Photo of Xavier Spencer, Marriage & Family Therapist in Cleveland, OH
Xavier Spencer
Marriage & Family Therapist, MSMFT, IMFT-S, CST
Verified Verified
1 Endorsed
Cleveland, OH 44106
Sex therapy helps to unravel and overcome these challenges.
Many people struggle to address sexual functioning difficulties. If you are a person that values sexual response and pleasure, and have been experiencing sexual discomfort. Here's how I can help. As a research informed clinical expert in couples and family relationships and AASECT certified sex therapist. My clinical interest is providing sex therapy with individuals and couples to treat male and female sexual matters, sexual dysfunctions, sexual disorders, sexual orientation, sexual expression and gender identity issues. I'm committed to serving the spectrum of variations in human sexuality across the lifespan.
Sex therapy helps to unravel and overcome these challenges.
Many people struggle to address sexual functioning difficulties. If you are a person that values sexual response and pleasure, and have been experiencing sexual discomfort. Here's how I can help. As a research informed clinical expert in couples and family relationships and AASECT certified sex therapist. My clinical interest is providing sex therapy with individuals and couples to treat male and female sexual matters, sexual dysfunctions, sexual disorders, sexual orientation, sexual expression and gender identity issues. I'm committed to serving the spectrum of variations in human sexuality across the lifespan.
(216) 539-0346 View (216) 539-0346
Photo of Sara Grace Bates, Clinical Social Work/Therapist in Cleveland, OH
Sara Grace Bates
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
1 Endorsed
Cleveland, OH 44114  (Online Only)
Ms. Sara Bates is a Licensed Independent Social Worker with Supervision Designation trained in Trauma-Informed Care for All, Family Therapy, Perinatal Therapy, Sex-Positive Therapy, Pleasure Education and Intimacy Coaching, Couples Counseling, CBT, DBT, and IFS; treating both adolescents and adult populations.  Her clinical approach is to meet the clients where they are, by building on personal strengths and supporting them through life’s difficult challenges. She provides EAP services as a contractor, for local and federal law enforcement agencies. Reiki Master/Teacher certified, for stress relief practices and coping strategies.
Ms. Sara Bates is a Licensed Independent Social Worker with Supervision Designation trained in Trauma-Informed Care for All, Family Therapy, Perinatal Therapy, Sex-Positive Therapy, Pleasure Education and Intimacy Coaching, Couples Counseling, CBT, DBT, and IFS; treating both adolescents and adult populations.  Her clinical approach is to meet the clients where they are, by building on personal strengths and supporting them through life’s difficult challenges. She provides EAP services as a contractor, for local and federal law enforcement agencies. Reiki Master/Teacher certified, for stress relief practices and coping strategies.
(380) 204-9817 View (380) 204-9817
Photo of Shay Kahani, Clinical Social Work/Therapist in Cleveland, OH
Shay Kahani
Clinical Social Work/Therapist, LCSW, LISW, CST
Verified Verified
Cleveland, OH 44109  (Online Only)
I am sex, relationship and trauma certified therapist who helps clients to explore their sexuality and find the right place for them.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
I am sex, relationship and trauma certified therapist who helps clients to explore their sexuality and find the right place for them.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
(216) 616-7446 View (216) 616-7446
Photo of Rachel Drotar, Clinical Social Work/Therapist in Cleveland, OH
Rachel Drotar
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Cleveland, OH 44113
It is a goal of mine to provide accessible, pleasure-centered sex and relationship care to the LGBTQIA+ community, with specific focus on queer and non-monogamous relationship structures.
We are evolving people living at the intersections of multiple identities. To discover our own power within our identities, we have an opportunity to learn more about who we are and how we relate. Whether it’s exploring your grief within a loss or learning new skills in improving your intimate relationships, I strive to provide equitable care, which includes considering how structural racism and racial identity impacts the wellness of individuals. I would love to learn more about your story.
It is a goal of mine to provide accessible, pleasure-centered sex and relationship care to the LGBTQIA+ community, with specific focus on queer and non-monogamous relationship structures.
We are evolving people living at the intersections of multiple identities. To discover our own power within our identities, we have an opportunity to learn more about who we are and how we relate. Whether it’s exploring your grief within a loss or learning new skills in improving your intimate relationships, I strive to provide equitable care, which includes considering how structural racism and racial identity impacts the wellness of individuals. I would love to learn more about your story.
(440) 294-6897 View (440) 294-6897
Photo of Olivia Campbell, Counselor in Cleveland, OH
Olivia Campbell
Counselor, MEd, LPCC
Verified Verified
5 Endorsed
Cleveland, OH 44111  (Online Only)
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
Welcome! You can expect a down-to-earth approach as we navigate daily life and reduce distress. I believe suffering is a natural response to life's difficulties and, thus, work through a non-pathologizing lens. Experienced in treating couples, adults, and teens 16+ with feelings of depression and anxiety—as well as issues related to relationships, grief and loss, sexuality and identity, trauma, stress management, and life transitions. Therapy is individualized for each client to support reaching a version of self that aligns with their unique values and objectives.
(216) 925-4292 View (216) 925-4292
Photo of Liz O'Donnell, Counselor in Cleveland, OH
Liz O'Donnell
Counselor, PhD, LPCC-S , PT, MHC, FL
Verified Verified
Cleveland, OH 44101
I provide comprehensive and integrative counseling services to individuals and couples independent of race, ethnicity, religion, disabilities, sex, gender, gender identity, or sexual orientation.
I am a PhD level professional clinical counselor, physical therapist, certified professional coach and (RYT), with expertise in individual, group, and relationship therapy licensed in OH and FL. I have been working with infertility for 25+ years and a neonatal developmental specialist. I am a member of the American Society for Reproductive Medicine, and co- founder of Dare2Care, a Cleveland based LGBTQ focused anti-bullying organization, now an embedded program of the Cleveland Leadership Center. I have significant experience working with grief, loss and relationship betrayal and approach this work from a trauma model.
I provide comprehensive and integrative counseling services to individuals and couples independent of race, ethnicity, religion, disabilities, sex, gender, gender identity, or sexual orientation.
I am a PhD level professional clinical counselor, physical therapist, certified professional coach and (RYT), with expertise in individual, group, and relationship therapy licensed in OH and FL. I have been working with infertility for 25+ years and a neonatal developmental specialist. I am a member of the American Society for Reproductive Medicine, and co- founder of Dare2Care, a Cleveland based LGBTQ focused anti-bullying organization, now an embedded program of the Cleveland Leadership Center. I have significant experience working with grief, loss and relationship betrayal and approach this work from a trauma model.
(440) 336-8870 View (440) 336-8870
Photo of Dr. Bowen Marshall, Licensed Professional Clinical Counselor in Cleveland, OH
Dr. Bowen Marshall
Licensed Professional Clinical Counselor , MA, LPCC-S, PhD
Verified Verified
7 Endorsed
Cleveland, OH 44101  (Online Only)
I also specialize in couples counseling, polyamorous relationships, and on identity, sex, and intimacy issues.
I believe that everyone has an innate ability to move towards growth, healing, and fulfillment. I approach therapy from a perspective learning and believe that the more we learn about ourselves, the better able we are to make choices about how we want to move forward in life. I use an integrative framework to address each client’s individual needs. I work from a trauma informed lens and use interventions from existential, Attachment Theory, Gottman, ACT, IPT, and EFT.
I also specialize in couples counseling, polyamorous relationships, and on identity, sex, and intimacy issues.
I believe that everyone has an innate ability to move towards growth, healing, and fulfillment. I approach therapy from a perspective learning and believe that the more we learn about ourselves, the better able we are to make choices about how we want to move forward in life. I use an integrative framework to address each client’s individual needs. I work from a trauma informed lens and use interventions from existential, Attachment Theory, Gottman, ACT, IPT, and EFT.
(380) 221-7373 View (380) 221-7373
Photo of Laura M Antenucci, Clinical Social Work/Therapist in Cleveland, OH
Laura M Antenucci
Clinical Social Work/Therapist, MSW, LSW, EMDR
Verified Verified
1 Endorsed
Cleveland, OH 44122
I provide psychotherapy to adults and couples. I specialize in EMDR to cultivate rapid healing and relief for my clients. I believe in eclectic and evidence based interventions such as combining DBT skills, CBT, ACT, MI and mindfulness practice to create tangible change and symptom alleviation for clients. By using an eclectic approach each client's treatment is unique and tailored to their life experiences and needs. I have worked and specialized in working with clients through dual diagnosis, mood disorders, complex trauma, feeding and eating disorders, attachment disorders, and impulse control and behavioral issues.
I provide psychotherapy to adults and couples. I specialize in EMDR to cultivate rapid healing and relief for my clients. I believe in eclectic and evidence based interventions such as combining DBT skills, CBT, ACT, MI and mindfulness practice to create tangible change and symptom alleviation for clients. By using an eclectic approach each client's treatment is unique and tailored to their life experiences and needs. I have worked and specialized in working with clients through dual diagnosis, mood disorders, complex trauma, feeding and eating disorders, attachment disorders, and impulse control and behavioral issues.
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Photo of Kira Hayes, Marriage & Family Therapist in Cleveland, OH
Kira Hayes
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Cleveland, OH 44102  (Online Only)
Hello! Affirming Pathways Psychotherapy warmly welcomes new clients! As a Native, ADHD diagnosed, and queer identifying therapist, I deeply value the significance of knowledgeable and affirming care. Creating a space where you feel at home, truly understood and respected is of utmost importance to me. Let's team up and make therapy a journey where you can freely explore concerns and challenges, deepen effective communication and connection, and experience growth. My approach to therapy is collaborative, interactive, and firmly grounded in up-to-date evidence-based practices, ensuring a tailored and effective experience for you.
Hello! Affirming Pathways Psychotherapy warmly welcomes new clients! As a Native, ADHD diagnosed, and queer identifying therapist, I deeply value the significance of knowledgeable and affirming care. Creating a space where you feel at home, truly understood and respected is of utmost importance to me. Let's team up and make therapy a journey where you can freely explore concerns and challenges, deepen effective communication and connection, and experience growth. My approach to therapy is collaborative, interactive, and firmly grounded in up-to-date evidence-based practices, ensuring a tailored and effective experience for you.
(740) 240-0927 View (740) 240-0927
Photo of Lauren M Morgan, Marriage & Family Therapist in Cleveland, OH
Lauren M Morgan
Marriage & Family Therapist, LPC, MFT
Verified Verified
Cleveland, OH 44102
I am an Licensed Professional Counselor and Marriage and Family Therapist with special training in the attachment theory-based modality of Emotionally Focused Couples Therapy. I believe in building a relationship with clients where they feel safe and accepted, yet challenged to grow. Through this therapeutic relationship, individuals, couples, and families can heal and develop new perspectives and practices they can use throughout their entire lives. I utilize an array of techniques, including psycho-education, genograms, role plays, art therapy, and communication exercises, but I feel the most important aspect to therapy is developing a unique relationship with each client.
I am an Licensed Professional Counselor and Marriage and Family Therapist with special training in the attachment theory-based modality of Emotionally Focused Couples Therapy. I believe in building a relationship with clients where they feel safe and accepted, yet challenged to grow. Through this therapeutic relationship, individuals, couples, and families can heal and develop new perspectives and practices they can use throughout their entire lives. I utilize an array of techniques, including psycho-education, genograms, role plays, art therapy, and communication exercises, but I feel the most important aspect to therapy is developing a unique relationship with each client.
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Photo of Anna Dykeman, Licensed Professional Counselor in Cleveland, OH
Anna Dykeman
Licensed Professional Counselor, MA, LPC
Verified Verified
Cleveland, OH 44115  (Online Only)
You know this sudden rush of emotions, when your heart is racing with memories of a time long gone but not forgotten. Maybe your palms are getting damp, and you feel your throat tightening - almost choking - as you remember painful memories of either childhood abuse, a painful breakup, or other shadows of the past – it's like being caught in a storm of past pain with a ton of emotions. Life is rough and now more than ever people are feeling anxious, overwhelmed, and uncertain about how they should manage their relationships, careers, and lives — however, you don’t have to walk through this on your own.
You know this sudden rush of emotions, when your heart is racing with memories of a time long gone but not forgotten. Maybe your palms are getting damp, and you feel your throat tightening - almost choking - as you remember painful memories of either childhood abuse, a painful breakup, or other shadows of the past – it's like being caught in a storm of past pain with a ton of emotions. Life is rough and now more than ever people are feeling anxious, overwhelmed, and uncertain about how they should manage their relationships, careers, and lives — however, you don’t have to walk through this on your own.
(380) 207-1133 View (380) 207-1133
Photo of Laura B Brennstuhl, Clinical Social Work/Therapist in Cleveland, OH
Laura B Brennstuhl
Clinical Social Work/Therapist, LISW-S
Verified Verified
Cleveland, OH 44114  (Online Only)
My name is Laura and I graduated from The Ohio State University in 2016 with my Master's degree in Social Work. I've worked with multiple populations including adults with severe mental illness with comorbid addiction issues, adults and adolescents with acute trauma, adults with anxiety and depression, the geriatric population and crisis intervention. My passion lies working with people in a clinical setting, long term. Have you found yourself struggling to manage daily activities? Are you feeling overwhelmed by constant pressure in your life?
My name is Laura and I graduated from The Ohio State University in 2016 with my Master's degree in Social Work. I've worked with multiple populations including adults with severe mental illness with comorbid addiction issues, adults and adolescents with acute trauma, adults with anxiety and depression, the geriatric population and crisis intervention. My passion lies working with people in a clinical setting, long term. Have you found yourself struggling to manage daily activities? Are you feeling overwhelmed by constant pressure in your life?
(567) 212-2425 View (567) 212-2425
Photo of Natasha Brown, Marriage & Family Therapist in Cleveland, OH
Natasha Brown
Marriage & Family Therapist, BS, MA, LMFT
Verified Verified
2 Endorsed
Cleveland, OH 44121
If your marriage is struggling I can help you! I believe many of our greatest joys as well as our life challenges come from our relationships with those who are important to us. When these relationships struggle, we struggle. While seeking outside help during these challenging times can be difficult, you don't have to struggle alone. I am passionate about working with couples, families, and individuals in a way that allows them to move forward in their lives and relationships with more hope, happiness and understanding.
If your marriage is struggling I can help you! I believe many of our greatest joys as well as our life challenges come from our relationships with those who are important to us. When these relationships struggle, we struggle. While seeking outside help during these challenging times can be difficult, you don't have to struggle alone. I am passionate about working with couples, families, and individuals in a way that allows them to move forward in their lives and relationships with more hope, happiness and understanding.
(307) 466-7465 View (307) 466-7465
Photo of Anna Dykeman, Licensed Professional Counselor in Cleveland, OH
Anna Dykeman
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
Cleveland, OH 44101  (Online Only)
Waitlist for new clients
You know this sudden rush of emotions, when your heart is racing with memories of a time long gone but not forgotten. Maybe your palms are getting damp, and you feel your throat tightening - almost choking - as you remember painful memories of either childhood abuse, a painful breakup, or other shadows of the past – it's like being caught in a storm of past pain with a ton of emotions. Life is rough and now more than ever people are feeling anxious, overwhelmed, and uncertain about how they should manage their relationships, careers, and lives — however, you don’t have to walk through this on your own. :)
You know this sudden rush of emotions, when your heart is racing with memories of a time long gone but not forgotten. Maybe your palms are getting damp, and you feel your throat tightening - almost choking - as you remember painful memories of either childhood abuse, a painful breakup, or other shadows of the past – it's like being caught in a storm of past pain with a ton of emotions. Life is rough and now more than ever people are feeling anxious, overwhelmed, and uncertain about how they should manage their relationships, careers, and lives — however, you don’t have to walk through this on your own. :)
(614) 916-9569 View (614) 916-9569
Photo of Rod Dunlap, Marriage & Family Therapist in Cleveland, OH
Rod Dunlap
Marriage & Family Therapist, MA, IMFT
Verified Verified
1 Endorsed
Cleveland, OH 44108
Hi, thank you for taking the time to look me up. I hope that you find what you are looking for and that this helps you to learn about my practice of Marriage and Family Therapy. My clinical experience has been with multiple practices serving individuals, married couples, children, adolescents, and families.
Hi, thank you for taking the time to look me up. I hope that you find what you are looking for and that this helps you to learn about my practice of Marriage and Family Therapy. My clinical experience has been with multiple practices serving individuals, married couples, children, adolescents, and families.
(513) 640-0556 View (513) 640-0556
Photo of Emily A Fischer, Clinical Social Work/Therapist in Cleveland, OH
Emily A Fischer
Clinical Social Work/Therapist
Verified Verified
3 Endorsed
Cleveland, OH 44106  (Online Only)
I possess an authentic ability to empathize with others by offering unconditional compassion towards every person, regardless of their walk of life. My goal is to empower my clients in developing the self-acceptance and confidence to make healthy changes, increase quality of life, and move towards healing and balance. My years in the field have been spent working with diverse groups, including LGBTQIA+ individuals, trauma survivors, and those struggling with various mental health issues.
I possess an authentic ability to empathize with others by offering unconditional compassion towards every person, regardless of their walk of life. My goal is to empower my clients in developing the self-acceptance and confidence to make healthy changes, increase quality of life, and move towards healing and balance. My years in the field have been spent working with diverse groups, including LGBTQIA+ individuals, trauma survivors, and those struggling with various mental health issues.
(614) 739-8657 View (614) 739-8657
Photo of Jennifer R Brumfield, Counselor in Cleveland, OH
Jennifer R Brumfield
Counselor, MA, LPCC-S, LICDC-S, ICADC, SAP
Verified Verified
3 Endorsed
Cleveland, OH 44106  (Online Only)
Waitlist for new clients
I have been an active member of my community for most of my life. I began caring for others at age 15 by working as a nursing assistant in a local nursing home. I have volunteered as an Emergency Medical Technician and was a foster parent for nearly 100 children over a 13 year time span. I am passionate about helping people of all ages reach their personal or professional goals. I specialize in EMDR however; I utilize many types of therapy that is tailored to each individual client.Please make an appointment so we can discuss how I can help you and your family.
I have been an active member of my community for most of my life. I began caring for others at age 15 by working as a nursing assistant in a local nursing home. I have volunteered as an Emergency Medical Technician and was a foster parent for nearly 100 children over a 13 year time span. I am passionate about helping people of all ages reach their personal or professional goals. I specialize in EMDR however; I utilize many types of therapy that is tailored to each individual client.Please make an appointment so we can discuss how I can help you and your family.
(330) 400-3402 View (330) 400-3402
Photo of Queer Owned & Staffed - Affirming Pathways, Marriage & Family Therapist in Cleveland, OH
Queer Owned & Staffed - Affirming Pathways
Marriage & Family Therapist
Verified Verified
2 Endorsed
Cleveland, OH 44106
We have immediate availability with multiple therapists and free consults to help you find the best fit! As a Queer-Owned and staffed group practice, we focus on supporting gender, sexual/affectional, and relationship structure diverse communities (LGBTQ+), including ethical non-monogamy, BDSM/Kink, etc. Our priority is fostering a therapeutic space where everyone feels safe, respected, and truly understood. We deeply value providing knowledgeable and affirming mental healthcare for all individuals, relationships, families, and youth.
We have immediate availability with multiple therapists and free consults to help you find the best fit! As a Queer-Owned and staffed group practice, we focus on supporting gender, sexual/affectional, and relationship structure diverse communities (LGBTQ+), including ethical non-monogamy, BDSM/Kink, etc. Our priority is fostering a therapeutic space where everyone feels safe, respected, and truly understood. We deeply value providing knowledgeable and affirming mental healthcare for all individuals, relationships, families, and youth.
(740) 273-6555 View (740) 273-6555
Photo of Peter Finnerty, Counselor in Cleveland, OH
Peter Finnerty
Counselor, PhD, LPCC-S
Verified Verified
7 Endorsed
Cleveland, OH 44113
Not accepting new clients
Currently offering teletherapy/in-person. Clients are met where they are and tackle concerns by utilizing personal strengths and wellness practice. Clients who work with me desire to grow internally, professionally, interpersonally, and physically. I work with concerns ranging from academic/professional issues, transition & self-growth to anxiety, depression, and developmental issues. In addition clients come for couples and family concerns and always receive affirmative, culturally-responsive counseling. LGBTQ+, BIPOC, and others marginalized by society are affirmed, celebrated, and honored on their journey toward liberation.
Currently offering teletherapy/in-person. Clients are met where they are and tackle concerns by utilizing personal strengths and wellness practice. Clients who work with me desire to grow internally, professionally, interpersonally, and physically. I work with concerns ranging from academic/professional issues, transition & self-growth to anxiety, depression, and developmental issues. In addition clients come for couples and family concerns and always receive affirmative, culturally-responsive counseling. LGBTQ+, BIPOC, and others marginalized by society are affirmed, celebrated, and honored on their journey toward liberation.
(216) 930-2306 View (216) 930-2306

More Therapists Nearby

Photo of Anna Novak, Clinical Social Work/Therapist in Cleveland, OH
Anna Novak
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Beachwood, OH 44122
Waitlist for new clients
I enjoy working with individuals with diverse backgrounds and specialize in areas of sexuality, including sexual compulsion, paraphilias, infidelity.
My 20+ years as a mental health therapist has allowed me to support others unbiasedly, while allowing them the space to become the best version of themselves. I value the therapeutic relationships I build with my clients and work believe the foundation of therapy is a relationship built on trust and respect, where each person is the expert of their own life.
I enjoy working with individuals with diverse backgrounds and specialize in areas of sexuality, including sexual compulsion, paraphilias, infidelity.
My 20+ years as a mental health therapist has allowed me to support others unbiasedly, while allowing them the space to become the best version of themselves. I value the therapeutic relationships I build with my clients and work believe the foundation of therapy is a relationship built on trust and respect, where each person is the expert of their own life.
(216) 716-2536 x11 View (216) 716-2536 x11
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.