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Sex Therapy: What You Need to Know and How Expert Guidance Can Lead to a Fulfilling Relationship

Sex Therapy

Media often sensationalizes sex therapy, leading to myths and stigma that can cloud our judgment. If you are unsure whether sex therapy is right for you, we will gently dispel these misconceptions and compassionately take a look at how it can improve your overall well-being.

What Is Sex Therapy?

When you think about sex therapy, you might picture sitting in a room with your partner and a stranger, awkwardly discussing intimate details aboout your sex life and admitting what’s not working in it.
For most this sounds rather invading and uncomfortable.

Let's pause on that notion and offer a broader perspective. Contrary to popular belief, sex therapy isn’t solely about airing your intimate business in front of someone you don’t know, it is about building and creating a supportive environment where you can explore your sexuality, and concerns and work towards a solution. Sex therapy is, in essence, a specialised form of psychotherapy, providing a safe space where you can collaboratively enter a journey between you, your partner (not necessarily) and the therapist while fostering a healthier sex experience.

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Is Sex Therapy Only For Couples?

Sex therapy isn't limited to couples. Individuals, too, can struggle with sexual dissatisfaction or confront challenges related to desires, needs, and wants. So, whether you're navigating relationship dynamics or exploring your sexual journey, sex therapy offers a supportive space to unpack and address these matters with guidance and understanding for everyone.

What Issues Does Sex Therapy Attend To?

Sex therapy can address topics concerned with sexual dysfunction that come from more practical to more psychological levels, however, most of the time both are intertwined. Here are a couple of examples:

  • Sexual difficulties & anxiety

  • Erectile dysfunction

  • Maintaining or having no arousal/desire

  • Vaginismus

  • Challenges communicating your needs with your partner

  • Facing sexual dysfunctioning due to intimacy problems

  • Self-esteem, confidence and body-image problems

  • Changes to sex after birth or during menopause

  • Trauma-related to sexual intercourse

Read more here: Intimacy and Sexual Difficulties

What Happens In a Sex Therapy Session?

A sex therapy session can vary from person to person, depending on the individual's history and present experiences. Let’s examine three different scenarios as presented by an actual sex therapist, Dr Amanda Major.

The first session:
Dr Major emphasizes the importance of clearly establishing the sexual difficulties between the partners. Subsequently, she conducts individual sessions with each partner to gather detailed histories and explore their perspectives.
A session that focuses solely on an individual's sexual problems:
Dr Major shares the story of a woman (Hannah) in her late 20s who is currently single and has never experienced an orgasm. Within their sessions, Hannah is encouraged to explore her fantasies. This does not mean that Hannah has to share or perform her fantasies with Dr Major during their meetings, but rather that she will be guided in finding a different approach for pleasure, which would significantly improve her overall sexual experience.
Educational sex therapy:
Dr. Major introduces a couple in their 60s: Bill struggles with unreliable erections, and Samantha with sexual desire. In this case, Dr Major aims to dispel the misconception held by Samantha that taking medication such as viagra guarantees an erection just because of the pill and not because of sexual arousal. Instead, she explains that such medications act as a stimulation, allowing the body to respond to sexual desires and act upon them.

Can I Attend Sex Therapy On My Own?

There is a certain debate on this topic. If we are talking about going on your own, as a single person that needs to explore their sexual identity, challenges and concerns, we highly encourage you to do so! However, this is where things might get tricky while you are in a relationship. If the sexual concern you are facing is affected by/related to your partner, it is advised that both of you attend sex therapy. Not only that but it is advised that you commit to this together from the beginning of starting therapy, suggesting a higher success rate after sex therapy is complete.

What is Sensate Focus in Sex Therapy?

"Sensate Focus" is aimed at enhancing intimacy and communication between partners through touch. An important mention is that “Sensate Focus” is a sensual touch exercise, not a sexual one. This means that you refrain from any sexual intercourse with your partner while practising it. Through these mindful touch exercises, the goal is to reduce sexual anxiety and provide an opportunity for both you and your partner to explore each other's bodies. It's a way of practising mindfulness more intimately, where you focus on the sensations and touches, aiding in being present in the moment.

Some of these exercises can be practiced independently or together with your partner. Some professionals suggest that sensate therapy is a blend of exposure therapy (fostering better associations with your partner, yourself, and sex), mindfulness (involves focusing the mind on sensations rather than distracting thoughts) and sensate touch (involves experiencing the textures of the skin and the temperature you feel).
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Is Sex Therapy Awkward?

Let's be realistic, for some, the topic of sex is awkward, which is normal. You might be one of those people and the idea of sex therapy is not only awkward, it sounds like something you would never go for - maybe the last resort if you face any sexual problems.

However, we want you to remember that in sex therapy, you will be in the space of a qualified professional, they are aware that the topic might be awkward and intimidating for you.Opening up about something so personal and intimate is not easy. Keep in mind, they are not a friend, family member or someone that will judge you for your choices or experiences. Sex therapists are trained to put you at ease, build comfortable space for you and let you open up at your own pace. Take it easy on yourself and be sure to share any uncomfortable topics and themes you are still not ready to open up to, so both you and your therapist are on the same page.

Is Sex Therapy The Same as Couples Therapy?

Focus of Therapy:
Couples Therapy enhances overall relationship dynamics like communication and trust, while Sex Therapy targets sexual concerns and intimacy issues.
Scope:
Couples Therapy addresses broad relationship challenges, including emotional and practical issues. On the other hand, Sex Therapy focuses specifically on sexual health and satisfaction.
Who Benefits:
Couples Therapy is for partners aiming to improve their relationship. Sex Therapy is for individuals or couples with sexual concerns.

The Role of a Sex Therapist During Sessions:

  • Guidance and Support:
    Whether you're coming solo or with a partner, your sex therapist is there to help you identify and address your main concerns about your sex life. They provide a supportive space for you to explore these issues openly.

  • No Pressure, Just Homework:
    You won’t be asked to do anything sexual during the sessions. Instead, you’ll receive “homework” to work on privately. This helps you make progress at your own pace.

  • Open Communication:
    If you're feeling nervous about what the sessions involve, don’t hesitate to bring it up with your therapist. They’re there to answer your questions and ensure you feel comfortable throughout the process.

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We understand that putting yourself in a vulnerable position can be intimidating, scary, and uncomfortable. Remember, it’s okay to feel this way. Taking this step is a testament to your strength and commitment to growth. Embrace the process with compassion for yourself/relationship, knowing that you're moving towards greater understanding and improvement.
With Love, Journey
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