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Online Sex Therapy for individuals and couples

 
 

Online Sex Therapy for Individuals and Couples in California, Colorado & Oregon

If you’re struggling with intimacy, feeling emotionally or sexually distant from your partner, or trying to rebuild trust after infidelity, you may feel confused, disconnected, or unsure how to move forward. Many people seek online sex therapy because they want closeness, desire, or ease to return—but don’t know how to get there.

I’m an AASECT-certified sex therapist offering online sex therapy for individuals and couples in California, Colorado, and Oregon. I work with adults who want sex and intimacy to feel more grounded, connected, and authentic—not pressured, performative, or shut down.

As a licensed online sex therapist, I help clients understand what’s happening beneath the surface so meaningful connection can grow again.

How I Work With Individuals and Couples

I provide online sex therapy for individuals who want to better understand their relationship to desire, pleasure, shame, or intimacy, as well as online couples sex therapy for partners who feel disconnected, misaligned, or stuck.

  • Clients often come to me for sex therapy when they’re dealing with:

    • Low or mismatched sexual desire

    • changes related to aging, perimenopause, or menopause

    • Anxiety, avoidance, or shutdown around intimacy

    • Emotional disconnection or recurring relationship conflict

    • Infidelity and betrayal recovery

    • Sexual shame, confusion, or the impact of trauma

Sex therapy with me is collaborative, non-judgmental, and paced with your nervous system in mind. Together, we work toward greater self-understanding, emotional safety, and a more connected relationship to sex and intimacy.

What is Online Sex Therapy?

Online sex therapy is a form of talk therapy focused on the emotional, relational, and psychological aspects of sex and intimacy. Sessions take place over secure, HIPAA-compliant video, allowing you to engage in therapy from the privacy and comfort of your own home.

In sex therapy, we explore the experiences, beliefs, and patterns that shape how you relate to your body, desire, and relationships. This may include working through shame, understanding avoidance or shutdown, strengthening emotional connection, and developing more honest communication around intimacy.

My therapeutic style blends warmth, depth, and a touch of humor. Healing happens when you feel understood and supported—not rushed or fixed.


Common Issues Sex Therapy Can Help with

While this isn’t an exhaustive list by any means, here are some of the more common reasons people seek sex therapy.

Interest & Desire
• Differences in sexual interest
• Low or shifting desire
• Difficulty initiating or responding to intimacy

Pain & Trauma
• Discomfort or pain during sexual experiences
• Healing from Sexual trauma
• Shame or fear related to sexuality
• Recovery from purity culture or religious trauma

Relationships & Identity
• Infidelity recovery
• Exploring sexual identity or asexuality
• Support for non-monogamous or open relationships
• Gender identity exploration
• Coming out support

Aging & Life Transitions
• Sexuality and aging
• Body image concerns
• Changes after menopause
• Shifts in intimacy after having children

Health & Anxiety
• Concerns related to sexual health or medical issues
• Anxiety surrounding intimate experiences
• Chronic pain that affects intimacy

Other Concerns
• Concerns about porn use
• Difficulty experiencing ease or comfort during intimacy
• Worry, pressure, or self-doubt around intimate connection

If you’re searching for an online sex therapist and wondering whether your concern “counts,” you’re welcome here. You don’t need to be in crisis to seek support.


Sex Therapy should Lead to MORE connection

Meaningful intimacy grows from feeling present, grounded, and safe in your body. Stress, anxiety, trauma, relationship tension, cultural messages, body image struggles, or physical changes can interrupt that sense of connection.

In sex therapy, we gently explore these blocks from a depth-oriented, compassionate perspective. The goal isn’t perfection or performance—it’s helping you feel more connected, confident, and attuned to yourself and your relationships.

Talking about sex can feel vulnerable. Therapy becomes a place where that vulnerability is met with steadiness, empathy, and care.

 

LGBTQIA+ Affirming and Sex Positive Sex Therapy

Everyone is welcome in my practice. I offer LGBTQIA+ affirming, sex-positive online sex therapy and welcome people of all genders, sexual orientations, identities, and relationship structures.

 

In sex therapy, we may work to:

  • Address somatic (body-based) patterns that influence intimacy
  • Explore cultural and social messages shaping your beliefs
  • Build a more compassionate and grounded relationship with your body
  • Strengthen communication and connection with partner(s)
  • Understand what helps you feel safe, comfortable, and engaged
  • Clarify your needs, boundaries, and relational expectations
  • Explore how mental or physical health may be influencing your sexual wellbeing

Frequently Asked Questions

What kinds of issues do people come to sex therapy for?

People come to see me when sex feels stressful, confusing, or disconnected instead of nourishing. That might look like:

  • Low or mismatched desire

  • Feeling shut down, numb, or anxious during sex

  • Pressure to “perform” or fear of disappointing a partner

  • Shame around pleasure, bodies, or wants

  • Difficulty reconnecting after conflict, infidelity, or life changes

You don’t have to be in crisis to come—many people just want things to feel better and more honest.

Do you work with individuals or couples?

Both.
I work with individuals who want to understand themselves more deeply and with couples who want to feel closer, more connected, or more aligned around intimacy and sex.

You don’t need to have everything figured out before starting.

What is sex therapy actually like?

Sex therapy is talk therapy—there’s no physical touch or sexual activity in sessions.

We talk about what’s happening in your body, your relationships, your history, and your present-day patterns, at a pace that feels respectful and manageable. My approach is collaborative, practical, and attuned—not awkward or clinical.

Is sex therapy awkward or embarrassing?

It can feel vulnerable at first—especially if you’ve never talked openly about sex before—but most clients tell me they feel relief pretty quickly.

We move at your pace. There’s no pressure to share more than you’re ready for, and nothing is “too much” or “weird” to talk about here.

Do you offer online therapy?

Yes. I offer secure online therapy to clients located anywhere in California, CO, and OR.

All sessions are conducted through secure, HIPAA-compliant video platforms to ensure your privacy and safety. Online therapy allows for more flexibility and comfort, and many clients find it easier to talk about intimate topics from their own space.

How do I know if you’re the right therapist for me?


I offer a free consultation, so you can get a feel for how I work, ask questions, and see if it feels right—no pressure to commit.

What’s your approach as a therapist?

My work is warm, relational, and nervous-system-aware. I help clients slow things down, understand what’s actually happening underneath the surface, and build new ways of relating—to themselves and to others—that feel sustainable and real.

I’m less interested in quick fixes and more interested in helping you feel more alive in your body and more honest in your relationships.

How do I get started?

You can reach out through my website to schedule a free consultation at the button below or call me at 310-226-8440. From there, we’ll decide together what makes the most sense for you.


Meet Your Sex Therapist, Lauren Goldstein, LCSW

Hey! Please feel free to reach out to me for a free 20 minute consult to see if I can be of help. You can click below or call me at 310-226-8440.


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Sex Therapy Books You Might Be Interested In…

Below are some books to pursue covering topics from LGBTQIA+ relationships and sexuality, sexual healing, couples therapy, and more.