What Is Sex Therapy?

If issues related to your sex life or sexuality are adversely affecting your mental health or relationships, it may be a good idea to schedule an appointment.

What Is a Sex Therapy Session Like?

A typical sex therapy session is much like any other talk therapy session but with a specific focus on sexual issues, Lawless says. “When you arrive, the therapist will usually start by asking about your concerns, history, and what you hope to achieve,” she says, noting that sessions typically last 45 minutes to an hour.

Dumbroff stresses that your therapist will not touch you or ask you to touch yourself or your partner. After the session, they may ask you to do certain activities, such as holding hands or role-playing with a partner, but these homework assignments are the only physical component of sex therapy and happen privately in your home.

“We may and will talk about intimate things, but it is talk therapy,” she says.

It can be challenging to discuss emotional, intimate topics, Lawless says, but therapists are trained to create safe, nonjudgmental environments where you can open up at your own pace.

“Each session is tailored to your specific needs. Sometimes, the focus is on improving communication between partners, while other sessions may include exercises like mindfulness or relaxation techniques to ease performance anxiety,” she says. “There’s no one-size-fits-all approach; the therapist will work with you to develop a process that supports you as you explore these sensitive areas.”

How to Find a Sex Therapy Provider

One of the best resources for finding a certified sex therapist is the American Association of Sexuality Educators, Counselors, and Therapists (AASECT), which offers a searchable directory of certified practitioners, Lawless says. The Society for Sex Therapy and Research has a similar directory. Local clinics and organizations like Planned Parenthood can also provide low-cost free referrals and sexual health services, she adds.

Some therapists accept insurance, but Lawless says to check with your provider to ensure your sessions would be covered. “Many therapists also offer sliding scale fees based on income, making therapy more accessible for those without insurance coverage,” Lawless says.

How to Prepare for a Sex Therapy Session

Lawless says it can be helpful to prepare a list of concerns you want to discuss, along with your treatment goals. Have some of your health or medication history on hand, because medical issues and medications can sometimes affect sexual health, she adds.

“If you’re attending as a couple, it’s a good idea to discuss your goals beforehand — whether you’re looking to improve communication, rekindle intimacy, or tackle a specific issue,” she says.