Sex Therapists in Sonoma, CA

Photo of Michele Rouse, Marriage & Family Therapist in Sonoma, CA
Michele Rouse
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sonoma, CA 95476
Is constant fighting with your spouse or partner getting to you? Are conflicts with others becoming more frequent? Is parenting turning out to be more difficult than you thought it would be? Call me and discover how counseling can help you; 1) feel more connected in your relationships, 2) find relief from your emotional pain, and 3) learn skills to live at your full potential.
Is constant fighting with your spouse or partner getting to you? Are conflicts with others becoming more frequent? Is parenting turning out to be more difficult than you thought it would be? Call me and discover how counseling can help you; 1) feel more connected in your relationships, 2) find relief from your emotional pain, and 3) learn skills to live at your full potential.
(707) 877-6908 View (707) 877-6908
Photo of Empathy Works Therapy, Marriage & Family Therapist in Sonoma, CA
Empathy Works Therapy
Marriage & Family Therapist, LMFT, LPCC, LCSW
Verified Verified
1 Endorsed
Sonoma, CA 95476
If you are looking for help dealing with overwhelming emotions, relationship difficulties, or challenging life transitions, I’m glad you have found us. Empathy Works is a warm welcoming therapy group blending compassionate counseling techniques with evidence-based therapies. Our therapists specialize in working with couples, families, adults, teens, and children seeking meaningful and lasting change in their lives. We work with individuals, couples and families on a wide variety of issues such as depression, anxiety, relationship issues, parenting, stage of life transitions, trauma, and grief and loss across the life span.
If you are looking for help dealing with overwhelming emotions, relationship difficulties, or challenging life transitions, I’m glad you have found us. Empathy Works is a warm welcoming therapy group blending compassionate counseling techniques with evidence-based therapies. Our therapists specialize in working with couples, families, adults, teens, and children seeking meaningful and lasting change in their lives. We work with individuals, couples and families on a wide variety of issues such as depression, anxiety, relationship issues, parenting, stage of life transitions, trauma, and grief and loss across the life span.
(707) 606-0582 View (707) 606-0582
Photo of Annette Henke Psychotherapy, Clinical Social Work/Therapist in Sonoma, CA
Annette Henke Psychotherapy
Clinical Social Work/Therapist, LCSW, ACHP-SW
Verified Verified
1 Endorsed
Sonoma, CA 95476
I work Psychodynamically with individuals, age 12 on up, addressing issues of grief, hopelessness, life crisis, anger, fear, child abuse recovery, chronic or terminal illness; Couples desiring better communication, sex, healing trauma or considering divorce; and families (traditional and blended) seeking stronger bonds, less conflict, improved behavior and united parenting.
Many people come to me with prior experiences of therapy that were not helpful. This happens for many reasons but sometimes it's as simple as it wasn't the right fit. A wise mentor explained that "all human growth and healing takes place in the context of relationship, from infancy on". Therapy is a relationship of growth, change, healing. Many people are driven to therapy because of suffering in current or past relationship. Often the most challenging and hurtful relationship we have is the one with one's self. The "right" therapist is one that makes moving through this vulnerable process possible and bearable.
I work Psychodynamically with individuals, age 12 on up, addressing issues of grief, hopelessness, life crisis, anger, fear, child abuse recovery, chronic or terminal illness; Couples desiring better communication, sex, healing trauma or considering divorce; and families (traditional and blended) seeking stronger bonds, less conflict, improved behavior and united parenting.
Many people come to me with prior experiences of therapy that were not helpful. This happens for many reasons but sometimes it's as simple as it wasn't the right fit. A wise mentor explained that "all human growth and healing takes place in the context of relationship, from infancy on". Therapy is a relationship of growth, change, healing. Many people are driven to therapy because of suffering in current or past relationship. Often the most challenging and hurtful relationship we have is the one with one's self. The "right" therapist is one that makes moving through this vulnerable process possible and bearable.
(707) 210-1849 View (707) 210-1849
Photo of Jim Morein, Marriage & Family Therapist Associate in Sonoma, CA
Jim Morein
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Sonoma, CA 95476
Not accepting new clients
Life has its measure of joys and sorrows. In our modern society, it’s all too easy for the ‘sorrows’—stress and unhappiness—to outweigh the ‘joys’ in our lives. Maybe it’s our situation at home or an unfulfilling relationship. Perhaps our health took a downward turn or we lost our sense of purpose in a meaningless job. Life can place mountains in our path and our old ways of coping often stop working. But no matter how lost we feel in the bramble, we are capable of untangling ourselves and finding our way back to the light—to peace.
Life has its measure of joys and sorrows. In our modern society, it’s all too easy for the ‘sorrows’—stress and unhappiness—to outweigh the ‘joys’ in our lives. Maybe it’s our situation at home or an unfulfilling relationship. Perhaps our health took a downward turn or we lost our sense of purpose in a meaningless job. Life can place mountains in our path and our old ways of coping often stop working. But no matter how lost we feel in the bramble, we are capable of untangling ourselves and finding our way back to the light—to peace.
(415) 704-6082 View (415) 704-6082
Photo of Michelle Joan Frisch, Clinical Social Work/Therapist in Sonoma, CA
Michelle Joan Frisch
Clinical Social Work/Therapist, MSW, PhD
Verified Verified
Sonoma, CA 95476
I work with people challenged by loving someone who is addicted to alcohol, sex or drugs, or challenged by the life transitions of marriage, pregnancy, new parenthood, parenting adolescents, divorce and death of a loved one.
Marriage can be extremely challenging, especially if your childhood was less than ideal. I help couples learn to listen to each other and talk about difficult issues without being triggered by past events or experiences. These reactions can cause defensiveness, or result in attacks on, or withdrawal from, the other. I help change these patterns, facilitate productive discussions and help you get the love and closeness back in your marriage. Couples can heal, become stronger in their bond and rejoin in love even after an affair or infatuation. I have 29 years of experience as an insight-oriented psychotherapist working with individuals and couples.
I work with people challenged by loving someone who is addicted to alcohol, sex or drugs, or challenged by the life transitions of marriage, pregnancy, new parenthood, parenting adolescents, divorce and death of a loved one.
Marriage can be extremely challenging, especially if your childhood was less than ideal. I help couples learn to listen to each other and talk about difficult issues without being triggered by past events or experiences. These reactions can cause defensiveness, or result in attacks on, or withdrawal from, the other. I help change these patterns, facilitate productive discussions and help you get the love and closeness back in your marriage. Couples can heal, become stronger in their bond and rejoin in love even after an affair or infatuation. I have 29 years of experience as an insight-oriented psychotherapist working with individuals and couples.
(707) 902-3990 View (707) 902-3990
Photo of Dr. Philippe Kane, Psychologist in Sonoma, CA
Dr. Philippe Kane
Psychologist, PsyD
Verified Verified
Sonoma, CA 95476  (Online Only)
Not accepting new clients
I am a licensed Clinical Psychologist who has been practicing for 15 years. I specialize in treating anxiety, trauma, depression and couples conflict using evidence based modalities such as Cognitive Behavioral Therapy (CBT). I strive to incorporate a good sense of humor, patience and insight while we are working toward the changes you would like to see in your life. You deserve to be happy and comfortable in your skin and I can be an advocate by your side until then.
I am a licensed Clinical Psychologist who has been practicing for 15 years. I specialize in treating anxiety, trauma, depression and couples conflict using evidence based modalities such as Cognitive Behavioral Therapy (CBT). I strive to incorporate a good sense of humor, patience and insight while we are working toward the changes you would like to see in your life. You deserve to be happy and comfortable in your skin and I can be an advocate by your side until then.
(415) 870-7116 View (415) 870-7116
Photo of Vanessa Eve Eyen, Marriage & Family Therapist in Sonoma, CA
Vanessa Eve Eyen
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sonoma, CA 95476
Do you feel alone, lost, empty, or dissatisfied? Are you struggling with meaningless work or overwhelmed about the state of our world? Do you want to feel happy and peaceful so you can appreciate and enjoy your life? Maybe you long to have time in the wild and beautiful natural places. Perhaps you desire supportive and healthy relationships with people who share your values. Or maybe your deepest wish is to know your purpose, to be involved in inspiring and meaningful work where you can know and share your gifts.
Do you feel alone, lost, empty, or dissatisfied? Are you struggling with meaningless work or overwhelmed about the state of our world? Do you want to feel happy and peaceful so you can appreciate and enjoy your life? Maybe you long to have time in the wild and beautiful natural places. Perhaps you desire supportive and healthy relationships with people who share your values. Or maybe your deepest wish is to know your purpose, to be involved in inspiring and meaningful work where you can know and share your gifts.
(707) 368-4166 View (707) 368-4166

More Therapists Nearby

Photo of Anne (Stephanie) Seveska, Marriage & Family Therapist in Sonoma, CA
Anne (Stephanie) Seveska
Marriage & Family Therapist, LMFT, CST, APCC
Verified Verified
6 Endorsed
Napa, CA 94559
I practice holistic counseling with an expertise in sex therapy and somatic psychology, which helps us reconnect to the body's innate wisdom.
We are complex; we get to go through iterations of ourselves. It's a healthy part of being human. My job is not to judge you but to make space for your next iteration. In our lifetimes we get to be messy and beautiful; kind and mean; complicated and simple. We get to change. That doesn't mean it's easy. I'm a straight shooter who will tell it like I see it and challenge you compassionately when necessary. You're not "too much" for me. I see your challenges as coping skills that are no longer working rather than deficiencies. I'm client focused and I allow you to set the pace, flow, and tone. I meet you where you are.
I practice holistic counseling with an expertise in sex therapy and somatic psychology, which helps us reconnect to the body's innate wisdom.
We are complex; we get to go through iterations of ourselves. It's a healthy part of being human. My job is not to judge you but to make space for your next iteration. In our lifetimes we get to be messy and beautiful; kind and mean; complicated and simple. We get to change. That doesn't mean it's easy. I'm a straight shooter who will tell it like I see it and challenge you compassionately when necessary. You're not "too much" for me. I see your challenges as coping skills that are no longer working rather than deficiencies. I'm client focused and I allow you to set the pace, flow, and tone. I meet you where you are.
(707) 610-0662 View (707) 610-0662
Photo of Ralph Rueda, Clinical Social Work/Therapist in Sonoma, CA
Ralph Rueda
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Petaluma, CA 94954
My name is Ralph Rueda, and I am a first-generation Filipino American. I am a Licensed Clinical Social Worker (LCSW) based in Northern California. I work exclusively with clients via telehealth. I specialize in motivational interviewing, cognitive behavioral therapy (CBT), and a strength-based approach. I tailor my approach to my clients according to their needs and what they seek out of therapy. I aim to make sure to keep my client-centered and value normalizing feedback in therapy on how each session goes so I can better strengthen my work in every session moving forward.
My name is Ralph Rueda, and I am a first-generation Filipino American. I am a Licensed Clinical Social Worker (LCSW) based in Northern California. I work exclusively with clients via telehealth. I specialize in motivational interviewing, cognitive behavioral therapy (CBT), and a strength-based approach. I tailor my approach to my clients according to their needs and what they seek out of therapy. I aim to make sure to keep my client-centered and value normalizing feedback in therapy on how each session goes so I can better strengthen my work in every session moving forward.
(909) 414-1690 View (909) 414-1690
Photo of Aldemar Martinez, Clinical Social Work/Therapist in Sonoma, CA
Aldemar Martinez
Clinical Social Work/Therapist, LCSW, CTP, 86412
Verified Verified
Napa, CA 94558
I am Licensed Clinical Social Worker, with 27 years of experience in the field of mental health. Even though I have covered a vast area in this field, from social work to clinical care, my most rewarding area of expertise is psychotherapy. I am also a Certified Trauma Professional, which has provided me with the tools to share with my clients to work through their most challenging distressing memories. I use Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) as my two primary modalities, in my approach to trauma-healing.
I am Licensed Clinical Social Worker, with 27 years of experience in the field of mental health. Even though I have covered a vast area in this field, from social work to clinical care, my most rewarding area of expertise is psychotherapy. I am also a Certified Trauma Professional, which has provided me with the tools to share with my clients to work through their most challenging distressing memories. I use Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) as my two primary modalities, in my approach to trauma-healing.
(707) 229-1200 View (707) 229-1200
Photo of Judith Goleman, Marriage & Family Therapist in Sonoma, CA
Judith Goleman
Marriage & Family Therapist, MFT
Verified Verified
Petaluma, CA 94954  (Online Only)
In my work with couples, the areas of upset often are a map, pointing us to possibilities of potential growth. Your difficulties can become a catalyst for increased intimacy. It's easy for any couple to get off track in efforts to communicate - slipping into blaming or power struggles, rather than your true communications, which can bring you closer and into deeper intimacy and trust. My job is to work together with you to help you develop skills that help reclaim happiness - communication skills, skills in understanding yourself and your partner, skills for building and rebuilding the life you want .
In my work with couples, the areas of upset often are a map, pointing us to possibilities of potential growth. Your difficulties can become a catalyst for increased intimacy. It's easy for any couple to get off track in efforts to communicate - slipping into blaming or power struggles, rather than your true communications, which can bring you closer and into deeper intimacy and trust. My job is to work together with you to help you develop skills that help reclaim happiness - communication skills, skills in understanding yourself and your partner, skills for building and rebuilding the life you want .
(707) 506-6967 View (707) 506-6967
Photo of Lauren (Lo) Brown, Marriage & Family Therapist in Sonoma, CA
Lauren (Lo) Brown
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
Petaluma, CA 94955
We are all learning to become human; no easy task. As anxiety has become the new normal, it can be challenging to live in a human body and experience all the intensity; sometimes we need some extra support.  Somatic therapy works with befriending your body in its wholeness (mind, body, spirit). I support you in tracking ALIVENESS & empower in your full expression.  Along the way, I teach skills that strengthen your capacity to work with difficult emotions, the inner critic, & habitual impulses while staying connected to the present moment.
We are all learning to become human; no easy task. As anxiety has become the new normal, it can be challenging to live in a human body and experience all the intensity; sometimes we need some extra support.  Somatic therapy works with befriending your body in its wholeness (mind, body, spirit). I support you in tracking ALIVENESS & empower in your full expression.  Along the way, I teach skills that strengthen your capacity to work with difficult emotions, the inner critic, & habitual impulses while staying connected to the present moment.
(707) 207-6748 View (707) 207-6748
Photo of Debra Milinsky, Clinical Social Work/Therapist in Sonoma, CA
Debra Milinsky
Clinical Social Work/Therapist, MSW, MA, LCSW
Verified Verified
Napa, CA 94558
Specializing in individual, couple, family communication; intimacy, infidelity, sexuality; LGBTQIA, school, workplace relationship concerns; child/teen challenges; Mother-Daughter conflicts.
Every journey.. your first thought to call a therapist when you need to talk to someone, begins with a single step. When anxiety, depression, stress, personal, family, work relationship problems lead you to reach out, I will listen and help you find the best way through. Experienced licensed psychotherapist, 40+ years in general psychotherapy practice, I provide a safe place to talk, explore, resolve, heal what is challenging or troubling. I bring compassion, perceptiveness combined with patience, curiosity and many years of knowledge and skill to our collaboration to help you find effective solutions and make better life choices.
Specializing in individual, couple, family communication; intimacy, infidelity, sexuality; LGBTQIA, school, workplace relationship concerns; child/teen challenges; Mother-Daughter conflicts.
Every journey.. your first thought to call a therapist when you need to talk to someone, begins with a single step. When anxiety, depression, stress, personal, family, work relationship problems lead you to reach out, I will listen and help you find the best way through. Experienced licensed psychotherapist, 40+ years in general psychotherapy practice, I provide a safe place to talk, explore, resolve, heal what is challenging or troubling. I bring compassion, perceptiveness combined with patience, curiosity and many years of knowledge and skill to our collaboration to help you find effective solutions and make better life choices.
(510) 761-5931 View (510) 761-5931
Photo of Larissa R. Wolford, Marriage & Family Therapist in Sonoma, CA
Larissa R. Wolford
Marriage & Family Therapist, MA, LMFT, LPPC, PPSC
Verified Verified
Petaluma, CA 94954
Life! It can be overwhelming, frustrating, upsetting, amazing and confusing. Counseling can provide the extra support, comfort and nudge we need to get through it. Please contact me to see how working with me can be the catalyst needed to feel more comfortable, confident and healthy. I would love to work with you in your journey through life and look forward to hearing from you.
Life! It can be overwhelming, frustrating, upsetting, amazing and confusing. Counseling can provide the extra support, comfort and nudge we need to get through it. Please contact me to see how working with me can be the catalyst needed to feel more comfortable, confident and healthy. I would love to work with you in your journey through life and look forward to hearing from you.
(415) 236-3089 View (415) 236-3089
Photo of Lori Buckley, Psychologist in Sonoma, CA
Lori Buckley
Psychologist, PsyD, CST
Verified Verified
Napa, CA 94558
I am a certified sex therapist and have extensive training in sex therapy and couples therapy.
Do you have relationship problems or sexual concerns? The focus of my practice is working with individuals and couples who want to enhance and transform their relationships and improve their overall quality of life. My style is open and direct, and I provide a warm, safe environment to discuss concerns which people often find difficult to talk about.
I am a certified sex therapist and have extensive training in sex therapy and couples therapy.
Do you have relationship problems or sexual concerns? The focus of my practice is working with individuals and couples who want to enhance and transform their relationships and improve their overall quality of life. My style is open and direct, and I provide a warm, safe environment to discuss concerns which people often find difficult to talk about.
(626) 407-4930 View (626) 407-4930
Photo of Psychotherapist: Dian Allen, Ph.D., LMFT, Marriage & Family Therapist in Sonoma, CA
Psychotherapist: Dian Allen, Ph.D., LMFT
Marriage & Family Therapist, PhD, MFT, LPCC, NCC
Verified Verified
Napa, CA 94558
Your ease, your vitality, your happiness, your well-being - your joy within yourself and within your relationships - are available to you, within you. Life presents challenges, obstacles, and suffering also, through which we take to heart and mind and we grow. Therapy is a journey of self and life understanding. We take this journey of growth and self-and-other understanding together to address the issues you choose, which may be creating current or chronic distress in your life. Hidden in your biggest problems may be your most vibrant gifts.
Your ease, your vitality, your happiness, your well-being - your joy within yourself and within your relationships - are available to you, within you. Life presents challenges, obstacles, and suffering also, through which we take to heart and mind and we grow. Therapy is a journey of self and life understanding. We take this journey of growth and self-and-other understanding together to address the issues you choose, which may be creating current or chronic distress in your life. Hidden in your biggest problems may be your most vibrant gifts.
(707) 893-7034 View (707) 893-7034
Photo of Emily Morales, Marriage & Family Therapist in Sonoma, CA
Emily Morales
Marriage & Family Therapist, LMFT
Verified Verified
Petaluma, CA 94954
My name is Emily Morales, my preferred pronouns are (she/her/ella) I am a Licensed Marriage and Family therapist. I have been providing therapy for more than 10 years. My clinical experience includes working with children, adolescents, adults, couples, families, the LGBTQIA2+ community, the neurodiverse community, chronic pain, chronic illness, post-partum, sex-positive therapist, diversity issues, trauma, crisis support, and community resourcing. I am fluent in Spanish and can provide therapy in Spanish.
My name is Emily Morales, my preferred pronouns are (she/her/ella) I am a Licensed Marriage and Family therapist. I have been providing therapy for more than 10 years. My clinical experience includes working with children, adolescents, adults, couples, families, the LGBTQIA2+ community, the neurodiverse community, chronic pain, chronic illness, post-partum, sex-positive therapist, diversity issues, trauma, crisis support, and community resourcing. I am fluent in Spanish and can provide therapy in Spanish.
(760) 284-5216 View (760) 284-5216
Photo of Christin Laufik, Marriage & Family Therapist in Sonoma, CA
Christin Laufik
Marriage & Family Therapist, LMFT, MA
Verified Verified
Napa, CA 94559
Therapy is an opportunity for healing and transformation. You begin to feel better in your body and improve the quality of your life. Maybe you struggle with a painful loss, are overwhelmed by excessive worry, depression, trauma, or social anxiety. Maybe you are feeling stuck. Maybe you want a better marriage and more confidence in your parenting. You may feel shame and find that your ways of coping with avoidance, procrastination, or negative self-talk adds to your distress. I am passionate about helping you find a greater sense of connection, health, and meaning in your life. I know how to get you there!
Therapy is an opportunity for healing and transformation. You begin to feel better in your body and improve the quality of your life. Maybe you struggle with a painful loss, are overwhelmed by excessive worry, depression, trauma, or social anxiety. Maybe you are feeling stuck. Maybe you want a better marriage and more confidence in your parenting. You may feel shame and find that your ways of coping with avoidance, procrastination, or negative self-talk adds to your distress. I am passionate about helping you find a greater sense of connection, health, and meaning in your life. I know how to get you there!
(858) 290-2684 View (858) 290-2684
Photo of Sarah Sherertz, Marriage & Family Therapist in Sonoma, CA
Sarah Sherertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Napa, CA 94559
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
(415) 429-6893 View (415) 429-6893
Photo of Nancy Mena-Bell, Marriage & Family Therapist in Sonoma, CA
Nancy Mena-Bell
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
Petaluma, CA 94952
My therapeutic goals are to alleviate your pain while facilitating exploration and clarification of ways to live positively and more fully in relation to self, others, and work. Whether your emotional pain comes from a disconnected or unfulfilling relationship, depression, anxiety, trauma, childhood abuse or domestic violence, I can help you see beyond your current limiting patterns. Through our work together, I can help you connect the dots, let go, move forward with your intention, uncover your strengths and wisdom, and release the stories hidden in your body's memories.
My therapeutic goals are to alleviate your pain while facilitating exploration and clarification of ways to live positively and more fully in relation to self, others, and work. Whether your emotional pain comes from a disconnected or unfulfilling relationship, depression, anxiety, trauma, childhood abuse or domestic violence, I can help you see beyond your current limiting patterns. Through our work together, I can help you connect the dots, let go, move forward with your intention, uncover your strengths and wisdom, and release the stories hidden in your body's memories.
(510) 488-6790 View (510) 488-6790
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.