SEX THERAPY IN DC

Sex Therapy in Washington DC

Compassionate, evidence-based talk therapy for sexual health, desire, arousal, performance, and relationship connection.

43% of women and 31% of men report some degree of sexual difficulty — you're not alone
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What is sex therapy, and could it help you? If you’re experiencing challenges with sexual desire, arousal, function, or the emotional connection with your partner, sex therapy offers a confidential, judgment-free path toward greater satisfaction and intimacy.

Sexual health is an important part of overall wellbeing, yet many people feel shame, confusion, or isolation when facing sexual concerns. The truth is that sexual difficulties are common — and they respond remarkably well to treatment. At Therapy Group of DC, our sex therapist combines specialized training in sexual health with deep compassion to help you reclaim your sexual confidence and connection.

From Our Practice

Sex therapy is a specialized form of talk therapy. There is no physical contact with the therapist. Instead, you work with a trained sex therapist to explore your sexual health, relationship dynamics, and emotional blocks through evidence-based conversation, psychoeducation, and therapeutic techniques. Sex therapy is therapy — nothing more.

Your Sex Therapist
Specialized training in sex therapy, EMDR & intimacy work
Xihlovo Mabunda Xihlovo
Ready to Explore Sex Therapy?
Our sex therapist is trained, experienced, and ready to support you without judgment. Take the first step toward sexual health and deeper intimacy.

Sexual Concerns We Address

Desire & Arousal Issues

Low libido, mismatched desire between partners, difficulty becoming aroused, or loss of sexual interest. We help you explore physiological, psychological, and relational factors that affect desire and develop strategies to rebuild it.

Physical Sexual Function

Erectile dysfunction, premature ejaculation, difficulty reaching orgasm, pain during sex, or other physical concerns. Your therapist addresses the psychological and relational components while supporting medical care as needed.

Performance Anxiety & Pressure

The expectation to perform “perfectly” can shut down pleasure. We help you move from goal-oriented sex to pleasure-focused intimacy, reducing anxiety and increasing connection.

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Psychological Blocks

Body image concerns, shame about sexuality, negative beliefs about sex, or intrusive thoughts can interfere with satisfaction. Sex therapy addresses these mental and emotional barriers directly.

Trauma & Sexual History

Past sexual abuse, assault, or difficult experiences can create lasting effects on your sexual health and trust. Our therapist is trained in trauma-informed care and helps you process these experiences and reclaim your sexuality.

Identity, Orientation & Exploration

Sex therapy supports LGBTQ+ individuals and couples exploring sexual identity, orientation, and expression. We create a fully affirming space to explore who you are and how you want to express your sexuality.

Is Sex Therapy Right for You?

43%
of women and 31% of men report some form of sexual difficulty — you are far from alone in this
8–16
sessions to meaningful improvement for most people with focused sex therapy
Both
individual and couples formats available — you don't need a partner to start

Struggle with sexual desire, arousal, or function
Experience anxiety, shame, or performance pressure around sex
Feel disconnected from your partner sexually or emotionally
Have questions about sexual identity, orientation, or preferences
Are recovering from sexual trauma or difficult past experiences
Want to improve communication about sex and intimacy
Experience pain during sex or other physical concerns

If several of these resonate, sex therapy could help you regain confidence, improve your relationship, and experience greater sexual satisfaction.

You don't have to keep avoiding this.

Most people wait years before talking to a professional about sexual concerns. One conversation can change everything.

How Sex Therapy Works

Psychodynamic & Relational

Explores the deeper emotional and relational patterns shaping your sexual experience — shame, early messages about sex, attachment patterns, and how your history shows up in the bedroom. Understanding the roots changes the experience.

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CBT & Mindfulness

Addresses the thought patterns and anxiety cycles that interfere with desire, arousal, and pleasure. Mindfulness techniques help you stay present during intimacy rather than getting caught in performance worry or self-consciousness.

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Psychoeducation & Skills

Many sexual concerns respond to accurate information and practical skills. Your therapist provides education about sexual response, teaches communication tools for talking with your partner, and offers structured exercises you practice on your own or with your partner.

From Our Practice

Our approach to sex therapy is rooted in compassion, evidence, and respect for all orientations, gender identities, and relationship structures. We don’t make assumptions about what “good” sex looks like. Instead, we help you define sexual health and satisfaction on your own terms.

Your Sex Therapy Journey

1

Getting Oriented

Your first session focuses on understanding your sexual health, relationship history, current concerns, and personal goals. Your therapist develops a personalized treatment plan tailored to your needs. This conversation is private, judgment-free, and at your pace.

2

Understanding Patterns

You explore the patterns — emotional, relational, and physiological — affecting your sexual health. This might include anxiety, shame, communication challenges, past trauma, or lifestyle factors. You begin to see the connections between thoughts, feelings, body, and behavior.

3

Building Skills

Your therapist teaches evidence-based techniques drawn from CBT, mindfulness, psychodynamic work, and psychoeducation. These might include exercises to increase awareness, improve communication, reduce anxiety, or enhance sensation. All exercises are talk-based or self-directed.

4

Integration & Maintenance

As you practice new skills and experience improvement, you integrate changes into your life. Your therapist helps consolidate gains, troubleshoot obstacles, and plan for long-term sexual health and satisfaction.

Meet Our Sex Therapist

Our broader team includes couples therapists trained in addressing intimacy and connection within relationships. If your concerns are primarily relational, our couples therapy team may also be a fit.

Individual Rate
$230–$300
Many clients receive partial reimbursement through out-of-network benefits.
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Couples Rate
$275–$310
Many clients receive partial reimbursement through out-of-network benefits.
View payment details and insurance information →

Frequently Asked Questions About Sex Therapy

How does sex therapy actually work?
Sex therapy is a specialized form of talk therapy. You meet with a trained sex therapist in a confidential setting, discuss your sexual health and concerns, and work together to identify patterns and develop skills. Your therapist may use CBT, psychoeducation, mindfulness, or psychodynamic approaches. Any homework is always talk-based or self-directed — never physical contact with the therapist.
Is sex therapy just for couples?
No. Sex therapy works beautifully for individuals exploring their sexuality, working through personal concerns, or recovering from trauma. Many people find individual sex therapy helpful before or instead of couples work. If a concern involves both partners, couples sex therapy addresses relational dynamics directly.
Is everything I share confidential?
Yes, with very limited exceptions. Your therapist is bound by confidentiality laws and professional ethics. The only exceptions involve situations of imminent danger, child abuse, or court orders. Your therapist discusses these limits during your first session.
Do I need to bring my partner?
Not necessarily. Individual sex therapy is effective for many concerns. However, if your concern involves relationship or partner dynamics, couples sex therapy allows both of you to be part of the solution. Discuss with your therapist what format makes sense for your situation.
How much does sex therapy cost?
Individual sessions are $230–$300. Couples sessions are $275–$310. We are an out-of-network practice, but many clients receive partial reimbursement through their insurance plans. Visit our payment page for details. Most clients see meaningful improvement within 8–16 sessions.
What should I look for in a sex therapist?
Look for therapists with specialized training in sex therapy — ideally AASECT certification or equivalent advanced coursework. Ask about their training, credentials, and experience with your specific concerns. At Therapy Group of DC, our sex therapist has completed extensive specialized training in sexual health and intimacy.