Sex Therapy in Boulder, Colorado

The process

A curious, collaborative approach to sex therapy

Sex therapy can help you understand the psychological and relational parts of what is happening, communicate about desires and boundaries, and explore what supports agency, pleasure, and connection. We can look at how stress, relationship patterns, cultural messages, shame, or fear may be shaping your experience, without assuming there is one right way to want or express sex.

I think of the first session like starting a puzzle: we begin with the edge pieces and turn the others over so we can see an outline. We will talk about what brings you in, what you hope to understand or change, and relevant attachment history and relationship patterns. We may touch on important topics that need more time later. If you attend with a partner, I usually schedule a one-on-one session next to learn more about each person's history and perspective.

From there, I build a personalized map with your collaboration and participation. We notice patterns, understand how they developed and what they have helped you manage, experiment with responses that reflect what you want, and practice integrating what works. Sessions may include therapeutic exercises as well as conversation, and you can expect regular practice between sessions. I bring ideas and honest feedback, while staying ready to focus on what matters most that day. This is psychotherapy, not medical evaluation or physical treatment; pain, changes in sexual function, or other physical symptoms may also call for medical care.