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What happens during a sex therapy session?

Sex therapy offers individuals and couples a holistic approach to overcoming sexual challenges, providing a safe and confidential space for exploration and healing. In each session, therapists address physical, psychological, and emotional factors, aiming to enhance sexual satisfaction and intimacy.


What is sex therapy? Read more here.


Understanding the dynamics of a sex therapy before diving into a session is important. Therapists play a pivotal role in encouraging open communication, encouraging clients to express their feelings, desires, and concerns related to intimacy. This safe and non-judgmental environment lays the foundation for trust and emotional safety, vital for effective therapy.

Online Sex Therapy

Online sex therapy, conducted via video calls or specific platforms, offers convenience and accessibility. Sessions are confidential and can be conducted from the comfort of one's home, alleviating the discomfort often associated with discussing sexual concerns. The benefits include improved scheduling flexibility, enhanced privacy, and effectiveness in resolving sexual issues.

How to Prepare for Sex Therapy?

It’s important to take the time to find a qualified and compassionate therapist who makes you feel comfortable and understood, regardless of whether sessions are conducted online or in person. I propose a first 30 minutes session for free so that we can see if the therapy-client fit is correct before committing to a plan.

Preparing for sex therapy involves approaching sessions with openness, understanding the therapeutic process, and maintaining patience. Establishing a strong rapport with the therapist and engaging in assigned exercises are integral parts of the journey toward sexual health and well-being.

What happens during sex therapy?

A sex therapy session unfolds in a safe, confidential, and non-judgmental space where the therapist and client collaborate closely. The first session involves understanding the context of the client's concerns, including their sexual background, beliefs, and attitudes.

Inside a sex therapy session:

  1. Introduction A therapist begins by welcoming you and establishing a rapport. They may discuss the confidentiality of the session and ensure the you feel comfortable sharing your concerns.

  2. Assessment and Goal Setting The therapist explores your background, sexual history, current concerns, and relationship dynamics. This part of the first session aims to establish your goals for therapy through questions about your sexual experiences, beliefs and values.

  3. Exploration of Concerns You will have the opportunity to discuss your specific concerns, challenges, and goals. This may include difficulties with desire, arousal, orgasm, pain during sex, communication, or relationship issues.

  4. Education The therapist will provide any relevant information about sexual anatomy, physiology, and functioning, as well as common sexual issues that maybe aligned with your concerns. This may include discussing performance and pleasure, as well as addressing the many myths and misconceptions about sex.

  5. Addressing Psychological Factors The therapist will help you explore any underlying psychological factors contributing to your sexual concerns, such as anxiety, depression, trauma, body image issues, or past experiences. They may use various therapeutic approaches, such as cognitive-behavioral therapy (CBT), mindfulness-based techniques, or trauma-informed care.

  6. Skill-Building and Exercises Different practical skills and techniques to address your concerns will be proposed. This could involve communication exercises, sensate focus techniques, mindfulness practices, or behavioral exercises to enhance intimacy and pleasure.

  7. Homework Assignments The therapist may assign homework exercises or activities for you to practice between sessions. This could involve practicing communication skills, exploring sensuality, experimenting with new sexual behaviours, or completing journaling exercises.

  8. Follow-Up and Review In subsequent sessions, progress is reviewed, and the treatment plan adjusted as needed. The therapist continues to provide support, encouragement and guidance as you work towards your goals.

Some of the specific concerns addressed:

  • Dysfunction and performance anxiety

  • Intimacy issues and relationship dynamics

  • Providing accurate information on sexual health

  • Offering guidance on sexual identity exploration and preferences

  • Empowering clients for personal growth

  • Encouraging self-reflection and self-appreciation

Establishing trust and boundaries

Building trust between therapist and client is a delicate process, requiring empathy, patience, and and a deep understanding of the client's needs. The goal is to cultivate a safe space where clients feel understood and supported, encouraging them to confront sexual issues openly.

During sex therapy sessions, maintaining boundaries is essential. These boundaries uphold professionalism and ethical standards, setting clear expectations for the therapeutic relationship. Respecting privacy, dressing in the correct attire, and behaving in a socially acceptable manner are essential for the safety and well-being of both client and therapist.

Closing thoughts

Overall, a sex therapy session is a collaborative process toward overcoming sexual difficulties, enhancing intimacy, and achieving greater satisfaction in relationships. With commitment, openness, and effort, individuals and couples can navigate their sexual health and well-being with guidance and support from trained professionals.


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