Therapists in Charlottesville, VA

Photo of Hope Beth Bagley, Psychologist in Charlottesville, VA
Hope Beth Bagley
Psychologist, PhD, LCP, LPC
Verified Verified
Charlottesville, VA 22901
I specialize in Neuropsychology, Accommodations for ADHD Testing, Hypnosis, Imago Therapy, Infidelity and Affairs, and Sex Therapy to help couples with Emotionally relateed Intimacy Issues.
I offer a safe setting to gain an understanding and solutions related to the issues and goals in one's life. I help my patients in understanding how roles in current relationships can be related to roles in one's family of origin.
I specialize in Neuropsychology, Accommodations for ADHD Testing, Hypnosis, Imago Therapy, Infidelity and Affairs, and Sex Therapy to help couples with Emotionally relateed Intimacy Issues.
I offer a safe setting to gain an understanding and solutions related to the issues and goals in one's life. I help my patients in understanding how roles in current relationships can be related to roles in one's family of origin.
(434) 595-3466 View (434) 595-3466
Photo of Thomas Cooke, Licensed Professional Counselor in Charlottesville, VA
Thomas Cooke
Licensed Professional Counselor, PhD, LPC
Verified Verified
Charlottesville, VA 22903
Not accepting new clients
I am also a sex therapy provider.
I provide both in person and online couples counseling and adult, individual psychotherapy. The majority of my clients are ready to continue to grow, both as individuals and in their relationships, but are finding that old patterns might be getting in the way. My goal as a clinician is to balance emotional validation and safety with action-oriented approaches.
I am also a sex therapy provider.
I provide both in person and online couples counseling and adult, individual psychotherapy. The majority of my clients are ready to continue to grow, both as individuals and in their relationships, but are finding that old patterns might be getting in the way. My goal as a clinician is to balance emotional validation and safety with action-oriented approaches.
(434) 280-3104 View (434) 280-3104

Online Therapists

Transcending Adversity Counseling Services LLC
Licensed Professional Counselor
Verified Verified
Chester, VA 23831
At Transcending Adversity Counseling, we cater to the diverse needs of each of our clients. We specialize in anxiety, depression, sex issues, women's issues, and more, and offer in-person and telehealth options for services. We offer consultations in person or via zoom for those interested in getting to know more about our providers, and to have the ability to have any questions answered. All telehealth sessions have the option for accessibility.
At Transcending Adversity Counseling, we cater to the diverse needs of each of our clients. We specialize in anxiety, depression, sex issues, women's issues, and more, and offer in-person and telehealth options for services. We offer consultations in person or via zoom for those interested in getting to know more about our providers, and to have the ability to have any questions answered. All telehealth sessions have the option for accessibility.
(804) 834-7936 x1 View (804) 834-7936 x1
Andrew Goldfarb
Clinical Social Work/Therapist, MSW, LCSW-C, LCSW, CSOTP, ATSA
Verified Verified
1 Endorsed
Falls Church, VA 22046
I am a Clinical Member of the Association for the Treatment of Sexual Abusers, and a Certified Sex Offender Treatment Provider. I am available to individuals, couples, families, groups and systems seeking professional consultation, personal counseling, and clinical treatment. I provide general and specialized clinical services addressing issues of mental health, emotion management and self-regulation problems related to anger, depression, anxiety, trauma, pornography, sexual intimacy and/or addiction, life transitions and stage of change challenges. I specialize in women's relational issues caused by criminal matters and general partner relational problems.
I am a Clinical Member of the Association for the Treatment of Sexual Abusers, and a Certified Sex Offender Treatment Provider. I am available to individuals, couples, families, groups and systems seeking professional consultation, personal counseling, and clinical treatment. I provide general and specialized clinical services addressing issues of mental health, emotion management and self-regulation problems related to anger, depression, anxiety, trauma, pornography, sexual intimacy and/or addiction, life transitions and stage of change challenges. I specialize in women's relational issues caused by criminal matters and general partner relational problems.
(571) 601-3060 View (571) 601-3060
Photo of Nan Tilbury, Licensed Professional Counselor in Charlottesville, VA
Nan Tilbury
Licensed Professional Counselor, LPC, CSAT, CDWF
Verified Verified
Reston, VA 20190
You want to improve your relationship without spending months in therapy. You want to make significant changes with a therapist to whom you feel a connection. You wish you could be content, happy, engaged, and connected with your partner like you used to be. Perhaps porn or infidelity has devastated your relationship. Or, you feel unhappy, disconnected, stuck, and hopeless in other ways. Maybe you're experiencing conflict resolution difficulty, intimacy and sexuality issues, parenting disagreements, or financial conflicts. Gottman Therapy is the gold standard of couples therapy for a reseached-based reason.
You want to improve your relationship without spending months in therapy. You want to make significant changes with a therapist to whom you feel a connection. You wish you could be content, happy, engaged, and connected with your partner like you used to be. Perhaps porn or infidelity has devastated your relationship. Or, you feel unhappy, disconnected, stuck, and hopeless in other ways. Maybe you're experiencing conflict resolution difficulty, intimacy and sexuality issues, parenting disagreements, or financial conflicts. Gottman Therapy is the gold standard of couples therapy for a reseached-based reason.
(816) 208-8451 View (816) 208-8451
Photo of Molly Boehm, Clinical Social Work/Therapist in Charlottesville, VA
Molly Boehm
Clinical Social Work/Therapist, JD, LCSW, LICSW, LCSW-C
Verified Verified
Arlington, VA 22204  (Online Only)
Waitlist for new clients
Ready for less surviving and more flourishing? Less chaos and more ease? You feel like a hot mess, pouring so much energy into getting by. You want success at school or work, better connections with your partner, friends, and family, and a satisfying sex life. You wish you could have more fun. But past failures, disappointments, heartbreak, or regrets keep haunting you. It feels like the pandemic reinforced these mental and emotional shackles.
Ready for less surviving and more flourishing? Less chaos and more ease? You feel like a hot mess, pouring so much energy into getting by. You want success at school or work, better connections with your partner, friends, and family, and a satisfying sex life. You wish you could have more fun. But past failures, disappointments, heartbreak, or regrets keep haunting you. It feels like the pandemic reinforced these mental and emotional shackles.
(571) 474-9416 View (571) 474-9416
Photo of Ayrielle Williams, Clinical Social Work/Therapist in Charlottesville, VA
Ayrielle Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vienna, VA 22182
The Sex Therapist you never knew you needed! When client’s come to my office to seek therapy, the one part of themselves that is most often neglected is sexuality! Most people don’t even mention sexual beliefs, curiosities, behaviors, or attitudes until I ask. I believe that sexuality is so much a part of who we are, there is no way to fully heal and truly be at peace if our sexuality is not explored! As well as specializing in Sex Therapy, I’m also a clinical trauma therapist!
The Sex Therapist you never knew you needed! When client’s come to my office to seek therapy, the one part of themselves that is most often neglected is sexuality! Most people don’t even mention sexual beliefs, curiosities, behaviors, or attitudes until I ask. I believe that sexuality is so much a part of who we are, there is no way to fully heal and truly be at peace if our sexuality is not explored! As well as specializing in Sex Therapy, I’m also a clinical trauma therapist!
(571) 200-0688 View (571) 200-0688
Photo of Dessie M Canelakes, Licensed Professional Counselor in Charlottesville, VA
Dessie M Canelakes
Licensed Professional Counselor, MA, EdS, LPC
Verified Verified
Harrisonburg, VA 22801  (Online Only)
* June 2016 I began the training and supervision process to work towards my sex therapy certification.
There are times in life we need someone to help us navigate through our unsteady waters. I believe in the importance of mind, body, and soul health. The way we tell our life story, how we interact in our relationships, how we process/react to our feelings, and the meaning we give it all can have a huge impact on how we feel in our own skin. I want to help you create positive lasting changes within yourself and your relationships that will ultimately improve how you perceive your life.
* June 2016 I began the training and supervision process to work towards my sex therapy certification.
There are times in life we need someone to help us navigate through our unsteady waters. I believe in the importance of mind, body, and soul health. The way we tell our life story, how we interact in our relationships, how we process/react to our feelings, and the meaning we give it all can have a huge impact on how we feel in our own skin. I want to help you create positive lasting changes within yourself and your relationships that will ultimately improve how you perceive your life.
(540) 217-4268 View (540) 217-4268
Photo of Mending Hearts Academy, LLC, Counselor in Charlottesville, VA
Mending Hearts Academy, LLC
Counselor, PhD, LCPC, NCC, ACS
Verified Verified
2 Endorsed
Fairfax, VA 22031
Do you struggle with depression, anxiety, self-esteem, sexuality issues, and relationship issues? Have you ever been hurt your loved ones in any way that violates your right as a person, including infidelity, addiction, and all forms of violence? Have you ever hurt your loved ones in the same ways? I love to walk with your journey to redefine who you are as a wholesome person. I can help you become resilient and embrace yourself and your life in holistic ways. You will experience cutting-edge and holistic counseling approaches to find your answers to your finding your way to becoming a wholesome person again. Let's do this together!
Do you struggle with depression, anxiety, self-esteem, sexuality issues, and relationship issues? Have you ever been hurt your loved ones in any way that violates your right as a person, including infidelity, addiction, and all forms of violence? Have you ever hurt your loved ones in the same ways? I love to walk with your journey to redefine who you are as a wholesome person. I can help you become resilient and embrace yourself and your life in holistic ways. You will experience cutting-edge and holistic counseling approaches to find your answers to your finding your way to becoming a wholesome person again. Let's do this together!
(410) 705-7375 View (410) 705-7375
Photo of The Pincus Center, Clinical Social Work/Therapist in Charlottesville, VA
The Pincus Center
Clinical Social Work/Therapist, LICSW, CST
Verified Verified
5 Endorsed
Alexandria, VA 22314
The Pincus Center specializes in sex positive therapy for individuals and relationships.
The Pincus Center specializes in working with clients to build a life filled with pleasure and joy. We will help you to find your inner voice, establish your own goals and find a path that works for you. There is no one true way to do therapy or to live your life. We will help you find the tools to ride the waves of emotions that we all experience instead of being pulled under. We can't make everything perfect but we can make it better. We focus on issues around body acceptance, sexual freedom, neurodiversity, shame, low desire, sexual functioning issues and a wide variety of other mental health issues.
The Pincus Center specializes in sex positive therapy for individuals and relationships.
The Pincus Center specializes in working with clients to build a life filled with pleasure and joy. We will help you to find your inner voice, establish your own goals and find a path that works for you. There is no one true way to do therapy or to live your life. We will help you find the tools to ride the waves of emotions that we all experience instead of being pulled under. We can't make everything perfect but we can make it better. We focus on issues around body acceptance, sexual freedom, neurodiversity, shame, low desire, sexual functioning issues and a wide variety of other mental health issues.
(202) 499-2602 View (202) 499-2602
Photo of Douglas Green, Licensed Professional Counselor in Charlottesville, VA
Douglas Green
Licensed Professional Counselor, LPC, CSAT
Verified Verified
Reston, VA 20190
I hold Masters degree in Community Counseling from the Marymount University in Arlington, VA, and am licensed as a Professional Counselor (LPC) in the state of Virginia as well as a fully Certified CSAT (Certified Sex Addiction Therapist).
I have been working in the mental health and addiction fields since 2008 helping adolescents, adults, and their families restore and maintain emotional and physical health. While much of my professional experience includes working with addiction, I also have extensive experience working with dual-diagnosis clients whom I have treated for mood disorders (depression, anxiety, etc.) and trauma, as well as family and couples’ issues.
I hold Masters degree in Community Counseling from the Marymount University in Arlington, VA, and am licensed as a Professional Counselor (LPC) in the state of Virginia as well as a fully Certified CSAT (Certified Sex Addiction Therapist).
I have been working in the mental health and addiction fields since 2008 helping adolescents, adults, and their families restore and maintain emotional and physical health. While much of my professional experience includes working with addiction, I also have extensive experience working with dual-diagnosis clients whom I have treated for mood disorders (depression, anxiety, etc.) and trauma, as well as family and couples’ issues.
(571) 253-7873 View (571) 253-7873
Photo of Lida Far - Relationship Therapist, Licensed Professional Counselor in Charlottesville, VA
Lida Far - Relationship Therapist
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
McLean, VA 22101  (Online Only)
My specialty lies in empowering adults who feel stuck in their personal and relational growth, as well as working with couples. I am dedicated to guiding individuals and couples through challenges in their relationships and life transitions, while also providing support and empowerment to high-achieving individuals seeking personal and professional fulfillment. Additionally, I specialize in sex therapy, offering a safe and non-judgmental space to address intimacy and sexual health concerns within relationships. I am also committed to neurodiversity-affirming care, ensuring that all clients receive understanding and tailored support.
My specialty lies in empowering adults who feel stuck in their personal and relational growth, as well as working with couples. I am dedicated to guiding individuals and couples through challenges in their relationships and life transitions, while also providing support and empowerment to high-achieving individuals seeking personal and professional fulfillment. Additionally, I specialize in sex therapy, offering a safe and non-judgmental space to address intimacy and sexual health concerns within relationships. I am also committed to neurodiversity-affirming care, ensuring that all clients receive understanding and tailored support.
(571) 517-1399 View (571) 517-1399
Photo of Sara Rosenquist, Psychologist in Charlottesville, VA
Sara Rosenquist
Psychologist, PhD, ABPP
Verified Verified
Arlington, VA 22204  (Online Only)
Emotions, beliefs, religious traditions, culture, and relationships can all get tangled up around having sex and having babies.
Feeling alone and bewildered? Having trouble knowing what to believe in this age of misinformation? DrSara can help. DrSara offers all sessions exclusively through SecureVideo. Visit her website at www.DrSara.com to find out more.
Emotions, beliefs, religious traditions, culture, and relationships can all get tangled up around having sex and having babies.
Feeling alone and bewildered? Having trouble knowing what to believe in this age of misinformation? DrSara can help. DrSara offers all sessions exclusively through SecureVideo. Visit her website at www.DrSara.com to find out more.
(571) 520-5893 View (571) 520-5893
Photo of Dr. Elizabeth Sadock, Psychologist in Charlottesville, VA
Dr. Elizabeth Sadock
Psychologist, PhD
Verified Verified
Richmond, VA 23230  (Online Only)
I address topics such as anxiety about health, sleep, depression, illness/chronic pain, relationships and sex, weight management, trauma, and addiction.
Are you feeling stuck or struggling to make changes in your life but can’t quite figure out how to get there? I offer tools to help people learn to decode their emotions so that they no longer need a therapist guiding them, but rather they can address life's challenges with greater confidence. My treatment focuses on helping people accept the past, and make concrete changes in their lives that lead to a greater sense of peace and satisfaction. My aim is to create a warm, collaborative, and accepting environment where you can feel comfortable expressing your emotions.
I address topics such as anxiety about health, sleep, depression, illness/chronic pain, relationships and sex, weight management, trauma, and addiction.
Are you feeling stuck or struggling to make changes in your life but can’t quite figure out how to get there? I offer tools to help people learn to decode their emotions so that they no longer need a therapist guiding them, but rather they can address life's challenges with greater confidence. My treatment focuses on helping people accept the past, and make concrete changes in their lives that lead to a greater sense of peace and satisfaction. My aim is to create a warm, collaborative, and accepting environment where you can feel comfortable expressing your emotions.
(804) 504-1828 View (804) 504-1828
Photo of The Peaceful Place, Clinical Social Work/Therapist in Charlottesville, VA
The Peaceful Place
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vienna, VA 22182
The Peaceful Place hosts a diverse group of therapists who are passionate about helping clients heal and tap into their power! Our therapists host a wide range of specialties such as Sex Therapy, Trauma Therapy, Substance Dependence/Abuse, and personality disorders! Our expert clinicians treat several mental health concerns including depression, anxiety, bipolar disorder, PTSD, narcissistic personality disorder, antisocial personality disorder, addictions, intimacy issues, sexual issues/dysfunctions. Contact us today to schedule a consultation with one of our amazing clinicians!
The Peaceful Place hosts a diverse group of therapists who are passionate about helping clients heal and tap into their power! Our therapists host a wide range of specialties such as Sex Therapy, Trauma Therapy, Substance Dependence/Abuse, and personality disorders! Our expert clinicians treat several mental health concerns including depression, anxiety, bipolar disorder, PTSD, narcissistic personality disorder, antisocial personality disorder, addictions, intimacy issues, sexual issues/dysfunctions. Contact us today to schedule a consultation with one of our amazing clinicians!
(571) 200-1836 View (571) 200-1836
Photo of Yasmine Kaidbey, Clinical Social Work/Therapist in Charlottesville, VA
Yasmine Kaidbey
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
2 Endorsed
Alexandria, VA 22314  (Online Only)
Waitlist for new clients
I believe that we all strive to be more authentic in our lives but sometimes get lost along the way. Together, you and I will explore your concerns at your pace and try to get more clarity. I work with individuals and how they view themselves, others, and their world. I am committed to working with you to foster greater insight and improve your agency in your life. I also collaborate with people in relationships to help them reconnect and communicate better. I'm also getting trained in sex therapy, as well as couples' therapy.
I believe that we all strive to be more authentic in our lives but sometimes get lost along the way. Together, you and I will explore your concerns at your pace and try to get more clarity. I work with individuals and how they view themselves, others, and their world. I am committed to working with you to foster greater insight and improve your agency in your life. I also collaborate with people in relationships to help them reconnect and communicate better. I'm also getting trained in sex therapy, as well as couples' therapy.
(703) 750-8754 View (703) 750-8754
Photo of Nick Harper, Clinical Social Work/Therapist in Charlottesville, VA
Nick Harper
Clinical Social Work/Therapist, LCSW, LAC
Verified Verified
Richmond, VA 23232  (Online Only)
My practice is a dynamic fusion of proven therapeutic models—including CBT, EMDR, Solution-Focused Therapy, Sex Therapy, and Motivational Interviewing—each selected and refined to resonate with your healing journey.
Entangled in emotional uncertainty? Inclusive Therapy and Consulting Services, spearheaded by Nick Harper, delivers impactful, trauma-informed therapy with an LGBTQ+ emphasis, fostering a secure, sex-positive environment for your development. Armed with a license in clinical social work and a rich tapestry of twelve years of experience, I bring a robust expertise to my practice, particularly in trauma-informed care and affirming approaches to sexuality. Here, you're not just receiving services—you're embarking on a personalized journey towards healing and self-acceptance.
My practice is a dynamic fusion of proven therapeutic models—including CBT, EMDR, Solution-Focused Therapy, Sex Therapy, and Motivational Interviewing—each selected and refined to resonate with your healing journey.
Entangled in emotional uncertainty? Inclusive Therapy and Consulting Services, spearheaded by Nick Harper, delivers impactful, trauma-informed therapy with an LGBTQ+ emphasis, fostering a secure, sex-positive environment for your development. Armed with a license in clinical social work and a rich tapestry of twelve years of experience, I bring a robust expertise to my practice, particularly in trauma-informed care and affirming approaches to sexuality. Here, you're not just receiving services—you're embarking on a personalized journey towards healing and self-acceptance.
(919) 626-9149 View (919) 626-9149
Photo of Brooke Croft, Marriage & Family Therapist in Charlottesville, VA
Brooke Croft
Marriage & Family Therapist, LMFT, CST
Verified Verified
1 Endorsed
Leesburg, VA 20176
As an Aasect Certified Sex Therapist, I offer a safe, non-judgmental space using light humor to talk about all things sex. Physical and emotional intimacy can be difficult topics to broach, whether with yourself or with one or more partners. For most of us, sex was not discussed at any length growing up, often shrouded in shame or guilt. If something has been bothering you for awhile or it just popped up, let's explore it! I work with your comfort level and at your pace. I work with low sexual desire, avoidance of intimacy, sexual identity or orientation, gender identity, Sexual anxiety, and sexual dysfunctions.
As an Aasect Certified Sex Therapist, I offer a safe, non-judgmental space using light humor to talk about all things sex. Physical and emotional intimacy can be difficult topics to broach, whether with yourself or with one or more partners. For most of us, sex was not discussed at any length growing up, often shrouded in shame or guilt. If something has been bothering you for awhile or it just popped up, let's explore it! I work with your comfort level and at your pace. I work with low sexual desire, avoidance of intimacy, sexual identity or orientation, gender identity, Sexual anxiety, and sexual dysfunctions.
(571) 554-6366 View (571) 554-6366
Photo of Center for Sexual & Reproductive Health Psycholo, Psychologist in Charlottesville, VA
Center for Sexual & Reproductive Health Psycholo
Psychologist, PhD, ABPP
Verified Verified
1 Endorsed
Reston, VA 20190  (Online Only)
When sex is happening "enough" in a marriage it only accounts for 15% of marital happiness but when it's absent or conflicted it accounts for 75% of marital distress.
Wondering about the COVID-19 pandemic? You are not alone. For the duration of this public health crisis, DrSara will be offering SecureVideo appointments exclusively. Please visit my website at www.DrSara.com and click on Request and Appointment. All locations are closed but SecureVideo appointments are available. Choose your time and the secure platform will send instructions. SecureVideo uses the Zoom platform and is easy to use and confidential. DrSara holds an e-passport from ASBPP PsyPact and can treat anyone in AZ, CO, DE, GA, IL, MO, NE, NH, NV, OK, PA, TX, or UT as well as NC, VA, and DC.
When sex is happening "enough" in a marriage it only accounts for 15% of marital happiness but when it's absent or conflicted it accounts for 75% of marital distress.
Wondering about the COVID-19 pandemic? You are not alone. For the duration of this public health crisis, DrSara will be offering SecureVideo appointments exclusively. Please visit my website at www.DrSara.com and click on Request and Appointment. All locations are closed but SecureVideo appointments are available. Choose your time and the secure platform will send instructions. SecureVideo uses the Zoom platform and is easy to use and confidential. DrSara holds an e-passport from ASBPP PsyPact and can treat anyone in AZ, CO, DE, GA, IL, MO, NE, NH, NV, OK, PA, TX, or UT as well as NC, VA, and DC.
(540) 802-4989 View (540) 802-4989
Photo of Elizabeth Mahaney, South Tampa Therapy & Mediation, Counselor in Charlottesville, VA
Elizabeth Mahaney, South Tampa Therapy & Mediation
Counselor, LMHC, Q Suprv, NCC, MFT, PhD
Verified Verified
10 Endorsed
Arlington, VA 22201
Looking for a Gottman, solution-focused, strength-base and agile approach to marriage & family therapy, NVC & individual counseling in Tampa? You have found a great place to start creating a more self-aware, intentional, and happier life. We will: 1. Assess and attune to your unique situation, needs and the needs of loved ones 2. Agree to collaborate and develop a plan together to create specific intentions, goals and measurable outcomes 3. Accountability helps make the changes last! I'll give you the tools you need to understand what changes need to be made, avoid relapse & continue to create changes that you DO want to see happen
Looking for a Gottman, solution-focused, strength-base and agile approach to marriage & family therapy, NVC & individual counseling in Tampa? You have found a great place to start creating a more self-aware, intentional, and happier life. We will: 1. Assess and attune to your unique situation, needs and the needs of loved ones 2. Agree to collaborate and develop a plan together to create specific intentions, goals and measurable outcomes 3. Accountability helps make the changes last! I'll give you the tools you need to understand what changes need to be made, avoid relapse & continue to create changes that you DO want to see happen
(813) 438-4867 View (813) 438-4867

See more therapy options for Charlottesville

Sex Therapy

Who is sex therapy for?

Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.

Why do people need sex therapy?

Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.

What happens in sex therapy?

People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.

What kinds of problems do sex therapists treat?

Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.