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Sex Therapy

Sex therapy is a specialized form of psychotherapy that focuses on addressing sexual concerns, difficulties, and relationship issues related to intimacy. It combines psychological, medical, and relational approaches to help individuals or couples improve their sexual health and overall well-being. I take a wholistic and cross-cultural approach to understanding sexual behaviors, identities, norms, taboos, and expressions around the world. I practice with a perspective that explores the intersection of sexuality with patriarchy, feminism, queer theory, and resistance. I also examine how power operates through sexual norms and control and relate that information to the client’s experience.

Key Features of Sex Therapy

  • Confidential & Non-judgmental: A safe space to talk about intimate concerns openly.

  • Evidence-based: Uses techniques from attachment theory, systems theory, mindfulness, psychoeducation, and couples therapy.

  • Wholistic: Considers biological, psychological, relational, and cultural aspects of sexuality.

 

Common Concerns Addressed

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  • Low or mismatched sexual desire

  • Erectile difficulties

  • Problematic sexual behaviours, also known as "sex addiction"

  • Pain during sex (dyspareunia, vaginismus, vulvodynia)

  • Struggles with mood and physical changes due to perimenopause and menopause

  • Premature or delayed ejaculation

  • Body image and sexual confidence

  • Past sexual trauma or abuse

  • Sexual orientation, gender identity, and expression

  • Infidelity and rebuilding intimacy in relationships

 

What Happens in Sex Therapy

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  • Assessment: Discussion of history, concerns, medical factors, and relationship dynamics. I also take a detailed sexual development history, exploring sexual development from a systems perspective.

  • Education: Correcting myths, teaching sexual anatomy and response cycles.

  • Exercises: "Homework" such as communication skills, mindfulness, sensate focus (touch without pressure to perform).

  • Collaboration: May work alongside physicians, pelvic floor therapists, or endocrinologists if physical factors are involved.

 

Finding the right sex therapy professional

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The first place to being exploring someone's qualifications to provide sex therapy is to ask whether they are certified in sex therapy. The primary certifying body for sex therapy in Canada and the United States is the American Association of Sexuality Educators, Counselors, and Therapists - AASECT. Certification through AASECT is a rigorous process requiring study, specialized training, supervision, and a peer review of one’s academic and therapeutic accomplishments to ensure a standardized level of training and basic competence. I have been an AASECT-certified Sex Therapist since September 2020.

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