Sex Therapy

Pain during sex can feel isolating and distressing. Genital and pelvic pain may be connected to muscle tension, anxiety, trauma, medical conditions, childbirth, or fear of penetration.

Sex therapy for sexual pain includes:

• Education about the pain cycle and mind body connection

• Reducing fear and anticipatory anxiety

• Gradual desensitization and pacing strategies

• Communication tools for partners

• Collaboration with pelvic floor physiotherapists or medical providers when appropriate

The goal is to restore a sense of safety, comfort, and agency in your body.

Pregnancy and the postpartum period can bring many changes to your body, hormones, emotions, and relationships. You might notice shifts in sexual desire, discomfort during intimacy, changes in body image, or simply feel different in your sexuality. I offer a compassionate, supportive space to help you understand these changes and gently reconnect with your body and sexual self, one step at a time.

Sex therapy offers an affirming space to explore kink, BDSM, fetishes, and non traditional sexual interests. Sessions may support you in:

• Understanding your desires and boundaries

• Navigating consent and negotiation

• Communicating safely with partners

• Integrating kink into existing relationships

• Reducing shame related to sexual interests

At Moha Therapy, I offer sex therapy that is inclusive of diverse sexual orientations, gender identities, and relationship structures including consensual non monogamy and polyamory.

Differences in sexual desire are common in long term relationships. When one partner wants sex more often than the other, it can lead to tension, rejection, pressure, or withdrawal.

Desire discrepancy counselling focuses on:

• Understanding responsive and spontaneous desire

• Exploring emotional and relational factors that affect libido

• Reducing cycles of pressure and avoidance

• Building communication skills around needs and boundaries

• Creating a shared definition of intimacy that works for both partners

Low libido can be influenced by stress, parenting, hormonal shifts, relationship conflict, mental health, medication, and life transitions. At Moha Therapy, I help you identify contributing factors and develop realistic strategies to reconnect with desire.

Trauma can deeply shape how you experience sex, especially when it comes to feeling safe or connected. You may notice feeling numb, avoiding intimacy, experiencing flashbacks, or feeling disconnected from your body. In our sessions, we will move at a pace that feels right for you, gently working to rebuild a sense of safety, choice, and trust in your relationship with touch, pleasure, and intimacy.

If sex feels out of control, compulsive, or disconnected from what you truly want, you are not alone. In our sessions, we will explore what may be happening beneath the surface and work toward building a more intentional and grounded relationship with your sexuality, one that feels aligned with your values.

Sexuality can look and feel different when you are neurodivergent, and that is completely valid. ADHD can influence attention, sensory experiences, emotional responses, and interest in sex. In our sessions, we will explore how your brain and body experience intimacy, pleasure, and connection, and find ways to support your needs in a way that feels authentic to you.

Whether you stepped outside a relationship agreement or are healing from a betrayal, infidelity can deeply disrupt your sense of trust, safety, and connection. Therapy offers a space to process what happened, tend to the impact with care, and explore what moving forward might look like, whether that is together or apart.

Challenges with erections, ejaculating sooner than you would like, or taking a long time to reach orgasm are very common, even though they are not often openly discussed. These experiences can bring up stress, pressure, and shame. In our sessions, we will use a gentle, evidence-based approach to understand what may be contributing to these concerns and support you in reconnecting with pleasure and confidence.

If sex feels more like a test than an enjoyable experience, performance anxiety may be at play. You might find yourself overthinking, feeling tense, or worrying about “doing it right.” In our sessions, we will work to reduce that pressure and help you return to feeling present, connected, and fully engaged in the moment.

Many people carry shame around their bodies, desires, or past experiences, and it can appear in sexual and intimate moments as fear, anxiety, or withdrawal. In our sessions, we will gently explore the roots of that shame, how it shows up in your life today, and ways to build a more compassionate and grounded relationship with yourself.