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Specialized Support

Sex and Intimacy Therapy for Couples

A respectful space for couples to discuss physical and emotional intimacy without shame, pressure, or blame.

Common concerns

What often brings couples here.

Differences in desire
Avoidance of intimacy
Difficulty discussing sex
Intimacy after childbirth
Emotional barriers to closeness
Shame, disconnection, or loss of affection

Who this is for

  • Couples with intimacy concerns
  • Married partners
  • Parents adjusting after childbirth
  • Couples wanting to rebuild affection

What we work toward

  • Talk about intimacy with less shame
  • Understand emotional barriers
  • Rebuild affection and closeness
  • Clarify needs and boundaries

Appointments, fees, and insurance

Relationship Clinic offers virtual relationship therapy to clients in Ontario, Alberta, British Columbia, Manitoba, and Saskatchewan, as well as in-person appointments in Thornhill. Fees, therapist availability, appointment format, and therapist matching are discussed during your complimentary consultation. Many extended health insurance plans cover psychotherapy services, and we can help you determine whether direct billing is available with your insurance provider. Receipts are provided for eligible services and can be submitted for reimbursement when applicable.

Talking About Intimacy Safely

Many couples avoid conversations about sex and intimacy because they quickly become painful, embarrassing, or pressurized. Therapy provides a confidential and respectful environment where couples can name concerns without reducing the issue to blame or performance.

Emotional and Physical Connection

Intimacy concerns often involve both emotional and physical closeness. Sessions may address desire differences, avoidance, shame, affection, postpartum changes, unresolved conflict, or fear of rejection. The work stays within the therapist scope and does not imply medical treatment for sexual dysfunction.

Therapist Training and Scope

Sex and intimacy concerns should be matched with a therapist whose training and competence fit the issue. When a medical or specialized sexual health concern appears to be outside scope, clients may be encouraged to consult an appropriate healthcare provider.

How therapy may help

Approaches tailored to your relationship.

Your therapist may draw from the approaches below based on your goals, their training, and clinical fit. Not every approach is used in every session.

Common modalities

  • Sex Therapy
  • Sensate Focus Therapy
  • Emotionally Focused Therapy (EFT)
  • Cognitive Behavioral Therapy (CBT)
  • Mindfulness-Based Therapy
  • Attachment-Based Therapy

Support can include

  • Desire differences
  • Sexual communication
  • Performance anxiety support
  • Rebuilding intimacy
  • Body image concerns
  • Trauma-informed intimacy work
  • Increasing emotional closeness
  • Mindfulness exercises
  • Sensate focus exercises
  • Support alongside appropriate medical care when pain or physical symptoms are present
How it works

How we help you get started.

01

Start with a consultation

Share what is happening, what you have tried, and what you hope changes.

02

Get matched thoughtfully

We consider the concern, therapist fit, service focus, schedule, and virtual or in-person needs.

03

Begin the right service

Your therapist helps you work on the specific pattern, decision, repair, or relationship goal.

Frequently asked questions

Questions about sex and intimacy therapy.

Is this medical sex therapy?

No. This service focuses on relationship, communication, emotional intimacy, and closeness concerns. Medical sexual dysfunction should be addressed with an appropriate healthcare provider.

Can therapy help if we avoid the topic completely?

Yes. Therapy can help couples create safer language and pacing for conversations they have been avoiding.

Do both partners need to attend?

Couples work is usually strongest with both partners, but individual relationship therapy may help one partner begin.

Let us help you find the right therapist.

Start with a consultation and we will help connect you with the right therapist and service path.

Reviewed by Clinical team at Trust TherapyDate reviewed: July 29, 2026