Understanding Sex Therapy

Sex therapy is a specialized form of counselling that addresses sexual concerns in a professional, compassionate setting. While our network of certified sex therapists is growing, you can explore professionals who support intimacy, relationships, and sexual well-being.

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Sex therapy is a specialized form of talk therapy that helps individuals and couples address concerns related to sexual function, desire, intimacy, and satisfaction. It's conducted by trained therapists in a professional, confidential environment and typically does not involve any physical component—it's about discussing, understanding, and working through sexual concerns.

Common reasons people seek sex therapy include mismatched desire between partners, difficulty with arousal or orgasm, pain during sex, performance anxiety, communication about intimacy, and navigating changes in sexuality over time. A sex therapist provides education, helps identify contributing factors, and offers strategies for improvement. While certified sex therapists are specialized practitioners, many therapists on First Session can support related concerns around intimacy, relationships, and body image.

Andrew Fawcett

Registered Clinical Counsellor
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Offers In-Person (Pender Island, BC)
Virtual Sessions in BC, MB, SK, YT, and NT.
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Andrew Fawcett

Andrew Fawcett

Registered Clinical Counsellor
he/him
$130/session
Befriending the Nervous System, Ecopsychotherapy, Attachment wounds, Brain injury, Complex Trauma (CPTSD), Couples Therapy, Familial and social relationships, Grief and Loss, Highly Sensitive Person, Intergenerational trauma, Mental Decolonization, Nature-Based Spirituality, Parenting, Rewilding & Reclaiming the Wild Feminine, Sex therapy, Understanding & Regulating Emotions, Autism Spectrum Disorder (ASD), Dreams, Imposter syndrome, Men's issues, Neurodiversity, Cultural Challenges, Chronic Illness
Befriending the Nervous System, Ecopsychotherapy, Attachment wounds, Brain injury, Complex Trauma (CPTSD), Couples Therapy, Familial and social relationships, Grief and Loss, Highly Sensitive Person, Intergenerational trauma, Mental Decolonization, Nature-Based Spirituality, Parenting, Rewilding & Reclaiming the Wild Feminine, Sex therapy, Understanding & Regulating Emotions, Autism Spectrum Disorder (ASD), Dreams, Imposter syndrome, Men's issues, Neurodiversity, Cultural Challenges, Chronic Illness
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Margarita Iarovaia

Registered Psychotherapist
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Offers In-Person (Toronto, ON)
Virtual Sessions in all provinces and territories.
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Margarita Iarovaia

Margarita Iarovaia

Registered Psychotherapist
She/Her/Hers
$150/session
Trauma, Sexuality, Relationships, Sex therapy, Abuse (Sexual/Physical/Verbal), Boundaries and boundary setting, Building Self-Care Routines, Dating challenges, Relationship anxiety, Sexual issues, Trauma processing, Understanding & Regulating Emotions, Mindfulness, Identity and Self-Exploration
Trauma, Sexuality, Relationships, Sex therapy, Abuse (Sexual/Physical/Verbal), Boundaries and boundary setting, Building Self-Care Routines, Dating challenges, Relationship anxiety, Sexual issues, Trauma processing, Understanding & Regulating Emotions, Mindfulness, Identity and Self-Exploration
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About First Session
What is sex therapy?

Sex therapy is a form of talk therapy focused on sexual health and intimacy. Conducted by trained professionals, it helps individuals and couples address concerns like desire differences, arousal difficulties, performance anxiety, communication about sex, and healing from experiences that affect sexuality. Sessions are conversational—there's no physical examination or activity involved.

What concerns can sex therapy address?

Sex therapy can help with a wide range of concerns including low sexual desire, mismatched libido between partners, erectile or arousal difficulties, pain during sex, performance anxiety, difficulty reaching orgasm, communication challenges about intimacy, navigating changes in sexuality (due to aging, health conditions, or life transitions), and healing from sexual trauma.

Who might benefit from sex therapy?

Anyone experiencing distress or challenges related to their sexual health or intimate relationships may benefit from sex therapy. This includes individuals navigating personal sexual concerns, couples working on intimacy together, people whose sexuality has been affected by health conditions or medications, and those healing from difficult experiences. Sex therapy is appropriate for people of all ages, orientations, and relationship structures.

How do I find a sex therapist?

Certified sex therapists have specialized training beyond general therapy credentials. While our network of certified sex therapists is growing, you can explore therapists on First Session who work with relationships, intimacy, and related concerns. Watch intro videos to get a sense of each therapist's approach. Some general therapists may also have experience with sexual health topics.

Are there related areas I could explore?

If you're seeking support for sexual concerns, you might also explore therapists who work with relationships, intimacy, couples therapy, body image, or trauma. Many of these areas intersect with sexual well-being. Looking at related specialties may help you find a therapist who can support your needs.

How can First Session help me find support?

First Session connects you with licensed therapists across Canada. You can browse profiles, watch intro videos to understand each therapist's approach, and book directly online. Credentials are verified during onboarding. To begin your search, learn about how to find a therapist in Canada.