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SEX THERAPY

For anyone who wants support around intimacy, desire, or sexuality — regardless of identity, relationship structure, or experience level. ​

Most of the shame people carry about sex, desire, and intimacy wasn’t theirs to begin with. It was handed to them — by families, religions, cultures, and a society that has never been comfortable talking honestly about sex. That shame is real, and it has consequences: in how we relate to our bodies, our partners, and ourselves.

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Sex therapy at Express Yourself Therapy is a space to set it down. We offer affirming, judgment-free care for individuals, couples, polycules, and LGBTQIA+ folks navigating the full range of human intimacy — from desire and arousal to identity, connection, and pleasure. Our therapists are sex-positive, kink-aware, and practiced at working with whatever you bring in. You won’t be pathologized here. You’ll be understood.

In person in Manhattan or virtually across New York State. 

WHO WE WORK WITH

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Whether you’re exploring your own desire, untangling complicated feelings about your body or sexuality, working through past experiences that have shaped how you relate to intimacy, or simply craving a space to talk openly about sex without shame — individual sex therapy gives you that space. You don’t need a partner in the room to do this work.

Individuals

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Intimacy in relationships is rarely static. Desire shifts, life gets in the way, and what once felt easy can quietly drift. We work with couples and polycules navigating intimacy that has faded or changed, and communication breakdowns around sex. The goal isn’t to fix you — it’s to help you understand each other and find your way back to connection.

Couples & Polycules

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At EYT, your identity and desires are not a clinical concern to be managed. They’re a valid, whole part of who you are. We offer affirming care for queer, trans, non-binary, asexual, aromantic, and intersex individuals, and for those whose sexuality simply has never fit neatly into a box.

LGBTQIA+ Folks

WHAT WE TREAT

  • Desire and arousal differences — in individuals and between partners​

  • Difficulty with orgasm or physical intimacy​

  • Shame, guilt, or anxiety around sex and the body​

  • Sexual identity exploration and coming out at any age​

  • Kink, BDSM, and alternative erotic expression — without judgment​

  • Non-monogamy, polyamory, ENM, and relationship structure

  • Out-of-control sexual behavior

  • Intimacy after trauma, illness, or major life transition​

  • Sex work — current or former​

  • Infidelity, betrayal, and rebuilding trust​

  • Sexual dissatisfaction or disconnection in long-term relationships​

  • Body image and how it affects intimacy​

  • Performance concerns and sexual anxiety

  • Erectile unpredictability (erectile dysfunction)

  • ​Impacts of disability and chronic illness on sexual experiences

WHAT TO EXPECT

​Sex therapy at EYT is talk therapy — there is no physical contact. We do not have an agenda for what your progress should look like; we are only here to support you in reaching your goals.

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Some people come in knowing exactly what they want to work on. Others arrive with a vague sense that something feels off, or with years of questions they’ve never had a safe place to ask. Both are completely fine starting points. Our job is to follow your lead, not tell you where to go.

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For more info, see our F.A.Q's page.

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