Photo of Austin R Cresap, Marriage & Family Therapist Associate in Seattle, WA
Austin R Cresap
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98109
My area of focus is Sex Therapy, however, our discussions extend beyond this realm.
I love a curious client! Curiosity is so helpful in sessions to help clients discover where their patterns developed and how their behaviors serve them. My passion lies in working with individuals seeking to understand their relationship with their bodies and sexuality. I enjoy assisting couples in navigating desire discrepancies, supporting those on the path to healing from trauma, and helping individuals of any age reclaim pleasure, intimacy knows no age limit.
My area of focus is Sex Therapy, however, our discussions extend beyond this realm.
I love a curious client! Curiosity is so helpful in sessions to help clients discover where their patterns developed and how their behaviors serve them. My passion lies in working with individuals seeking to understand their relationship with their bodies and sexuality. I enjoy assisting couples in navigating desire discrepancies, supporting those on the path to healing from trauma, and helping individuals of any age reclaim pleasure, intimacy knows no age limit.
(425) 529-5047 View (425) 529-5047
Photo of Marissa Stein, Counselor in Seattle, WA
Marissa Stein
Counselor, MS, LMHC, CST, NCC
Verified Verified
Seattle, WA 98177  (Online Only)
I work with clients from diverse backgrounds who are experiencing distress & are seeking a place to feel seen & supported. I am a certified sex therapist, offer relational (couples, polycules, & adult family relationships) counseling, & often work with folks inside the LGBTQ2SAI+ populations, kinky folks, neurodivergent folks, disabled and chronically ill folks, fat folks, & others who are marginalized due to identity & lived experience. In addition I love working with those who are wanting to examine power & privilege inside of a therapeutic relationship where there is space for healing.
I work with clients from diverse backgrounds who are experiencing distress & are seeking a place to feel seen & supported. I am a certified sex therapist, offer relational (couples, polycules, & adult family relationships) counseling, & often work with folks inside the LGBTQ2SAI+ populations, kinky folks, neurodivergent folks, disabled and chronically ill folks, fat folks, & others who are marginalized due to identity & lived experience. In addition I love working with those who are wanting to examine power & privilege inside of a therapeutic relationship where there is space for healing.
(206) 558-0285 View (206) 558-0285
Photo of Ashley Fleit - South Seattle Therapy, Marriage & Family Therapist Associate in Seattle, WA
Ashley Fleit - South Seattle Therapy
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98118
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
(206) 401-8276 View (206) 401-8276
Photo of Xuan Ho, Marriage & Family Therapist in Seattle, WA
Xuan Ho
Marriage & Family Therapist, LMFT, CST
Verified Verified
Seattle, WA 98118  (Online Only)
Changes in relationships and life circumstances can bring about challenging feelings. I see folx for individual, couples, and sex therapy to help people navigate: high couples conflict, communication issues, trauma, anxiety, avoidance, trust issues, shame, infidelity/betrayal, desire discrepancy, erectile dysfunction, sexual avoidance and more. My clients usually begin therapy feeling stuck and fed up of where they are and are looking to learn, change, and transition to a place where they are satisfied in their relationships and have greater clarity, confidence, and peace within themselves.
Changes in relationships and life circumstances can bring about challenging feelings. I see folx for individual, couples, and sex therapy to help people navigate: high couples conflict, communication issues, trauma, anxiety, avoidance, trust issues, shame, infidelity/betrayal, desire discrepancy, erectile dysfunction, sexual avoidance and more. My clients usually begin therapy feeling stuck and fed up of where they are and are looking to learn, change, and transition to a place where they are satisfied in their relationships and have greater clarity, confidence, and peace within themselves.
(206) 681-2164 View (206) 681-2164
Photo of Kelly L Ross, Counselor in Seattle, WA
Kelly L Ross
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98126
Healing occurs in our bodies, in the present moment. As a licensed mental health counselor, nationally certified Sex Therapist, and Hakomi Practitioner, I have a unique, multidisciplinary approach to psychotherapy and the healing practice of mental health. I use a mindfulness based, body-centered psychotherapy to guide you through the process of self discovery and healing. I work with adults struggling with depression & anxiety, as well as sexual health and recovery issues. My practice of psychotherapy supports compassion toward oneself and empathy for others by shifting from stuck patterns & beliefs to an expanded sense of our true essence as human beings of joy and pleasure.
Healing occurs in our bodies, in the present moment. As a licensed mental health counselor, nationally certified Sex Therapist, and Hakomi Practitioner, I have a unique, multidisciplinary approach to psychotherapy and the healing practice of mental health. I use a mindfulness based, body-centered psychotherapy to guide you through the process of self discovery and healing. I work with adults struggling with depression & anxiety, as well as sexual health and recovery issues. My practice of psychotherapy supports compassion toward oneself and empathy for others by shifting from stuck patterns & beliefs to an expanded sense of our true essence as human beings of joy and pleasure.
(206) 875-2577 View (206) 875-2577
Photo of Carly Haeck Rappaport, Marriage & Family Therapist in Seattle, WA
Carly Haeck Rappaport
Marriage & Family Therapist, MS, LMFT, CST
Verified Verified
6 Endorsed
Seattle, WA 98122
Throughout my work, I have learned that many people feel confused, lost, alone and ashamed when it comes to sex. In particular, many people I work with feel conflicted about their porn and masturbation habits, paying for sex, or their ability to keep agreements with partners. As a certified sex therapist, I offer a non-judgmental space to help you identify which behaviors are no longer serving you, as well as to cultivate the kind of relationship you want to have with your sexuality. I am also qualified to treat sexual dysfunction issues (low desire, erectile dysfunction, premature ejaculation, sexual pain).
Throughout my work, I have learned that many people feel confused, lost, alone and ashamed when it comes to sex. In particular, many people I work with feel conflicted about their porn and masturbation habits, paying for sex, or their ability to keep agreements with partners. As a certified sex therapist, I offer a non-judgmental space to help you identify which behaviors are no longer serving you, as well as to cultivate the kind of relationship you want to have with your sexuality. I am also qualified to treat sexual dysfunction issues (low desire, erectile dysfunction, premature ejaculation, sexual pain).
(206) 926-9735 View (206) 926-9735
Photo of Kate Hall, Counselor in Seattle, WA
Kate Hall
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98109
I help clients inhabit their lives and bodies in a more authentic, pleasureful manner. My approach is integrative and centers the needs of my clients; I utilize active interventions involving somatic, creative, and emotionally focused work in conjunction with cognitive behavioral therapies. I am passionate about accompanying clients in a process of self-exploration that supports them in facing what feels most challenging, whether that is related to sex/sexuality, intimacy/relationships, anxiety, trauma, stress, a life transition, or just generally feeling stuck.
I help clients inhabit their lives and bodies in a more authentic, pleasureful manner. My approach is integrative and centers the needs of my clients; I utilize active interventions involving somatic, creative, and emotionally focused work in conjunction with cognitive behavioral therapies. I am passionate about accompanying clients in a process of self-exploration that supports them in facing what feels most challenging, whether that is related to sex/sexuality, intimacy/relationships, anxiety, trauma, stress, a life transition, or just generally feeling stuck.
(425) 537-4239 View (425) 537-4239
Photo of Tilda Cvrkel, Counselor in Seattle, WA
Tilda Cvrkel
Counselor, PhD, MS, LMHCA
Verified Verified
Seattle, WA 98133  (Online Only)
Waitlist for new clients
Reaching out to a therapist can be hard, especially when it involves talking about things like trauma, intrusive thoughts, work, bodies, or sex.
**Not currently accepting new clients. Please contact me if you'd like to be added to my waitlist.* Some of my clients find me after a lifetime of perfectionism and self-judgement, working (too) hard to make everything seem okay from the outside and paying (too) high a price for doing it. Some find me because they have experienced, or witnessed, something horrific or traumatic. Some find me because intrusive thoughts and compulsive behaviors are starting to take over their lives. Some find me because the stress of their job is becoming too much. And some find me because they feel shame and anguish around sex or their bodies.
Reaching out to a therapist can be hard, especially when it involves talking about things like trauma, intrusive thoughts, work, bodies, or sex.
**Not currently accepting new clients. Please contact me if you'd like to be added to my waitlist.* Some of my clients find me after a lifetime of perfectionism and self-judgement, working (too) hard to make everything seem okay from the outside and paying (too) high a price for doing it. Some find me because they have experienced, or witnessed, something horrific or traumatic. Some find me because intrusive thoughts and compulsive behaviors are starting to take over their lives. Some find me because the stress of their job is becoming too much. And some find me because they feel shame and anguish around sex or their bodies.
(206) 222-3283 View (206) 222-3283
Photo of Cheyenne McGuire, Marriage & Family Therapist Associate in Seattle, WA
Cheyenne McGuire
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
Seattle, WA 98109
As a sex, marriage, and family therapist, I am happy to work with individuals and any relational constellation that fits you. I strive to enhance safety from an anti-oppressive and inclusive framework. A passion of mine is working with those looking to reclaim their sexual selves. My areas of focus is working with those who have experienced sexual trauma, particularly those impacted by purity culture, and pelvic pain disorders. I enjoy working with those who are looking to reclaim their pleasure and desire. Other specialties of mine are helping folks navigate gender and explore sexual identity and orientation.
As a sex, marriage, and family therapist, I am happy to work with individuals and any relational constellation that fits you. I strive to enhance safety from an anti-oppressive and inclusive framework. A passion of mine is working with those looking to reclaim their sexual selves. My areas of focus is working with those who have experienced sexual trauma, particularly those impacted by purity culture, and pelvic pain disorders. I enjoy working with those who are looking to reclaim their pleasure and desire. Other specialties of mine are helping folks navigate gender and explore sexual identity and orientation.
(425) 407-5989 View (425) 407-5989
Photo of Sean Orpen, Marriage & Family Therapist in Seattle, WA
Sean Orpen
Marriage & Family Therapist, MS, LMFT-S, CST-S
Verified Verified
2 Endorsed
Seattle, WA 98109
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
(360) 529-4728 View (360) 529-4728
Photo of Diana Wiley, Marriage & Family Therapist in Seattle, WA
Diana Wiley
Marriage & Family Therapist, PhD, MA, BA
Verified Verified
Seattle, WA 98121  (Online Only)
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
(206) 855-5893 View (206) 855-5893
Photo of Angela Day, Marriage & Family Therapist in Seattle, WA
Angela Day
Marriage & Family Therapist, MA, MS, LMFT
Verified Verified
Seattle, WA 98118
My treatment approach in sex therapy involves psychoeducation with emphasis on developing practical skills for specific needs such as low desire, gender transitions, erectile disorders, and out-of-control sexual behavior.
Everyone should have the mental health resources to live their best lives, which includes a strong sexual voice and confident gender expression. There is an immense amount of guilt and shame in our culture that negatively affects how we perceive and receive sex, sexuality, and gender. Vulnerable populations have been targeted with specific, hurtful sexual and gendered stereotypes that can increase psychological distress. As a person of color, I am happy to contribute my perspective and lived experience to the field and your choice of therapists. Sex affects everyone, and it merits focused attention in the mental health field.
My treatment approach in sex therapy involves psychoeducation with emphasis on developing practical skills for specific needs such as low desire, gender transitions, erectile disorders, and out-of-control sexual behavior.
Everyone should have the mental health resources to live their best lives, which includes a strong sexual voice and confident gender expression. There is an immense amount of guilt and shame in our culture that negatively affects how we perceive and receive sex, sexuality, and gender. Vulnerable populations have been targeted with specific, hurtful sexual and gendered stereotypes that can increase psychological distress. As a person of color, I am happy to contribute my perspective and lived experience to the field and your choice of therapists. Sex affects everyone, and it merits focused attention in the mental health field.
(206) 202-2932 View (206) 202-2932
Photo of Natassja Barnes, Counselor in Seattle, WA
Natassja Barnes
Counselor, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98103  (Online Only)
As a Sex Therapist, my approach engages a mixture of humanistic, feminist, and social justice perspectives that work together to see an individual within all the roles and identities they possess. I feel passionate about working with those who are concerned with topics surrounding women's sexuality, LGBTQIA issues, and anti-oppression work. I believe the answers on how to get through hardships reside within us, and I am committed to your personal journey of healing or transformation and what that means for you. My role allows me to become an ally with the healing power of human connection to better your relationships and life.
As a Sex Therapist, my approach engages a mixture of humanistic, feminist, and social justice perspectives that work together to see an individual within all the roles and identities they possess. I feel passionate about working with those who are concerned with topics surrounding women's sexuality, LGBTQIA issues, and anti-oppression work. I believe the answers on how to get through hardships reside within us, and I am committed to your personal journey of healing or transformation and what that means for you. My role allows me to become an ally with the healing power of human connection to better your relationships and life.
(425) 409-2043 View (425) 409-2043
Photo of Bailey D S Cheshire, Marriage & Family Therapist Associate in Seattle, WA
Bailey D S Cheshire
Marriage & Family Therapist Associate, LMFTA
Verified Verified
5 Endorsed
Seattle, WA 98119
I know that reaching out for therapy can be so intimidating, especially with issues related to sexuality. You may be looking to step into a more authentic versions of yourself or you may be dealing with relationship struggles. You may have felt stuck for some time or are just beginning to question what doesn't feel right. Together, we can embrace the challenges of life's struggles and work towards your dreams and goals. I am an identity affirming therapist who especially loves working with people who are queer, BIPOC, neurodivergent, disabled, or somehow 'othered' by society.
I know that reaching out for therapy can be so intimidating, especially with issues related to sexuality. You may be looking to step into a more authentic versions of yourself or you may be dealing with relationship struggles. You may have felt stuck for some time or are just beginning to question what doesn't feel right. Together, we can embrace the challenges of life's struggles and work towards your dreams and goals. I am an identity affirming therapist who especially loves working with people who are queer, BIPOC, neurodivergent, disabled, or somehow 'othered' by society.
(206) 752-3683 View (206) 752-3683
Photo of Randy Marinez, Counselor in Seattle, WA
Randy Marinez
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98104
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
(206) 745-5831 View (206) 745-5831
Photo of Kez Mayers, Counselor in Seattle, WA
Kez Mayers
Counselor, MA, LMHCA, NCC, CCTP
Verified Verified
Seattle, WA 98109  (Online Only)
Do you struggle to feel arousal or pleasure during sex? Have you lost the sexual spark and excitement in your relationship? Do you struggle with desires, thoughts, and behaviors that you feel as though you can’t share with others for fear of shame, stigma, ignorance, or violence? Have you struggled to understand yourself as a sexual being due to stigmatizing beliefs and messages? Navigating the nuances of relationships, sex, sexual health, sexual identity, and gender identity can be difficult and exhausting on its own. Through open-minded, compassionate, and culturally competent care, I am committed to help you meet your goals.
Do you struggle to feel arousal or pleasure during sex? Have you lost the sexual spark and excitement in your relationship? Do you struggle with desires, thoughts, and behaviors that you feel as though you can’t share with others for fear of shame, stigma, ignorance, or violence? Have you struggled to understand yourself as a sexual being due to stigmatizing beliefs and messages? Navigating the nuances of relationships, sex, sexual health, sexual identity, and gender identity can be difficult and exhausting on its own. Through open-minded, compassionate, and culturally competent care, I am committed to help you meet your goals.
(509) 260-7218 View (509) 260-7218
Photo of Audrey Phillips, Marriage & Family Therapist Associate in Seattle, WA
Audrey Phillips
Marriage & Family Therapist Associate, LMFTA
Verified Verified
5 Endorsed
Seattle, WA 98122
I have completed intensive training as a sex therapist, meaning I can provide sex therapy whether for couples or families.
Are you having the same fight over and over again with your partner? I work with couples around topics like sex (pain with sex, different libidos, healing from affairs, feeling emotionally or sexually disconnected) as well as other conflict around chores, roles, money, etc. The pain of having the same fight again and again contributes over time to a break down in trust, love and connection. These ruptures can build up over time as resentment, which speeds up the disconnection process. I love helping couples re-find each other, re-build trust, and re-connect!
I have completed intensive training as a sex therapist, meaning I can provide sex therapy whether for couples or families.
Are you having the same fight over and over again with your partner? I work with couples around topics like sex (pain with sex, different libidos, healing from affairs, feeling emotionally or sexually disconnected) as well as other conflict around chores, roles, money, etc. The pain of having the same fight again and again contributes over time to a break down in trust, love and connection. These ruptures can build up over time as resentment, which speeds up the disconnection process. I love helping couples re-find each other, re-build trust, and re-connect!
(206) 207-9238 View (206) 207-9238
Photo of Rena Marie Brisentine, Counselor in Seattle, WA
Rena Marie Brisentine
Counselor, MS, LPC, LMHC, CST
Verified Verified
Seattle, WA 98122  (Online Only)
Waitlist for new clients
I am here to talk about all things sex, gender and relationship.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
I am here to talk about all things sex, gender and relationship.
Those who come to therapy are often ready for something to change. I like to work with people their stuck points, frustrations, feelings and all things relationship. Whether you are partnered, dating, or learning more about your relationship with yourself, I am here to provide support and guidance.
(360) 382-2894 View (360) 382-2894
Photo of Alexys Gonzalez, Counselor in Seattle, WA
Alexys Gonzalez
Counselor, LMHCA, ATR-P, ST, SE
Verified Verified
Seattle, WA 98109
My multi-disciplinary approach to sex therapy is influenced by my training in art therapy, sex education, painting, philosophy, and yoga.
I’m a queer, mixed-race (SE Asian & Hispanic), neurodivergent, nonbinary femme passionate about helping clients access their creative healing energy to best help clients engage in authentic living and loving with themselves, others, and the world around them. I believe healing exists on a spectrum and hope to help clients find deeper understanding and healing through authentic connection, curiosity, and conversation. My approach is non-judgmental, non-linear, client-centered, educational, trauma-informed, and intentional. I offer an intersectional, anti-oppressive, holistic, and creative experience in therapy.
My multi-disciplinary approach to sex therapy is influenced by my training in art therapy, sex education, painting, philosophy, and yoga.
I’m a queer, mixed-race (SE Asian & Hispanic), neurodivergent, nonbinary femme passionate about helping clients access their creative healing energy to best help clients engage in authentic living and loving with themselves, others, and the world around them. I believe healing exists on a spectrum and hope to help clients find deeper understanding and healing through authentic connection, curiosity, and conversation. My approach is non-judgmental, non-linear, client-centered, educational, trauma-informed, and intentional. I offer an intersectional, anti-oppressive, holistic, and creative experience in therapy.
(425) 842-0132 View (425) 842-0132
Photo of Rebecca Levenson, Clinical Social Work/Therapist in Seattle, WA
Rebecca Levenson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98136  (Online Only)
I am passionate about helping people better understand their bodies and sexuality to empower them in their intimate relationships. By gaining knowledge of and comfort with ourselves, we can enjoy a deeper sense of bonding and pleasure in sexual relationships. Whether you are looking to improve your connection to your body or your relationship with your partner(s), I am here to support your journey. I believe sexual health and pleasure are fundamental to both personal well-being and fulfilling relationships. We will collaborate to help you develop a sexual life that gives you joy, pleasure, a sense of connection, and an authentic identity.
I am passionate about helping people better understand their bodies and sexuality to empower them in their intimate relationships. By gaining knowledge of and comfort with ourselves, we can enjoy a deeper sense of bonding and pleasure in sexual relationships. Whether you are looking to improve your connection to your body or your relationship with your partner(s), I am here to support your journey. I believe sexual health and pleasure are fundamental to both personal well-being and fulfilling relationships. We will collaborate to help you develop a sexual life that gives you joy, pleasure, a sense of connection, and an authentic identity.
(206) 460-1809 View (206) 460-1809
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.