Find Online Therapists Offering Sex Therapy

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Showing 49–57 of 57 providers

Jen Joseph

Jen Joseph Sex + Relationship Therapy

LMFT, CST

Licensed In:
California, Oregon
“I work primarily with couples navigating sexual issues, infidelity, and relationship crossroads — including couples on the brink of divorce who aren't sure whether to stay or go. Many come to me after a betrayal that has shaken everything, or around sexual disconnection, mismatched desire, or questions about what they want that they've never felt comfortable enough to ask out loud. I also work with individuals who want to understand and embody their sexuality more deeply and become more self-expressed in all areas of life, and those struggling with out-of-control sexual behavior. I'm LGBTQ+ and kink-affirming, and competent in working with ethically non-monogamous relationships. If you're dealing with something too intimate or complicated to bring to just anyone, you're in the right place.”
Services:
Couples Therapy, Individual Therapy, Sex Therapy
Specialties:
Divorce · Gender Identity · Infidelity / Affair Recovery · Menopause & Perimenopause · Out-of-Control Sexual Behavior · Relationship Issues · Spirituality
Chris Almy

Mountaintop Mental Health

LCSW

Licensed In:
Idaho, Utah, Wyoming
“I work with clients struggling with issues related to sex; sexuality; gender; relationships; and trauma. I provide care that comes from a humanistic lens and that ensures safety for my clients while they are under my care. I work well with people from all walks of life, and am particularly well-versed in working with LGBTQIA+ individuals, nonmonogamous/polyamorous people and dynamics, and kink/BDSM-oriented people.”
Services:
Couples Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
Attachment · Codependency · Consensual Non-Monogamy · Divorce · Gender Identity · Infidelity / Affair Recovery · Out-of-Control Sexual Behavior · Relationship Issues · Sexual Abuse · Spirituality · Trauma & PTSD
Kirsten Emery

Padera Therapy & Wellness

LMFT, CADC, CCTP-II, MS

Licensed In:
Illinois, Wisconsin
“As a family and systems therapist, I’m passionate about helping people uncover how past experiences may be shaping their present. Together, we’ll connect the dots between where you’ve been and where you want to go, so you can move toward the life you envision for yourself. Watching clients use these insights to create real, positive change is one of the most meaningful parts of my work. I specialize in working with people navigating substance use, eating disorders, body image concerns, depression, and anxiety. I also support individuals living with personality disorders, as well as those impacted by loved ones who struggle with them. As a systemic therapist, I have a special interest in supporting clients exploring polyamorous and alternative relationships, BDSM, and kink, with a focus on sex positivity, consent, and healing from attachment trauma.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Sex Therapy
Specialties:
Addiction · Anger Management · Attachment · Bipolar Disorder · Codependency · Consensual Non-Monogamy · Depression · Personality Disorders · Relationship Issues · Self Esteem · Self-Harming · Substance Use
Emily DiPalma

Little Blue Sky Wellness

LMFT

Licensed In:
Massachusetts, Rhode Island
“Many of the couples I work with feel stuck in patterns they can’t quite shift, having the same arguments on repeat, feeling emotionally out of sync, or carrying the invisible labor of maintaining a shared life while sensing a growing distance. You may notice that the intimacy, ease, or sense of “us” that you once had feels harder to access lately, or that work, family, and responsibilities leave little space for real connection. If you’ve been wondering where that closeness has gone, you are far from alone. I specialize in helping couples reconnect, rebuild trust, and find their way back to each other.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Parenting Therapy, Sex Therapy
Specialties:
Anxiety · Attachment · Burnout · Depression · Divorce · Eating Disorders · Infertility & Reproductive Mental Health · Infidelity / Affair Recovery · Life Transitions · Perfectionism · Relationship Issues · Self Esteem

Pacific Behavioral Health, PC

LMFT

Licensed In:
Oregon, Washington
“Adult individuals and couples struggling with anxiety, depression, trauma, relational distress, and sexual issues. My ideal clients are highly motivated to seeking out a deeper understanding of themselves and their relationships so as to find clarity, healing, and connection.”
Services:
Couples Therapy, Family Therapy, Individual Therapy, Sex Therapy
Specialties:
Anger Management · Anxiety · Attachment · Behavioral Issues · Burnout · Codependency · Depression · Divorce · Grief · Men’s Mental Health · Panic · Perfectionism · Relationship Issues · Self Esteem · Trauma & PTSD · Women’s Mental Health
Kelsey Wyman

Love Meets Therapy

LSWAIC

Licensed In:
Washington
“I work with a wide range of clients across age groups, identities, and relationship dynamics, including teens (13+), young adults, adults, and elders. I support individuals, couples, and families navigating relationship challenges, trauma, identity exploration, and life transitions, as well as those seeking deeper emotional connection and personal growth. My work includes diverse communities such as LGBTQ+ clients, ethically non-monogamous relationships, highly sensitive individuals, artists and creatives, and people exploring sexuality or gender identity. I commonly support concerns like anxiety, depression, attachment wounds, communication struggles, grief, sexual concerns, ADHD, and trauma/PTSD, along with specialized areas like perinatal mental health, infidelity recovery, and alternative relationship structures, centering clients who are looking to heal and grow.”
Services:
Couples Therapy, Family Therapy, Group Therapy, Individual Therapy, Ketamine Assisted Psychotherapy (KAP), Parenting Therapy, Sex Therapy
Specialties:
ADHD · Anxiety · Attachment · Autism · Codependency · Consensual Non-Monogamy · Depression · Gender Identity · Highly Sensitive People (HSP) · Menopause & Perimenopause · Relationship Issues · Sexual Abuse · Trauma & PTSD · Women’s Mental Health
Moss Herberholz

The Radical Well-Being Center

LCSW

Licensed In:
Colorado, Michigan
“Speciality areas include: consensual non-monogamy in all of its forms, substance use (harm reduction), queer identity and gender identity, kink, psychedelic integration, anxiety, depression, neurodivergence, somatic awareness, bereavement-grief, PTSD”
Services:
Couples Therapy, Individual Therapy, Sex Therapy
Specialties:
Addiction · ADHD · Anxiety · Attachment · Behavioral Issues · Career Counseling · Codependency · Consensual Non-Monogamy · Depression · Divorce · Eating Disorders · Gender Identity · Grief · Life Transitions · Men’s Mental Health · Relationship Issues · Self Esteem · Self-Harming · Sexual Abuse · Spirituality · Substance Use · Suicidal Ideation · Trauma & PTSD
Andrea Kremer

Relate Mental Health

LMHC

Licensed In:
Maine, Massachusetts
“I enjoy working with relationships, whether I'm seeing individuals or couples. Research shows that humans are wired for connection, and that supportive relationships are a key contributing factor to health, happiness, and even longevity. We'll collaborate to explore the attachment issues, "old stories," and patterns of interaction that keep you stuck in conflict or disconnection. I believe it's possible for partners to rebuild trust, improve communication, deepen mutual understanding, and move toward a healthier way of relating, whether they ultimately choose to stay together or respectfully go their separate ways. I welcome the opportunity to work with clients of all gender identities, orientations, and relationship structures, including polyamory/non-monogamy. I also leverage 20+ years of experience in the music industry to provide mental health care for bands and performing artists.”
Services:
Couples Therapy, Individual Therapy, Sex Therapy
Specialties:
Consensual Non-Monogamy · Divorce · Life Transitions · Relationship Issues · Women’s Mental Health
Richard De La Garza

Richard De La Garza

LCSW

Licensed In:
California
“Adults, veterans, and men navigating life transitions, trauma, and emotional challenges. Support is also offered to individuals dealing with PTSD, depression, anger issues, and relationship concerns. The practice is inclusive of underserved communities and those seeking structured, goal-oriented therapy grounded in real-life experiences.”
Services:
Individual Therapy, Sex Therapy
Specialties:
Anxiety · Trauma & PTSD

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.

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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.