Sex Therapy: Addressing Intimate Relationship Concerns

Understanding Sex Therapy

Intimacy is a vital component of many relationships, yet discussions about sexual concerns often remain difficult for couples to navigate on their own. At Renewed Stories Counseling, we provide sex therapy as a specialized form of counseling that addresses intimate relationship concerns in a professional, respectful environment.

Sex therapy is talk therapy—it involves open conversation and therapeutic interventions to help you understand and address challenges affecting your intimate relationship. Our approach combines evidence-based techniques with compassionate support, creating a space where you can discuss sensitive topics without judgment or embarrassment.

When Sex Therapy Can Help

Many couples and individuals seek sex therapy for concerns that are more common than you might realize. We provide support for a wide range of intimate relationship challenges, including:

  • Differences in desire or mismatched libido between partners
  • Communication difficulties around intimacy needs and preferences
  • Changes in sexual function due to stress, health issues, or life transitions
  • Rebuilding intimacy after relationship challenges or infidelity
  • Sexual pain or discomfort during intimacy
  • Concerns about sexual performance or satisfaction
  • Impact of past trauma on current intimate experiences
  • Navigating intimacy during major life transitions (parenthood, menopause, aging)
  • Exploring gender identity or sexual orientation questions within relationships

Sometimes these concerns arise from relationship dynamics, while others may have physical, emotional, or psychological components. Whatever challenges you’re facing, we approach each situation with sensitivity and specialized expertise.

Our Approach to Sex Therapy

At Renewed Stories Counseling, we believe that healthy intimacy looks different for every couple. We don’t impose rigid definitions of “normal” but instead help you define and work toward the intimate relationship that feels fulfilling for you and your partner.

Our sex therapy process typically includes:

Comprehensive Assessment

We begin by understanding your specific concerns, relationship history, and goals. This initial phase helps us develop a therapeutic approach tailored to your unique situation. We create an atmosphere where you can share openly at your own pace, respecting your comfort levels throughout the process.

Education and Information

Many intimate concerns improve with accurate information about sexual health and function. We provide evidence-based education that dispels myths and expands your understanding of intimacy. This knowledge often reduces anxiety and creates a foundation for positive change.

Communication Skill Development

We help couples develop healthier ways to discuss desires, boundaries, and needs around intimacy. Learning to have these conversations in productive, connecting ways often leads to significant improvements in both emotional and physical intimacy.

Specific Therapeutic Interventions

Based on your specific concerns, we might recommend various therapeutic techniques or structured exercises to practice between sessions. These might include mindfulness practices, sensate focus exercises, or other evidence-based approaches that address your specific goals.

Integration with Overall Relationship Health

We recognize that intimate connection exists within the broader context of your relationship. Our approach addresses how other aspects of your partnership—communication patterns, emotional connection, conflict resolution—influence your intimate life, creating comprehensive support for relationship wellbeing.

What to Expect in Sex Therapy

Many people feel understandable nervousness about discussing intimate concerns. We work to create a safe, professional environment where these conversations can happen with respect and care. Here’s what you can expect:

  • Professional boundaries: Sex therapy is talk therapy only. All discussions take place in a professional office setting with appropriate clinical boundaries.
  • Respect for your pace: You control what you share and when. We respect your comfort levels and never pressure you to discuss topics before you’re ready.
  • Individual and couple sessions: Depending on your situation, therapy might include both joint sessions and occasional individual meetings to address specific concerns.
  • Confidentiality: Your privacy is paramount. We maintain strict confidentiality about all aspects of your therapy, in accordance with ethical and legal standards.
  • Coordinated care: When helpful, we can collaborate with your healthcare providers to address any physical factors affecting intimacy, always with your explicit permission.
  • Inclusive approach: We welcome and respect individuals and couples of all sexual orientations, gender identities, relationship structures, and cultural backgrounds.

The Healing Journey

The path to a more fulfilling intimate relationship is both courageous and rewarding. Many couples find that sex therapy not only improves their physical connection but also deepens their emotional bond and overall relationship satisfaction.

Progress often happens gradually, with many couples noting improvements in understanding, communication, and connection even in the early stages of therapy. While some concerns resolve relatively quickly, others may require more extended support. We’ll work with you to establish realistic expectations and celebrate your progress throughout the process.

Conditions Discussed

Relationship Issues, Sex Therapy, Sexual Dysfunction Disorders

Treatments Discussed

Cognitive Behavioral Therapy (CBT), Emotionally Focused Therapy (EFT), Mindfulness-Based (MBCT)

Matching Therapists

Matched 1 top specialty.

Known as ‘KK,’ I am a Nationally Certified Counselor, I specialize in helping children, adolescents, and adults navigate life challenges including anxiety, depression, and trauma. With training in Trauma-Focused Cognitive Behavioral Therapy, I create a safe, supportive environment where you can explore difficult emotions and develop practical coping strategies for lasting healing and growth.

Learn about KK
Tegan Brindley, therapist at Renewed Stories Counseling, with glasses and wavy hair wearing a rust-colored cardigan, offering person-centered emotional support in Spokane

Tegan Brindley

LMCHA, LMFTA, NCC

Matched 1 top specialty.

I'm passionate about supporting people through life's varied challenges—whether you're navigating difficult transitions, relationship problems, overcoming trauma, managing anxiety or depression, or seeking greater self-awareness. Using person-centered, emotionally focused approaches, I create a space where you can explore your experiences and develop tools to thrive in all areas of life.

Learn about Tegan
Bill Frye, couples and family therapist at Renewed Stories Counseling, with beard and checkered shirt sitting beside a plant in his Spokane therapy office

Bill Frye

LMFT

Matched 2 additional specialties.

I specialize in helping couples rebuild connection when communication has broken down. I also have expertise guiding couples through the difficult decision of whether to sustain or end their relationship. Using Gottman Therapy and Emotion Focused Therapy (EFT), I work with challenging issues including sexual addictions, infidelity, and developing effective co-parenting strategies. For individuals, I provide sand tray therapy for children and LifeSpan Integration therapy for those working through past trauma. Trained in Gottman Therapy and Emotion Focused Therapy (EFT), I have extensive experience guiding couples through challenging issues, including sexual addictions and infidelity. I see individuals on a limited basis offering sand tray therapy for children and LifeSpan Integration therapy for those working through past trauma.

Learn about Bill
Caitlin Hill, relationship therapist at Renewed Stories Counseling, with long hair in a cream cardigan sitting in an office chair in Spokane

Caitlin Hill

LMFTA

Matched 1 top specialty.

Human beings share an intrinsic need for connection, understanding, and meaning through our relationships with each other. When these bonds suffer from repeated conflict, negative assumptions, and misunderstandings, it can leave you emotionally exhausted, caught in patterns of anger and resentment that seem impossible to escape. If you find yourself wondering whether you and your partner can truly know each other, or feel defeated by persistent disconnection without tools for meaningful change, you're not alone—and I'm here to help you rediscover the path to understanding and intimacy in your most important relationships.

Learn about Caitlin
Jessica Kaluza, therapist at Renewed Stories Counseling, with dark hair in a red cardigan over blue top, offering supportive family and couples therapy in Spokane

Matched 2 additional specialties.

I help couples and families who struggle with communication and conflict find paths toward understanding and connection. With specialized training in premarital counseling and adoption-related concerns, I approach therapy through experiential and attachment-based methods, including Gottman Therapy and Emotion Focused Therapy (EFT). My goal is to help you build stronger, more fulfilling relationships based on mutual understanding.

Learn about Jessica
Triana Willmert therapist at Renewed Stories Counseling, with brown hair wearing a navy sweater in a cozy office setting with plant artwork in Spokane

Triana Willmert

Pre-Licensed LMFT

Matched 1 top specialty.

I create a warm, inviting space where you can take courageous steps toward growth. I believe therapy should feel approachable and judgment-free—a collaborative journey where you can explore life's challenges exactly as you are. Whether you're navigating relationships, transitions, or feeling stuck, I'm committed to supporting you with compassion as we uncover your strengths and work toward meaningful change together.

Learn about Triana
Annie Gerut, therapist at Renewed Stories Counseling, with curly hair and orange sweater, specializing in helping clients with anxiety and depression in Spokane

Annie Gerut

LMHCA

Matched 1 additional specialty.

I will tailor counseling methods to align with what works best for you, ensuring personalized support for your growth and progress. I take a collaborative, relational approach, drawing from Person-Centered Therapy, Cognitive-Behavioral Therapy (CBT), Emotion Focused Therapy (EFT), and Strength-Based therapy, all grounded in attachment theory.

Learn about Annie
Bonnie Willey, experienced therapist at Renewed Stories Counseling, with short curly hair wearing a brown turtleneck sweater in a warm, welcoming Spokane counseling environment

Bonnie June Willey

LMHC, MHP

Matched 1 additional specialty.

I have over 26 years of experience helping adults, teens and children in addressing their mental health goals. I'm licensed in both WA and ID and hold additional certifications and training in CBT for Psychosis, Trauma Informed CBT, EMDR, EFT, DBT, Adoption Support and Family Systems Therapy.

Learn about Bonnie

Taking the First Step

At Renewed Stories Counseling, our specialized therapists provide a non-judgmental, supportive environment where you can work through intimate concerns and build a stronger connection. We believe that with the right support, couples can create intimate relationships characterized by mutual satisfaction, respect, and connection.

We welcome your questions and are here to support your journey toward a more fulfilling relationship.

Couple embracing intimately after successful couples therapy in Spokane - partners sharing a peaceful moment of connection with heads touching and genuine smiles, demonstrating the renewed bond and emotional intimacy that effective relationship counseling can foster.