Sex Therapy

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What to Expect in Sex Therapy

If sexual issues are causing you distress, keeping you from living fully alive, or preventing true closeness between you and your partner, sex therapy can help. Sex therapy is talk therapy, or psychotherapy, with a focus on sexual issues. Sexuality does not exist in isolation – it is a part of your overall functioning as a person and a part of the overall functioning of a relationship.

During the intake process:

  •  I will assess what areas we will likely need to address in order to improve your sexual issue.
  •  We will also explore and identify your attitudes about sex and the sexual problem.
  •  I’ll often recommend specific exercises to increase comfort levels, facilitate healing, and refocus your attention and expectations – as an individual or as a couple.

Common sex therapy issues include mismatched sexual desire, loss of passion with partner, pain or lack of pleasure during intercourse, feelings of disconnection from one’s own body or sexuality, questions of sexual identity, sexual trauma, negative sexual self esteem, and fear or anxiety about sex. 

*For individuals interested in sex therapy, Alive Intimacy is available to work with women and nonbinary folks. For couples, Alive Intimacy is equipped to work with all genders.

Specific objectives may include the following:

  • Discovering how your sexual desire functions
  • Reducing shame and stigma around sexual desire differences
  • Developing shared expectations
  • Addressing patterns of avoidance
  • Developing a sensual/sexual menu
  • Practicing direct communication on sexual topics
  • Healing from sexual trauma or negative sexual experiences

For clients interested in individual sex therapy, the following process applies. For couples interested in sex therapy, please refer to the “Couples Therapy” page.


Sexuality is one of the ways that we become enlightened, actually, because it leads us to self-knowledge. 
- Alice Walker -

Initial Consultation

Individual Sex Therapy starts with a 50-minute consultation. During this session, you will have the opportunity to share your current concerns, identify your goals, and ask questions about the sex therapy process.

At the end of the session, I will share my initial impressions and treatment recommendations. I will also let you know if I feel I can help you. If it is a good fit for continued therapy, we can then schedule a recurring appointment time that works for you, based on what is available.

Ongoing Sex Therapy – 6 Months

Clients who achieve the most success commit to 6 months of consistent therapy. This allows you to focus on and fully invest in the process. I recommend that clients begin weekly, with the option of reducing to every other week once you have gained momentum.

After 6 months, we will assess progress on your goals. At this time, you can determine if you feel complete, or would like to continue for another 6 months.