What is sex therapy?

Sex therapy is a specialized form of psychotherapy that helps individuals and couples address concerns related to sexuality, intimacy, and relationships. It provides a safe, nonjudgmental space to explore challenges, enhance pleasure, and develop a fulfilling sexual and relational life. Sex therapy is evidence-based and considers the biological, psychological, social, and relational factors that influence sexual well-being. One of the models used during sex therapy is the DAES model, developed by Barry McCarthy.

The Desire, Arousal, Eroticism, and Satisfaction (DAES) Model
Developed by sex therapist and researcher Barry McCarthy, the DAES model provides a holistic framework for understanding and improving sexual experiences. Rather than focusing solely on performance or dysfunction, this model emphasizes the interconnected aspects of sexual fulfillment:

  • Desire – A flexible and evolving experience that can be spontaneous or responsive. McCarthy highlights that desire is influenced by emotional connection, relationship dynamics, and life context.

  • Arousal – The body’s physiological and psychological response to erotic stimuli. This includes physical sensations, mental engagement, and comfort with one’s sexual self.

  • Eroticism – The playfulness, creativity, and emotional engagement that bring excitement and meaning to sexuality. Eroticism encourages exploration beyond routine and performance-focused sex.

  • Satisfaction – The overall fulfillment and well-being derived from sexual experiences, which includes emotional intimacy, pleasure, and a sense of connection rather than just orgasm-focused outcomes.

This model shifts the focus from dysfunction to pleasure, adaptability, and emotional connection, making it a valuable approach for those seeking a healthier and more satisfying sex life.

Who Can Benefit from Sex Therapy?
Sex therapy is for anyone experiencing concerns related to sexuality, including:

  • Mismatched desire in relationships

  • Difficulties with arousal or orgasm

  • Navigating kink, BDSM, or nontraditional relationship dynamics

  • Recovery from sexual trauma or shame

  • Concerns related to sexual pain or discomfort

  • Improving intimacy and communication in relationships

Sex therapy is a collaborative process that prioritizes your goals and comfort level. Whether you're working through a specific issue or seeking deeper sexual fulfillment, therapy provides the support and tools needed for growth and healing.

If you're ready to explore how sex therapy can support you, reach out to schedule a consultation.

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What is psychotherapy?