About sexuality
On this page you will find therapists who list sexuality among their specialties, offering help with intimacy, desire, identity and sexual health concerns. Browse the therapist listings below to view profiles, approaches, languages, and areas of focus to help you identify a match.
What to compare in entries
| Credentials | A US state licence, or membership of a professional body such as BACP or NCPS. They are different kinds of thing; each profile shows what was supplied. |
|---|---|
| Focus | Whether sexuality is listed as a main focus or among the wider list of areas. Entries show both. |
| Way of working | The approaches named on the entry. Two people working with the same concern can describe very different sessions. |
| Time in practice | Years in practice, as supplied. A fact to weigh, not a ranking. |
| Language | The languages sessions can be held in, where that matters to you. |
Common questions
How were these entries chosen?
Everyone listed on this page has sexuality among the areas they told the platform they work with. They are not ranked, rated or endorsed by this directory, and the order is not a recommendation.
Do I need a referral to start?
No. You can contact a therapist through their entry directly. A GP referral is not required for independent online therapy.
What if the first therapist is not right?
Changing therapist is normal and expected, and can be done at any point. One session is a small sample of how someone works.
Entries for sexuality
Savithri (Savi) Jayaweera, NCPS
Ref 151058
Compassionate counsellor for complex life challenges
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English, Hindi, Sinhala
View listingHillary Gonzalez, LCSW
Ref 214393
Person-centered social worker focused on practical change
Works with: Stress, Anxiety, Self esteem, Depression Languages: English
View listingJames French, BACP
Ref 203032
Practical support for anxiety and life transitions
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English
View listingTomasz Konieczny, BACP, NCPS
Ref 199992
Practical, compassionate online counselling
Works with: Stress, Anxiety, Trauma and abuse, Anger Languages: English, Polish
View listingMargaret Johnston, LMHC
Ref 62092
Calm listening that helps you move forward
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English
View listingClement West, BACP
Ref 167549
Gentle, practical support for everyday challenges
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingDavid Potts, LCSW
Ref 23255
Practical, compassionate therapy for life changes
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English
View listingPamela Benoit, NCPS, BACP
Ref 180577
Compassionate practical psychotherapy
Works with: Relationship, Self esteem, Career Languages: English
View listingRichard Gordon-Smith , NCPS
Ref 120083
Straightforward, experienced counsellor for complex issues
Works with: Stress, Anxiety, Relationship, Parenting Languages: English
View listingWellington Cesar Assis Bueno, BACP
Ref 226813
Healing emotions, building clearer choices
Works with: Stress, Anxiety, LGBT, Trauma and abuse Languages: English, Portuguese
View listingKizzie Wells-Daniels, LPC
Ref 67515
Therapist for stress, parenting, and life changes
Works with: Stress, Anxiety, Parenting, Anger Languages: English
View listingRebecca "Becca" Mather, BACP
Ref 236007
Compassionate, practical support for life’s pressures
Works with: Stress, Anxiety, Relationship, Parenting Languages: English
View listingJoanne Rothery, NCPS
Ref 179003
Compassionate counsellor for stress and trauma
Works with: Stress, Anxiety, Addictions, Trauma and abuse Languages: English
View listingAdrian Jackson, BACP
Ref 271038
Compassionate counsellor using practical, person-focused methods
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingDestiny York, LPC
Ref 340789
Compassionate, practical counseling for life changes
Works with: Addictions, LGBT, Relationship Languages: English
View listingSarah Anderson, NCPS
Ref 133882
Practical support for stress and life changes
Works with: Stress, Anxiety, LGBT, Self esteem Languages: English
View listingCecile Terrelonge, BACP
Ref 134582
Person-centred counsellor offering practical support
Works with: Stress, Anxiety, LGBT, Family Languages: English
View listingMichael Witham, LPC
Ref 56161
Practical, person-focused counseling for daily struggles
Works with: Stress, Anxiety, Trauma and abuse, Anger Languages: English
View listingFaith Beaulieu, LCMHC
Ref 23986
Somatic-minded counselor for focused change
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingDianna Wheeler, LPC
Ref 354614
Practical support for healing and stronger coping skills
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingStacey Tenbrink, LMHC, LPC
Ref 326268
Compassionate, practical therapy for life changes
Works with: Stress, Anxiety, Addictions, Self esteem Languages: English
View listingD. Jesse Bruesch, LPC
Ref 339826
Trauma-informed counselor focused on real change
Works with: LGBT, Relationship, Trauma and abuse Languages: English
View listingClaudia Santiago, LCSW
Ref 149793
Practical, collaborative therapy for everyday struggles
Works with: Stress, Anxiety, Trauma and abuse, Grief Languages: English, Spanish
View listingDr. Lisa Hammons, LPC
Ref 251179
Calm guidance for stress, relationships, and life change
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingRose Sanford, LPC
Ref 150546
Practical support for stress and relationship struggles
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingPaul Bryan, LPC
Ref 175985
Compassionate counselor guiding steady change
Works with: Family, Self esteem, Career Languages: English
View listingDenise Clarkson-James, BACP
Ref 189969
Calm, practical support for life stresses
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingFaye Noyland, BACP
Ref 176481
Calm, practical counselling for everyday struggles
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English
View listingDonna Watts, BACP
Ref 219020
Compassionate, practical support for real-life struggles
Works with: Stress, Anxiety, Addictions, Relationship Languages: English
View listingVictoria Harper, BACP
Ref 257028
Gentle person-centred counselling for everyday struggles
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingAija Lace, BACP
Ref 243283
Empathic counsellor for stress and relationships
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English
View listingKelley Sullivan, LCSW
Ref 526
Compassionate, practical therapy for real life struggles
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English, Spanish
View listingDr. Robert Hunt, LPC
Ref 187307
Experienced therapist for life changes and emotion work
Works with: Stress, Anxiety, Addictions, Relationship Languages: English
View listingPatrick Gribel, LMHC
Ref 348422
Therapist focused on depth and steady change
Works with: Stress, Anxiety, Addictions, Self esteem Languages: English, Portuguese
View listingSally Henderson, ACA, PACFA
Ref 224972
Compassionate trauma and addiction counsellor
Works with: Stress, Anxiety, Addictions, Relationship Languages: English
View listingRines Shanthakumar, BACP
Ref 251123
Practical, relational counselling for life’s challenges
Works with: Stress, Anxiety, Relationship, Self esteem Languages: English, Tamil
View listingLisa Spears, LPC
Ref 101050
Hopeful, practical counseling for life
Works with: Stress, Anxiety, Relationship, Family Languages: English
View listingKim Smith, BACP
Ref 203026
Warm integrative BACP counsellor
Works with: Stress, Anxiety, Family, Grief Languages: English
View listingChris Rottcher, NCPS
Ref 167547
Compassionate integrative counsellor for life challenges
Works with: Stress, Anxiety, Relationship, Trauma and abuse Languages: English, Afrikaans
View listingJamie Finkelstein, LPC
Ref 16744
Compassionate counselor for practical change
Works with: Stress, Anxiety, LGBT, Trauma and abuse Languages: English
View listingDanielle Turner, LCPC
Ref 43399
Practical, compassionate therapy for everyday challenges
Works with: Stress, Anxiety, Trauma and abuse, Parenting Languages: English
View listingChaz Canter, LPCC
Ref 194625
Straightforward, practical support for change
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingChase Carter, LCSW
Ref 330670
Skilled LCSW focused on relationships and recovery
Works with: Addictions, Relationship, Trauma and abuse Languages: English
View listingNina Pavitt , BACP
Ref 123931
Supportive person-centred counsellor
Works with: Stress, Anxiety, Trauma and abuse, Self esteem Languages: English
View listingLaurel Deegan, BACP
Ref 231520
Compassionate, person-centred counselling for identity and stress
Works with: Stress, Anxiety, LGBT, Relationship Languages: English
View listingPeter Bramhill, BACP
Ref 236747
Practical, compassionate counselling for life’s challenges
Works with: Stress, Anxiety, Family, Trauma and abuse Languages: English
View listingRosalind Oliver, BACP
Ref 232595
Gentle practical therapy for stress and relationships
Works with: Stress, Anxiety, LGBT, Trauma and abuse Languages: English, German
View listingMore about sexuality
Understanding Sexuality and How It Can Affect You
Sexuality touches many parts of life - how you relate to your body, how you express desire, how you form intimate connections, and how you make sense of attraction and identity. For some people sexuality is a source of pleasure and connection. For others it is an area of confusion, frustration, or distress. Experiences can shift across the lifespan as relationships, health, culture and personal values change. You might find yourself questioning orientation, feeling mismatched with a partner, managing changes in desire, or coping with the emotional impact of a sexual incident. All of these are part of the human experience and can be addressed thoughtfully with a therapist who focuses on sexuality and relational health.
Sexuality is influenced by psychological factors, interpersonal dynamics, social messages and sometimes medical conditions. You do not need a medical label to seek support; often talking through patterns, expectations and emotions can help you make practical changes that feel meaningful. Therapy can also be a place to explore identity, boundaries and consent in a way that honors your values and helps you build healthier connections.
Signs You Might Benefit from Therapy for Sexuality
You might consider therapy if sexual concerns are affecting your mood, relationships or daily life. Common signs include persistent anxiety around sexual activity, a mismatch in desire with a partner that leaves you feeling disconnected, difficulty enjoying intimacy, distress about sexual identity or orientation, or recurring patterns that lead to shame or avoidance. Problems may show up as changes in arousal, difficulty with communication about sex, or feeling stuck after a sexual experience that felt violating or confusing.
If intimacy conversations lead to frequent conflict, or if you notice that sexual issues are influencing your self-esteem, work, or friendships, you may find it useful to create a space to explore those dynamics. Therapy can also help when you are negotiating nontraditional relationship structures, navigating kink or consensual erotic practices, or adjusting to life changes such as aging, illness or postpartum shifts. Seeking help does not mean something is wrong with you - it means you want guided support to understand and change patterns that matter to you.
What to Expect in Sessions Focused on Sexuality
When you begin therapy for sexuality-related concerns, expect an initial conversation about your goals, history and what you hope to change. Therapists often ask about relationship context, sexual history, medical factors that could affect sexual functioning, and the emotional reactions tied to sexual experiences. This intake phase helps create a roadmap for sessions and clarifies what matters most to you. Sessions are typically collaborative - you and your therapist will identify priorities and work toward concrete, realistic steps.
Therapy may include learning communication skills for discussing needs and boundaries, practicing mindfulness or body-awareness exercises to reduce anxiety, and exploring beliefs or narratives that shape your sexual expression. You might work on skills to regulate arousal or anxiety, or on reframing shame-based thoughts. For couples, sessions often focus on conversation patterns, mutual desire, and rediscovering intimacy in ways that feel authentic. Progress can look different depending on your goals - sometimes it is about symptom relief, and sometimes it is about deepening self-understanding and changing relational patterns.
Common Therapeutic Approaches Used for Sexuality
Therapists use a variety of approaches when working with sexuality, and different approaches suit different people and concerns. Some therapists integrate cognitive-behavioral techniques to address anxiety or unhelpful beliefs about sex, using behavioral experiments and skill-building exercises. Others draw on psychodynamic ideas to explore how early relationships and internalized messages influence current intimacy patterns. There are therapists who emphasize sensate focus and structural exercises to rebuild erotic connection within relationships, and there are those who incorporate mindfulness-based strategies to help you stay present with bodily sensations without judgment.
When you review therapist profiles, you may see different modalities listed. For example, some therapists list EMDR among their approaches and may use it when trauma is a relevant factor. Others list somatic or body-centered work to support regulation and embodiment. Sex-positive therapies aim to reduce shame and support consensual, pleasurable experiences while addressing safety and boundaries. It is common for therapists to blend several techniques to match your needs. Keep in mind that a listed approach reflects what a therapist says they use, and you can ask about how they apply those methods to issues like yours during a consultation conversation.
How Online Therapy Works for Sexuality and Practical Considerations
What online sessions feel like
Online therapy lets you meet with a therapist by video or sometimes by phone, and many people find it convenient for maintaining continuity of care. For sexuality work, online sessions can provide a comfortable setting where you feel at ease talking about personal topics from your own home. Some people appreciate the anonymity that comes from being in a familiar environment, while others may prefer the focus of an in-person setting. You may begin with an intake session over video to map goals and then continue with regular sessions that include discussion, skill practice and guided exercises.
Practicalities and boundaries
Before starting online therapy, consider how you will create a reliable space for conversations - a place where you can speak openly without being overheard and where you can attend to body-based exercises if needed. You may need to plan for privacy, choose a stable internet connection, and decide whether you prefer headphones for audio clarity. Some therapeutic activities involve guided breathing, grounding techniques or homework to practice between sessions. Online work can accommodate these elements, though the exact nature of exercises will depend on your comfort and the therapist's approach.
Tips for Choosing the Right Therapist for Sexuality
Selecting a therapist is a personal decision and it helps to approach it with clarity about what you want to address. Start by identifying your primary goals - whether that is improving communication with a partner, exploring sexual identity, working through low desire, addressing the aftermath of a sexual experience, or learning to enjoy intimacy more fully. Look for profiles that mention relevant focus areas and languages you prefer. Read descriptions to see how therapists frame their work and what kind of clients they describe working with, paying attention to statements about approach rather than claims about credentials alone.
Consider practical elements such as whether you want someone who works with individuals, couples, or both, and whether you prefer therapists who list certain approaches among their methods. If trauma is a factor, look for a therapist who discusses trauma-informed care and how they collaborate with medical providers if a physical issue may be influencing sexual functioning. When you contact a therapist for an initial conversation, you can ask about their experience with issues like yours, how they structure sessions, and what a typical course of therapy might involve. Trust your comfort level and give yourself permission to try a different therapist if the fit does not feel right - the therapeutic relationship is central to making progress.
Ultimately, therapy for sexuality is about creating a space where you can explore your desires, boundaries and relationships with clarity and compassion. Whether you are seeking relief from distress, practical strategies to improve intimacy, or deeper understanding of your sexual identity, informed and collaborative therapeutic work can help you move toward goals that matter to you. Use the listings above to read therapist profiles, note approaches and areas of focus, and reach out to professionals whose descriptions resonate with your needs.