Photo of Jordana Pazin, Licensed Professional Counselor in Boerne, TX
Jordana Pazin
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
Boerne, TX 78006
My approach to helping is based on my client's perspective rather than my own. I contend that appreciating and respecting the client's experience for what it is, is essential to productive therapeutic growth. I view counseling as a highly personal and subjective experience, where developing an empathic, connected and trusting relationship is imperative; it is through the safety of this connection that clients can work toward positive change. While I have had extensive experience working with a wide variety of clients, my specializations include women's issues (including domestic violence and trauma), relationships, GLBTQI issues, pregnancy/infertitility issues, internet addiction and couples work.
My approach to helping is based on my client's perspective rather than my own. I contend that appreciating and respecting the client's experience for what it is, is essential to productive therapeutic growth. I view counseling as a highly personal and subjective experience, where developing an empathic, connected and trusting relationship is imperative; it is through the safety of this connection that clients can work toward positive change. While I have had extensive experience working with a wide variety of clients, my specializations include women's issues (including domestic violence and trauma), relationships, GLBTQI issues, pregnancy/infertitility issues, internet addiction and couples work.
(210) 558-0409 View (210) 558-0409

Online Therapists

Photo of Jestina Franks, Licensed Professional Counselor in Boerne, TX
Jestina Franks
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78758
Hi, my name is Jestina Franks, and I am a Licensed Professional Counselor (LPC-S) and an AASECT-certified sex therapist. I provide virtual counseling services to patients in Texas. I have extensive experience in assisting individuals with issues including anxiety, depression, relationship difficulties, sexuality, and intimacy issues. My style and approach are a good fit for young adults and adults seeking assistance dealing with life challenges and social pressures. Typically, my focus is on anxiety, depression, LGBTQ+, intimacy, alternative relationships, and sexual health concerns.
Hi, my name is Jestina Franks, and I am a Licensed Professional Counselor (LPC-S) and an AASECT-certified sex therapist. I provide virtual counseling services to patients in Texas. I have extensive experience in assisting individuals with issues including anxiety, depression, relationship difficulties, sexuality, and intimacy issues. My style and approach are a good fit for young adults and adults seeking assistance dealing with life challenges and social pressures. Typically, my focus is on anxiety, depression, LGBTQ+, intimacy, alternative relationships, and sexual health concerns.
(737) 250-6508 View (737) 250-6508
Photo of Stephanie Mata, Marriage & Family Therapist Associate in Boerne, TX
Stephanie Mata
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
1 Endorsed
Pflugerville, TX 78660
I offer relationship and sex therapy with a specialized focus on young couples in their 20s-40s, including high conflict couples. Young couples are faced with the challenge of rediscovering identities through life transitions while also trying to be the person your partner needs. I work with these couples together and as individuals to discover their values, needs, and desires individually and in the relationship. I also work with adult individuals struggling to maintain healthy relationships rooted in childhood trauma or dysfunction within their family of origin.
I offer relationship and sex therapy with a specialized focus on young couples in their 20s-40s, including high conflict couples. Young couples are faced with the challenge of rediscovering identities through life transitions while also trying to be the person your partner needs. I work with these couples together and as individuals to discover their values, needs, and desires individually and in the relationship. I also work with adult individuals struggling to maintain healthy relationships rooted in childhood trauma or dysfunction within their family of origin.
(737) 312-4777 View (737) 312-4777
Photo of Respark Therapy & Associates, Licensed Professional Counselor in Boerne, TX
Respark Therapy & Associates
Licensed Professional Counselor, LPC, LMFT, LCSW
Verified Verified
Austin, TX 78756
We are a team of highly-specialized therapists who are committed to serving your individual and relationship needs. We have a combined 40+ years of experience and a wide array of specialties and certifications. We provide the most up to date and effective therapy because our clinicians are highly trained in relationship issues as well as sexuality issues. Most couples therapists do not receive any education in sexuality. We are a diverse team which only strengthens our ability to serve all communities. We continuously seek advanced, expert training opportunities in sexuality and relationship issues.
We are a team of highly-specialized therapists who are committed to serving your individual and relationship needs. We have a combined 40+ years of experience and a wide array of specialties and certifications. We provide the most up to date and effective therapy because our clinicians are highly trained in relationship issues as well as sexuality issues. Most couples therapists do not receive any education in sexuality. We are a diverse team which only strengthens our ability to serve all communities. We continuously seek advanced, expert training opportunities in sexuality and relationship issues.
(512) 572-9866 View (512) 572-9866
Photo of Relate Austin Therapy, Marriage & Family Therapist Associate in Boerne, TX
Relate Austin Therapy
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
Round Rock, TX 78664
As a Marriage and Family Therapy Associate and Sex Therapist in training, I welcome everyone including LGBTQ+, kink, and non-monogamous clients along. I prioritize safety, connection, and integration of mind, body, and spirit in my work. I enjoy assisting the couple in learning new and more effective ways of loving themselves and each other. I strive to enhance their emotional connections with themselves and others, and gain insight into how their thoughts, beliefs, and values influence their relationships. This safe space is dedicated to personal growth, healing, and the pursuit of a fulfilling life.
As a Marriage and Family Therapy Associate and Sex Therapist in training, I welcome everyone including LGBTQ+, kink, and non-monogamous clients along. I prioritize safety, connection, and integration of mind, body, and spirit in my work. I enjoy assisting the couple in learning new and more effective ways of loving themselves and each other. I strive to enhance their emotional connections with themselves and others, and gain insight into how their thoughts, beliefs, and values influence their relationships. This safe space is dedicated to personal growth, healing, and the pursuit of a fulfilling life.
(737) 257-5138 View (737) 257-5138
Photo of Karli K Counseling, Licensed Professional Counselor in Boerne, TX
Karli K Counseling
Licensed Professional Counselor, LPC
Verified Verified
Austin, TX 78727  (Online Only)
Hi, I'm Karli. :) I'm so glad you're here! I am passionate about working with people who want a safe and sex-positive environment to grow individually and relationally in their sexuality and eroticism. I often work with people who feel hopeless about their sex life, relationship conflict, or dating insecurities, or who have internalized sexual shame keeping them from exploring their pleasure and desires. I also work with people experiencing sexual dysfunction and pain. If you are feeling insecure or hopeless, I would love to help show you just how common and valid your experiences are.
Hi, I'm Karli. :) I'm so glad you're here! I am passionate about working with people who want a safe and sex-positive environment to grow individually and relationally in their sexuality and eroticism. I often work with people who feel hopeless about their sex life, relationship conflict, or dating insecurities, or who have internalized sexual shame keeping them from exploring their pleasure and desires. I also work with people experiencing sexual dysfunction and pain. If you are feeling insecure or hopeless, I would love to help show you just how common and valid your experiences are.
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Photo of Nancy Basoah-Scott, Marriage & Family Therapist Associate in Boerne, TX
Nancy Basoah-Scott
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
Round Rock, TX 78681
I specialize in couples struggling with infidelity, relational conflict, intimacy, communication issues, & sex.
As a Ghanaian & a veteran of the United States Army, I understand the stigma that is placed on mental health. It can be difficult to reach out for support when you need it. If that is you, then know that I will go slow & not push you too quickly. I am a trauma-informed therapist who is also currently a Level 2 Gottman Method Couples Therapist. Currently, I am working towards my Certification in Sex Therapy. When working with me, you will get a therapist who is not only sincere, empathetic, & non-judgmental, but also someone who will be direct. Know that the directness is coming from a caring place!
I specialize in couples struggling with infidelity, relational conflict, intimacy, communication issues, & sex.
As a Ghanaian & a veteran of the United States Army, I understand the stigma that is placed on mental health. It can be difficult to reach out for support when you need it. If that is you, then know that I will go slow & not push you too quickly. I am a trauma-informed therapist who is also currently a Level 2 Gottman Method Couples Therapist. Currently, I am working towards my Certification in Sex Therapy. When working with me, you will get a therapist who is not only sincere, empathetic, & non-judgmental, but also someone who will be direct. Know that the directness is coming from a caring place!
(254) 268-4620 View (254) 268-4620
Photo of Paul Moore, Licensed Professional Counselor in Boerne, TX
Paul Moore
Licensed Professional Counselor, MS, LPC-S, LMFT-S
Verified Verified
1 Endorsed
Austin, TX 78759
I am a Professional Member of the American Association of Sexuality Educators, Counselors & Therapists.
I work with individuals dealing with depression, anxiety, trauma, and mood issues. I help persons and families address communication problems, unhealthy patterns, and rebuilding trust as well as relationship problems including infidelity and blended families and co-parenting. I work with and am welcoming of LGBTQ+ relationships, hetero relationships, poly relationships, kink, BDSM, and sex workers. Additional areas addressed include religious shame surrounding sexuality. I have completed graduate studies in religion and theology and assist persons in dealing with toxic religious wounds.
I am a Professional Member of the American Association of Sexuality Educators, Counselors & Therapists.
I work with individuals dealing with depression, anxiety, trauma, and mood issues. I help persons and families address communication problems, unhealthy patterns, and rebuilding trust as well as relationship problems including infidelity and blended families and co-parenting. I work with and am welcoming of LGBTQ+ relationships, hetero relationships, poly relationships, kink, BDSM, and sex workers. Additional areas addressed include religious shame surrounding sexuality. I have completed graduate studies in religion and theology and assist persons in dealing with toxic religious wounds.
(469) 405-9869 View (469) 405-9869
Photo of Sara Sloan, Marriage & Family Therapist in Boerne, TX
Sara Sloan
Marriage & Family Therapist, LMFT, CST, AASECT, IRT, MFA
Verified Verified
1 Endorsed
Austin, TX 78750
I believe relationships define each of us and form the foundation for our life. I work from a systemic perspective with couples, individuals, and families to create relationships that define not only who we are, but also who we desire to become. I help clients with their relationships, intimacy, connection, communication, and sexual compatibility. I work with a lot of women who have suffered from Narcissistic abuse in relationships and family of origin. I also help those who are confused in their current relationships. I enjoy helping those who have autoimmune disease and cancer redefine their sexuality, relationships and desire.
I believe relationships define each of us and form the foundation for our life. I work from a systemic perspective with couples, individuals, and families to create relationships that define not only who we are, but also who we desire to become. I help clients with their relationships, intimacy, connection, communication, and sexual compatibility. I work with a lot of women who have suffered from Narcissistic abuse in relationships and family of origin. I also help those who are confused in their current relationships. I enjoy helping those who have autoimmune disease and cancer redefine their sexuality, relationships and desire.
(512) 982-9836 View (512) 982-9836
Photo of Christopher DeFranco, Licensed Professional Counselor in Boerne, TX
Christopher DeFranco
Licensed Professional Counselor, LPCC-S
Verified Verified
Austin, TX 78705  (Online Only)
He is competent in working with a variety of diverse backgrounds of religion, ethnicity, sexuality, and ability.
Christopher specializes in working with adolescents and adults struggling with a variety of life's stressors that include, but are not limited to: LGBTQ+ issues, trauma, grief, anger management, impulsivity, chemical dependency, depression, anxiety, and eating disorders. He has over 10 years of clinical experience from a wide variety of settings that includes schools, research clinics, inpatient and residential treatment, and outpatient private practice. He also has extensive experience working with PTSD, gender dysphoria, and individuals on the autism spectrum.
He is competent in working with a variety of diverse backgrounds of religion, ethnicity, sexuality, and ability.
Christopher specializes in working with adolescents and adults struggling with a variety of life's stressors that include, but are not limited to: LGBTQ+ issues, trauma, grief, anger management, impulsivity, chemical dependency, depression, anxiety, and eating disorders. He has over 10 years of clinical experience from a wide variety of settings that includes schools, research clinics, inpatient and residential treatment, and outpatient private practice. He also has extensive experience working with PTSD, gender dysphoria, and individuals on the autism spectrum.
(512) 722-7342 View (512) 722-7342
Photo of Red Apple Therapy, Licensed Professional Counselor in Boerne, TX
Red Apple Therapy
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Austin, TX 78701  (Online Only)
I specialize in treatment of military service members active duty and veterans, LGBTQIA+, sex related issues, kink positive, depression, trauma and PTSD, anxiety, ADHD and those with severe mental illness.
My name is Faith and I work with individuals and couples facing a range of concerns to include depression, trauma, abuse, PTSD, ADHD, relationship issues, sex related issues, sexuality, and other life issues. I will work to meet you where you are in your journey. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including ecotherapy and mindfulness practices. Our goal is to assist you in meeting your goal by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
I specialize in treatment of military service members active duty and veterans, LGBTQIA+, sex related issues, kink positive, depression, trauma and PTSD, anxiety, ADHD and those with severe mental illness.
My name is Faith and I work with individuals and couples facing a range of concerns to include depression, trauma, abuse, PTSD, ADHD, relationship issues, sex related issues, sexuality, and other life issues. I will work to meet you where you are in your journey. Red Apple Therapy offers alternative therapies for those searching for a holistic and eclectic approach to counseling, including ecotherapy and mindfulness practices. Our goal is to assist you in meeting your goal by providing a safe, authentic and compassionate clinical setting with an individualized therapy experience.
(512) 980-1226 View (512) 980-1226
Photo of Madeleine Smith, Licensed Professional Counselor Associate in Boerne, TX
Madeleine Smith
Licensed Professional Counselor Associate, LPC-A
Verified Verified
1 Endorsed
Austin, TX 78746
I am also certified in sex and couples counseling.
As a therapist, I specialize in working with young adults and couples who are navigating sexual health, life transitions, anxiety, family dynamics, and relationships. I take a Solution-Focused Brief Therapy and Existential approach that also weaves in a focus on client strengths and narratives. I tend to have a more direct approach with my clients, while also adding in humor and a space that allows for support and strength. I am an avid ally of the LGTBQIA+ community and am able to create an environment that empowers and upholds clients as who they are.
I am also certified in sex and couples counseling.
As a therapist, I specialize in working with young adults and couples who are navigating sexual health, life transitions, anxiety, family dynamics, and relationships. I take a Solution-Focused Brief Therapy and Existential approach that also weaves in a focus on client strengths and narratives. I tend to have a more direct approach with my clients, while also adding in humor and a space that allows for support and strength. I am an avid ally of the LGTBQIA+ community and am able to create an environment that empowers and upholds clients as who they are.
(512) 647-2661 View (512) 647-2661
Photo of Julia Ruth Bowman, Licensed Professional Counselor in Boerne, TX
Julia Ruth Bowman
Licensed Professional Counselor
Verified Verified
1 Endorsed
Austin, TX 78756
I have a sex therapy certification through the Sexual Health Alliance, a Kink Informed Certification in progress, and will be pursuing AASECT certification as well.
Hello and Welcome! It has been a dream of mine to become a therapist since I was about 11 years old. Sexual health discussions have never made me uncomfortable in any way, and I like to provide a safe space for clients to discuss these issues. Many people experience shame about their relationship preferences, kinks, and sexual orientation. I like to help individuals and couples who may be struggling in this area. I also enjoy working with clients who are gender diverse, are thinking about or currently transitioning, and so forth.
I have a sex therapy certification through the Sexual Health Alliance, a Kink Informed Certification in progress, and will be pursuing AASECT certification as well.
Hello and Welcome! It has been a dream of mine to become a therapist since I was about 11 years old. Sexual health discussions have never made me uncomfortable in any way, and I like to provide a safe space for clients to discuss these issues. Many people experience shame about their relationship preferences, kinks, and sexual orientation. I like to help individuals and couples who may be struggling in this area. I also enjoy working with clients who are gender diverse, are thinking about or currently transitioning, and so forth.
(512) 991-5407 View (512) 991-5407
Photo of Stacey K Ulry, Licensed Professional Counselor Associate in Boerne, TX
Stacey K Ulry
Licensed Professional Counselor Associate, LPCA
Verified Verified
Georgetown, TX 78628
I am sex and queer-positive, and am open to discussing alternative lifestyles, relationships, kink, and sexuality.
Life can be incredibly challenging, and I understand the hardships that come with it. If you've ever felt overwhelmed by stress, battled anxiety and depression, or felt like an outsider in social situations, you're not alone. I'm here to provide support and understanding, especially if you identify as a member of the Neurodiverse/neurospicy community, align with the LGBTQIA+ community, consider yourself a highly sensitive person (HSP), or simply find solace in parties spent hanging out with the furbabies, I can relate!
I am sex and queer-positive, and am open to discussing alternative lifestyles, relationships, kink, and sexuality.
Life can be incredibly challenging, and I understand the hardships that come with it. If you've ever felt overwhelmed by stress, battled anxiety and depression, or felt like an outsider in social situations, you're not alone. I'm here to provide support and understanding, especially if you identify as a member of the Neurodiverse/neurospicy community, align with the LGBTQIA+ community, consider yourself a highly sensitive person (HSP), or simply find solace in parties spent hanging out with the furbabies, I can relate!
(737) 250-6274 View (737) 250-6274
Photo of Richelle Dadian, Psychologist in Boerne, TX
Richelle Dadian
Psychologist, PsyD, LP, CST
Verified Verified
4 Endorsed
Austin, TX 78746  (Online Only)
​​You've been experiencing sexual issues recently or maybe for some time. You may be experiencing erectile difficulties or pain during sex. You’ve tried everything you’ve found on the internet but still, it's not working how you want. It's frustrating, isolating, infuriating, and confusing. It may even be difficult to remember a time when things didn’t feel this way. But now, you’re ready for some relief. You’re ready to break the pattern and have your body and brain on the same page. You're ready for a more fulfilled sex life. And most of all, you’re ready to feel more connected in your sexuality!
​​You've been experiencing sexual issues recently or maybe for some time. You may be experiencing erectile difficulties or pain during sex. You’ve tried everything you’ve found on the internet but still, it's not working how you want. It's frustrating, isolating, infuriating, and confusing. It may even be difficult to remember a time when things didn’t feel this way. But now, you’re ready for some relief. You’re ready to break the pattern and have your body and brain on the same page. You're ready for a more fulfilled sex life. And most of all, you’re ready to feel more connected in your sexuality!
(785) 268-7281 View (785) 268-7281
Photo of Intimate Possibilities, LLC, Licensed Professional Counselor in Boerne, TX
Intimate Possibilities, LLC
Licensed Professional Counselor, MEd, LPC
Verified Verified
Uvalde, TX 78801
Sex/Intimacy/Making Love means different things to everyone. While one partner can believe they are sexually fulfilled, the other may just feel OK about their sexual satisfaction. Do you fake it because you don't know how to tell your partner what you need? Do you even know what you need to feel sexually satisfied? Do you want more from you partner? How well do you know your sexual self? We can work together to help you and your partner(s) connect sexually, intimately, and satisfactorily.
Sex/Intimacy/Making Love means different things to everyone. While one partner can believe they are sexually fulfilled, the other may just feel OK about their sexual satisfaction. Do you fake it because you don't know how to tell your partner what you need? Do you even know what you need to feel sexually satisfied? Do you want more from you partner? How well do you know your sexual self? We can work together to help you and your partner(s) connect sexually, intimately, and satisfactorily.
(210) 796-8111 View (210) 796-8111
Photo of Roxcy Brown, Marriage & Family Therapist Associate in Boerne, TX
Roxcy Brown
Marriage & Family Therapist Associate, MA, LMFT-A
Verified Verified
6 Endorsed
Austin, TX 78759
I specialize in relationships, families, blended families, sex, addictions, parenting, infidelity, and divorce.
I assist people in addressing their relationships, creating stability, building purpose, healing relationship pain, breaking negative cycles, and starting new. My passion lies in helping couples connect on a deeper level and achieve long-lasting change in their relationships. As a relational therapist, I understand that every relationship is unique and requires a personalized approach. To that end, I utilize a variety of therapeutic modalities, including Satir, Experiential, Relational Life Therapy, Internal Family Systems, SFT, and Gottman. I help people identify and address their core issues while building strong foundations.
I specialize in relationships, families, blended families, sex, addictions, parenting, infidelity, and divorce.
I assist people in addressing their relationships, creating stability, building purpose, healing relationship pain, breaking negative cycles, and starting new. My passion lies in helping couples connect on a deeper level and achieve long-lasting change in their relationships. As a relational therapist, I understand that every relationship is unique and requires a personalized approach. To that end, I utilize a variety of therapeutic modalities, including Satir, Experiential, Relational Life Therapy, Internal Family Systems, SFT, and Gottman. I help people identify and address their core issues while building strong foundations.
(512) 308-6072 View (512) 308-6072
Photo of Billie Beard, Licensed Professional Counselor in Boerne, TX
Billie Beard
Licensed Professional Counselor, MA
Verified Verified
Austin, TX 78701
Many of my clients are examining their gender identity and sexuality. Several are overwhelmed with their thoughts and feelings and have feelings of isolation. Therapy allows them space to explore these thoughts and feelings to gain confidence and acceptance of their true selves.
Many of my clients are examining their gender identity and sexuality. Several are overwhelmed with their thoughts and feelings and have feelings of isolation. Therapy allows them space to explore these thoughts and feelings to gain confidence and acceptance of their true selves.
(512) 402-6635 View (512) 402-6635
Photo of Dereck Alexander, Clinical Social Work/Therapist in Boerne, TX
Dereck Alexander
Clinical Social Work/Therapist, LCSW-S, C-ASWCM
Verified Verified
Round Rock, TX 78664
I specialize in human sexuality (sex therapy) by supporting individuals & couples looking to break free from the negative stigma, shame, & guilt that is often associated with sex so they may understand what it means to live a sex-positive life.
By examining how our unconscious mind and early childhood experiences have shaped our personality and perception of how we view the world around us, I empower my clients to develop a greater sense of self-awareness and confidence. To take ownership and accountability for their decisions and actions, and working towards identifying more appropriate actions, follow-through, and correct behavior necessary for them to finally move past the barriers that have continued to prevent them from reaching their upmost potential.
I specialize in human sexuality (sex therapy) by supporting individuals & couples looking to break free from the negative stigma, shame, & guilt that is often associated with sex so they may understand what it means to live a sex-positive life.
By examining how our unconscious mind and early childhood experiences have shaped our personality and perception of how we view the world around us, I empower my clients to develop a greater sense of self-awareness and confidence. To take ownership and accountability for their decisions and actions, and working towards identifying more appropriate actions, follow-through, and correct behavior necessary for them to finally move past the barriers that have continued to prevent them from reaching their upmost potential.
(512) 661-7165 View (512) 661-7165
Photo of Lauren Garza, Psychologist in Boerne, TX
Lauren Garza
Psychologist, PhD
Verified Verified
Hutto, TX 78634
I affirm differences including body positivity, sex/kink positivity, LGBTQ+, ethical non-monogamy, and neurodivergent identities.
Are you feeling the impulse to explore who you are behind the masks? Do you yearn for freedom from unhealthy relationship dynamics and behavior patterns holding you back from the life you know you’re meant to have? Do you seek real, lasting change, progress, and happiness? Do you feel like you’ve tried it all, but nothing sticks? Do you believe you need help identifying your limiting beliefs, overcoming your hardships, and getting the life you’ve always wanted? I aim to guide those who are ready to slow down and do the inner healing required to leave their unhealthy cycles and reconnect with the highest versions of themselves.
I affirm differences including body positivity, sex/kink positivity, LGBTQ+, ethical non-monogamy, and neurodivergent identities.
Are you feeling the impulse to explore who you are behind the masks? Do you yearn for freedom from unhealthy relationship dynamics and behavior patterns holding you back from the life you know you’re meant to have? Do you seek real, lasting change, progress, and happiness? Do you feel like you’ve tried it all, but nothing sticks? Do you believe you need help identifying your limiting beliefs, overcoming your hardships, and getting the life you’ve always wanted? I aim to guide those who are ready to slow down and do the inner healing required to leave their unhealthy cycles and reconnect with the highest versions of themselves.
(512) 598-4699 View (512) 598-4699
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.