Sex Therapy

 
 

Sex therapy plays a pivotal role in addressing a wide array of sexual concerns, and it is often a key component of couples therapy or individual therapy. As human beings, our sexuality is an integral part of our lives, and it deserves the attention and care that any other aspect of our well-being receives. We are here to guide you through this journey and help you rediscover a more profound connection with your physical bodies and sexual feelings.

Why Choose Sex Therapy?

Sex therapy is not just about addressing physical issues; it is about recognizing that sexual health is intimately connected to your overall well-being. It's a journey that empowers you to address a range of sexual concerns and enhance intimacy, both inside and outside the bedroom.

Navigating Common Concerns:Menopause and Beyond: We understand the unique challenges that come with menopause, such as hormonal changes, vaginal and pelvic issues, and shifts in sexual desire. Our holistic approach encompasses support for individuals and couples as they navigate this transformative phase of life.

  • Fostering Open Communication: Many individuals and couples feel anxious or embarrassed when discussing sexual issues. We provide a safe, non-judgmental space where you can openly communicate your concerns, desires, and anxieties. Rest assured, we will help you build and maintain a more exciting and satisfying connection with your partner.

Understanding the Holistic Approach:

Sexuality is a complex tapestry, influenced by various factors, including childhood development, family and cultural background, emotional and sexual experiences, and more. We recognize that many layers make up a person's sexuality. Our holistic approach enables us to identify and work through any barriers that may be preventing you from experiencing your authentic sexual self.

Addressing Underlying Factors:

We are aware that sexual health is not solely about addressing surface concerns. Underlying issues such as past trauma, attachment concerns, anxiety, depression, and other factors may contribute to sexual problems. We are equipped to help you address and overcome these underlying challenges.

A Wide Range of Concerns:

Our practice covers a diverse range of sexual concerns, including but not limited to:

  • Pelvic disorders like dyspareunia, vaginismus, and vestibulitis

  • Changes in sexual desire

  • Body image issues

  • Gender transitioning

  • Erectile dysfunction, premature ejaculation, delayed ejaculation

  • Mismatched libidos

  • Infidelity

  • Compulsive sexual behaviors, including pornography

  • Partner support for compulsive sexual behaviors

  • Anorgasmia

  • Sexual technique

  • Sexual or performance anxiety

  • Premarital education

  • Dating after divorce or a breakup

  • Inhibited arousal

  • Seduction

  • General sexual anxiety

  • Sexual health and STI education

  • Non-monogamy and kink lifestyles

  • Lack of attraction

  • Sexual changes due to health issues, including cancers

  • Conversations about healthy sex and sexuality with children

  • Issues related to sexual orientation

  • Post-partum difficulties

  • Curious or peace of mind Q&A sessions

How Insurance Works for Couples & Sex Therapy
Understanding Your Coverage Before You Begin

At Sugar Tree Counseling, we know that starting couples or sex therapy is a big step—and understanding your insurance benefits shouldn’t add extra stress. Here's what you need to know:

Most Insurance Plans Cover Mental Health—But Not Always Couples Therapy

Insurance usually covers therapy when there is a diagnosable mental health condition (like anxiety or depression) being treated. If one partner in the couple has a diagnosis and the therapy is focused on treating that condition, it may be billed under their insurance. This is often called "conjoint therapy with the identified patient present."

Important Note: Insurance companies typically do not cover therapy that is solely focused on relationship issues, communication skills, or sexual concerns—even though those things matter deeply and impact well-being. These sessions are considered “relationship counseling” or “sex therapy” and are often not reimbursable.

What If We Want Couples or Sex Therapy Without a Mental Health Diagnosis?

In that case, we’ll discuss private pay options with you. Many of our clients choose to invest in couples or sex therapy outside of insurance to avoid diagnostic labels and have more flexibility and privacy in their care.

Using HSA/FSA Accounts

Even if insurance doesn’t reimburse for couples or sex therapy, most clients can use Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to pay for sessions. We can provide the needed documentation upon request.

Transparency Matters

Before starting, we’ll review your needs and discuss whether therapy may be eligible for insurance reimbursement—or if private pay is the best route. Our goal is to help you feel informed, empowered, and supported in making the right choice for your relationship.