Sex Therapy

With David Miller, LPC

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Sexual concerns are more common than most people realize, yet they’re often the hardest to talk about. Issues with desire, performance, intimacy, shame, or mismatched needs can quietly impact confidence, relationships, and overall well-being. Many people worry that something is “wrong” with them, or that their struggles are too personal or embarrassing to bring up—but these challenges are a normal part of being human.

Sex therapy provides a respectful, judgment-free space to explore these concerns openly and at your own pace. Together, we work to understand how emotional, relational, physical, and cultural factors interact with your sexual experience. Whether you’re seeking to reduce shame, improve communication with a partner, or reconnect with your own sense of desire and pleasure, therapy can help you build a healthier, more integrated relationship with sexuality.

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  • Sex therapy is a form of counseling that focuses on helping individuals and couples navigate challenges related to sexuality, intimacy, and relationships. In therapy, you define the issues you’d like to address and the goals you’d like to achieve. My role is to provide support and tools to help you move toward those goals at your own pace.

  • Not at all. While couples often seek help to improve intimacy or address challenges in their relationship, individuals also benefit from sex therapy. Whether you want to explore your sexual identity, overcome feelings of shame, or develop self-compassion, we’ll focus on the areas that matter most to you.

  • Each session is guided by your unique needs and goals. We’ll work together to explore the challenges you’re facing and identify the steps you’d like to take toward change. My role is not to tell you how to feel or what to do but to create a safe space for you to explore, process, and grow in a way that feels right for you.

  • The length of therapy depends on your goals and what feels right for you. Some people find clarity in a few sessions, while others prefer longer-term support. We’ll regularly review your progress and adjust our approach to ensure it aligns with your goals.

  • I specialize in sex therapy and work with individuals and couples on challenges like intimacy, communication, rebuilding trust, exploring sexual identity, and overcoming trauma and shame. However, the focus of our work is always determined by your goals and what you’d like to achieve.