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  • Sarah Beaulieu

Why do couples go to a sex therapist?

This is a common question I see on forums, in Google searches, and when people are curious about this type of work that I do:


What exactly is sex therapy? Why would someone go?





Communication Issues: Many couples struggle with communicating their sexual needs, desires, and concerns effectively. Sex therapy provides a safe and non-judgmental space for couples to express themselves openly and honestly, improving communication and understanding between partners.


Intimacy and Connection: Some couples experience challenges in maintaining intimacy and connection in their sexual relationship. Sex therapy can help couples explore techniques for enhancing emotional intimacy, deepening their connection, and rekindling passion.

Desire Discrepancy: Differences in sexual desire or libido between partners can lead to frustration, resentment, and conflict. Sex therapy helps couples understand and address these desire discrepancies, exploring strategies for bridging the gap and finding mutually satisfying solutions.


Sexual Dysfunction: Issues such as erectile dysfunction, premature ejaculation, vaginismus, low libido, or difficulty achieving orgasm can affect one or both partners and impact their sexual relationship. Sex therapists are trained to assess and treat sexual dysfunctions, providing guidance, education, and interventions to address these challenges.


Past Trauma or Abuse: Previous experiences of trauma or abuse, whether related to sexual or non-sexual events, can have a profound impact on an individual's sexual health and relationships. Sex therapy offers a supportive environment for processing trauma, building resilience, and healing relational wounds.


Feeling Comfortable in Your Body and Body Image Work: Body image concerns can affect self-esteem, confidence, and sexual satisfaction. Sex therapy incorporates body image work to help individuals and couples cultivate self-acceptance, challenge negative beliefs, and develop a more positive relationship with their bodies. Techniques such as mindfulness, cognitive-behavioral therapy (CBT), and somatic experiencing may be used to promote body positivity and enhance sexual confidence.


Connecting to Pleasure After Cancer or Traumatic Event: Cancer diagnosis, treatment, or recovery, as well as experiences of other traumatic events, can significantly impact a person's relationship with their body and sexuality. Sex therapy offers support, validation, and guidance for individuals and couples navigating the physical and emotional challenges of reconnecting with sex after cancer or trauma. Therapists can address concerns such as changes in body image, sexual function, intimacy, and communication, helping couples rebuild trust, explore new ways of experiencing pleasure, and navigate their sexual journey with compassion and resilience.


Exploring Sexual Preferences and Lifestyle Preferences & Practices: Couples may seek sex therapy to explore new sexual practices, preferences, or fantasies in a safe and consensual manner. Sex therapists can facilitate open and honest discussions about sexual desires, boundaries, and consent, helping couples navigate their sexual exploration with respect and mutual understanding.

Infidelity or Betrayal: Instances of infidelity, betrayal, or breaches of trust can deeply affect a couple's sexual relationship and overall well-being. Sex therapy provides a structured framework for addressing issues of trust, rebuilding intimacy, and strengthening the foundation of the relationship.


Opening Up the Relationship: Some couples may choose to explore consensual non-monogamy or polyamory as a way to address unmet needs, explore new experiences, or enhance their relationship. Sex therapy offers guidance and support for couples navigating the complexities of open relationships, including communication, boundary-setting, jealousy management, and ethical considerations.


Life Transitions: Major life transitions such as marriage, parenthood, illness, aging, or retirement can impact a couple's sexual relationship. Sex therapy offers support and guidance during times of change, helping couples navigate transitions, adapt to new roles, and maintain sexual satisfaction.


Transitioning or Sexual Identity: Individuals or couples may seek sex therapy while navigating gender transition, questioning their sexual orientation, or exploring their sexual identity. Sex therapists provide affirming and inclusive care, offering support, resources, and guidance for individuals and couples as they navigate their journey of self-discovery and sexual expression.


Overall, couples may seek sex therapy to address a wide range of concerns related to sexual health, intimacy, communication, relational dynamics, connecting to sex after cancer or trauma, and navigating transitions in sexual identity or orientation.


Sex therapists offer specialized knowledge, skills, and interventions to help couples overcome obstacles, enhance their sexual satisfaction, and cultivate fulfilling relationships.




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