Cay L. Crow, LPC, AASECT-Certified Sex Therapist

1846 Lockhill-Selma, #102

San Antonio, TX  78213

(210) 831-1905

(210) 579-0553

askcay@yahoo.com

What is Sex Therapy?

Sex Therapy is a streamlined form of psychotherapy that focuses exclusively on the sexual functioning of an individual or a couple. Sex Therapy is the preferred modality for treating the psychosocial aspects of sexual dysfunctions such as erectile problems, painful intercourse, premature ejaculation, sexual aversion, lack of sexual desire, and difficulty attaining orgasm.

Before Sex Therapy begins, the client should undergo a complete physical examination by a doctor to ensure that any health issues contributing to the sexual dysfunction have been addressed. Many people do not realize that common diseases such as heart disease, obesity, diabetes, hypertension, and depression can interfere with sexual functioning. After any underlying medical issues have been addressed, the doctor and the sex therapist should work together to address the medical and psychological components simultaneously.

Sex Therapy usually begins with a detailed sexual history, exploring sexual activity along with the client’s attitudes and values towards sexuality. Sex Therapy is typically brief, often requiring few sessions for change to occur. The process involves homework which the client(s) completes at home as well as sex education including physiology, methods of stimulation, positions, fantasy activity, and ways to engage the client’s partner.

It is quite common for people to feel embarrassed or uncomfortable when they begin Sex Therapy. However, with repeated exposure to the sexual issues at hand along with the non-judgmental encouragement of the sex therapist, the client usually feels more at ease and can discuss any aspect of their sexual experience. Sex therapists often hear the phrase, “I never told anyone this before.” Breaking through the sense of shame many people feel towards their sexuality is often the most liberating aspect of sex therapy. Being able to acknowledge and discuss one’s sexual needs with a partner is a huge breakthrough for many couples.

A Sex Therapist may work with many different issues depending on their training, experience and interests. I work with the following issues:

Gay & lesbian individuals or couples

Bisexual issues

Transgender issues including recommendation letters for SRS or other procedures

Gender identity and expression

Sexual abuse survivors

Rape survivors

Female sexual dysfunction: hypoactive sexual desire, vaginismus, dyspareunia (painful intercourse)

Male sexual dysfunction: premature ejaculation, erectile dysfunction, inhibited ejaculation

Polyamory

BDSM

If you have any questions about the practice of Sex Therapy, please don’t hesitate to contact me.

Sexual issues not addressed by Ms. Crow

We all have our limits. There are a few aspects of sexuality that I do not work with:

Bestiality

Scat or Coprophelia

Sexual addiction or compulsive sexual behavior

Should you need help with these issues, I will provide a referral to another professional.