04/08/2026
S*x Therapy: What it is, What it isn’t, and What to know before starting || By TJ Dubovich, MA, MFTC
What S*x Therapy Is
S*x therapy is a specialized form of talk therapy that focuses on s*xual health, intimacy, and relationship dynamics. It’s grounded in psychology, communication, and evidence-based techniques—not performance or physical demonstrations (American Association of S*xuality Educators, Counselors and Therapists – AASECT),
A s*x therapist helps individuals and couples explore concerns such as:
Low or mismatched desire
Difficulty with arousal or or**sm
Pain during s*x
Performance anxiety
Emotional or psychological barriers to intimacy
Relationship or communication challenges related to s*x (International Society for S*xual Medicine)
Sessions typically involve conversation, reflection, and sometimes structured exercises to try outside of therapy. The goal is to create a safe, non-judgmental space where you can better understand your body, your mind, and your relationships.
What S*x Therapy Isn’t
Let’s clear up some common misconceptions:
It’s not physical or hands-on.
S*x therapy does not involve any s*xual activity during sessions (American Psychological Association; Mayo Clinic).
It’s not only for couples in crisis.
Individuals, single folks, and people in healthy relationships can all benefit.
It’s not about “fixing” you.
There’s no single definition of “normal” when it comes to s*xuality. Therapy focuses on understanding, not judging.
It’s not just about s*x.
Often, deeper emotional, relational, or psychological factors are at play.
People come to s*x therapy for many different reasons—and not all of them are obvious. Some are struggling with something specific, like anxiety or pain. Others feel disconnected from their partner or their own sense of desire. Some are simply curious and want to deepen intimacy or explore their s*xuality in a healthy way. Research suggests that s*xual desire and arousal are influenced by complex emotional and contextual factors, not just physical ones (Nagoski, 2015; Basson, 2001). A common thread? Something feels off, confusing, or unsatisfying—and they want clarity and change.
What to Expect in Your First Sessions
Starting s*x therapy can feel vulnerable, especially if you’re not used to talking openly about intimacy.
In the beginning, you can expect:
Questions about your history, relationships, and concerns
A chance to define your goals
Open, respectful conversations at your pace
Zero pressure to share more than you’re comfortable with
Your therapist may also introduce small exercises or communication tools to help you and/or your partner build awareness and connection over time. Healthy communication is strongly linked to relationship and s*xual satisfaction, making it a core focus in therapy (Gottman, 1999).
What to Know Before You Start
You Don’t Need to Have a “Big Problem”
You don’t have to wait until something feels broken. Many people start therapy to improve, not repair.
It Might Feel Awkward at First
Talking about s*x openly can feel unfamiliar—but that discomfort usually fades quickly in a supportive environment.
Progress Takes Time
Like any therapy, meaningful change doesn’t happen overnight. Patience and consistency matter.
Communication Is Key
Whether you’re going alone or with a partner, being honest (even when it’s hard) is essential.
The Right Therapist Matters
Feeling safe and understood is crucial. It’s okay to ask questions, explore options, or switch therapists if needed. Certified professionals follow strict ethical guidelines to ensure client safety and professionalism (AASECT).
S*x therapy isn’t just about improving what happens in the bedroom. It’s about understanding yourself more deeply—your needs, your boundaries, your patterns, and your capacity for connection. At its core, it’s not really about s*x. It’s about intimacy, communication, and feeling more at home in your own body and relationships.
References:
American Association of S*xuality Educators, Counselors and Therapists. (n.d.). About s*x therapy. https://www.aasect.org
American Psychological Association. (n.d.). Understanding psychotherapy and ethics. https://www.apa.org
Basson, R. (2001). The female s*xual response: A different model. Journal of S*x & Marital Therapy, 27(1), 51–65.
Cleveland Clinic. (n.d.). S*x therapy overview. https://my.clevelandclinic.org/health/treatments/s*x-therapy
Gottman, J. M. (1999). The seven principles for making marriage work. Crown Publishing.
International Society for S*xual Medicine. (n.d.). S*xual health topics. https://www.issm.info
Mayo Clinic. (n.d.). S*xual health and therapy. https://www.mayoclinic.org
Nagoski, E. (2015). Come as you are: The surprising new science that will transform your s*x
life. Simon & Schuster.
National Health Service. (n.d.). S*xual health and wellbeing. https://www.nhs.uk
About the Author: TJ Dubovich is a q***r relationship therapist in the Denver metro who specializes in working with s*xual issues, couples & poly dynamics and individuals of the LGBTQ community. He is passionate about meeting clients as their full selves and utilizing collaboration to seek positive outcomes. For more information on him & his practice, visit: www.healgrowcolorado.com