Online Sex and Couples Therapy to Reconnect with Your Intimacy
Compassionate, evidence-based online therapy—wherever you are.
Helping you transform your intimate and relational life.
Is there distance in your relationship?
Differences in desire or recurring sexual challenges?
Are you hesitant to start therapy or unsure whether it will truly help?
It’s completely normal to have doubts.
But you don’t have to navigate this alone.
I’m Dr. Lorena Olvera (she/her), the first Mexican woman to earn a PhD in Human Sexuality, specialized in couples therapy and relational diversity, with training in the Gottman Method in the United States.
I work with:
• Couples experiencing sexual difficulties or desire discrepancies
• Heterosexual and LGBTQ+ clients
• Individuals facing sexual challenges (in or outside a relationship)
• People exploring consensual non-monogamy
My approach is professional, inclusive, evidence-based, and free of judgment.
Take the first step toward a more connected and fulfilling intimate life.
Sex Therapist Near You
Online Sex Therapy, Accessible Wherever You Are
Looking for a sex therapist near you?
Online therapy makes it possible to access specialized, evidence-based support—without being limited by location.
You don’t need to find a sex therapist near you—you need the right fit for you.
I work with individuals and couples across the U.S., Spain, and Latin America, providing a confidential and professional space for sex and couples therapy, grounded in evidence-based approaches and tailored to your needs.
If you’d like to understand how sex therapy works and how it can help, you can learn more here.
In addition, online therapy not only makes the process more accessible, but also creates a more comfortable and secure environment for many people.
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Privacy and confidentiality, allowing you to attend sessions from a space where you feel safe
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No commute, saving time and avoiding the stress of traveling
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Comfort, by choosing an environment where you feel at ease
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Greater flexibility, adapting to your schedule and lifestyle
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Access to specialized therapists, regardless of your location
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Continuity of care, even during travel or life changes
You can move through this process at your own pace, with professional and supportive guidance.
How Does Online Sex and Couples Therapy Work?
Online sex and couples therapy is a structured, confidential process designed to help you understand and improve your relationship, intimacy, and sexual well-being. From the very first sessions, the goal is to deeply understand what’s happening in your intimate life or your relationship—and to create a clear, actionable path forward.
In couples therapy, we begin with an assessment process based on the Gottman Method. During the first sessions, we explore your relationship history, how you navigate conflict, and the patterns shaping your connection. From there, we define clear goals and a shared plan to move forward.
In individual therapy, the first sessions are exploratory and focused on understanding your relationship with desire, your body, and your personal history. Together, we define therapeutic goals that align with your process and what you want to change or explore.
Sessions take place via secure video calls, in a safe and non-judgmental space. Throughout the process, we introduce practical tools and strategies that you can apply in your daily life—always respecting your pace, motivation, and availability.
Typically, sessions begin on a weekly basis. As you make progress and start reaching your goals, the frequency can be adjusted. Many clients experience greater clarity from the very first sessions, which often helps reduce anxiety and creates momentum for meaningful change.
To give you a clearer picture, this is what the process typically looks like:
What Does the Process Look Like?
1. Understanding What’s Happening
We take time to explore your situation or your relationship dynamics in depth.
2. Gaining Clarity and Setting Goals
We identify what’s going on and define clear, meaningful goals for where you want to go.
3. Building Practical Tools
We introduce tools and strategies you can apply in your daily life to create real change.
4. Integrating and Sustaining Change
As progress happens, we adjust the process and support you in maintaining long-term results.
Our approach to sex and couples therapy integrates multiple evidence-based models, adapted to the complexity of each individual and relationship.
We primarily work with the Gottman Method, alongside approaches such as Life Relational Therapy and other contemporary relational frameworks. We also integrate sexuality as an essential part of the work, allowing us not only to address relationship challenges but to understand what truly sustains connection over time—as we explore in how to build a lasting relationship.
In addition, we have developed our own integrative framework to assess both the relational and sexual dimensions of each person or couple. This allows us to identify which areas need to be understood, strengthened, or transformed.
Our approach is inclusive and affirming of diverse identities and relationship structures. We work with LGBTQIA+ individuals and couples, consensual non-monogamous relationships, and people who want to explore their sexuality in a space that is informed, respectful, and free of judgment.
We also specialize in working with intercultural couples, recognizing how cultural differences, values, and life contexts can shape both the relationship and intimacy. Many of these challenges are explored in depth in cultural differences in relationships.
Beyond techniques, our goal is to offer a space where you can better understand what you’re experiencing, develop practical tools, and build a relationship that feels more conscious, connected, and fulfilling.
Each process is unique, but we always work with a clear, respectful, and evidence-based approach.
You can begin whenever you feel ready.
Throughout the therapeutic process, many people begin to notice changes from the very first sessions. One of the earliest benefits is gaining greater clarity about what’s happening in your intimate life or your relationship.
Understanding your situation through an evidence-based and professional approach helps you identify the patterns influencing your experience, where things may be headed if nothing changes, and what areas need attention.
This clarity not only provides direction, but also tends to reduce anxiety and increase a sense of control and motivation to create change.
As sessions progress, it’s common to experience shifts in communication, emotional connection, and the way intimacy is experienced. Therapy is not only about understanding—it’s about developing practical tools that support real, lasting change.
The pace and depth of these changes depend in part on your level of engagement in the process, your motivation, and the time you dedicate to integrating what you learn into your daily life.
Every process is unique, but working with clear goals and a defined path helps make change more consistent and meaningful.
Many people begin this process looking for answers, and gradually discover not only clarity, but new ways of connecting—with themselves and with others.
What Can You Expect from Therapy?
An intentional process to understand, create meaningful change, and reconnect with yourself and others.
Who Is This Therapy For?
Sex and couples therapy can support you in different moments of your life—whether you come on your own or as a couple. Many people begin this process feeling frustrated, disconnected, or unsure about what’s happening, and are looking for a space to understand it and find a new way forward.
You don’t need to have everything figured out to begin. If any of this resonates with you, therapy may help.
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Individual Sex Therapy
This may be right for you if:
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You feel disconnected from your desire or your body and don’t understand why
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You struggle to experience pleasure or orgasm, or don’t fully enjoy intimacy
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You want to better understand your sexuality, identity, or desires
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There are challenges in your relationship and you find yourself wondering if you are “the problem”
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You want to stop or better understand compulsive sexual behaviors
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You have difficulty regulating emotions like anger, anxiety, or tension, and it impacts your intimate life
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You simply want to understand yourself better and experience your sexuality in a more conscious way
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Couples & Sex Therapy
This may help you if:
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You experience differences in sexual desire that create frustration or distance
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You’ve stopped having sex and don’t know how to reconnect
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It’s difficult to talk about intimacy without it leading to conflict, silence, or discomfort
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You have recurring conflicts that leave you feeling more distant rather than resolved
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There has been infidelity or a breach of trust, and you don’t know how to rebuild the relationship
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You’re considering opening your relationship and want guidance to do it consciously
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You feel that something has changed in your connection and don’t know how to find your way back
It’s normal to have questions before starting
Many people wonder how long the process will take, whether things can really improve, or what happens if their partner doesn’t change. In therapy, we don’t focus on quick fixes—we focus on understanding what’s happening and creating meaningful, lasting change.
You don’t have to be in crisis to begin this process.
Sometimes, understanding what’s happening is the first step toward change.
Frequently Asked Questions About Online Sex and Couples Therapy
Starting therapy can bring up questions—here are some of the most common ones.
1. Does online sex and couples therapy really work?
Yes. Research shows that online therapy can be just as effective as in-person therapy. In many cases, being in your own space helps you feel more comfortable, which makes it easier to open up and engage in the process.
3. How long does therapy usually take?
It depends on your goals and your situation. Many people begin to gain clarity within the first few sessions. Some processes are more focused and shorter, while others take more time to create deeper, lasting change. In many cases, therapy unfolds over several months, depending on your level of engagement, your goals, and how much you’re able to apply what you learn between sessions.
5. Do I need to be in crisis to start therapy?
Not at all. Many people begin therapy because they want to better understand themselves, improve their relationship, or prevent issues from becoming more difficult over time.
7. How often are sessions scheduled?
Sessions typically begin on a weekly basis. As you make progress and start reaching your goals, the frequency can be adjusted to fit your needs.
2. What happens in the first session?
The first session is a space to understand what’s happening and what you need. In couples therapy, we begin with an assessment of your relationship to explore your history, dynamics, and challenges. In individual therapy, we focus on understanding your personal experience and defining clear goals for your process.
4. What if my partner doesn’t want to come to therapy?
You can start individually. Working on yourself often creates shifts in the relationship dynamic, even if your partner is not attending therapy at the beginning.
6. Is it uncomfortable to talk about sex in therapy?
It’s completely normal to feel some discomfort at first. Therapy is a space designed to be safe, respectful, and free of judgment, where you can go at your own pace.
8. Can I do therapy if I live outside your location?
Yes. Online therapy allows you to access support regardless of where you are. We work with individuals and couples across the United States, Spain, and Latin America.
9. Do I need a sex therapist near me, or can I do therapy online?
You don’t need to find a sex therapist near you to get effective support. Online therapy allows you to work with the right professional for you, without being limited by location.
In search of a world where sex is something fun, pleasurable, and consensual, and where people can freely express their sexuality.