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Online sex therapy is a type of talking therapy available to both individuals and couples. Sexual issues may affect a person’s mental and emotional well-being, but therapists specializing in these areas may offer coping strategies and techniques.

According to the World Health Organization (WHO), sexual health is integral to the overall health and well-being of an individual and those with whom they have a close, intimate relationship.

If a person is having difficulties in this area, they may wish to consider online sex therapy.

Sex therapists are qualified counselors or healthcare professionals who help people with sexual difficulties.

They can help individuals experiencing these challenges, such as a lack of desire, difficulty having orgasms, pain during sex, erectile dysfunction, premature ejaculation, and any other issue related to sex.

Sex therapy sessions usually involve talking therapy, where a person will discuss their sexual experiences, feelings, and therapy goals.

Sexual difficulties may affect a person’s mental health and lead to conditions such as depression and anxiety. According to the American Sexual Health Association (ASHA), sex is an important part of a person’s physical and emotional health.

The ASHA also states sexual health covers many areas, including:

  • pleasure
  • satisfaction
  • intimacy
  • communication

There are many options for online sex therapy, and a suitable starting point may include online directories from the American Association of Sexual Educators, Counselors, and Therapists (AASECT) and the Society for Sex Therapy and Research (SSTAR).

Below, we look at some online sex therapy options to consider.

Please note that the writer of this article has not tried these services. All information presented is purely research-based and correct at the time of publishing.


ReGain specializes in relationship therapy and claims to be the world’s largest couple’s therapy service. However, it also offers individual counseling. The service deals with a range of relationship issues, including intimacy and sex.

ReGain’s service is 100% online, and a person can choose whether they would prefer to use messaging, video, or phone calls. Individuals can also message their therapist at any time and arrange a live session whenever suits them.

All therapists have licenses and accreditation in their fields and specialize in a range of topics. Once a person registers on the website, they can choose the area of their relationship they wish to discuss. Individuals may also select “improve sex and intimacy,” where ReGain will assign them a suitable therapist.

Prices start from around $60–90 per week, depending on location, a person’s needs, and therapist availability. A person can cancel their membership at any time.


Talkspace is an online therapy platform that offers a wide range of support topics, including relationship and sex-related therapy. The sessions can be for individuals or couples.

Once a person registers, they can browse licensed therapist profiles to search for the appropriate specialty in sex and relationships. People can also switch therapists at any time at no extra cost.

If registering as a couple, a person can still have individual therapy sessions once treatment starts and upon a therapist’s recommendations. Sessions are available via video chat, messaging, or phone call.

This is a subscription service, with prices ranging from $50 to 90 per week. The cost depends on the service a person or couple chooses and whether they opt for an individual or couple’s membership.

Talkspace reportedly works with a variety of health insurance plans, and a person should contact their health insurance provider or their employer’s human resources department for confirmation of benefits.

Pride Counseling

Pride Counseling provides counseling for members of the LGBTQIA+ community. A person can register and discuss any issue with their assigned LGBTQIA+-specialized therapist.

While the company does not specifically say it offers sex therapy, all of its therapists are licensed, experienced, and trained in many different areas, including sexuality and other LGBTQIA+ matters. Pride Counseling assigns a therapist to a person depending on their preferences and needs, but they can change therapists if they choose.

We have chosen to list this service as some individuals may prefer to use a site tailored toward LGBTQIA+ issues, which may include sexuality.

Currently, Pride Counseling only offers individual counseling options. A person can communicate with their therapist via messaging, live messaging, live video chat, and phone calls.

The price ranges around $60–$90 per week, depending on a person’s location, needs, and therapist availability.


BetterHelp offers a wide range of licensed therapists, some of which specialize in intimacy issues.

A person can message their assigned therapist at any time. Sessions can take place via live video call, phone call, or live chat. Weekly online group seminars are also available for individuals to attend if they wish.

The cost ranges around $60–90 depending on location, therapist availability, and individual preference. A person can use the therapy service for as long as they need and cancel their membership at any time.

Below we look at some of the most frequently asked questions relating to sex therapy.

Is sex therapy right for me?

If a person has concerns about their sexual intimacy, or if sexual issues are affecting their emotional well-being, they may benefit from sex therapy.

Sexual health conditions, such as erectile dysfunction, can also affect a person’s mental health, so individuals experiencing these health issues may also benefit from contacting a therapist.

How is online sex therapy structured?

While similar to face-to-face counseling, online therapy involves counseling via secure video chat or other virtual methods. A person talks with their counselor, who will ask questions and may offer techniques and strategies that could ease difficulties.

A therapist will never ask a person to participate in sexual activity during their sessions — the sessions are talking-based only.

Individuals can search for online sex therapists through directories from AASECT and SSTAR.

What does online sex therapy usually cost?

Online sex therapy costs depend on the company and therapist. The options in this article range between $50 and $90 per week. It may cost more than regular counseling, as it involves a specialized area.

Couple’s counseling may also cost more than individual counseling.

A person should speak with their doctor if sexual problems:

  • last longer than a few months
  • affect relationships
  • affect a person’s physical well-being
  • affect a person’s emotional well-being

Individuals should also discuss with their doctor if they experience erectile dysfunction or premature ejaculation, as available medications could help alleviate symptoms.

Sexual health is important for an individual or couple’s overall well-being. If a person has sexual difficulties, it could affect their mental health and their relationship with their partner or partners.

Online sex therapy, a type of talking therapy, is available to individuals and couples. They can discuss any sexual or relationship issue with a therapist typically specializing in these areas.

Many online therapy services involve a subscription fee, but a person can cancel this at any time.