Sex Therapy

Where sex, mental health, and real-life growth come together.

What Is Sex Therapy?

Sex therapy is a specialized form of psychotherapy that focuses on the emotional, psychological, relational, and sometimes physical aspects of sexuality. It provides a safe, confidential space to explore challenges around intimacy, desire, arousal, performance, pleasure, and connection.

Unlike a medical visit, sex therapy does not involve physical exams or procedures. Instead, it is a talk-based process where you work collaboratively with a therapist trained in sexual health to identify barriers, reduce shame, and create strategies for healthier, more fulfilling sexual experiences.

Reasons People Seek Sex Therapy

In my office, people come to sex therapy for a wide range of concerns, including:

  • Low sexual desire or mismatched desire in a relationship

  • Difficulty with arousal or orgasm

  • Erectile challenges or rapid/delayed ejaculation

  • Pain during sex (such as vaginismus, vulvodynia, or pelvic pain)

  • Navigating intimacy after infertility, pregnancy, postpartum, or menopause

  • Healing from sexual trauma or negative sexual experiences

  • Sexual identity or orientation exploration

  • Body image, confidence, and self-esteem around sexuality

  • Improving communication and intimacy with a partner

  • Rekindling passion in long-term relationships

What to Expect in Sex Therapy

  • A judgment-free space: Many people feel nervous, embarrassed, or fearful when bringing up sexual concerns. Sex therapy provides a compassionate environment where nothing is “too awkward” to talk about.

  • Personalized goals: Therapy begins with understanding your unique concerns, history, and goals. Together, we set a roadmap that may involve individual work, couples work, or a combination of both.

  • Evidence-based strategies: Depending on your needs, therapy may include psychoeducation about the body and sexual response, guided exercises (such as sensate focus or mindfulness practices), communication coaching, and cognitive/behavioral tools to shift patterns that block intimacy.

  • Integration with whole-self wellness: Because sexuality is deeply tied to mental health, stress, hormones, relationships, and identity, therapy often explores these areas too.

“you’re going to sleep with one person for the rest of your life and it better be the best sex you’ve ever had and the person you love the most, and that person is you.

— Dr. Carli Blau