My Account
0

Contemplating Starting Sex Therapy? Some Considerations…

Couple starting sex therapy

Embarking on a journey into sex therapy is a step toward improving one of the most intimate and rewarding (yet often confusing and tricky!) aspects of human experience. As a psychotherapist specializing in relationships and sex, I’ve had the privilege of guiding many individuals, couples, and polycules through this transformative process. Here are some insights that you may want to know before engaging in therapy with a sex/intimacy counselor.

Acknowledging the Need

Realizing that you may need help from a trained sex therapist is significant and deserves serious credit. Courage is probably the word to use when acknowledging what it takes to own that there are aspects of your sexual life that you’re unable to resolve alone, or even with a loving and collaborative partner. Many of us first turn to books, podcasts, or best friends as a way to fix what we likely perceive as broken within our intimate lives. And while there are wonderful resources out there, having a skilled provider who can tailor their treatment to exactly what you need is sometimes what’s required.

Sex Therapy Is About More Than Just Sex

While the primary focus of “sex therapy” is on sexual issues, treatment often encompasses so much more than focusing solely on what occurs in the bedroom. It’s not uncommon for sex therapy sessions to delve into broader relationship dynamics, communication patterns, self-perception challenges, family of origin, and the numerous psychological factors influencing your sexual health. Sexuality is intertwined with many aspects of our being, as well as a number of moving parts within our relationship(s) that we may never have anticipated were related to the sexual struggles that brought us into treatment.

I was reminded of this recently in a meeting with a physical therapist for leg pain. While I was ready to jump into discussion of that area of my body, she instead began by saying something like, “Your leg hurts? Great, so let’s have you take off your shoes, stand on the floor over here, and do some movements. You know, it may not actually be your leg…it may be your hip, or your neck, or how you carry your posture. Can I see how you sit when you’re in a chair all day?”

When you look at the whole person and the entire relationship, you see what else is going on that needs to be addressed. So as therapists, especially those trained in sex/intimacy, we don’t just focus on the presenting problem. Instead we back way out and explore how the whole system may be contributing to the sexual concern.

Openness, Honesty, and Vulnerability Required

Most of us know that for therapy to be effective, openness and honesty on the part of the client are crucial, though this can be a particularly large ask when the focus on treatment is sex. While your provider will do everything within their training to set you at ease, the process will still necessitate you sharing intimate details about your sexual experiences, feelings, and concerns. When I first begin working with someone and ask in our intake session how they’re feeling about starting this process with me, the word I hear most often is “terrified”! And how easy it is to empathize with this experience. But while starting to open up to a stranger about this part of one’s life can initially feel daunting, a skilled therapist knows how to create a space that is soon recognized as safe.

Time for Change

It’s important to manage expectations regarding the timeline of therapy, and perhaps particularly so when working on our intimate lives. Change, especially when it involves deeper issues or patterns, will simply take time. Progress in sex therapy is often gradual, requiring patience and persistence, though a solid therapist will help you to celebrate victories along the way. I love starting sessions asking my clients, “Before we talk about what was challenging since I last saw you, what can you brag about? What are you proud of as a couple recently? Where has there been movement, if only a little bit?” This helps us to recognize and to trust that the process is working. Allowing for change to take time also affords us grace when setbacks inevitably occur as part of the therapy journey.

Individual Effort Within Collaboration

Research shows that the biggest determinant of client success in psychotherapy is not the therapist’s credentials, theoretical approaches, or even experience level. Instead, it is the client that has the most impact (by far) on the amount of change one sees from the time spent in treatment. This means being proactive in sessions, doing any homework assigned, and communicating openly about what is or isn’t working for you. As such, a consideration for entering into sex therapy is simply asking yourself, “How ready am I to truly engage in this process? If I’m not quite there yet, what would I need to shift within myself to become ready to fully take this step?” Hopefully this post can help you to approach that place of readiness.

How well do you know your partner?

Share this post:

As the owner and lead therapist of Clarity Counseling Seattle for the past 20 years Justin has worked with couples, polycules, and individuals of all gender expressions and sexual orientations. Though he is a straight cis-gender male, he is also a strong LGBTQ+ ally and advocate, and thus has intentionally created a team at Clarity that is diverse in sexual identity and expression. As an AASECT Certified Sex Therapist (CST) and a Certified Gottman Therapist (CGT)  he has been hired by The Gottman Institute to consult on sex and sexuality. He currently sits on the Board of The Northwest Institute on Intimacy as a Certified Integrated Intimacy Practitioner, and is a past Board member of the Seattle Counselors Association.

In 1996 he earned a Bachelor of Arts in Psychology and Sociology from Western Washington University, and in 2003 his Master of Arts in Counseling came from Seattle University.

Recommended products

Original price was: $298.00.Current price is: $149.00.

Drs. John and Julie Gottman are excited to introduce a new Gottman Relationship Coach collection, All About Intimacy.  With more than 40 years of research into relationships, Drs. John and Julie Gottman are here to share their knowledge with you. Learn from the experts in this new All About Intimacy Gottman Relationship Coach Bundle, which combines three of our most popular products: Loving Out LoudFeeling Seen and Heard, Enriching Your Sex Life

Original price was: $79.00.Current price is: $49.00.

Learn how to foster intimacy and safety in your relationship and how doing so can lead to amazing sex in the new Gottman Relationship Coach, “Enriching Your Sex Life”. In this never-before-seen series of videos and conversation-starting exercises, Drs. John and Julie Gottman will guide you and your partner through opening up communication around sex, learning your partner’s preferences, exploring sensuality, and building sexual safety in your relationship.

$599.00

Created by “the Einstein of Love” (Psychology Today), this two-day workshop is grounded on what actually works in relationships that are happy and stable. See for yourself why millions of couples worldwide have benefited from the Gottman Method.

Quote from participant in most recent Live Virtual Workshop:

The Art and Science of Love workshop- where do I begin? It was an absolute stellar workshop. We were looking forward to this for weeks, and it exceeded our expectations! It was well-structured, and well-organized, and provided a wealth of information with real-time demonstrations of how to work through specific scenarios. The outstanding support that was provided throughout the exercises with therapists on standby- WOW! Priceless!

Includes the Art & Science of Love box set.  Please allow time for shipping.  Please Note: This is a live online event. To attend, you will need a reliable internet connection. Our staff will reach out to you with your personal registration and access information.

Related posts

The Top Myths about Lust and Love and How They can Ruin your Sex Life (Part One)

Cheryl Fraser

If you're worried your sex life is over, sex therapist Dr. Cheryl Fraser is here to dismantle the beliefs that mess ...

Read More

The Three Keys to Passion

Cheryl Fraser

What are the components of the passion triangle? ...

Read More

Couple in bed

My Wife Wants to Open the Relationship. Is Our Marriage Over?

Cheryl Fraser

A sex therapist weighs in on open relationships and how to make monogamy hot again. ...

Read More

Sign up for the email newsletter you are most interested in and start your Gottman journey today!