Sex Therapists in Williamsville, NY

Photo of Maureen Ryan, DNP, AHNP, CSC, NBC-HWC
Maureen Ryan
DNP, AHNP, CSC, NBC-HWC
Verified Verified
Williamsville, NY 14221
As a Nurse Practitioner, sex therapist and intimacy counselor, I believe love and connection are central to human happiness. Through discreet virtual sessions, I help individuals and couples overcome obstacles to intimacy – opening the door to deeper connections, with increased love and affection. Difficulties with intimacy can arise at different points across the lifespan. Childbirth, stress of work/life balance, menopause, cancer treatments, and aging can all create or intensify barriers to sexual fulfillment.
As a Nurse Practitioner, sex therapist and intimacy counselor, I believe love and connection are central to human happiness. Through discreet virtual sessions, I help individuals and couples overcome obstacles to intimacy – opening the door to deeper connections, with increased love and affection. Difficulties with intimacy can arise at different points across the lifespan. Childbirth, stress of work/life balance, menopause, cancer treatments, and aging can all create or intensify barriers to sexual fulfillment.
(716) 508-3690 View (716) 508-3690
Photo of Tom Fronczak, LCSW-R, LICSW, Clinical Social Work/Therapist
Tom Fronczak
Clinical Social Work/Therapist, LCSW-R, LICSW
Verified Verified
Williamsville, NY 14221  (Online Only)
I specialize in the treatment of depression, anxiety; ADHD; relationship issues; life transitions; grief & loss issues, including pet loss; lifestyle and its impact on health and wellness; alcohol use; sexuality concerns including ED, Internet porn, compulsive sexual behavior, coming out issues, and those impacting individuals who identify as LGBTQIA+.
I am a licensed clinical social work psychotherapist in NY, RI & MA and recognized as a Board Certified Diplomate in Clinical Social Work. I see individuals via Telehealth throughout NY, RI & MA. I bring over 25 years of clinical experience to this work providing evidence-based care, infused with dignity and respect, that honors the strengths and resilience of individuals. I am also trained as a yoga and mindfulness meditation instructor, so working with adults and adolescents (14+ years old) I provide psychotherapy within a compassionate, holistic and integrated model of care.
I specialize in the treatment of depression, anxiety; ADHD; relationship issues; life transitions; grief & loss issues, including pet loss; lifestyle and its impact on health and wellness; alcohol use; sexuality concerns including ED, Internet porn, compulsive sexual behavior, coming out issues, and those impacting individuals who identify as LGBTQIA+.
I am a licensed clinical social work psychotherapist in NY, RI & MA and recognized as a Board Certified Diplomate in Clinical Social Work. I see individuals via Telehealth throughout NY, RI & MA. I bring over 25 years of clinical experience to this work providing evidence-based care, infused with dignity and respect, that honors the strengths and resilience of individuals. I am also trained as a yoga and mindfulness meditation instructor, so working with adults and adolescents (14+ years old) I provide psychotherapy within a compassionate, holistic and integrated model of care.
(716) 405-5552 View (716) 405-5552
Photo of Ashera DeRosa, LMFT, Marriage & Family Therapist
Ashera DeRosa
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Williamsville, NY 14221
When it pertains to your intimate life, you deserve nothing less than outstanding, compassionate care. It is an incredibly vulnerable act to open up about your struggles with sexuality. Whether your issues stem from trauma, dysfunction, or secrets, I see you and I hold space for you. Healing is possible, even in the spiciest of circumstances. I am a Ketamine Assisted Psychotherapy provider and Brainspotting Therapist. I am honored to accompany people in their trauma recovery and am happy to swim in the deep end with you.
When it pertains to your intimate life, you deserve nothing less than outstanding, compassionate care. It is an incredibly vulnerable act to open up about your struggles with sexuality. Whether your issues stem from trauma, dysfunction, or secrets, I see you and I hold space for you. Healing is possible, even in the spiciest of circumstances. I am a Ketamine Assisted Psychotherapy provider and Brainspotting Therapist. I am honored to accompany people in their trauma recovery and am happy to swim in the deep end with you.
(716) 466-5509 View (716) 466-5509
Photo of Matt Ballacchino, LMSW, Clinical Social Work/Therapist
Matt Ballacchino
Clinical Social Work/Therapist, LMSW
Verified Verified
4 Endorsed
Williamsville, NY 14221
Life has a way of happening at inconvenient times and overwhelming ways. When that happens, an unbiased listening ear may be what helps get us through. Have you felt down, overwhelmed or dissatisfied with the way things have been happening recently? I know it can be easy to feel alone, and I want you to know I am here to help guide you through the difficult times. You don't have to feel stuck.
Life has a way of happening at inconvenient times and overwhelming ways. When that happens, an unbiased listening ear may be what helps get us through. Have you felt down, overwhelmed or dissatisfied with the way things have been happening recently? I know it can be easy to feel alone, and I want you to know I am here to help guide you through the difficult times. You don't have to feel stuck.
(716) 351-5803 x4 View (716) 351-5803 x4
Photo of James D Thauer, LMFT, Marriage & Family Therapist
James D Thauer
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Williamsville, NY 14221
Hi, I'm James and I'm a Licensed Marriage and Family Therapist (LMFT). I specialize in working with couples to improve communication, conflict resolution, connection, and infidelity. I also work with individuals who have concerns such as anxiety, depression, divorce, navigating family dynamics, loss, self-esteem, and a variety of other intra-personal concerns. I work collaboratively with clients to set goals, identify problematic patterns, increase awareness of patterns, and change or break those patterns. I have a down to earth approach and avoid the use of jargon. I make therapy approachable for even the biggest of skeptics.
Hi, I'm James and I'm a Licensed Marriage and Family Therapist (LMFT). I specialize in working with couples to improve communication, conflict resolution, connection, and infidelity. I also work with individuals who have concerns such as anxiety, depression, divorce, navigating family dynamics, loss, self-esteem, and a variety of other intra-personal concerns. I work collaboratively with clients to set goals, identify problematic patterns, increase awareness of patterns, and change or break those patterns. I have a down to earth approach and avoid the use of jargon. I make therapy approachable for even the biggest of skeptics.
(716) 466-5358 View (716) 466-5358
Photo of Kelli O'Donnell, MSW, LMSW
Kelli O'Donnell
Licensed Master Social Worker, MSW, LMSW
Verified Verified
1 Endorsed
Williamsville, NY 14221
In the heart of every challenge lies an opportunity to reshape our perspectives. With an open and empathetic mindset, I specialize in guiding my clients through life’s intricate labyrinth of difficulties to uncover the roots of these challenges and the pathways to well-being. As a licensed therapist committed to your growth, I cultivate a warm therapeutic alliance grounded in positivity where your struggles serve as catalysts for profound transformation. In our sessions, I provide you with a safe haven rooted in the values of relationship-building, acceptance, empathy, and empowerment.
In the heart of every challenge lies an opportunity to reshape our perspectives. With an open and empathetic mindset, I specialize in guiding my clients through life’s intricate labyrinth of difficulties to uncover the roots of these challenges and the pathways to well-being. As a licensed therapist committed to your growth, I cultivate a warm therapeutic alliance grounded in positivity where your struggles serve as catalysts for profound transformation. In our sessions, I provide you with a safe haven rooted in the values of relationship-building, acceptance, empathy, and empowerment.
(347) 658-5061 View (347) 658-5061
Photo of Melinda Zampogna Haggerty, PhD, Psychologist
Melinda Zampogna Haggerty
Psychologist, PhD
Verified Verified
Williamsville, NY 14221
In my work as a psychologist, I enjoy helping people develop their confidence, skills and satisfaction with their lives. I work with clients to develop our relationship and strive to be empathic, consistent and forthcoming. I bring my sense of humor to the work we do and encourage clients to be in touch with their own personal strengths. I hope to empower people to try new ways of thinking, feeling, behaving and interacting which move them in the direction of their goals. I help people gain a better understanding of themselves and their potential to improve their lives.
In my work as a psychologist, I enjoy helping people develop their confidence, skills and satisfaction with their lives. I work with clients to develop our relationship and strive to be empathic, consistent and forthcoming. I bring my sense of humor to the work we do and encourage clients to be in touch with their own personal strengths. I hope to empower people to try new ways of thinking, feeling, behaving and interacting which move them in the direction of their goals. I help people gain a better understanding of themselves and their potential to improve their lives.
(716) 229-5997 View (716) 229-5997
Photo of Lisa Lutz, LMFT, Marriage & Family Therapist
Lisa Lutz
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Williamsville, NY 14221
Do you and your partner struggle to communicate with each other? Do you find yourself wishing that your partner truly heard you? Relationship therapy may provide the answers you seek. I offer an environment that is supportive to recovering the relationship that you and your partner desire. My goal is to work with you in a way that feels respectful, challenging and nurturing. I already believe that you have what it takes to bring positive change to your relationship.
Do you and your partner struggle to communicate with each other? Do you find yourself wishing that your partner truly heard you? Relationship therapy may provide the answers you seek. I offer an environment that is supportive to recovering the relationship that you and your partner desire. My goal is to work with you in a way that feels respectful, challenging and nurturing. I already believe that you have what it takes to bring positive change to your relationship.
(716) 204-7990 View (716) 204-7990
Photo of Peter Meglin, LCSW-R, Clinical Social Work/Therapist
Peter Meglin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Williamsville, NY 14221
I am a licensed and seasoned clinical social worker (LCSW-R) in practice for 30+ years, specializing in couples and individual therapy. My academic training was at the University at Buffalo; my post-graduate and continuing education was at The Marriage Counseling Center, where I mentored new therapists and developed a strong word-of-mouth following. Couples work included, but was not limited to, these critical issues: emotionally focused communication, destructive conflict patterns, emotional and physical intimacy, infidelity and trust repair, pre-marital assessment, commitment, and discernment of ultimate relationship habitability.
I am a licensed and seasoned clinical social worker (LCSW-R) in practice for 30+ years, specializing in couples and individual therapy. My academic training was at the University at Buffalo; my post-graduate and continuing education was at The Marriage Counseling Center, where I mentored new therapists and developed a strong word-of-mouth following. Couples work included, but was not limited to, these critical issues: emotionally focused communication, destructive conflict patterns, emotional and physical intimacy, infidelity and trust repair, pre-marital assessment, commitment, and discernment of ultimate relationship habitability.
(716) 638-2185 View (716) 638-2185
Photo of Erin M Ruston, MSEd, LMHC, Counselor
Erin M Ruston
Counselor, MSEd, LMHC
Verified Verified
3 Endorsed
Williamsville, NY 14221
Not accepting new clients
Are you struggling with communication, lack of intimacy, feeling stagnant, or feel like you are living with a roommate and not a partner? I would love to work with you to explore how to improve your relationship in a variety of ways. I can help you explore the barriers within your relationship and how to improve communication, fair fighting, work through infidelity, and heighten sex/intimacy, both physically and emotionally.
Are you struggling with communication, lack of intimacy, feeling stagnant, or feel like you are living with a roommate and not a partner? I would love to work with you to explore how to improve your relationship in a variety of ways. I can help you explore the barriers within your relationship and how to improve communication, fair fighting, work through infidelity, and heighten sex/intimacy, both physically and emotionally.
(716) 771-2949 View (716) 771-2949
Photo of Anna Marie Skop, MS, LMHC, Counselor
Anna Marie Skop
Counselor, MS, LMHC
Verified Verified
Williamsville, NY 14221
Not accepting new clients
I am a trilingual Licensed Mental Health Therapist (English,French, Spanish) with experience working with children, adolescents and adults. I am trained in trauma resolution, CBT, and DBT. I have been practicing for over 14 years in various clinical and school settings, you can be certain that I will be a great source of support for referrals and advocacy needs. I am a solution-focused, person centered, strength-based and goal focused therapist. I use mostly evidence based practice therapy but my approach is holistic. Because I am solely working at my private practice, you can expect flexible individualized treatment.
I am a trilingual Licensed Mental Health Therapist (English,French, Spanish) with experience working with children, adolescents and adults. I am trained in trauma resolution, CBT, and DBT. I have been practicing for over 14 years in various clinical and school settings, you can be certain that I will be a great source of support for referrals and advocacy needs. I am a solution-focused, person centered, strength-based and goal focused therapist. I use mostly evidence based practice therapy but my approach is holistic. Because I am solely working at my private practice, you can expect flexible individualized treatment.
(716) 708-4595 View (716) 708-4595
Photo of Danielle DeLuca, LCSW, Clinical Social Work/Therapist
Danielle DeLuca
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Williamsville, NY 14221
Not accepting new clients
It can be really challenging to navigate an ever-changing world, especially if we enter each season struggling to carry the weight of the past. We learn survival strategies that are often hard to unlearn, and it can feel like we will always be stuck in our same old patterns of suffering. I offer non-judgmental support to people who want to find more aliveness in their minds and bodies. Through this partnership, we aim to build your capacity to feel and deal with emotions in kind yet effective ways, and develop compassionate habits that can lead to self trust. In doing so, we can create more room for ease, meaning, and joy.
It can be really challenging to navigate an ever-changing world, especially if we enter each season struggling to carry the weight of the past. We learn survival strategies that are often hard to unlearn, and it can feel like we will always be stuck in our same old patterns of suffering. I offer non-judgmental support to people who want to find more aliveness in their minds and bodies. Through this partnership, we aim to build your capacity to feel and deal with emotions in kind yet effective ways, and develop compassionate habits that can lead to self trust. In doing so, we can create more room for ease, meaning, and joy.
(716) 638-2453 View (716) 638-2453

More Therapists Nearby

Photo of Shay Kahani, LCSW, LISW-S, CST, Clinical Social Work/Therapist
Shay Kahani
Clinical Social Work/Therapist, LCSW, LISW-S, CST
Verified Verified
1 Endorsed
Buffalo, NY 14221  (Online Only)
I am sex, relationship and trauma certified therapist who helps clients to explore their sexuality and find the right place for them.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
I am sex, relationship and trauma certified therapist who helps clients to explore their sexuality and find the right place for them.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
(716) 466-9608 View (716) 466-9608
Photo of Rene A Jones, LMFT, MSEd, Marriage & Family Therapist
Rene A Jones
Marriage & Family Therapist, LMFT, MSEd
Verified Verified
1 Endorsed
Amherst, NY 14226
As a certified sex therapist, I am trained to help with desire discrepancies, erection difficulties, orgasm challenges, & inability to have sex.
Hello - I have been practicing relationship therapy since 1999 and opened my practice in 2001. In my years of working with couples and individuals, I have learned that change is possible even when it seems hopeless. I understand the courage it takes to share your personal life with a stranger. I am honored to assist couples and individuals who are struggling with relationship issues, sexual concerns, sexual identity and chronic illness. My goal is to assist client(s) in attaining their goals in a healthy way. I invite you to browse my web site: www.couplescounseling.biz
As a certified sex therapist, I am trained to help with desire discrepancies, erection difficulties, orgasm challenges, & inability to have sex.
Hello - I have been practicing relationship therapy since 1999 and opened my practice in 2001. In my years of working with couples and individuals, I have learned that change is possible even when it seems hopeless. I understand the courage it takes to share your personal life with a stranger. I am honored to assist couples and individuals who are struggling with relationship issues, sexual concerns, sexual identity and chronic illness. My goal is to assist client(s) in attaining their goals in a healthy way. I invite you to browse my web site: www.couplescounseling.biz
(716) 703-8969 View (716) 703-8969
Photo of Christine Turturro, MA, MHC-P, Pre-Licensed Professional
Christine Turturro
Pre-Licensed Professional, MA, MHC-P
Verified Verified
Buffalo, NY 14221
My areas of clinical focus are oppositional defiance and conduct disorders, cluster B personalities, and sex therapy with a trauma informed approach.
Navigating conflict and emotional response is a crucial part of the human experience. In some cases, these challenges can become overwhelming or put us in positions where we feel disconnected from our authentic selves. Working with a mental health professional can help us to navigate our individual needs. I believe in an integrative model, prioritizing autonomy and truth to oneself.
My areas of clinical focus are oppositional defiance and conduct disorders, cluster B personalities, and sex therapy with a trauma informed approach.
Navigating conflict and emotional response is a crucial part of the human experience. In some cases, these challenges can become overwhelming or put us in positions where we feel disconnected from our authentic selves. Working with a mental health professional can help us to navigate our individual needs. I believe in an integrative model, prioritizing autonomy and truth to oneself.
(716) 222-8493 View (716) 222-8493
Photo of Khristopher Decker, LCSW-R, MSW, CISD, Clinical Social Work/Therapist
Khristopher Decker
Clinical Social Work/Therapist, LCSW-R, MSW, CISD
Verified Verified
Buffalo, NY 14228
Some areas of specialty include work with people from the LGBTQ+ community, self-esteem issues, depression/anxiety management, addiction/substance use issues, trauma recovery, gender affirming care/medical procedure evaluations, sex/sexuality related concerns, workplace stress, and couples counseling.
I think you are amazing for taking the next step to create the life you want. If you have been having a challenging time with a new situation or want to change something that you have been experiencing for a while now, counseling can help. The need to work on accepting and affirming ourselves for who we are, managing symptoms of depression, anxiety, and traumatic experiences, family & relationship difficulties, improving our self-esteem, navigating today's stressful world, and managing work/career issues are part of many people's experience at one time or another. I believe we all have the ability to improve our health and lives.
Some areas of specialty include work with people from the LGBTQ+ community, self-esteem issues, depression/anxiety management, addiction/substance use issues, trauma recovery, gender affirming care/medical procedure evaluations, sex/sexuality related concerns, workplace stress, and couples counseling.
I think you are amazing for taking the next step to create the life you want. If you have been having a challenging time with a new situation or want to change something that you have been experiencing for a while now, counseling can help. The need to work on accepting and affirming ourselves for who we are, managing symptoms of depression, anxiety, and traumatic experiences, family & relationship difficulties, improving our self-esteem, navigating today's stressful world, and managing work/career issues are part of many people's experience at one time or another. I believe we all have the ability to improve our health and lives.
(716) 325-1404 View (716) 325-1404
Photo of Kate Keating Maleski, LCSW-R, Clinical Social Work/Therapist
Kate Keating Maleski
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Amherst, NY 14228
Do you ever feel alone or that you are the only one to feel this way? There is no reason for you to suffer. Everyone experiences troubles in their life and I want to help you! My passion is in understanding where you are today and guiding you to where you want to be next. You may be angry, sad, confused, indifferent, or just "numb." You may even believe that you will never feel safe and happy again. But you can and you will. Whatever you bring to me we can work together to find the right solution for you.
Do you ever feel alone or that you are the only one to feel this way? There is no reason for you to suffer. Everyone experiences troubles in their life and I want to help you! My passion is in understanding where you are today and guiding you to where you want to be next. You may be angry, sad, confused, indifferent, or just "numb." You may even believe that you will never feel safe and happy again. But you can and you will. Whatever you bring to me we can work together to find the right solution for you.
(716) 800-4354 View (716) 800-4354
Photo of Colton Rodgers, LMHC, NCC, CCTP, CCATP, Counselor
Colton Rodgers
Counselor, LMHC, NCC, CCTP, CCATP
Verified Verified
Amherst, NY 14228
I am a Licensed Mental Health Counselor with experience in the treatment of various mental health related conditions. I specialize in the treatment of Anxiety, Panic Disorder, Trauma/PTSD, OCD, Stress Related Disorders, Depression, and Bereavement. I attend to both adult and adolescent individuals, as well as couples. Previous to my position within the private practice setting, I had worked as an integrated counselor in the treatment of both substance use and mental health at a local Community Mental Health Organization. I also have experience as a former College Counselor, High School Counselor, and Telehealth Therapist.
I am a Licensed Mental Health Counselor with experience in the treatment of various mental health related conditions. I specialize in the treatment of Anxiety, Panic Disorder, Trauma/PTSD, OCD, Stress Related Disorders, Depression, and Bereavement. I attend to both adult and adolescent individuals, as well as couples. Previous to my position within the private practice setting, I had worked as an integrated counselor in the treatment of both substance use and mental health at a local Community Mental Health Organization. I also have experience as a former College Counselor, High School Counselor, and Telehealth Therapist.
(716) 304-2459 View (716) 304-2459
Photo of Stephanie G Hall, LMSW
Stephanie G Hall
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Buffalo, NY 14221
Hello! My name is Stephanie. I am an LMSW with experiences working with mental health and substance use. I approach therapy from a holistic mind/ body perspective. I utilize evidenced based practices such as; Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dialectical Behavioral Therapy (DBT), as well as attachment/ abandonment recovery therapies (and several other modalities listed below). I am additionally a level (2) reiki practitioner, and offer reiki services for ongoing healing and relaxation.
Hello! My name is Stephanie. I am an LMSW with experiences working with mental health and substance use. I approach therapy from a holistic mind/ body perspective. I utilize evidenced based practices such as; Eye Movement Desensitization and Reprocessing Therapy (EMDR), Dialectical Behavioral Therapy (DBT), as well as attachment/ abandonment recovery therapies (and several other modalities listed below). I am additionally a level (2) reiki practitioner, and offer reiki services for ongoing healing and relaxation.
(716) 321-5769 View (716) 321-5769
Photo of Allan E Jones, LMFT, MSEd, MS, SEP, Marriage & Family Therapist
Allan E Jones
Marriage & Family Therapist, LMFT, MSEd, MS, SEP
Verified Verified
1 Endorsed
Amherst, NY 14226
I admire & appreciate the courage it takes to initiate & maintain therapy. Indivduals & couples call because they are stuck in unhealthy patterns & do not know how to do something different. I assist them in creating & maintaining healthy patterns. Anxiety & panic are struggles for many people. They learn to control the anxiety as opposed the anxiety controlling them. Miscommunication happens because people often listen to talk as opposed to understand. I teach clients how to communicate in the therapy room so they leave knowing how to do it. Clients regain trust so they can reconnect emotionally & sexually.
I admire & appreciate the courage it takes to initiate & maintain therapy. Indivduals & couples call because they are stuck in unhealthy patterns & do not know how to do something different. I assist them in creating & maintaining healthy patterns. Anxiety & panic are struggles for many people. They learn to control the anxiety as opposed the anxiety controlling them. Miscommunication happens because people often listen to talk as opposed to understand. I teach clients how to communicate in the therapy room so they leave knowing how to do it. Clients regain trust so they can reconnect emotionally & sexually.
(716) 638-2369 View (716) 638-2369

See more therapy options for Williamsville

Sex Therapy

Who is sex therapy for?

Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.

Why do people need sex therapy?

Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.

What happens in sex therapy?

People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.

What kinds of problems do sex therapists treat?

Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.