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.