Sex Therapy vs Couples Therapy: Which One Do You Need?

When relationships start to feel disconnected or intimacy becomes strained, many couples wonder: Should we see a sex therapist or a couples counselor? At Healing Intimacies this question has been asked many times during a free consultation, and we understand how important it is to find the right type of support. Both sex therapy and couples therapy can be powerful tools for healing and growth but they do serve different needs. 

What is Couples Therapy?

Couples therapy focuses on strengthening the overall relationship. This can be addressing needs where there is a pattern of communication breakdowns, reoccurring conflict, feeling emotional distance, developing mistrust (such as infidelity), or difficulty navigating life transitions together. 

A couples therapist works with both partners to improve their understanding, foster emotional intimacy, and to rebuild trust (sometimes in yourself as well as your partner but that comes back to the break down of communication). If the main concern is how you and your partner relate emotionally and manage conflict, couples therapy is likely the right place to start. 

What is Sex Therapy?

Sex therapy, on the other hand, will address the physical and emotional aspects of sexual intimacy. It can help with mismatched libidos, difficulty reaching orgasm, shame or anxiety related to sex, and the impact of trauma on sexual connection.

At Healing Intimacies, our trauma-informed sex therapy provides a safe, nonjudgmental space to explore these sensitive topics. We help individuals and couples work through blocks to intimacy and develop healthier, more satisfying sexual relationships.

Can Sex Therapy and Couples Therapy Work Together?

Absolutely. Many clients benefit from a combined approach. For example, unresolved emotional issues (like resentment or past betrayal) can impact physical intimacy. Likewise, sexual difficulties can lead to emotional distancing. In these cases, blending couples counseling with sex therapy creates a more holistic path to healing.

Why Choose Therapy Online?

Finding a therapist who understands the unique dynamics of relationships, intimacy, and trauma is essential. At Healing Intimacies, you are offered expert care for couples and individuals navigating complex relationship challenges. Whether you’re seeking deeper emotional connection or more fulfilling physical intimacy, Healing Intimacies is here to guide you every step of the way.

The convince to conduct sessions where you are allows for it to be integrated into your day seamlessly without needing to block your time to drive around, find parking, and to have your care provided efficiently so it doesn’t disrupt your daily schedule. You receive the expert care you want, with the same results as in-person services, and without the negative impact on your schedule. 

Which One Do You Need?

Ask yourself:

• Are we struggling with emotional connection or constant conflict? → Start with couples therapy.

• Is our sex life causing tension, anxiety, or confusion? → Consider sex therapy.

• Is it both? → A tailored plan that includes both may be best.

Ready to heal your relationship or rekindle intimacy? 

Book a free consultation to get all your questions answered today, and take the first step towards deeper connection. 

Healing Intimacies provides trauma therapy in San Antonio, TX and serves the nearby communities of Helotes, Stone Oak, The Dominion, and Boerne. Online therapy is also available to all TX, MD and FL residents.