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What is the Difference Between a Sex Coach and a Sex Therapist?

Origins and Evolution

Origins of Sex Coaching and Sex Therapy

The origins of both sex coaching and sex therapy can be traced back to the mid-20th century, although their roots go even further back. Sex therapy emerged from the fields of psychology and psychotherapy, influenced significantly by the pioneering work of Masters and Johnson in the 1960s. They revolutionized the field with their research on human sexual response and therapy for sexual dysfunctions.

On the other hand, sex coaching has a more diverse origin. It evolved from a combination of disciplines, including life coaching, holistic health, and sexual education. The rise of the coaching industry in the 1990s and early 2000s provided a framework for sex coaching to develop as a distinct profession.

Evolution and Professional Development

Over the years, both fields have undergone significant evolution. Sex therapy has become more specialized, with therapists now having to undergo extensive training in psychology or counseling, and then additional certification in sex therapy. This specialization has allowed for a more nuanced understanding of the psychological aspects of sexual health and dysfunctions.

Sex coaching, in contrast, has seen a broader evolution. It has integrated approaches from various fields like mindfulness, bodywork, and even spirituality, to offer a more holistic approach to sexual well-being. The field has become more structured with the establishment of professional bodies and certification programs, although it remains more diverse in its approaches compared to sex therapy.

Interdisciplinary Influences

Both fields have been influenced by interdisciplinary approaches. Sex therapy often incorporates insights from medical science, psychology, and sociology. Sex coaches may draw upon a wider range of disciplines, including holistic health practices, nutrition, and even yoga or tantra, to address sexual well-being.

Contemporary Trends

In recent years, there has been a growing recognition of the importance of sexual health and well-being, leading to greater acceptance and demand for both sex therapy and sex coaching. Technological advancements have also played a role, with online consultations and digital resources becoming more prevalent in both fields.

Moreover, there’s been an increased emphasis on inclusivity and diversity in both fields, with more attention being paid to the sexual well-being of LGBTQ+ communities, people with disabilities, and other marginalized groups.

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Approaches and Techniques

Approaches and Techniques in Sex Therapy

1. Psychotherapeutic Approaches: Sex therapy often employs psychotherapeutic methods like cognitive-behavioral therapy (CBT) to address underlying psychological issues related to sexual dysfunction or distress. Therapists may work to change negative thought patterns and beliefs about sex and intimacy.

2. Sensate Focus Exercises: Developed by Masters and Johnson, these are guided exercises where couples are encouraged to explore each other’s bodies without the goal of sexual arousal. It helps in reducing performance anxiety and increasing intimacy.

3. Communication Training: Effective communication is crucial for a healthy sexual relationship. Sex therapists often teach couples how to communicate their desires, boundaries, and concerns more effectively.

4. Addressing Trauma: For individuals with a history of sexual trauma, sex therapists may use trauma-informed approaches to help heal and reclaim a healthy sexual life.

5. Medical Collaboration: In cases where there are underlying medical issues contributing to sexual problems, sex therapists often work collaboratively with medical professionals.

Approaches and Techniques in Sex Coaching

1. Holistic and Body-Centered Techniques: Sex coaches often employ holistic techniques that consider the entire individual – mind, body, and spirit. Techniques like breathwork, meditation, or even yoga can be used to enhance sexual energy and awareness.

2. Educational Tools: Unlike therapists, sex coaches often take on a more educational role, providing information and resources about anatomy, sexual function, and techniques for better sexual experiences.

3. Goal Setting: Sex coaches work with individuals or couples to set and achieve specific sexual and intimacy goals, using a more goal-oriented approach than therapy.

4. Empowerment and Self-Exploration: Coaches encourage clients to explore their own desires and empower them to express these in their relationships. This might involve guided self-exploration exercises or discussions about fantasies and desires.

5. Non-Traditional Methods: Some sex coaches integrate non-traditional or alternative methods such as tantra or energy work to help individuals connect with their sexual energy in new ways.

6. Workshops and Group Settings: Many sex coaches offer workshops or group sessions, providing a space for shared learning and community support around sexual topics.

While both sex therapists and sex coaches aim to improve sexual well-being, their approaches and techniques can be quite different. Sex therapy tends to be more rooted in psychotherapy and focuses on resolving sexual dysfunctions or trauma. In contrast, sex coaching often takes a more holistic, educational, and goal-oriented approach, sometimes incorporating alternative methods to enhance sexual wellness and empowerment.

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Areas of Focus

Areas of Focus in Sex Therapy

1. Sexual Dysfunctions: Sex therapists commonly address issues like erectile dysfunction, premature ejaculation, low libido, and difficulties with arousal or orgasm. They delve into both the psychological and physical aspects of these dysfunctions.

2. Relationship Issues: Many sexual problems are rooted in relationship dynamics. Sex therapists often focus on improving intimacy, trust, and communication between partners.

3. Impact of Health and Aging: Health issues, including chronic illnesses or the effects of aging, can impact sexual functioning. Sex therapists work with clients to navigate these changes and find fulfilling sexual experiences.

4. Trauma and Abuse: Addressing and healing from sexual trauma or abuse is a crucial focus area. Therapists provide a safe space for individuals to work through these deeply personal and often painful experiences.

5. LGBTQ+ Concerns: Sex therapists are increasingly focusing on the unique sexual and relationship concerns of the LGBTQ+ community, including issues related to gender identity and sexual orientation.

Areas of Focus in Sex Coaching

1. Sexual Exploration and Empowerment: Sex coaches often encourage clients to explore their sexuality, helping them to discover and embrace their sexual desires and preferences.

2. Enhancing Pleasure: A significant focus is on increasing sexual pleasure. This can involve learning about the body, trying new sexual activities, or exploring fantasies.

3. Overcoming Inhibitions: Many individuals struggle with sexual inhibitions due to cultural, religious, or personal reasons. Sex coaches work to help clients overcome these barriers to a fulfilling sex life.

4. Body Image and Self-Esteem: Issues with body image and self-esteem can greatly impact sexual experiences. Coaches often address these areas, promoting a more positive and accepting view of one’s body.

5. Mindfulness and Presence: Teaching clients to be more present and mindful during sexual experiences is another focus. This can lead to more meaningful and satisfying sexual encounters.

6. Alternative Sexual Lifestyles: Sex coaches may also provide support and guidance for individuals or couples exploring alternative sexual lifestyles, such as polyamory, kink, or BDSM.

In summary, the areas of focus in sex therapy and sex coaching can overlap, but they also have distinct differences. Sex therapy often deals with resolving dysfunctions and trauma, while sex coaching is more oriented towards exploration, empowerment, and enhancing pleasure. Both, however, play pivotal roles in improving sexual well-being and helping individuals and couples achieve a more satisfying sexual life.

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Goal Setting

Goal Setting in Sex Therapy

1. Addressing Specific Dysfunctions: Clients often come to sex therapy with specific dysfunctions they want to overcome, such as premature ejaculation or lack of desire. Setting goals involves defining clear, manageable steps to tackle these issues.

2. Improving Intimacy: Goals may be set to enhance emotional and physical intimacy in relationships. This could involve exercises for couples to practice at home, aimed at fostering closeness and understanding.

3. Emotional Healing: For those dealing with trauma or negative sexual experiences, goals might include working through these emotions and reclaiming a healthy sexual identity.

4. Enhancing Communication: Clear goals can be set around improving communication about sexual needs and preferences, which is often a key area of focus in sex therapy.

5. Lifestyle Changes: Goals may also include lifestyle changes that can positively impact sexual health, such as stress management or healthier habits.

Goal Setting in Sex Coaching

1. Exploring Desires: Sex coaches help clients articulate and set goals around exploring their sexual desires and fantasies. This could involve trying new things or communicating these desires to partners.

2. Building Confidence: Clients may set goals to build sexual confidence and body positivity, which can have a profound impact on their sexual experiences.

3. Enhancing Pleasure: Goals in sex coaching often revolve around increasing sexual pleasure, whether that’s through learning new techniques, understanding one’s body better, or overcoming mental blocks to pleasure.

4. Relationship Dynamics: For couples, goals might include finding new ways to connect sexually or navigating changes in their sexual relationship over time.

5. Personal Growth: Many clients set goals related to personal growth and empowerment in their sexual lives, such as overcoming societal conditioning or embracing their sexual identity.

Goal setting in both sex therapy and sex coaching involves identifying specific, achievable objectives tailored to the individual’s or couple’s needs. In therapy, these goals often focus on resolving issues and healing, while in coaching, they tend to be more about exploration, enhancement, and personal growth. Both approaches, however, recognise the importance of clear goal setting as a means to facilitate meaningful progress and improvement in sexual well-being.

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Integration with Other Therapies

Integration in Sex Therapy

1. Cognitive Behavioral Therapy (CBT): Sex therapists often integrate CBT techniques to help clients identify and change negative thought patterns that affect sexual functioning. This approach can be particularly effective in addressing issues like performance anxiety.

2. Couple’s Therapy: Sex therapy and couple’s therapy often overlap. Integrating couple’s therapy can address broader relationship dynamics that impact sexual satisfaction and intimacy.

3. Trauma-Informed Therapy: For individuals dealing with sexual trauma, sex therapy may be integrated with trauma-informed therapeutic approaches, such as EMDR (Eye Movement Desensitization and Reprocessing), to address underlying trauma.

4. Mindfulness-Based Therapies: Techniques from mindfulness-based therapies can be integrated to help clients become more present during sexual activities and manage issues such as sexual pain or anxiety.

5. Medical Collaboration: Sex therapists often collaborate with medical professionals, especially when sexual issues have a physiological component, such as hormonal imbalances or chronic illnesses.

Integration in Sex Coaching

1. Holistic Health Practices: Sex coaches may integrate holistic health practices like yoga or meditation to promote overall well-being and a better mind-body connection, which can enhance sexual experiences.

2. Mindfulness and Meditation: Similar to sex therapy, sex coaching can integrate mindfulness and meditation practices to help clients become more attuned to their bodies and sexual responses.

3. Educational Resources: Sex coaches often incorporate educational resources, workshops, or seminars into their practice to provide clients with comprehensive knowledge about sexuality and relationships.

4. Life Coaching Principles: Many sex coaches integrate principles from general life coaching to help clients achieve broader personal development goals that can positively impact their sexual lives.

5. Alternative Therapies: Some sex coaches integrate alternative therapies such as tantra or somatic practices to help clients explore new dimensions of their sexuality.

Integrating other therapeutic approaches into sex therapy and sex coaching allows for a more comprehensive and personalized approach to addressing sexual issues. It acknowledges that sexual well-being is interconnected with mental, emotional, and physical health and that a multifaceted approach can be highly beneficial in achieving holistic sexual wellness.

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Impact on Relationships

Impact of Sex Therapy on Relationships

1. Enhanced Communication: Sex therapy often leads to improved communication between partners about their sexual desires and concerns. This openness can foster a deeper understanding and connection.

2. Resolving Conflicts: Sex therapy can help couples navigate and resolve conflicts related to sexual issues, reducing tension and promoting harmony in the relationship.

3. Rekindling Intimacy: Through sex therapy, couples can rekindle intimacy that may have diminished due to various factors, such as stress, health issues, or life changes.

4. Building Trust: Addressing sexual problems in a safe and professional environment can build trust between partners, as they work together towards a common goal of sexual satisfaction.

5. Personal Growth: As individuals work through their sexual issues, they often experience personal growth, which positively impacts their relationships.

Impact of Sex Coaching on Relationships

1. Exploration of Desires: Sex coaching encourages couples to explore and share their sexual desires, leading to a more exciting and fulfilling sexual relationship.

2. Increased Confidence: As individuals gain confidence in their sexuality through sex coaching, this can translate into more confident and assertive behavior in the relationship.

3. Navigating Changes: Sex coaching can help couples navigate changes in their sexual relationship, such as those brought about by aging, health issues, or changes in preference.

4. Empowerment: Sex coaching often focuses on empowering individuals in their sexuality, which can lead to a more balanced and mutually satisfying relationship.

5. Preventing Issues: By addressing potential sexual issues before they become problematic, sex coaching can prevent future conflicts and promote long-term relationship satisfaction.

Both sex therapy and sex coaching can have a profound impact on relationships. While sex therapy often focuses on resolving existing issues and healing, sex coaching is more oriented towards exploration, enhancement, and prevention. Both approaches, however, lead to improved communication, deeper intimacy, and overall healthier and more satisfying relationships.


Understanding the differences between a sex coach and a sex therapist is crucial in seeking the right kind of help. While they may overlap in some areas, their approaches, educational backgrounds, and methods are distinct. Whether it’s practical guidance or deep psychological work, choosing the right professional is key to achieving sexual wellness.


Can a sex coach provide therapy?

No, a sex coach is not qualified to provide therapy unless they have the necessary credentials in mental health.

Is sex therapy only for those with problems?

No, sex therapy can be beneficial for enhancement and growth, not just for solving problems.

How long does it typically take to see results from sex coaching?

Results can vary, but many see improvements within a few sessions due to the practical and goal-oriented nature of coaching.

Can sex therapy help with relationship issues?

Yes, sex therapy can address sexual issues that impact relationships, often leading to improved communication and intimacy.

Are there any online resources for finding a sex coach or therapist?

Yes, there are several online directories and platforms where you can find qualified sex coaches and therapists.

Angelica Jackson a therapist at Denver Couples and Sex Therapy

I’m Angelica Jackson, From Denver Couples & Sex Therapy PLLC. I graduated with a Master’s in Clinical Mental Health Counseling, and I am a Licensed Professional Counselor Candidate also involved at the local and national level of the American Association of Sexuality Educators, Counselors, and Therapists. I have dedicated myself to building a practice committed to providing extraordinary, expert client care.