About sex therapy...

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What is it?

Sex therapy is psychotherapy, or talk therapy, focused on helping an individual or couple(+) address their sexual health concerns. There is never any kind of physical contact between the therapist and client(s).

Sex therapy is frequently integrated in relationship therapy, as sexual concerns/wonderings often have relational components. However, individual sex therapy is still very helpful for many sexual health concerns. Sexual health concerns may be all that you would like to address in counselling, but more often than not, it is only one aspect of why many seek help.

Psychotherapists must first obtain a masters degree where they learn to treat a broad range of general issues, such as depression, anxiety and trauma, before they go on to develop specialized knowledge in treating sexual and relational issues. Becoming a Certified Sex Therapist with the Board of Examiners in Sex Therapy and Counselling in Ontario is a rigorous process involving additional training, supervision and examination.

In sex therapy, you may expect:

  • To feel comfortable openly talking about your sexual concerns or wonderings

  • To feel more comfortable with your sexuality

  • To feel respected, heard and understood, free of judgement

  • To collaboratively determine the best course of treatment

  • To experience direct questions about your sexual thoughts, feelings, behaviours and sexual history for the purpose of assessment and to develop strategies to address your concerns or wonderings

  • To answer as much as you feel comfortable

  • To be assigned home practice, individually or with your partner(s)

  • To get the recommendation that you speak with a physician to rule out physical causes for the sexual concern(s) in question

  • To get the recommendation of pelvic floor physiotherapy in addition to sex therapy.

  • To get accurate, evidenced-based information about your body and sexuality from a sex-positive framework

 

some examples of Concerns that may be addressed Through sex therapy

  • Low sexual desire/desire discrepancy

  • Alternative relationship navigation (CNM, Swinging, Poly etc)

  • Sexual shame/negativity 

  • Sexually-related fears and phobias

  • Sexual assertiveness & communication

  • Self-acceptance

  • Gender concerns/wonderings

  • LGBTQIA+ concerns/wonderings

  • Pain with intercourse

  • Lack of sexual knowledge

  • Body image concerns

  • Embracing pleasure

  • Navigating kinks & fetishes

  • Performance anxiety

  • Erectile dysfunction

  • Premature/delayed ejaculation

  • Anorgasmia (difficulty with orgasm)

  • Fertility-related concerns

  • Intimacy related concerns

  • Out of control sexual behaviours

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