Sex & Intimacy Therapy
Sex therapy for connection and intimacy problems virtually throughout Washington, Oregon, and Hawaii, with in-person availability in Seattle and Tacoma.
WHAT IS SEX THERAPY?
Sex and intimacy are deeply personal. They can bring joy, connection, pleasure, and closeness—but they can also become a source of stress, frustration, shame, or loneliness.
Maybe you and your partner have stopped talking about sex because every conversation turns into conflict. Maybe one of you wants sex more often than the other. Perhaps intimacy has changed after having children, experiencing trauma, navigating a medical condition, or simply getting caught up in the demands of everyday life.
Or maybe you're here because your relationship with your own sexuality feels confusing, disconnected, or weighed down by shame.
Whatever brings you here, you are not alone, and you don't have to figure it out on your own.
Sex & Intimacy Therapy offers a compassionate, judgment-free space to explore your concerns, strengthen your relationships, and reconnect with yourself and the people you love.
Sex therapy is a specialized form of psychotherapy that focuses on concerns related to sexuality, intimacy, relationships, and sexual well-being.
Despite the name, sex therapy does not involve physical touch or sexual activity of any kind during sessions. Instead, therapy focuses on conversations that help you better understand yourself, your relationships, and the factors influencing your intimate life.
Together with your therapist, you'll explore patterns, beliefs, emotions, and experiences that may be affecting intimacy while developing practical tools to help you move toward your goals.
When Might Sex & Intimacy Therapy Help?
Many people wait years before talking to someone about concerns related to sex. These conversations can feel vulnerable, but they don't have to be faced alone.
Sex & Intimacy Therapy may be helpful if you are experiencing:
Differences in sexual desire
Difficulty communicating about sex
Pain during intimacy
Anxiety or fear around sexual experiences
Erectile dysfunction or ejaculation concerns
Difficulty with arousal or orgasm
Changes in intimacy after childbirth, illness, or major life transitions
The effects of sexual trauma
Religious or purity culture shame
Body image concerns
Questions about sexuality or pleasure
Feeling emotionally disconnected from your partner
Our Approach to Sex & Intimacy Therapy
At The Collective, we recognize that sexuality is influenced by much more than what happens in the bedroom. Relationships, attachment, trauma, culture, family messages, identity, stress, physical health, and life experiences all play a role in how we experience intimacy.
Each therapist brings their own clinical style and specialties while sharing a commitment to compassionate, evidence-based, and inclusive care. Depending on your therapist and your goals, sessions may incorporate attachment-based therapy, trauma-informed care, Internal Family Systems (IFS), somatic therapy, Emotionally Focused Therapy (EFT), Gottman Method interventions, and other approaches that support meaningful, lasting change.
Our goal isn't simply to solve a sexual concern, it's to help you build a relationship with yourself and others that feels connected, authentic, and fulfilling.
Imagine What's Possible
Imagine feeling comfortable talking about sex without fear or embarrassment.
Imagine understanding your own desires instead of feeling confused by them.
Imagine rebuilding trust after difficult experiences.
Imagine intimacy feeling less like pressure and more like connection.
Whether your goal is healing, exploration, improved communication, or greater pleasure, therapy can help you move toward a relationship with intimacy that feels healthier, safer, and more fulfilling.
Who We Work With
Our therapists support:
Individuals
Couples and partners
Married couples
Dating and engaged couples
LGBTQIA+ individuals and relationships
Consensually non-monogamous (CNM) and polyamorous relationships
People healing from sexual trauma
Individuals navigating religious or purity culture shame
People exploring sexuality, intimacy, and pleasure
Everyone deserves affirming, respectful care.
Frequently Asked Questions
about Sex & Intimacy Therapy
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Sex therapy is a specialized form of talk therapy that helps individuals and couples address concerns related to sexuality, intimacy, desire, pleasure, communication, and sexual functioning. Sessions involve conversation, education, and skill-building—never physical touch or sexual activity.
Affirming therapy is not about changing who you are, it is about creating a space where you can explore your experiences, heal from painful messages or experiences, and build a stronger connection with yourself. Your identity is respected, valued, and welcomed as an important part of who you are.
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Absolutely. Many individuals attend sex therapy on their own to explore sexuality, heal from shame or trauma, improve body image, or better understand their relationship with intimacy.
You do not need to have everything figured out before starting therapy. Whether you are questioning, exploring, confidently identifying, or simply looking for a supportive and inclusive therapist, you are welcome.
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Yes. Desire differences are incredibly common. Therapy helps partners understand one another's experiences, reduce pressure and resentment, and build a more satisfying intimate relationship together.
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Yes. Our therapists provide trauma-informed care that honors your pace, boundaries, and goals. Therapy can help you rebuild safety, reconnect with your body, and move toward intimacy in ways that feel empowering.
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Yes. Many LGBTQIA+ individuals carry painful experiences related to messages they received about identity, relationships, sexuality, or gender from family, communities, or religious environments.
Therapy can help you process the impact of those experiences, explore your own beliefs and values, heal from shame, and develop a relationship with yourself that feels authentic and compassionate. Your therapist will meet you where you are and support you in creating a life that aligns with your own values and sense of self.
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If concerns related to sex or intimacy are affecting your relationships, confidence, emotional well-being, or quality of life, sex therapy may be a helpful place to start. You don't need to wait until the problem feels overwhelming to seek support.
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Yes. Pain during sex is more common than many people realize, but it is not something you simply have to live with. Sex therapy can help address the emotional, relational, and psychological factors that may contribute to painful sexual experiences while collaborating with other healthcare providers when appropriate. Our goal is to help you move toward intimacy that feels comfortable, pleasurable, and free from fear or anxiety.
Begin Sex & Intimacy Therapy
You deserve a space where conversations about sex, intimacy, pleasure, and relationships are met with compassion, not judgment.
Whether you're navigating changes in desire, healing from shame or trauma, strengthening intimacy with a partner, or simply wanting a healthier relationship with your sexuality, The Collective is here to help.
Explore our therapists to find the right fit and take the next step toward a more connected, confident, and fulfilling life.
