“Sex is learned and expressed through the unique lens of one’s psychological composition.”

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G.R. Weeks, N. Gambescia, & K.M. Hertlein

Sex Education

The World Health Organization defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled” (WHOA, 2006a).

According to this definition, it is likely that few of us realized that sexual health extends far beyond understanding safe sex practices, contraceptive use, and knowledge of our reproductive anatomy. Nor did we recognize that our individual sexual health is intrinsically linked to the sexual rights of others and to fundamental human rights.

  • Sex therapy is a specialized form of psychotherapy that focuses on addressing sexual difficulties and challenges. These may include, but are not limited to, mindsets that limit sexual satisfaction, difficulties with arousal or orgasm, pain during sexual activity*, erectile dysfunction**, low sexual desire, and concerns related to sexual orientation or gender identity.

    * Pain during sex can have multiple contributing factors—both medical and psychological. It is essential to collaborate with your gynecologist to explore possible underlying causes and identify appropriate solutions.

    ** Erectile dysfunction may stem from medical, psychological, or relational factors, and often involves a combination of these influences. Working in partnership with your urologist supports a more comprehensive and holistic approach to care.

  • Sexuality encompasses both our relationship with ourselves and our connections with others. Exploring and understanding one’s own sexual self can lead to more fulfilling sexual experiences by fostering greater confidence, awareness of one’s own pleasure, and the ability to communicate desires and needs effectively.

    For some individuals, early influences—such as family dynamics, cultural expectations, or religious beliefs—may have limited opportunities for healthy sexual development. These influences can create emotional or cognitive “blocks” that interfere with sexual intimacy and may shape how one perceives their body, pleasure, desire, and sexual needs. Sex therapy can be a space to build or rebuild a more authentic sexual expression.

  • Absolutely not. Sex therapy is appropriate for anyone seeking to better understand and enhance their sexual well-being. It is intended for individuals and partnerships who wish to explore their sexual potential, increase sexual confidence, and cultivate more satisfying and fulfilling sexual experiences.

  • Absolutely. At times, it may be necessary to first address underlying relationship dynamics before focusing on their impact on sexual experiences. In such cases, therapy will explore how patterns of communication, emotional connection, and relational stressors may be influencing sexual satisfaction and intimacy.

    For others, the therapeutic focus may include exploring alternative relationship structures—such as polyamory or ethical non-monogamy—or engaging in experiences that fall outside traditionally defined or “mainstream” expressions of sexuality. These explorations are approached with openness, respect, and a commitment to understanding what supports each individual’s or couple’s sense of authenticity, consent, and fulfillment.

  • Yes. Sex therapy is a goal-focused process that helps individuals and couples work toward realistic and meaningful changes in their sexual and relational lives. It a high commitment level and requires active participation, which often includes at-home exercises or reflections between sessions. These activities help support growth, deepen connection, and strengthen progress made in therapy.

    Sex therapy is generally short-term, though the number and frequency of sessions depend on each person’s or relationship’s unique needs and goals.

    It’s also important to note that sex therapy is not designed to treat experiences of childhood sexual abuse or trauma. In those cases, trauma-focused therapy or other trauma-informed approaches are more appropriate starting points. Once healing in those areas has begun, sex therapy can be a valuable next step in rebuilding a healthy and fulfilling sexual self.

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We cannot have a meaningful conversation about sex without exploring gender. We cannot discuss gender without acknowledging sexual orientation. And we cannot truly understand any of these without confronting the realities of inequality and oppression that shape them all.

A Word on Sex…

No number of facts or statistics can persuade someone to see what they refuse to acknowledge. If you do not believe that systemic forces exist which oppress and marginalize certain identities*, then we are unlikely to be a good therapeutic fit.

I believe the heart of therapy is freedom — freedom from our internalized “-isms,” from the voices that echo our pain, and from the patterns of thought that keep us bound to suffering.

** Marginalized identities describes people who are at risk of being pathologized due to their sexual orientations, behaviors, or relationship structures that exist outside of dominant cultural norms.