What is Sex Therapy Like?

Have you ever thought about seeing a sex therapist for help with a sexual problem?

If the question makes you feel uncomfortable, you’re not alone. The idea of discussing the intricacies of one’s sex life with a stranger can be awkward, especially if you find sex difficult to talk about. And sex therapy can have an air of mystery around it. What, exactly, goes on during the sessions?

Simply put, sex therapy is a form of psychotherapy designed to address sexual problems for individuals and for couples. For many, it provides a safe, structured way to cope with a number of sexual problems. Therapy may help you see your situation in a healthier way and learn new skills you can apply at home.

To get the most of sex therapy, it helps to consider the components that work together. Your reasons for seeking therapy, your therapist, your relationship, and your commitment to the process are all essential.

(Note: Before starting sex therapy, see your doctor for a full medical checkup. Many sexual problems have physical causes. For instance, erectile dysfunction (ED) can be an early sign of heart disease or diabetes. Painful sex for women could be related to endometriosis or hormonal changes during menopause.)

Now, let’s take a closer look.

Your reasons

Why might you consider sex therapy? There could be several reasons.

Therapists can help clients:

Your therapist

Sex therapists are trained professionals. They may be psychologists, physicians, social workers, or other clinicians. Usually they have graduate degrees and special training in sexual issues and counseling. Ask about their credentials and licensing before you start. Your doctor can also make a referral or help you choose a therapist who specializes in your specific situation.

For sex therapy to be successful, it’s important that you feel comfortable with your therapist. Most therapists understand that conversations about sex can be awkward and intimidating. They are trained to put you at ease and ask gentle questions to allow you to open up.

Not every therapist/client relationship works out though. If you don’t feel a rapport with your therapist, it’s okay to move on and see a different provider. Don’t be discouraged if it takes some time. The right therapist is out there for you.

Your partner

If you are part of a couple, you may or may not decide to have your partner come to the sessions, too. That decision is entirely yours.

However, keep in mind that sexual problems are often a couple’s problem. Sexual dysfunction in one partner can deeply affect the other partner and the relationship dynamics. For example, if one partner lacks interest in sex, the other partner may worry about the relationship or wonder about an affair. Or, if one experiences pain on penetration, the other may feel frustrated or frightened of causing any further pain.

It’s hard to talk about sex, and even couples who have been together a long time may need to work on their communication skills and nurturing their relationship. A therapist can help each partner understand the other’s perspective so they can go back to working as a team.

The environment

Sessions usually take place at the therapist’s office. Many therapists design their consultation spaces to feel welcoming, relaxing, and safe.

You might also have your therapy session online, using a secure video chat program. This setup is especially suitable for people who cannot travel to their appointments or feel too uncomfortable talking about sexual issues in person. While most telehealth sessions are still “face to face,” there is some degree of distance between you and your therapist.

The sessions

So what happens when the session begins? That depends on your reasons for seeking therapy. But some themes are common:

Nowadays, many therapists explore mindfulness with their patients. Mindfulness allows you to focus on the present moment and let go of any distracting thoughts. You might be asked to try mindfulness techniques during sex, keeping your attention on pleasure and intimacy rather than the issues you’re struggling with.

Sensate focus is another common sex therapy technique. This approach, practiced at home, moves from non-sexual to sexual touching with the goal of fostering trust and intimacy between partners. Other “homework” assignments might be reading or watching educational materials about the physical, emotional, and psychological aspects of sexuality.

The results

When will you start seeing results? The answer varies for everyone. Your therapist will suggest how often you should meet and for how long. However, sex therapy is most beneficial when you put in the effort. Keep an open mind and follow through with the suggestions, exercises, and homework. It may take time, but changes in your sexual health, relationship, and overall well-being could make the journey worth taking.

Resources

American Psychological Association

Weir, Kirsten

“CE Corner: Sex therapy for the 21st century: Five emerging directions”

(February 2019)

https://www.apa.org/monitor/2019/02/cover-ce-corner

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