Even in a world where we’re seemingly surrounded by sex – whether it be implicit in advertising, or even on our social media feeds – it still feels taboo to talk about. And it can become even more uncomfortable when it comes to talking sex with your partner – especially if things aren’t exactly going well under the sheets. That said, staying silent only makes things worse – studies have shown that chronic bedroom problems are a likely indicator of future divorce.
And while it might seem like a bad idea to involve a third party (and no we don’t mean threesomes!) sex therapy can actually offer a path forward that many people don’t consider until they’ve struggled far longer than necessary. Ready to learn what it’s all about? Let’s break down what sex therapy actually is, who it helps, and what really happens in those sessions.
What Is Sex Therapy?
Think of sex therapy as relationship counseling with a focus on intimacy issues. It’s talk therapy – no touching involved – where you work through problems affecting your sex life. The goal is simple – figuring out what’s blocking satisfaction in the bedroom, and coming up with solutions to fix it.
When sex becomes frustrating instead of fun, a sex therapist creates a space where you can actually talk about it, without dying of embarrassment. They tend to mix psychology with practical advice to help you get past whatever’s holding you back.
Who Can Benefit from Sex Therapy?
Individuals & Couples
Contrary to popular belief, you don’t need a partner to benefit from sex therapy. Yes, it might seem weird at first to visit a sex therapist when you’re not actually having sex, but plenty of singles work with sex therapists to sort out personal issues before jumping into relationships, especially if bedroom problems played a role in their recent breakup.
And if you’re coupled up, it can help you both figure out how to talk about sensitive stuff without fighting and reconnect physically when you’ve lost that spark.
Sex therapy works for everyone – single, dating, married, whatever. Doesn’t matter your age, gender, or who you’re attracted to. If sex is part of your life and something’s off, a sex therapist can probably help.
What Does a Sex Therapist Do?
So, what kinds of problems bring people to sex therapy? Pretty much anything that messes with your enjoyment of sex:
- Can’t get it up or keep it up (check out our blog on sex tips for middle-aged men first though!)
- Finishing too quickly or taking forever
- Sex hurts (which it definitely shouldn’t)
- You want it all the time but your partner doesn’t (or vice versa)
- Someone cheated and trust is shot
- You feel too self-conscious about your body to let go
- Your meds, health issues, or just getting older has changed how everything works down there
How Does Sex Therapy Work?

The Role of a Sex Therapist
A sex therapist wears two hats: detective and teacher. First, they help figure out what’s really causing the problem. Is it physical? Something in your head? Relationship drama? Old baggage you’re still carrying?
Then they build a plan specifically for you. Maybe you need to reframe how you think about sex, or maybe you need actual scripts for talking to your partner without triggering a fight. Sometimes you just need accurate information because nobody ever taught you how your body (or your partner’s) actually works.
What to Expect in a Session
When you first meet with a sex therapist, they’ll conduct a thorough assessment of your concerns, relationship problems, and goals for therapy. This typically happens in an office setting much like any other type of counseling.
Sessions usually last 45-60 minutes and occur weekly or biweekly. The therapist might assign “homework” between sessions—not sexual activities but rather exercises focusing on communication, mindfulness, or exploring personal attitudes toward sex and intimacy.
Common Misconceptions About Sex Therapy
“Sex therapy involves physical touch.”
Let’s clear this up once and for all: your sex therapist will never touch you sexually or watch you have sex. That’s not therapy – that’s something else entirely and definitely unethical. The work happens through talking, learning, and exercises you try at home on your own time. Sex therapy is a professional mental health service, not some weird 70s free-love experiment.
“It’s only for people with serious issues.”
Think sex therapy is just for people with major dysfunctions or trauma? Nope. Plenty of folks go simply to make their already-decent sex life even better. Maybe they want to feel closer, try new things safely, or adjust to big life changes – having kids, hitting midlife, dealing with health stuff.
“Sex therapy is awkward or embarrassing.”
While talking about sex can feel uncomfortable at first, qualified sex therapists are skilled at creating an environment where you can discuss sensitive topics without shame. It’s a bit like going to the doctor for a down-there problem – they’ve seen it all before and will be totally unfazed.
Final Thoughts
The bottom line is simple – good sex matters. It’s not just a nice bonus in life – it affects your mood, your relationship, even your health. Sex therapy tackles both what’s happening in your head and between you and your partner, and most importantly, it’s not about quick fixes or magic pills; it’s about creating lasting change and satisfaction for both partners.
And reminder – having trouble in bed doesn’t mean you’re broken. Sex is complicated! Getting help shows you’re smart enough to know when you need a guide. Whether you’re dealing with serious issues or just want to spice things up, talking to a pro might be the best thing you ever did for your relationship – and yourself. After all, life’s too short for bad sex.
But if the idea of sex therapy is just totally off limits (I get it, I’m an introvert too), it’s good to remember that exploring your own sexuality and sexual needs on your own before speaking to a therapist can also help. For example, many men experiencing age-related changes find both therapeutic approaches and performance-boosting products helpful in regaining confidence and satisfaction – all without the shrink.