Is Sex Therapy Right for You and/or Your Relationship?


Do you . . .

  • Have low or absent sexual desire?
  • Experience pain with sexual intercourse?
  • Have difficulty experiencing orgasm or ejaculation?
  • Have difficulty getting or maintaining erections?
  • Experience rapid ejaculation that is causing problems in your relationship?
  • Have a different level of sexual interest compared to your partner that is causing problems in your relationship?
  • Have a history of sexual abuse or trauma that makes it difficult for you to enjoy sexual experiences?
  • Want to learn how to navigate life transitions that can affect sexuality such as a new relationship, the birth of a child, menopause, or chronic illness?

If you answered “yes” to any of these questions, or if you have other concerns about your sexuality and sexual health, then sex therapy may be helpful to you.

Treatment Philosophy

Sexuality is an integral and fundamental part of being human. Dr. Erika Pluhar believes that sexual health is every individual’s birthright. Unfortunately, we live in a society that often does not promote healthy sexual learning during childhood and adolescence. This leaves many people with attitudes and experiences that evoke sexual shame, guilt, and fear. Addressing sexual issues in therapy – alone or with a partner – can open a door to healing and empowerment.

Beginning a dialogue about these often very sensitive topics can deepen your understanding of yourself as well as your relationship with your partner. Dr. Erika Pluhar’s practice of sex therapy reflects the mind-body-spirit experience that is human sexuality. She will conduct an initial comprehensive assessment to build a holistic understanding of the physical, behavioral, psychological, relationship, and spiritual factors that may contribute to your sexual concerns.

Treatment will be individually tailored to meet each client’s specific needs. Sex therapy is primarily talk therapy, though treatment will often be supplemented by at-home behavioral exercises, discussion, and relevant reading. There is never any nudity or sexual behavior in session. Length of treatment varies and will be discussed after your assessment during the feedback and treatment planning session.


In the early days of therapy, sexual concerns were treated with long and intensive psychoanalysis. “Modern” sex therapy, first developed in the 1960s by Dr. William Masters and his colleague Virginia Johnson, diverged from psychoanalytic methods to use specific behavioral exercises in combination with talk therapy to address sexual concerns. Because sexual experiences often take place in the context of relationships, since then sex therapy has evolved to merge the best practices in couple/marital therapy with sex therapy techniques. This integrated approach is at the basis of Dr. Pluhar’s practice of sex therapy.