Sex Therapy vs. Couples Therapy: What’s the difference?

Written by Seth Taylor, ALMFT

Maintaining a healthy and satisfying relationship is an ongoing process that can involve seeking guidance from professionals. Two common therapeutic modalities that people turn to for relationship issues are sex therapy and traditional couple's therapy. In this blog post, we'll delve into the key distinctions between these two approaches, address common questions people have about them, and explore whether sex therapy can help with specific sexual issues such as erectile dysfunction (ED) or sexual pain. We'll also shed light on what couples can expect when they begin either of these therapies.

What is Sex Therapy?

Sex therapy is a specialized form of counseling that focuses on issues related to sexual dysfunction, intimacy, and sexual well-being. Sex therapists are trained to address a wide range of sexual concerns, including but not limited to erectile dysfunction, desire discrepancy, sexual pain, and performance anxiety. When practiced effectively, sex therapy can help individuals and couples understand and overcome sexual challenges to achieve a more fulfilling and satisfying sex life.

What Happens in Sex Therapy?

In sex therapy, clients can expect a safe and non-judgmental space where they can openly discuss their sexual concerns and desires. The therapist may use a variety of techniques, including communication exercises, psychoeducation, and behavioral homework assignments to help clients work through their issues. The primary goal is to enhance sexual communication, improve intimacy, and resolve sexual problems within the relationship.

What is Traditional Couples Therapy?

Traditional couples therapy, also known as marriage or relationship counseling, addresses a broader range of relationship issues. While sex may be a part of the discussion, the focus extends beyond sexual concerns to include communication problems, conflicts, trust issues, and overall relationship dynamics. Couples therapy is also an empirically validated treatment for these types of relationship issues.

Differences Between Sex Therapy and Couples Therapy

Specialization

The most significant difference is the specialization. Sex therapy is typically focused on sexual concerns, while traditional couples therapy covers a broader spectrum of relationship issues.

Depth of Exploration

Sex therapy delves deeply into sexual matters, addressing sexual dysfunction and intimacy problems with a high degree of specificity. In contrast, couples therapy explores a wide array of relationship dynamics, including non-sexual aspects of the partnership.

Approach

Sex therapy often includes a practical and skills-based approach, including behavioral exercises and psychoeducation. Couples therapy, on the other hand, focuses more on communication techniques and conflict resolution.

Therapist Expertise

Sex therapists receive specialized training in human sexuality and treating sexual issues, while couples therapists typically have more general training in relationships and psychology.

Treatment Duration

Sex therapy is often more short-term and solution-focused, aiming to address specific sexual concerns. Traditional couple's therapy may be more long-term, focusing on overall relationship improvement.

Choosing the Right Therapy for Your Needs

The choice between sex therapy and couples therapy depends on the specific issues you are facing within your relationship. If sexual problems are a significant concern, sex therapy might be the most appropriate choice. However, if your relationship issues encompass broader aspects of communication and connection, couples therapy may be a better fit. Remember that both forms of therapy can be conducted as a couple, so it's essential to communicate openly with your therapist about your goals and expectations.

Takeaway

Sex therapy and couples therapy serve distinct purposes within the realm of relationship counseling. Understanding their differences and knowing when to seek each type of therapy can significantly benefit couples striving to strengthen their bond and enhance their overall well being. Whether it's addressing low desire or erectile dysfunction, improving communication, or reigniting passion, the support of a skilled therapist can be a valuable asset on your journey to a more fulfilling relationship.

What to Do for Valentine's Day When You're Seeing Someone New

Valentine’s Day is a celebration of love and affection which is great for people in love but when you are in a newly established relationship or situationship, it is tricky to know how to navigate this day. You may want to acknowledge it or do something special but want to avoid overwhelming your partner. Do you buy a Valentine’s Day gift for a new partner? Plan a romantic evening out? Or ignore Valentine’s Day altogether? The answer will vary from relationship to relationship, and there is no “right” answer. This article will discuss general tips for how to celebrate Valentine’s Day in a new relationship to get you started. 

Valentine’s Day Tips for New Relationships

Communicate expectations and desires clearly

Open communication is the ultimate key to success in relationships at any stage. Misaligned expectations, especially when they go unspoken, are a recipe for tension. You can start by expressing how you would like to celebrate, reflecting your openness to your partner’s thoughts, and that you would like to determine a plan that is comfortable for each person involved. If you find yourselves on opposing sides and cannot find a middle ground, be willing to find alternative solutions that work with your priorities. For example, if you want to celebrate with your partner because you love Valentine’s Day festivities, you could approach it by celebrating with friends instead. If you want to celebrate because you want to spend time with your partner, you could spend time with them on Valentine’s Day without indulging in the traditional activities.        

Keep it small but meaningful

Extravagant gestures and gifts are not the only way to celebrate Valentine’s Day and may put unnecessary pressure on the relationship. If everyone in the relationship does want something extravagant, that is great! However, it is more likely that you will want to keep it small. Perhaps instead of going out to a fancy dinner, you can cook dinner together at home. Instead of expensive gifts, you can exchange chocolates or flowers. When determining what kind of celebration would feel most valuable, think about what each person wants out of the celebration. Whether that means gift-giving, quality time together, or physical affection, honing in on what is important to you is crucial in personalizing your celebration.     

Celebrate with friends

If you love celebrating Valentine’s Day but your partner is uncomfortable or disinterested, think beyond celebrating romantic love and get together with friends. You can still spend quality time together, exchange cards, go out to a nice dinner, celebrate your bonds, and eat candy. The traditional festivities do not have to be exclusive to romance. 

TLDR

It is tempting to get swept up in the generic tropes of what Valentine’s Day “should” look like. The best plan will be the one that accommodates each person’s values and priorities. By maintaining open communication and considering each person’s preferences, you can plan a special day that's memorable and meaningful without overwhelming them. If it’s a newer relationship or situationship, focus on getting to know each other better and nurturing your connection in whatever way feels right for you.

What to Know Before Sharing Sexual Fantasies With a Partner

Written by Seth Taylor, ALMFT

Fantasies are a natural part of human sexuality. They can be exciting, fulfilling, and even play a crucial role in maintaining a healthy and satisfying intimate relationship. However, sharing your fantasies with a partner can be a delicate matter. In this blog, we will explore the intricacies of sharing fantasies, addressing the questions of whether you should tell your partner about your fantasies, the best ways to open up to your partner, and how to deal with obsessive sexual thoughts. We'll also emphasize the importance of understanding that fantasies are not necessarily a reflection of unmet sexual needs or dissatisfaction.

Fantasy Is Not Reality

Before we dive into the details of sharing fantasies, it's essential to understand that what makes a fantasy a fantasy is precisely that it is not reality. Fantasies are products of our imagination, shaped by desires, curiosities, and the freedom to explore scenarios that may never come to fruition in our daily lives. Some are even impossible to play out in real life. Importantly, fantasies do not inherently indicate any deficiencies in our sexual relationships or unfulfilled needs. Embracing this concept can alleviate any anxieties you may have about sharing your fantasies and help you appreciate them as a unique aspect of your sexuality.

Should I Tell My Partner About My Fantasy?

The decision to share your fantasies with your partner is a personal one and depends on various factors including your level of comfort, trust, and the nature of your relationship. Here are some tips to help you decide:

Assess Trust and Communication Strength 

A strong foundation of trust and open communication is vital in any relationship. If you feel safe and secure with your partner, sharing your fantasies can enhance intimacy and deepen your connection.

Engage in Mutual Exploration

Sharing fantasies can be an exciting way to explore each other's desires and deepen your sexual connection. It can lead to discovering shared interests and preferences, which can improve your overall sexual satisfaction.

Respect One Another’s Boundaries

It's crucial to respect your partner's boundaries. Not everyone is comfortable hearing about explicit fantasies, so approach the conversation with sensitivity. Gauge their reaction and be prepared to stop or adjust the conversation if they seem uncomfortable.

Center Consent

Always ensure that any fantasies you wish to explore involve consensual activities. Consent is paramount in any sexual exploration, so that all partners can feel comfortable and enthusiastic about trying new things.

How do I Share my Fantasies with my Partner?

Sharing your fantasies with your partner can be a fulfilling experience if done with care and consideration. Here's a step-by-step guide on how to approach this conversation.

1. Choose the Right Time and Place.

Find a quiet, private setting where both you and your partner can feel relaxed and comfortable. Timing matters too. Avoid discussing sensitive topics during arguments or stressful moments. During these moments, you or your partner may be emotionally flooded and find it difficult to navigate the topic in a way that feels good to both of you.

2. Express Your Desires Clearly.

Clearly and honestly communicate your fantasies. Use "I" statements to express your feelings and desires without placing blame or pressure on your partner. Remember that the point of this is to share your desires, not to project guilt onto your partner for not meeting these previously uncommunicated needs. If your partner feels blame and pressure coming from you, it could work against your hopes for being understood and may inhibit future conversations.

3. Listen Actively.

Encourage your partner to share their thoughts and feelings about your fantasies. Active listening fosters understanding and empathy, making it easier to find common ground.

4. Stay Open to Feedback.

Your partner may have their own fantasies, ideas, or reactions. Be receptive to their input and consider how you can mutually explore new experiences together. It can be vulnerable to share your innermost sexual desires. If they respond by sharing their own desires, be prepared to respond to them in a way that you would hope they respond to you. Curiosity keeps doors open, judgment and reactivity tend to close them.

5. Take It Slow.

Don't rush into acting on your fantasies. Take your time to build trust and ensure both you and your partner are comfortable with any new experiences.

How Do I Address Obsessive Thoughts About Fantasies?

While fantasies are a healthy part of human sexuality, they can sometimes become obsessive or intrusive. Here are some strategies to manage obsessive thoughts about your fantasies:

Self-Reflect

Take some time to reflect on the nature of your fantasies. Are they causing distress or interfering with your daily life? Are they getting in the way of completing work or other day-to-day functioning? Understanding your own feelings and their impact on your functioning can be the first step in addressing obsessive thoughts.

Seek Professional Help

If obsessive thoughts about your fantasies are causing you significant distress or affecting your mental health, consider seeking help from a therapist or counselor. They can provide guidance and support tailored to your specific situation.

Communicate Clearly

If you feel comfortable, discuss your obsessive thoughts with your partner. They may offer emotional support and understanding, helping you alleviate any concerns.

Engage in Mindfulness or Distraction

Engaging in mindfulness techniques or distracting activities when obsessive thoughts arise can be effective in managing them. Redirect your focus to the present moment or immerse yourself in a different activity.

Takeaway

Sharing fantasies with your partner can be a rewarding journey that deepens your intimacy and connection. Approach the conversation with sensitivity and prioritize open communication. The beauty of fantasy lies in its divergence from reality. Remember that your fantasies are a part of your individuality, not a reflection of any inadequacies in your relationship. By sharing your fantasies, you may discover new dimensions to your intimacy and embark on exciting adventures together.