Sex Therapy in Ohio & Kentucky | Woven Wellness Group

Woman with dark hair in a bun working on a laptop at a wooden dining table, decorated with a large bouquet of pink and green flowers in a ceramic vase, against a plain white wall.

What Sex Therapy Is and How It Works

Sex therapy is a specialized form of talk therapy that focuses on sexual concerns, intimacy, and the ways our bodies, relationships, identities, and past experiences shape our sexual lives. At Woven Wellness Group, we provide sex therapy in Cincinnati, Ohio (in person and virtual) and virtual sex therapy for clients in Kentucky. Our work is grounded in safety, consent, and collaboration. We work with individuals and people in relationships to better understand patterns around desire, arousal, pleasure, pain, shame, communication, boundaries, and connection.

Sex therapy often includes education, reflection, skill-building, and gentle exploration of beliefs, expectations, and experiences related to sex and intimacy. Our approach is trauma-informed, inclusive, and sex-positive, meaning we respect a wide range of identities, relationship structures, values, and expressions of sexuality.

What Sex Therapy Is Not

Sex therapy does not involve physical touch, nudity, or sexual activity in session. Sessions look much like other forms of therapy: conversation, guided reflection, and collaborative problem-solving in a professional, ethical setting.

Sex therapy is also not about pressuring you toward a specific outcome (such as wanting more sex, wanting sex at all, or fitting a particular norm). Instead, we focus on helping you clarify what you want, what feels safe and aligned for you, and what may be getting in the way.

Sex Therapy FAQs

  • Sex therapy is specialized talk therapy focused on sexual concerns, intimacy, and relationships. Sessions involve conversation, education, and skill-building—never physical touch—and are tailored to your goals. We provide sex therapy in Ohio (in person and virtual) and virtual sex therapy for clients in Kentucky.

  • Feeling nervous is very common. Our sex therapists are trained to create a calm, respectful, and nonjudgmental space so talking about sex feels safer and more manageable over time.

  • No. Sex therapy is paced intentionally. You choose what you share and when, and we prioritize consent, regulation, and emotional safety in every session.

  • No. Sex therapy is talk therapy only. There is no physical touch, nudity, or sexual activity during sessions.

  • Not always. Sex therapy can be helpful for individuals or couples. Some clients attend alone, some attend together, and others combine individual and relationship sessions depending on goals.

  • That’s okay. Many clients start sex therapy feeling unsure or overwhelmed. Part of the process is helping you clarify concerns around desire, intimacy, identity, or past experiences.

  • No. Many individuals seek sex therapy for concerns like low desire, sexual anxiety, pain with sex, shame, or identity exploration—regardless of relationship status.

  • Yes. Our sex therapy services are LGBTQIA+ affirming and inclusive of diverse identities, relationship structures (including consensual nonmonogamy and polyamory), and expressions of sexuality.

  • Woven Wellness Group offers sex therapy in Ohio (virtual and in person in Cincinnati) and virtual sex therapy for clients located in Kentucky.

What to Expect in Sex Therapy

Clients come to sex therapy for many reasons, and we work with a wide range of sexual concerns and experiences. Our clinicians have advanced training in sex therapy and offer care only within areas where they are fully trained and equipped.

Common areas we support include:

  • Desire discrepancy (mismatched libido)

  • Low desire or loss of desire

  • Sexual pain

  • Erectile dysfunction

  • Early or delayed ejaculation

  • Sexual anxiety or shame

  • Postpartum pain and changes in desire

  • The impact of cancer or medical conditions on sexuality

  • Healing sexual shame or trauma related to religious or cultural messages

  • Gender-affirming exploration

  • Consensual nonmonogamy and polyamory

  • Exploration of kinks, fetishes, and diverse sexual interests

In sessions, you can expect a steady, nonjudgmental space where we move at a pace that supports nervous system safety. We work collaboratively to:

  • Clarify goals and concerns

  • Identify patterns shaped by experience, culture, and relationship dynamics

  • Build language and skills for communication and boundaries

  • Integrate education and tools you can practice between sessions

Sex therapy often involves both insight and practical support, helping you apply what you learn in therapy to your daily life and relationships.

The Sexual History Assessment in Sex Therapy

As part of our sex therapy process, clients complete a sexual history assessment after the initial intake session. This allows time first to establish rapport, clarify goals, and ensure the therapeutic relationship feels supportive and safe.

The sexual history assessment is a structured questionnaire that invites you to reflect on important aspects of your sexual story, such as:

  • Early messages about sex and bodies

  • Identity, values, and cultural context

  • Relationship experiences and patterns

  • Pleasure, desire, arousal, and challenges

  • Medical, emotional, or traumatic experiences that may be relevant

This assessment is not a test and there are no “right” answers. You are always in control of what you share and at what pace.

A stylized maze illustration with a yellowish-green path on a black background.

Reviewing Your Sexual History Assessment

We typically review the sexual history assessment together over the second and third sessions. This allows us to move slowly, prioritize consent, and attend to emotional and physical responses that may arise.

During these sessions, we work to:

  • Identify themes and patterns

  • Normalize common experiences and concerns

  • Connect past experiences to present challenges

  • Clarify goals and treatment focus

This collaborative review helps guide the direction of therapy while reinforcing safety, choice, and agency.

Our Sex Therapy Approach: The PLISSIT Model

Our sex therapy work is guided by the PLISSIT Model, an evidence-based framework that supports ethical, paced, and client-centered care:

  • Permission: Creating a space where questions, curiosity, and experiences are welcomed without judgment.

  • Limited Information: Providing accurate, relevant education to reduce shame and confusion.

  • Specific Suggestions: Offering tailored tools, exercises, or strategies when appropriate and consented to.

  • Intensive Therapy: Engaging in deeper therapeutic work when concerns are complex or long-standing.

Not every client moves through every level, and the model allows flexibility based on your needs, goals, and readiness.

Flowchart describing stages of a sexual health counseling process, including Permission Giving Stage, Limited Information Stage, Specific Information Stage, and Intensive Therapy Stage.

Visual description of the Ex-PLISST model. From "The Extended PLISSIT Model for Addressing the Sexual Wellbeing of Individuals With an Acquired Disability or Chronic Illness," by B. Taylor and S. Davis, 2006, Sexuality and Disability, 25, 135-139. doi:11195-007-9044-x.

Sex Therapist Training & Scope of Practice

Each therapist at Woven Wellness Group has completed specialized training in sex therapy and brings a unique skill set to this work. Sex therapy is a broad field, and we are intentional about practicing within our areas of training and competence. We believe this protects client safety and ensures high-quality, ethical care.

We encourage clients to review individual clinician profiles to learn more about specific specialties and areas of focus, and we are happy to help match you with a therapist whose training best fits your needs.

Pink cursive letter 'M' on a black background.

Safety, Consent, and Ethical Sex Therapy

Safety and consent guide every part of our work. You are always free to pause, skip questions, or change direction. Sex therapy at Woven Wellness Group is collaborative, trauma-informed, and centered on helping you feel more aligned with yourself and your relationships.

If you’re curious whether sex therapy is a good fit for you, we invite you to schedule a consultation to learn more and ask questions.