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Sex Therapy
Helping You Build Confidence, Connection, and Fulfillment in Your Intimate Life

Is Sex Therapy Right for You?
If you’re struggling with intimacy, desire, or sexual satisfaction, you’re not alone. Many individuals and couples experience challenges related to sex, whether due to mismatched libidos, past trauma, pain, anxiety, or simply not feeling connected. Sex therapy provides a safe, non-judgmental space to explore your concerns, improve communication, and develop a fulfilling, healthy relationship with your sexuality.
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At Northwest Relationships, we understand that talking about sex can feel vulnerable, but our experienced therapists are here to support you with compassion, expertise, and evidence-based approaches tailored to your needs.
What is
Sex Therapy?
Sex therapy is a form of talk therapy that helps individuals and couples address concerns related to sexual health, intimacy, and relationships. It does not involve any physical exams, nudity, or sexual touch or activity—sessions are based on open, guided conversations designed to help you explore your experiences, beliefs, and desires in a way that feels safe and empowering.
Our therapists use a variety of evidence-based approaches, including:
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Cognitive Behavioral Therapy (CBT) to address negative thought patterns.
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Mindfulness and Sensate Focus techniques to reduce anxiety and enhance pleasure.
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Trauma-informed therapy for those navigating past sexual trauma or body-based distress.
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Attachment-based approaches to help partners deepen emotional and physical connection.

Common Issues Addressed in Sex Therapy
Our skilled therapists work with a wide range of concerns, including:
Desire & Arousal Challenges
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Mismatched libidos in relationships (one partner wants sex more/less than the other).
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Low sexual desire or lack of attraction to a long-term partner.
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Difficulty getting or maintaining arousal.
Pain & Medical Concerns
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Pain during sex (dyspareunia, vaginismus, vulvodynia).
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Pelvic floor issues impacting intimacy.
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Postpartum, menopause, or medical-related changes in sexual function.
Orgasm & Performance Challenges
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Difficulty reaching orgasm (anorgasmia).
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Premature or delayed ejaculation.
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Erectile difficulties, performance anxiety, or self-esteem concerns.
Sexual Identity & Exploration
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Questioning or exploring your sexual orientation or gender identity.
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Navigating religious or cultural shame around sex.
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Understanding and exploring kink, BDSM, or non-traditional relationship styles.
Relationship & Communication Struggles
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Rebuilding intimacy after infidelity or betrayal.
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Navigating non-monogamy or polyamorous relationships.
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Strengthening communication about sexual wants, boundaries, and consent.
Whether you're facing a specific sexual challenge or simply want to deepen intimacy in your relationship, sex therapy provides the tools and support to help you thrive.

What to Expect in Sex Therapy
Many people feel nervous before their first session, unsure of what to expect. Here’s what you need to know:
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Therapy is conversation-based – There is no physical examination, nudity, or explicit demonstrations.
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You control the pace – You will never be forced to discuss anything before you’re ready.
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Homework may be assigned – Some exercises (such as mindfulness, journaling, or partner communication activities) may be suggested between sessions to support your growth.
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You can come alone or with a partner – Sex therapy can be done individually or as a couple, depending on your needs.
Our approach is affirming, LGBTQ+ and non-monogamy inclusive, and trauma-informed, ensuring that all identities, orientations, and relationship styles are respected.
Why choose Northwest Relationships for Sex Therapy?
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Experienced, Highly Trained Therapists – Our team includes clinicians trained in sex therapy, relational therapy, and trauma-informed care.
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LGBTQ+ Affirming & Inclusive – We welcome and support clients of all genders, orientations, and relationship styles.
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Evidence-Based & Solution-Focused – We use science-backed approaches to help you reach your goals.
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Confidential & Judgment-Free – You deserve a space where you can talk about intimacy openly and safely.
FAQs: Answering Your Questions About Sex Therapy
Our Sex Therapists
Set up your first appointment today
Let's get started. Let us know how we can help.