Online Therapy for Sex, Relationships, and Intimacy
Professional support to understand desire, strengthen intimacy, and build more conscious relationships.
Online therapy for sex, relationships, and intimacy offers a confidential, inclusive, and professional space to understand what you are experiencing and find new ways to relate to yourself, your desire, and your relationships.
We are sex therapists specializing in couples therapy, intimacy, and sexual desire. We support individuals, couples, expats, bilingual partners, LGBTQ+ clients, and diverse relationship structures who want to work through challenges related to sex, communication, emotional connection, pleasure, identity, relationship agreements, or moments of crisis.
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Over 18 years of experience supporting individuals and couples.
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Evidence-based approach: Gottman Method, desire science, and contemporary relationship therapy
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Clinical supervision by Dr. Lorena Olvera, who holds a doctorate in sexuality and has completed more than 15 specialized trainings in couples therapy, desire, and eroticism.
Dr. Lorena Olvera, the team’s clinical supervisor, holds a doctorate in sexuality and has extensive specialized training in couples therapy, desire, and eroticism. Every process is supported through a professional, up-to-date, inclusive, and nonjudgmental lens.
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.
Online Therapy, Wherever You Are
Online sex therapy allows you to receive professional and confidential support through video sessions, without letting distance limit your access to specialized care. You can join from the United States, Mexico, Spain, or other locations, provided you have a private space and a reliable internet connection.
Privacy and Confidentiality
Sessions take place in a professional and confidential setting. Joining from a private space of your choosing may help you feel more comfortable discussing sexuality, relationships, intimacy, and other sensitive concerns.
Support Across Time Zones
We work with individuals, couples, and partners located in different countries and time zones. Appointment times are coordinated based on each participant’s location, particularly when partners live apart or join sessions from different regions.
Comfort Without the Commute
You can attend sessions from a familiar, comfortable, and private setting without traveling to an office or planning your day around transportation. This can make therapy easier to access when you have a demanding work schedule, caregiving responsibilities, mobility limitations, or limited access to specialized providers nearby.
Access to Specialized Providers
Your location does not have to determine which therapist you can work with. Online therapy may connect you with professionals who specialize in sexual health, desire, intimacy, relationship concerns, and diverse relationship structures, even when those providers are not located near you.
Greater Scheduling Flexibility
Online therapy can make it easier to find appointment times that work with your job, family responsibilities, and daily routine. It can also support couples or partners who are temporarily living in different locations.
Continuity During Travel and Life Transitions
When clinically and legally appropriate, sessions may continue during travel, relocation, or other life changes. This can reduce interruptions and help maintain continuity throughout the therapeutic process.
What kind of online therapy are you looking for?
Every therapy process is different. Some people come to explore their own sexuality, desire, body, or pleasure; others want to work on intimacy, communication, trust, or differences in desire within a relationship. Choose the space that best fits what you need right now.
Individual Sex Therapy
For individuals who want to better understand their desire, reconnect with pleasure, work through sexual anxiety, difficulty with orgasm, body image concerns, identity, sexual orientation, or their relationship with intimacy.
Couples Therapy for Sex and Intimacy
For couples, partners, and relationship structures that want to improve intimate communication, navigate desire differences, rebuild trust, work through sexual conflict, or strengthen emotional and sexual connection.
Still Not Sure Which Option Is Right for You?
You do not have to make that decision on your own. When you reach out, we can help guide you based on your situation, your goals, and how the concern is affecting your well-being or your relationship.
Topics We Can Support in Online Therapy
Many people seek online therapy when they want to better understand what is happening in their sexual, intimate, or relational life. We support individuals, couples, partners, and diverse relationship structures with concerns related to desire, pleasure, communication, identity, emotional regulation, trust, agreements, and connection.
Differences or Changes in Sexual Desire
When there are differences in sexual desire in a relationship, or when desire changes due to stress, routine, motherhood, menopause, health, life transitions, or changes in the body, frustration, pressure, guilt, rejection, or misunderstandings can appear. In therapy, we explore the emotional, physical, relational, and contextual factors that influence desire and work toward more realistic, respectful ways of experiencing intimacy.
Erection, Ejaculation, and Sexual Functioning
Some men and people with penises come to therapy for concerns related to erection, ejaculation, or sexual functioning: coming too quickly, losing an erection, difficulty maintaining firm erections, taking a long time to ejaculate, or not being able to ejaculate. In therapy, we explore these concerns from an integrative perspective, considering anxiety, performance pressure, body connection, relationship dynamics, and possible medical factors.
Relationship Agreements, Jealousy, and Consensual Non-Monogamy
We support couples, partners, and relationship structures who want to explore agreements, boundaries, jealousy, expectations, hierarchy, time, emotional care, or sexuality with other people. We also work with diverse relationship models, including consensual non-monogamy, through communication, consent, clarity, and respect for each person’s needs.
Sexual Communication and Difficulty Talking About Sex
Talking about sex can feel difficult when there is fear of hurting someone, feeling rejected, creating pressure, or being judged. Many individuals and couples avoid these conversations because they do not know how to express desires, boundaries, fantasies, insecurities, or needs without creating conflict. In therapy, we help build clearer, safer, and more honest ways to talk about intimacy and sexual connection.
Sexual Anxiety and Insecurity During Intimacy
Sexual anxiety can show up as pressure to “perform well,” fear of not becoming aroused, not reaching orgasm, losing an erection, feeling pain, not being desired, or not knowing what to do during intimacy. In therapy, we explore where that insecurity comes from, reduce self-pressure, and build a more present, safe, and body-connected sexual experience.
Relationship Crisis, Infidelity, or Loss of Trust
Relationship crises, infidelity, or broken agreements can bring pain, distrust, anger, guilt, and uncertainty about the future. Therapy offers a space to understand what happened, name the impact, identify what needs repair, and explore whether rebuilding trust is possible or whether clearer decisions need to be made with care and responsibility.
Difficulty Experiencing Orgasm
Some people have difficulty reaching orgasm, take longer than they would like, or feel unable to fully enjoy sexual experiences. This may be related to anxiety, performance pressure, body disconnection, past experiences, pain, lack of adequate stimulation, or rigid beliefs about pleasure. In therapy, we approach these concerns with care, curiosity, and a nonjudgmental lens.
Relationship Conflict and Emotional Regulation
Many couples and partners seek therapy because difficult conversations escalate quickly, the same arguments repeat, or one person shuts down while the other pushes harder. In therapy, we work to identify patterns that harm the relationship, regulate emotional intensity, interrupt damaging behaviors, and build more responsible, repair-oriented ways to manage conflict.
Identity, Sexual Orientation, and LGBTQ+ Affirming Therapy
We support processes related to identity, sexual orientation, gender expression, pleasure, body, desire, relationships, and intimacy for LGBTQ+ people. We work from an affirming, respectful, and depathologizing perspective, creating space to explore sexual and relational experiences with care, openness, and recognition of diversity.
If any of these topics resonate with what you are experiencing, we can help you choose the most appropriate space: online individual sex therapy or online couples therapy for sex and intimacy.
Our Therapeutic Approach
We integrate evidence-informed therapeutic models and tailor them to your history, relationships, and unique experience of sexuality.
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.
What Can You Expect from Therapy?
An intentional process to understand, create meaningful change, and reconnect with yourself and others.
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.
Frequently Asked Questions About Online Sex and Couples Therapy
Starting therapy can bring up questions—here are some of the most common ones.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Book an Online Therapy Session
If you are ready to begin online therapy for sex, relationships, or intimacy, you can book a session with Dr. Lorena Olvera or one of the therapists on the team.
We will support you with a professional, respectful, and inclusive approach to help you understand what you are experiencing and choose the therapeutic space that best fits your needs, your relationship, or your stage of life.