Things I Said Today as a Sex Therapist (and What They Can Teach You About Real Sex Therapy)

If you’ve ever wondered what actually happens in sex therapy, let me pull back the curtain a little.

Here are a few real things I’ve said recently as a Certified Sex Therapist:

🙋🏻‍♀️“Have you talked more about your boundaries around threesomes lately?”
🙋🏻‍♀️ “Yes, mutual masturbation can be considered quality time.”
“No, wanting to be tied up doesn’t mean you’re broken—it means you know what you like.”
🙋🏻‍♀️“Scheduling sex doesn’t make it less sexy—it makes it possible.”
🙋🏻‍♀️ “It’s healthy to take responsibility for your own orgasms.”
🙋🏻‍♀️ “Yes, many people experience sexual dysfunction at some point. It’s great you’re here working on it.”

When I share these snippets online, people usually laugh, comment, or message me saying, “Wait, you can actually talk about that in therapy?
And the answer is: yes, you can—and you should.

What Sex Therapy Really Is (and Isn’t)

Sex therapy isn’t about watching, judging, or telling you how to perform. It’s about helping you understand your relationship with desire, pleasure, intimacy, and your own body.

In my Miami-based therapy practice, sex therapy looks a lot like any other form of talk therapy—we sit down (virtually or in person), talk about what’s been coming up for you, and explore what’s getting in the way of connection.

That might mean:

  • Working through low libido or mismatched desire

  • Exploring pain during sex or arousal issues

  • Understanding sexual dysfunction (like erectile or orgasmic difficulties)

  • Healing from shame, trauma, or religious conditioning

  • Navigating nontraditional relationships, kink, or open dynamics

  • Rebuilding intimacy after betrayal or disconnection

For couples, it’s often about learning how to communicate about sex—without pressure, guilt, or embarrassment.

What Can Be Made Possible Through Sex Therapy

Sex therapy isn’t just about “fixing” problems—it’s about expanding what’s possible in your relationship with yourself and your partner.

Through the process, you might find yourself:

  • Feeling more connected to your body and your pleasure

  • Learning to ask for what you want without fear or shame

  • Building emotional and physical intimacy that feels safe and fulfilling

  • Discovering that desire doesn’t disappear—it just needs the right conditions to thrive

  • Reclaiming confidence and joy in your sexuality at any age or stage of life

I often say that sex therapy isn’t really about sex—it’s about communication, self-acceptance, and healing from the stories that made you think you had to hide who you are.

Why I Love This Work

As a Certified Sex Therapist in Miami, I get to help people turn some of the most vulnerable parts of their lives into opportunities for growth and connection.
I love watching clients go from shame and anxiety to curiosity and confidence—realizing that their sexuality can be a source of vitality and healing.

There’s nothing taboo about wanting to feel close, desired, or free in your own body.
It’s one of the most human things there is.

Let’s Talk About It

If something about this resonates with you—if you’re feeling disconnected, experiencing sexual dysfunction, or just curious about what’s possible for your pleasure and intimacy—you don’t have to figure it out alone.

At Healing Space Therapy Collective, we offer sex therapy in Miami at our Coral Gables and Aventura offices, and virtually across Florida. We also offer Sex Coaching focused on skills-building to clients locally in Miami and in other locations.
Our work is inclusive, kink-conscious, and affirming of all sexual orientations, gender identities, and relationship structures.

🩷 Learn more or book a consultation

Anna Halliday, LMHC-QS, CST

Anna earned Master’s degrees in Mental Health Counseling from Teachers College, Columbia University, and a Bachelor of Arts in Psychology and Women and Gender Studies from the University of Miami. She is also a Certified Sex Therapist and Kink-Conscious Professional.

Anna has training and experience working with culturally diverse clients coping with relationship issues, sexuality, gender identity exploration, trauma, loss, anxiety, and depression. In addition to her clinical work, she enjoys writing psychology-related blogs focused on self-care, mental health, relationships, and personal growth.

https://www.hstherapycollective.com/annas-bio
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