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  • Writer's pictureDr Wayne Bullock

Intimacy Counseling and Sex Therapy … What’s the difference?

While they are often thought of as the same, intimacy counseling and sex counseling are quite different types of therapy.


Intimacy counseling focuses on creating and maintaining emotional closeness between partners. This type of therapy helps couples understand each other’s needs, communicate effectively, and – hopefully - connect on a deeper level. Other types of issues – such as trust issues, conflict management, and past traumas – are also addressed because they can all prevent couples from feeling close to each other. Intimacy counselors provide a safe and supportive environment in which partners can build and strengthen their emotional bond.


Sex counseling primarily focuses on improving sexual function and enjoyment. This type of therapy can help couples overcome a wide variety of challenges such as low drive, premature ejaculation, erectile dysfunction, and difficulties with orgasm. Sex counseling also addresses sexual desires, preferences, and needs. Couples and individuals explore ways to enhance sexual pleasure and satisfaction. Sex counseling helps individuals and couples develop a more fulfilling and healthy sex life or relationship.


And, as mentioned above, while intimacy counseling and sex counseling are different, they are often intertwined. One affects the other. Intimacy issues can have a significant impact on sexual function, and sexual difficulties can create emotional distances. A comprehensive approach to couples therapy may involve addressing both intimacy and sexual issues.


A skilled therapist will take a holistic approach to couples therapy. They will assess both emotional and physical factors to determine the best course of treatment. In some cases, therapy may involve individual counseling in addition to couples counseling.


Dr. Wayne Bullock is a Washington D.C. area therapist specializing in the needs of gay men, the LGBTQ community, and those dealing with anxiety, depression, and trauma.

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