therapy, mindfulness, and cognitive behavioral therapy models.
I believe in healing that gets to the root - the best healing happens when therapy involves compassionate, deep self-reflection and honest, real conversations in a safe environment. I work with clients and their partners and family members to heal from difficult past experiences and current conflicts toward brighter futures, stronger relationships, and a more secure sense of self.
I primarily use emotionally focused therapy, although I also use principles from narrative, internal family systems, sex therapy, mindfulness, and cognitive behavioral therapy models.
I believe in healing that gets to the root - the best healing happens when therapy involves compassionate, deep self-reflection and honest, real conversations in a safe environment. I work with clients and their partners and family members to heal from difficult past experiences and current conflicts toward brighter futures, stronger relationships, and a more secure sense of self.
(385) 381-8265 View (385) 381-8265
Photo of Hannah Grundvig, Marriage & Family Therapist in Provo, UT
Hannah Grundvig
Marriage & Family Therapist, LAMFT
Verified Verified
Provo, UT 84604
Typically my clients have sexual dysfunctions or sexual struggles they are trying to work through. This can be anything ranging from low sexual desire to unwanted pornography use to erectile dysfunction and more. Whether you want to work through this individually or as a couple, I can help! I am also well versed in helping individuals and couples struggling with depression, anxiety, and other mental health struggles.
Typically my clients have sexual dysfunctions or sexual struggles they are trying to work through. This can be anything ranging from low sexual desire to unwanted pornography use to erectile dysfunction and more. Whether you want to work through this individually or as a couple, I can help! I am also well versed in helping individuals and couples struggling with depression, anxiety, and other mental health struggles.
(385) 213-1677 View (385) 213-1677
Photo of Christine Pagano, Clinical Social Work/Therapist in Provo, UT
Christine Pagano
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Provo, UT 84604
You know that space of feeling stuck between where you are currently and where you want to be? I love that messy, terrifying, and beautiful space. Even more, I love helping people navigate that space on their journey to more authenticity and joy. In my person-centered approach, I join you where you are now and bring various therapeutic strategies to assist you in moving toward your goals and the life you want.
You know that space of feeling stuck between where you are currently and where you want to be? I love that messy, terrifying, and beautiful space. Even more, I love helping people navigate that space on their journey to more authenticity and joy. In my person-centered approach, I join you where you are now and bring various therapeutic strategies to assist you in moving toward your goals and the life you want.
(385) 644-1226 View (385) 644-1226
Photo of William Hansen, Counselor in Provo, UT
William Hansen
Counselor, LCPC, CMHC
Verified Verified
Provo, UT 84606  (Online Only)
After spending a year serving amazing people, I am restarting my practice and have immediate availability. I am passionate about helping individuals and couples find purpose in life. My experience working with incredible people over the last 18 years has shown that fulfillment in life comes with understanding and belief in yourself. Whether it is addiction, trauma, relationship issues or simply adjusting to life as a young adult, there is a rewarding path to success. The forces of anxiety, depression or whatever hurdle you feel controls you can be powerfully managed through our building on your strengths together.
After spending a year serving amazing people, I am restarting my practice and have immediate availability. I am passionate about helping individuals and couples find purpose in life. My experience working with incredible people over the last 18 years has shown that fulfillment in life comes with understanding and belief in yourself. Whether it is addiction, trauma, relationship issues or simply adjusting to life as a young adult, there is a rewarding path to success. The forces of anxiety, depression or whatever hurdle you feel controls you can be powerfully managed through our building on your strengths together.
(385) 350-8556 View (385) 350-8556
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.