Sex Therapy - Repairing dysfunction and disconnection

Sex is a natural part of human life, and when we feel like we’re not getting enough of it, not doing it right when we are, or not feeling connected during, it can cause painful reverberations throughout the rest of our lives.

Sexual issues can be one of the biggest sources of pain — but also one of the hardest things to come to therapy for.

I work with individuals who are single, coupled, or polyamorous, either seeing them on their own or together as a couple. Sometimes it’s a problem that’s recently developed; other times, it’s a long-standing issue you’re now ready to face.

Common sexual struggles that bring people to sex therapy range from painful or uncomfortable sex, sexual anxiety, lack of confidence, erectile issues (premature or delayed ejaculation, erectile dysfunction), arousal or orgasm difficulties, sexual addictions, trauma, bad sexual experiences, and body image issues. (See here for the list of issues I work with.)

For couples who attend, sex therapy is often about a sex life that isn’t working — perhaps due to differences in libido or desire.

Often, couples arrive frustrated, as their problems have left them with a sense of awkwardness or unnaturalness where there once may have been connection and ease.

For others, that ease never existed, and the work is about learning how to create it together.

Others might come to sex therapy for support alongside a medical journey — for sexual health issues such as menopause, surgical procedures, endometriosis, phimosis, circumcision, fertility issues, or cancer.

For some clients, sex therapy isn’t necessarily a long, drawn-out venture. If what you’re looking for is a quick professional perspective or guidance from a trustworthy source, sometimes just a few therapy sessions are all that’s needed to bring reassurance, direction, and relief from a growing problem.

Still feeling unsure? 

Because sex is such a taboo subject in our society, sexual problems often build up and are avoided for years or even decades. The longer it goes on, the more shame, guilt, self-judgement, and isolation can develop alongside it, making it even harder to address over time.

It often takes a lot, then, just to walk through the therapy door. People typically arrive carrying shame, fear of being judged, or just a deep discomfort about saying things out loud. That’s completely understandable — especially when something has felt private, confusing, painful, or been avoided for a long time.

I’ve sat with many people in those first moments. I work to put clients at ease, but I also know it can take time to feel comfortable, so we move at a pace that feels right for you. I offer warmth, dignity, and acceptance, and I hold your story sensitively, without judgement.

I’ve worked with people whose struggles have lasted years, even decades. It can feel like nothing will help, but change is still possible. You don’t have to untangle everything at once. Starting is enough. From there, things can begin to move.