Northwest Counseling Associates All rights reserved 2010.
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Northwest Counseling Associates
Sex Therapy
The Sex Therapy process is very similar to that
experienced with other mental health
practitioners. The Sex Therapist will meet with
the person as an individual or with a couple in an
office setting where an extensive history of the
concerns will be taken. The Sex Therapist will
note both the psychological and the physical
components and will establish one or more
diagnoses. After this, a treatment plan will be
proposed, usually with your involvement in its
development. In some instances, the Sex
Therapist may work closely with the person’s
physician, nurse, or other therapist or counselor
to establish causes and remedies for the
problems.
Depending on the diagnosis, the Sex Therapist
will educate the person or couple about the issue
and about options for change. This educational
process may occur through suggested reading
material, through watching educational audio-
visual materials, through discussion with the
therapist, through attending workshops, or all of
these therapy processes. Sometimes having
more information will allow the problem to
resolve. Sometimes more specific or intensive
therapy will be needed.
If more specific therapy is needed, the Sex
Therapist may suggest a regular schedule of office
appointments. Often, homework exercises to be
practiced individually or as a couple in the privacy
of one’s home between office appointments will
be suggested. The homework may be as general
as communication exercises or as specific as
actual sexual experiences, depending on the
progress in therapy and the person’s level of
comfort with accepting direction.
In no instances will a Sex Therapist engage in any
kind of sexual activity with a therapy
patient/client, whether in the office or in any
location. To do so is a breach of ethics, and in
some states and provinces is a crime.
-American Association of Sexuality Educators,
Counselors, and Therapists
Forms and Assessments
Common Reasons to
Consider Sex Therapy
- Low Sexual Desire
- Sexual Trauma
- Pain During Intercourse
- Intimacy Problems
- Difficulty Achieving Orgasm
- Erectile Dysfunction
- Rapid Ejaculation
- Sexual
Compulsivity/Addiction
- Sexual Inhibition or Anxiety
- Sexual Fetish
- Sexual Performance
- Sex Education
- Medical Conditions Resulting
in Sexual Dissatisfaction
- Alternative Sexual Practice
- Variant Sexual Arousal
- Infidelity
- Sexual Behavior Problems
- Sexual Identity Concerns

American Association of
Sexuality Educators
Counselors and Therapists
(AASECT) Conference
Phoenix, AZ 2009
AASECT Executive Director
Steve Conley, Ph.D. and Sam
Wallace, M.S.
Sam Wallace, M.S. and William
Granzig, Ph.D. President of the
American Academy of Clinical
Sexologists and Past President
of AASECT.
Jason Thorne, M.S. and Sam
Wallace, M.S. with sex
education expert Betty Dodson.
Jason Thorne, M.S. and Sam
Wallace, M.S. present at the
2009 AASECT Conference on
current trends in youth sexual
behavior.
Sam Wallace of Northwest
Counseling Associates with
sex positive feminist
pioneer Betty Dodson, at
the 40th Annual American
Association of Sexuality
Educators Counselors and
Therapists Conference in
New Orleans, 2008.

"Am I in a Low Sex Marriage?" True/False Assessment
1. Sex is more work than play. 2. Touching always leads to intercourse. 3. Touching takes place only in the bedroom. 4. You no longer look forward to making love. 5. You never have sexual thoughts or fantasies about your spouse. 6. Sex does not give you feelings of connection and sharing. 7. Sex is limited to a fixed time, such as Saturday night or Sunday morning. 8. One of you is always the initiator and the other feels pressure. 9. You look back on premarital sex as the best time. 10. Sex has become mechanical and routine. 11. You have sex once or twice a month at the most.
If you answered true to five or more statements, true to number 11, or both, you are among the 40 million Americans stuck in a low sex or no sex marriage.
(McCarthy & McCarthy, 2003).
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Sam Wallace, MS, LPC
Sex Therapist