a married couple in a therapist office discussing challenges in their relationship

Couples who experience difficulties in their sexual relationship may seek therapy to address the issue. However, choosing between a couples therapist and a sex therapist can be a daunting task, especially when the goals of the couple are unclear. While some couples therapists have specialized training in sex therapy, the two types of therapy are distinct and have different approaches to enhancing intimacy and resolving sexual issues in relationships.

In this article, we will explore the differences between couples therapy and sex therapy, and how each approach can benefit couples facing sexual difficulties. We will also discuss the costs associated with each type of therapy and the factors that couples should consider when choosing a therapist.

By the end of this article, readers will have a better understanding of the types of therapy available and which one may be best suited to their needs.

Key Takeaways

- Couples may have unresolved relationship issues affecting their sex life, and may need to choose between a couples therapist or a sex therapist.

- Couples therapy and sex therapy are two distinct types of therapy, and the choice depends on the goals and available therapists.

- Sex therapists are comfortable talking about sex and are ideal for resolving specific sexual issues, while couples therapists help repair or strengthen relationships.

- Sex therapy within couples therapy can help heal sexually while enhancing intimacy, and the benefits or costs of choosing a therapist depend on the individual couple.

Types of Therapy

Couples therapy and sex therapy are two distinct types of therapy that may be considered when addressing unresolved relationship issues affecting sexual intimacy. Couples therapy focuses on repairing or strengthening relationships, while sex therapy focuses on resolving specific sexual issues. Couples therapy can help enhance intimacy, but it may not address some sexual issues that require specialized training in sex therapy. Sex therapy is a form of therapy that is comfortable and open in discussing sexual issues.

It helps individuals and couples overcome sexual problems and achieve sexual satisfaction. Sex therapy within couples therapy can help with physical and emotional intimacy, lack of desire, mismatched libidos, porn use, intrusive thoughts, compulsive behaviors, addictions, arousal or orgasmic difficulties, erectile and ejaculatory difficulties. It is an effective way to address sexual issues while enhancing intimacy and can lead to sexual healing and a more satisfying relationship.

People also read: Finding The Right Fit: Questions To Ask Your Couples Therapist

Goals and Differences

The selection of therapy depends on the objectives and disparities between the two types of therapy. Couples therapy aims to repair or strengthen relationships, while sex therapy focuses on resolving specific sexual issues. When exploring options, it is important to consider the goals of the couple and the available therapists before making a decision. To help guide the decision-making process, couples can consider the following factors.

  • First, couples should assess whether their sexual issues are related to pre-existing relationship problems. If so, a couples therapist with specialized training in sex therapy may be the best option.
  • Second, if the sexual issues are not related to relationship problems, a sex therapist may be better equipped to address the specific issues.
  • Third, couples should consider their comfort level when discussing sexual issues. If they feel more comfortable discussing these issues with a therapist who specializes in sex therapy, they may want to choose that option.
  • Finally, couples should consider the potential costs and benefits of each therapy option before making a final decision.

By considering these factors, couples can make an informed decision about the best therapy option for their needs.

Benefits and Costs

When considering therapy options, it is important to evaluate the potential benefits and costs of each. Choosing between a couples therapist and a sex therapist comes with its own set of pros and cons.

Couples therapy helps to repair or strengthen relationships and is ideal for enhancing intimacy. However, it may not always be the best choice when it comes to resolving specific sexual issues. On the other hand, sex therapy focuses on resolving sexual issues, including physical and emotional intimacy, lack of desire, mismatched libidos, and compulsive behaviors.

One of the benefits of choosing a couple therapist who has training in sex therapy is that they can provide a comprehensive approach to addressing issues that affect both the relationship and the sexual aspect of it. This can help heal sexually while enhancing intimacy. However, the cost of seeing such a therapist may be higher than seeing a sex therapist who does not address relationship issues.

Additionally, it is important to choose a therapist who aligns with the couple's goals and is comfortable discussing sensitive topics. Overall, the benefits and costs of choosing a therapist depend on the individual couple and their specific needs.


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With more than 20 years in corporate marketing, including serving as Social Media Director for e-commerce brands such as ProFlowers and Shari's Berries where his focus was on engaging with customers looking to maintain strong relationships, passionate romances, and celebrate special occasions. 

After leaving the corporate world, James launched a series of websites promoting men's lifestyle and travel topics. He knew though that there was something missing ...

As a happily married man who loves to travel with his wife and share incredible experiences with those around them, he realized that there needed to be something else in their portfolio of websites.