Common Issues When Seeking a Sex Therapist
Looking for a sex therapist in Texas?
You’re not alone, but if you’re feeling overwhelmed, confused, or even a little awkward, that’s normal too. Seeking help for something as personal as your sexual well-being can feel incredibly vulnerable. And in a state like Texas, where conversations around sexuality are often shaped by cultural, religious, and regional factors, it can feel even more complicated.
As a certified sex therapist serving clients across Texas, I’ve seen firsthand the courage it takes to reach out, and I’ve also witnessed how powerful this work can be. In this post, I want to walk you through some of the common issues people face when looking for a sex therapist, and offer guidance to help you feel informed and empowered on your journey.
1. Stigma and Shame Around Sexual Health
Let’s be honest: Texas can be a hard place to talk openly about sex. Whether you were raised in a religious household, never received adequate sex education, or feel like certain topics are “off-limits,” shame is often the biggest barrier to seeking help.
You might think:
“Should I really be talking to someone about this?”
“Am I broken?”
“Will they judge me?”
Sex therapy is a shame-free zone. It’s about supporting your well-being—physically, emotionally, and relationally. You deserve a space where your questions, struggles, and desires can be met with respect, curiosity, and compassion.
2. Not Knowing What Sex Therapy Is (or Isn’t)
Many people don’t know what to expect from sex therapy and that’s okay!
Here’s what sex therapy is:
Talk therapy that addresses sexual concerns, intimacy, and identity
Rooted in evidence-based psychology and sexual health education
Confidential and professional
Here’s what sex therapy is not:
It’s not sexual activity or physical touch
It’s not only for couples many individuals seek help
It’s not just about sex we often explore relationships, trauma, body image, and communication
Whether you're dealing with desire differences, erectile dysfunction, vaginismus, identity exploration, past trauma, or navigating non-traditional relationships sex therapy can help.
3. Finding the Right Therapist in Texas
Texas is a big state. Depending on where you live—especially in rural or more conservative areas, it might be difficult to find a therapist who specializes in sexual health or understands your values and lifestyle.
Here’s what to look for:
Credentials: Look for therapists certified by organizations like AASECT (American Association of Sexuality Educators, Counselors and Therapists).
Lived experience or cultural competence: You may want someone who understands your background, whether it’s faith-based, LGBTQIA+, polyamorous, BIPOC, etc.
Comfort level: This is a relationship. You should feel safe, respected, and heard.
Tip: Many sex therapists, like me, in Texas offer virtual sessions, making it easier to access care even if there’s no one local.
4. Cost and Insurance Barriers
Sex therapy is sometimes considered a "specialty" service, which means it might not be covered by insurance or therapists may not accept insurance at all.
Things you can do:
Ask about sliding-scale rates or payment plans
Private pay therapy allows for more privacy, no insurances hassles or accessing your medical records
Yes, therapy is an investment, but it’s an investment in your health, relationships, and self-worth.
5. Fear of Relationship Fallout or Judgment
Many people worry that bringing up sexual issues either to a therapist or a partner might cause tension or reveal deeper problems.
Here's the truth: Talking about sex won’t break your relationship, it can strengthen it. Therapy offers a structured, neutral space to explore concerns without blame or shame. Whether you're seeking help individually or as a couple, it's a step toward greater honesty, intimacy, and trust.
6. Concerns Around Confidentiality and Privacy
Especially in small Texas towns, people worry:
“What if someone finds out I’m seeing a sex therapist?”
All licensed therapists are bound by strict confidentiality laws. Your privacy is protected, and your therapist’s job is to support—not judge—you. Whether you're exploring kink, infidelity, identity, or anything else, what you share stays between you and your therapist.
Final Thoughts: You Deserve Safe, Sex Positive Support
Whether you’re in Austin, Houston, El Paso, or a rural corner of West Texas, the bottom line is this:
Your sexual health matters. Your questions are valid. And help is available.
As a sex therapist in Texas, I’ve walked with clients through anxiety, pain, shame, and confusion, and I’ve also witnessed joy, healing, and rediscovery. No matter where you are on your journey, you deserve support that honors your story and helps you move toward the life and relationships you want.
