What really happens in sex therapy? Is it physical instruction, demonstrations, or something more clinical?

In this episode, Dr. Emma Smith — licensed psychotherapist, trauma specialist, and AASECT-certified sex therapist — explains what sex therapy actually is and shares some entertaining stories about when people have guessed wrong.

Sex therapy is specialized talk therapy focused on desire, intimacy, attachment, trauma, and relational dynamics. It does not involve nudity, sexual contact, demonstrations, or erotic services. Dr. Emma addresses common misconceptions about sex therapy and discusses why sexuality is often moralized or commodified in modern culture.

See our FULL SHOW NOTES for additional details

You’ll learn:

What sex therapy includes (education, trauma work, attachment repair)
What sex therapy does not include (physical acts, demonstrations, or sexual contact)
How trauma impacts sexual desire and intimacy
How religious conditioning and purity culture shape sexuality
What existential sex therapy is and how it differs from technique-driven models
Why alignment and meaning matter more than performance in long-term relationships

If you’ve been trying to fix your sex life without understanding the deeper psychological and relational dynamics underneath it, this episode offers a new framework.

Start with the Desire Inventory (Get it here).

Keywords: sex therapy, trauma and sexuality, desire discrepancy, intimacy issues, attachment and sex, purity culture recovery, existential therapy, relationship counseling, licensed sex therapist, sexual health, mental health.

Ep. 10: Between Pearl Clutching and Projection: What Sex Therapy is Actually About