Sex-Positive Therapy for Individuals & Couples
Sex, in its many forms, is an important part of our relationships. Even so, it can be difficult to talk about. Sharing aspects of your sexuality can bring up feelings of shame, fear of embarrassment and rejection, or memories from a past traumatic experience. Additionally, it can be hard to prioritize difficult conversations about sex while having to juggle stressful jobs, your children's busy schedules, family obligations, and more.
Sex therapy is not just for relationships. Individuals may also choose to seek sex therapy in order to process sexual trauma, overcome shame, or discuss performance anxiety. Like with many issues, sometimes there is work that we need to do in a space catered just for us. Even if sex is just one of the topics you would like to address in therapy, having a clinician that is knowledgeable and non-judgmental is essential.
Equilibrium Psychotherapy’s approach to sex therapy is sex-positive, body-positive, and rooted in the belief that consent is vital to healthy relationships. We believe that sexual identity and expression come in as many different iterations as there are people and that the way you experience desire, physical connection and love is unique to you. Come as you are. This is a space where you can expect to be supported and accepted from start to finish.
For our clients located in the Madison area, including Middleton, Fitchburg, Sun Prairie, Verona, and Monona, we offer in-person services at our offices located just off the belt-line on the near West Side of Madison. We also offer telehealth services for those who prefer the comfort of home or are located outside the Madison area.
Clinically reviewed by Siri Peterson, LMFT — last updated May 2026.
When to Consider Sex Therapy
What to Expect in Sex Therapy
First Session
- •Discuss your goals and concerns in a safe, non-judgmental space
- •Explore your sexual history and what brought you to therapy
- •Complete intake forms and establish therapeutic boundaries
- •Begin building rapport with your sex therapist
Ongoing Sessions
- •Address specific sexual dysfunctions or communication issues
- •Explore patterns, beliefs, and emotions related to sexuality
- •Receive homework and practice intimacy-building exercises at home
- •Track progress and deepen connection and understanding
Sex therapy is not always about having more sex - it's about having a fulfilling and comfortable sexual relationship with yourself and your partner.
Common Topics in Sex Therapy
We address a wide range of sexual health and intimacy concerns in a shame-free, affirming environment.
Desire Discrepancy
Navigate differences in desire to find a path toward mutual connection and satisfaction.
Performance Anxiety
Address fears and anxieties surrounding sexual performance in a supportive space.
Shame & Body Image
Challenge and rewrite narratives about sex, body image, and shame that hold you back.
Communication
Develop skills to talk openly about desires, boundaries, and needs with your partner.
Sexual Exploration and Kink
Expand your sexual experiences with an informed and sex-positive therapist
Related Specialized Services
Sex therapy often intersects with other areas of specialization. Click to learn more about these related services.
"Sexuality is an expression of our spirituality, our creativity, our vulnerability, and our humanity."– Esther Perel
Common Questions About Sex Therapy
Is sex therapy just for couples?
No. While many couples seek sex therapy together, individuals also benefit from sex therapy for personal concerns like performance anxiety, shame, trauma recovery, exploring sexual identity, or improving sexual confidence. Sex therapy addresses both individual and relational sexual wellness.
How many sessions will I need?
While we treat individuals who feel their sexual behaviors or porn use have become unmanageable, we do not utilize a "sex addiction" diagnosis. In alignment with the standards set by AASECT (American Association of Sex Educators, Counselors, and Therapists), our practice views these challenges through the lens of Compulsive Sexual Behavior or Out-of-Control Sexual Behavior (OCSB). This distinction is vital because we focus on sexual health and personal agency rather than a "disease" model that requires lifelong abstinence. Our approach centers on helping you identify the underlying triggers—such as stress, anxiety, or trauma—that often drive impulsive choices. Instead of using shame-based labels that can often worsen the cycle of behavior, we provide a non-judgmental environment to help you align your sexual life with your personal values. Our ultimate goal is to move beyond just "stopping" a behavior, empowering you to build a sexual life that is intentional, consensual, and fulfilling for both you and your partner.
What happens in a sex therapy session?
Sex therapy is talk therapy - there is no physical contact or nudity. Sessions involve discussing your concerns, exploring underlying issues, learning communication skills, and developing strategies to address sexual health challenges. Any "physical" work—such as intimacy exercises or sensate focus—is explained in the office but practiced by you in the privacy of your own home.
Will you try to "cure" my kinks or fetishes?
Absolutely not. We do not view kink as a disorder or something that needs to be "fixed." As long as your practices are SSC (Sane, Sober, and Consensual) or RACK (Risk-Aware Consensual Kink), our role is to help you integrate these interests into your life and relationships in a healthy, fulfilling way. We only address behaviors that are causing you personal distress or are non-consensual.
Do I have to explain "Kink 101" to my therapist?
No. Our therapists are kink-aware and sex-positive. You don’t have to spend your paid session time explaining basic terminology or defending your lifestyle. We understand the nuances of power exchange, impact play, and various subcultures, allowing us to get straight to the heart of why you’re here.
Resources for Your Journey
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