Find Online Therapists Offering Sex Therapy

Compare online providers who offer this type of care. Choose your session location, then refine your search by specialty and other preferences.

Find a provider for your location

Select the state or states where you will attend sessions. Use More filters for insurance, therapy approach, language, and other preferences.

Session location

Choose state(s)
States Licensed In

Specialty

Any specialty
Provider Specialties

Select Update results after changing or clearing a selection.

Showing 25–36 of 57 providers

Margaret Bean

ABC Counseling Inc.

LMFT-S

Licensed In:
Colorado, Montana, Texas
“I work with adults, teens, couples, and helping professionals who feel overwhelmed by anxiety, burnout, relationship stress, life transitions, and the pressure of holding everything together. Many of my clients are overthinkers, people pleasers, high achievers, cycle-breakers, or the “strong one” in their family who’s exhausted from carrying everyone else emotionally. You may look successful on the outside while privately struggling with self-doubt, emotional exhaustion, boundaries, communication, trauma, or feeling disconnected from yourself and others. I also work with clients navigating identity exploration, attachment wounds, grief, ADHD-related challenges, and difficult relationship dynamics. If you’re self-aware but still stuck in the same patterns, craving healthier relationships, or simply tired of surviving instead of living, you’re in the right place.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Parenting Therapy, Sex Therapy, Teen Therapy
Specialties:
Addiction · ADHD · Aging · Anxiety · Attachment · Bipolar Disorder · Burnout · Cancer · Career Counseling · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Disability · Divorce · Domestic Abuse · Gender Identity · Grief · Immigrant & Refugee Mental Health · Life Transitions · Older Adults & Aging · Panic · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Psychosis · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Self-Harming · Sexual Abuse · Spiritual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD · Women’s Mental Health
Amy Wong

LMFT

Licensed In:
Connecticut, South Carolina, Texas, Vermont
“I work with individuals and couples who feel stuck, disconnected, or overwhelmed in their relationships and emotional lives. Many of my clients are navigating relationship distress, communication breakdowns, trust injuries, life transitions, anxiety, or unresolved trauma. I often support partners where one is leaning in and the other is leaning out, helping them clarify goals and move toward the healthiest path forward. I also work with adults seeking deeper self-understanding, stronger boundaries, and more secure attachment patterns. My clients are motivated for meaningful change and willing to look honestly at patterns, build new skills, and create more intentional, fulfilling relationships.”
Services:
Couples Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
Addiction · Anxiety · Attachment · Codependency · Depression · Divorce · Life Transitions · Pregnancy, Postpartum & Perinatal Mental Health · Substance Use
Ruby Orth

Ruby Orth LMHC

LMHC

Licensed In:
New York
“In the therapeutic relationship there are ample opportunities to explore experiences, values, and self-awareness through an intersectional lens, leading to meaningful personal insights and positive change. As a queer therapist I specialize in providing culturally sensitive, LGBTQIA+ affirming care to adolescent and adult individuals struggling with anxiety, depression, trauma, adjustment, identity concerns and socioeconomic challenges.”
Services:
Clinical Supervision, Individual Therapy, Sex Therapy, Teen Therapy
Specialties:
ADHD · Anxiety · Attachment · Bipolar Disorder · Burnout · Chronic Pain and Illness · Codependency · Depression · Gender Identity · Grief · Life Transitions · Mood Disorders · Perfectionism · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Self Esteem · Women’s Mental Health
Kristin Padera

Padera Therapy & Wellness

LCPC, EMDR, PMH-C,

Licensed In:
Illinois, Iowa, Michigan
“I’m Kristin, a psychotherapist, yoga teacher, and founder of Padera Therapy and Wellness. I believe therapy works best when it honors your full humanity: your quirks, your wisdom, your messiness, and everything in between. I specialize in working with late-diagnosed neurodivergent female-identified, trans, and non-binary folx. I love working with parents, caretakers, trauma survivors, and those deconstructing from religious or spiritual trauma. As a sex therapist in training, I also love helping female identified/trans/non-binary clients reconnect with their bodies, pleasure, and sexuality, especially after pain, trauma, or years of self-neglect. I work primarily with trauma survivors and neurodivergent women/female identified clients who are navigating depression, life transitions, burnout, perinatal mental health or identity shifts. I’m especially passionate about supporting parents, caretakers, perfectionists, and folks deconstructing from rigid or harmful belief systems.”
Services:
Individual Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Autism · Bipolar Disorder · Consensual Non-Monogamy · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Trauma & PTSD · Women’s Mental Health
Owen Renert

Pacific Relational Therapy

LMFT

Licensed In:
California
“I love working with clients who are desperate to have lasting love in their lives, but feel like they sacrifice their identities just to fit in. I help adults who feel like they have never belonged find the relationships they have been craving.​ You deserve to feel loved whether you struggle with relationship OCD, cultural or gender dysphoria, LGBTQ+ community drama, non-monogamy isolation, chronic illness, or just straight-up trauma from being told you are too much of a burden to deserve love. Together, we’ll help you find your voice, build relationships where you feel seen, and ask for what you need. I have a history in queer sex-ed, polyamory counseling, and couples therapy. I have done premarital counseling, relationship OCD, and social anxiety work. I work with the little (and sometimes big) voice in the back of your brain saying you aren't good enough. I'm Asian American, biracial, and third-culture, and utilize a collectivist approach.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
ADHD · Aging · Anxiety · Attachment · Body Dysmorphia · Career Counseling · Caregiver Support · Chronic Pain and Illness · Consensual Non-Monogamy · Dementia · Disability · Divorce · Eating Disorders · End-of-Life · Gender Identity · Highly Sensitive People (HSP) · Immigrant & Refugee Mental Health · Life Transitions · Men’s Mental Health · Obsessive-Compulsive Disorder (OCD) · Older Adults & Aging · Out-of-Control Sexual Behavior · Panic · Perfectionism · Phobias · Relationship Issues · Self Esteem · Spirituality · Women’s Mental Health
Julie Williams, LMFT

ACT with Julie Marriage and Family Therapy Inc.

LMFT

Licensed In:
California, Idaho
“Anxiety often begins as your brain’s attempt to keep you safe. This instinct helped humans survive danger long before modern life existed. But when the anxiety response stays switched on too long, it can leave you feeling exhausted, stuck, or overwhelmed. For people with anxiety disorders, this can look like panicky thoughts, intrusive worry, avoidance of situations, or fear that feels hard to control. Anxiety isn’t a sign of weakness – it’s a sign that your mind is trying to keep you out of harm's way. I also work with those with sexual challenges- low libido, pain, erectile dysfunction and help you express your desires and needs. I work with those in perinatal and postpartum periods- these huge life changes impact all areas of your life, including work, relationships, rest (or lack thereof), free time, and you may benefit from space to process this transition and get support.”
Services:
Individual Therapy, Sex Therapy
Specialties:
Anxiety · Depression · Pregnancy, Postpartum & Perinatal Mental Health · Sexual Abuse
Sarah Simpson

Embodied Alignment Therapy LLC

LCSW

Licensed In:
Arizona
“I work with both individuals and couples within the state of Arizona. These people may identify as LGBTQ+, Trauma Survivors, Relationship Concerns, Anxiety, Life Transitions, Intimacy and Sexual Concerns, Attachment Issues.”
Services:
Couples Therapy, Group Therapy, Individual Therapy, Sex Therapy
Specialties:
Infidelity / Affair Recovery · Men’s Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Spiritual Abuse · Spirituality · Women’s Mental Health
Licensed In:
Florida, New York
“-Experienced in treating: Trauma, Anxiety, Depression, Relationship issues, ADHD, OCD, Transitions in life, Self-identity/ Self-Esteem Issues and more. -Clients range across all ages, from children to geriatric. I offer both Individual and Couples Counseling. Reviews: https://www.zocdoc.com/professional/samya-sammy-touma-lcsw-431236 -Because of my medical school experience in neurology, pharmacology, and psychiatry, patients have benefited tremendously. -In network with Northwell, and offering a lower than average sliding scale (185 and if absolutely needed, 135-155 and similar ranges). -Virtual, and if absolutely needed, near Garden City, Melville, Manhasset, and Hicksville (if absolutely needed, closer to the Hamptons in Bohemia).”
Services:
Child Therapy, Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Sex Therapy, Teen Therapy
Specialties:
ADHD · Aging · Anger Management · Anxiety · Attachment · Autism · Behavioral Issues · Burnout · Cancer · Chronic Pain and Illness · Codependency · Consensual Non-Monogamy · Depression · Disability · Divorce · Domestic Abuse · Educational and Learning Disabilities · Faith-Based Care · Gender Identity · Grief · Highly Sensitive People (HSP) · Immigrant & Refugee Mental Health · Infertility & Reproductive Mental Health · Infidelity / Affair Recovery · Insomnia & Sleep Disorders · Life Transitions · Men’s Mental Health · Menopause & Perimenopause · Obsessive-Compulsive Disorder (OCD) · Older Adults & Aging · Panic · Parent-Child Bonding & Attachment · Perfectionism · Personality Disorders · Phobias · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Sexual Abuse · Spiritual Abuse · Spirituality · Trauma & PTSD · Weight Loss · Women’s Mental Health
Dr. Esther Lapite-Garrett | Alafiora

Alafiora

Licensed Psychologist

Licensed In:
Indiana, New Mexico
“At Alafiora, Dr. Lapite-Garrett works with clients where everything feels out of control, and these individuals can see themselves moving toward the edge but cannot stop. For some, this has meant slipping out of the office to meet an escort, initiating sexual contact with a colleague or subordinate they know could cost them everything, or spending thousands on escorts and sex dolls with relief that lasts less each time. For others, it has meant a consuming, one-sided devotion to someone who may barely register their existence, a person who has gone silent while the longing only intensifies. Some have stopped engaging with people altogether, bonded to an AI companion that requires nothing and cannot leave, finding real human contact unbearable by comparison. Others are caught in trauma reenactment, pulled into situations that mirror what was done to them, not by choice but by a nervous system that has learned to find danger familiar. Alafiora specializes in working with these individuals and in helping them slowly, meaningfully begin to press the brakes.”
Services:
Individual Therapy, Sex Therapy, Teen Therapy, Testing and Evaluations
Specialties:
Addiction · Anxiety · Attachment · Behavioral Issues · Codependency · Depression · Highly Sensitive People (HSP) · Infidelity / Affair Recovery · Men’s Mental Health · Obsessive-Compulsive Disorder (OCD) · Out-of-Control Sexual Behavior · Personality Disorders · Phobias · Self Esteem · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Lucy Roth

LCSW

Licensed In:
Pennsylvania
“I've been in social work since 2009, firmly rooted in community based mental health work in NYC and transitioned into private practice in 2017. I want to collaborate with my client(s), process together and have an authentic conversation. I am not a blank slate, nor do I assign homework. I love working with people who are interested in examining who they are and how they came to be. I focus on folks wanting to explore their sense of self, how they show up in relationships, and with attention paid to gender and sexuality. I am experienced in working with polyamorous, non monogamous, and kinky folks. I enjoy complex family systems, helping people to make meaning of attachments, enact more loving boundaries with people in their lives, and grow language around their emotions.”
Services:
Couples Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
Anxiety · Attachment · Bipolar Disorder · Consensual Non-Monogamy · Depression · Disability · Divorce · Gender Identity · Grief · Infertility & Reproductive Mental Health · Life Transitions · Parent-Child Bonding & Attachment · Pregnancy, Postpartum & Perinatal Mental Health · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Spiritual Abuse · Substance Use · Suicidal Ideation · Trauma & PTSD
Nicola Irving

Licensed Professional Counselor

LPC

Licensed In:
Oregon, Virginia, Washington
“You may deeply care for your partner, but your relationship no longer feels the same. You’re ready to move beyond surface-level solutions and create a relationship built on emotional security, intimacy, and lasting satisfaction.”
Services:
Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Codependency · Divorce · Infidelity / Affair Recovery · Insomnia & Sleep Disorders · Relationship Issues · Women’s Mental Health
Jennifer McAdams

Jennifer McAdams, Ph.D., PLLC

PhD Psychologist

Licensed In:
Alabama, Alaska, Arizona, Arkansas, Colorado, Connecticut, DC, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington, DC, West Virginia, Wisconsin, Wyoming
“I work with questioning or late identified "high masking" Autistic and/or ADHDer adult clients in Texas and most states in the US via online individual, couples, & group therapy, from a strengths-based and neurodivergent affirming approach. I also specialize in helping therapists and those who have experienced narcissistic abuse.”
Services:
Couples Therapy, Group Therapy, Individual Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Attachment · Autism · Burnout · Depression · Highly Sensitive People (HSP) · Life Transitions · Obsessive-Compulsive Disorder (OCD) · Panic · Perfectionism · Relationship Issues · Religious Trauma & Spiritual Abuse · Self Esteem · Women’s Mental Health

About Sex Therapy

Online sex therapy is talk-based mental health support for people who want help with sexual concerns, intimacy, communication, desire, shame, identity, trauma, relationship patterns, or changes in sexual wellbeing. It can be useful for individuals, couples, and partners who want a private, respectful space to better understand what is happening and work toward healthier, more connected experiences.

Therapy Expanded helps you compare online therapists who offer sex therapy by state, specialty, therapy approach, insurance, language, and availability. Sex therapy does not involve sexual contact, physical touch, or physical exams; sessions focus on conversation, education, emotional support, communication, and practical next steps. If your main concern is relationship conflict or communication with a partner, couples counseling may also be helpful. If you are looking for one-on-one support around anxiety, trauma, self-esteem, identity, or emotional patterns, individual therapy may be a better fit.

What to Know About Online Sex Therapy

Sex therapy is a specialized form of talk therapy that helps people address concerns related to sex, intimacy, identity, relationships, desire, arousal, sexual anxiety, body image, shame, communication, boundaries, or past experiences that affect sexual wellbeing.

People seek sex therapy for many different reasons. Some want support around mismatched desire, difficulty talking about sex, performance anxiety, pain or discomfort, changes after pregnancy or menopause, erectile or orgasm concerns, religious or cultural shame, sexual trauma, infidelity, pornography-related concerns, compulsive sexual behavior, dating, identity exploration, or rebuilding intimacy after a difficult season.

Online sex therapy can be a good option for people who prefer the privacy of meeting from home. Depending on the provider and your goals, sessions may focus on education, emotional processing, communication skills, relationship patterns, nervous system regulation, values, boundaries, or referrals to medical providers when physical symptoms may need additional evaluation.

Sex therapy is not about judgment, pressure, or telling you what your sex life “should” look like. A good sex therapist helps you explore your concerns at a pace that feels appropriate, with respect for your identity, values, relationship structure, culture, boundaries, and consent.

How Online Sex Therapy Works

Online sex therapy usually begins with an intake session where the therapist asks about your concerns, goals, relationship history, relevant medical or mental health history, and what you hope will change. You do not have to share every detail right away. Many people begin with broad concerns and become more specific as trust develops.

Sessions are conversation-based. Your therapist may help you identify patterns, talk through difficult emotions, improve communication with a partner, reduce shame, build confidence, or better understand how stress, trauma, anxiety, body image, health changes, or relationship dynamics may be affecting intimacy.

If you attend with a partner, sessions may include guided conversations about expectations, desire, boundaries, emotional safety, trust, and communication. If you attend individually, therapy may focus on your own experiences, beliefs, fears, needs, identity, or relationship patterns.

Some therapists may suggest between-session reflection, communication exercises, mindfulness practices, journaling, or non-explicit intimacy-building exercises. Any suggested practice should be collaborative, consent-based, and appropriate to your comfort level.

Because some sexual concerns can involve medical factors, a sex therapist may also encourage you to speak with a physician, gynecologist, urologist, pelvic floor physical therapist, psychiatrist, or other healthcare provider when symptoms may benefit from medical evaluation or coordinated care.

How to Find the Right Online Sex Therapist

When choosing an online sex therapist, look for a licensed mental health provider who has experience with the concerns you want to address. Some providers have additional training or certification in sex therapy, trauma-informed care, couples therapy, LGBTQIA+ affirming care, relationship diversity, pelvic pain, compulsive sexual behavior, or other specialized areas.

Therapy Expanded lets you review provider profiles for location, licensure, specialties, therapy approaches, insurance, session format, and availability. Since telehealth rules vary by state, choose a therapist who is licensed to provide care where you are located at the time of your session.

It can also be helpful to look for a therapist whose profile language feels respectful, clear, and aligned with your needs. Sex therapy can involve vulnerable conversations, so fit matters. You may want to consider whether the therapist works with individuals, couples, or partners; whether they name your specific concern; whether they have experience with your identity or relationship structure; and whether they describe their approach in a way that feels safe and collaborative.

If your concerns involve trauma, coercion, ongoing abuse, or feeling unsafe in a relationship, look for a therapist with experience in trauma-informed care and safety planning. If your concerns involve physical pain, medication side effects, hormonal changes, or other medical symptoms, consider a therapist who is comfortable coordinating with medical providers when appropriate.

Before you book

  • Ask about the provider’s experience with your concerns and goals.
  • Confirm availability, session fees, and your insurance coverage directly.
  • Check that the provider can work with you in each state where you will attend sessions.

Verify a provider’s license

Need a different starting point?

Explore another type of care or browse providers by specialty and location. If you travel or live in more than one state, review your options for continuing care across locations.

Find a therapist licensed in multiple states

Search all providers

Frequently Asked Questions About Online Sex Therapy

What is sex therapy?

Sex therapy is a form of talk therapy that focuses on sexual concerns, intimacy, communication, identity, desire, shame, relationship patterns, trauma, or emotional barriers that affect sexual wellbeing. It is conducted by a licensed mental health provider, and some therapists have additional specialized training in sex therapy.

Sex therapy does not involve sexual contact, physical touch, nudity, or physical exams. Sessions are based on conversation, education, emotional support, and collaborative goal-setting.

Who can benefit from sex therapy?

Sex therapy may help individuals, couples, and partners who want support with intimacy, desire differences, sexual anxiety, body image, shame, communication, trust, boundaries, pain or discomfort, sexual trauma, identity, compulsive sexual behavior, infidelity, changes after childbirth or menopause, or changes related to health, stress, medication, or aging.

You do not need to be in a relationship to benefit from sex therapy. Many people use individual sex therapy to better understand their own experiences, needs, values, identity, or patterns.

Is sex therapy only for couples?

No. Sex therapy can be helpful for individuals, couples, and partners. Individual sex therapy may focus on personal concerns such as anxiety, shame, trauma, identity, body image, desire, confidence, or past experiences. Couples or partner-based sex therapy may focus on communication, desire differences, trust, intimacy, boundaries, or rebuilding connection.

If your primary concern is broader relationship conflict, couples counseling may also be helpful. If your concern is more personal or emotional, individual therapy may be a better starting point.

What happens during an online sex therapy session?

During online sex therapy, you meet with a licensed therapist through secure video sessions. The therapist may ask about your concerns, goals, relationship history, emotional wellbeing, sexual history, health factors, and what you hope to change. You can share at your own pace.

Sessions may include education, emotional processing, communication support, values clarification, coping strategies, boundary-setting, or guided conversations with a partner. Any between-session exercises should be discussed collaboratively and should never involve pressure or anything outside your comfort level.

Will I have to talk about explicit details right away?

No. You can begin with what feels comfortable. A sex therapist may ask questions to better understand your concerns, but you should be able to move at a pace that feels respectful and safe. Many people start by talking about emotions, relationship patterns, communication, anxiety, or general concerns before discussing more specific details.

A good therapist should explain why they are asking sensitive questions and should respect your boundaries throughout the process.

Can sex therapy help with desire differences?

Sex therapy can be helpful for partners who experience differences in desire, mismatched expectations, avoidance, resentment, pressure, or difficulty talking about sex. Therapy may help partners understand what contributes to the difference, improve communication, reduce blame, and explore ways to rebuild emotional and physical connection.

Desire can be affected by stress, trauma, relationship dynamics, medication, hormones, health conditions, sleep, parenting, aging, and many other factors. When medical or medication-related issues may be involved, a therapist may recommend speaking with a healthcare provider as part of a broader care plan.

Can sex therapy help with pain, discomfort, or physical symptoms?

Sex therapy may help with the emotional, relational, and communication aspects of pain or discomfort, but it is not a replacement for medical care. If you are experiencing pain, new symptoms, pelvic floor concerns, erectile changes, arousal changes, or other physical symptoms, it is important to consult a qualified healthcare provider.

Some people benefit from coordinated care that includes a therapist, physician, pelvic floor physical therapist, psychiatrist, or other specialist depending on the concern.

Is sex therapy LGBTQIA+ affirming?

Many sex therapists offer LGBTQIA+ affirming care, but provider experience varies. Review each therapist’s profile for language about sexual orientation, gender identity, relationship diversity, kink-aware care, non-monogamy, trauma-informed care, and other areas that may be important to you.

You deserve a therapist who respects your identity, values, boundaries, and relationship structure. If those factors are central to your care, it can be helpful to ask about the therapist’s experience during a consultation or first session.

Is sex therapy confidential?

Sex therapy is generally confidential, like other forms of mental health care, with standard legal and ethical limits.

Your therapist should explain confidentiality, privacy, telehealth policies, and any limits at the beginning of care. If you are attending with a partner, ask how the therapist handles individual disclosures, secrets, records, and communication between sessions.

When is online sex therapy not the right choice?

Online sex therapy may not be the right fit if you are in immediate danger, experiencing coercion or abuse, feeling unsafe with a partner, or dealing with a crisis that requires urgent support. In those situations, emergency services, a crisis line, domestic violence resources, or in-person care may be more appropriate.

Online sex therapy is also not a substitute for medical evaluation when symptoms may have a physical cause. If you have pain, sudden changes in sexual functioning, medication side effects, hormonal concerns, or other medical symptoms, consider speaking with a medical provider in addition to therapy.

Need urgent support? Therapy Expanded is not a crisis service. If you are in immediate danger, call 911 or go to the nearest emergency room. If you need urgent mental health, suicide, domestic violence, substance use, or LGBTQIA+ support, visit our crisis and mental health resources page.