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Movies and media have created unrealistic expectations surrounding sex. In reality, sex isn’t perfect, and there are many reasons to seek the help of a psychotherapist who specializes in sex therapy.

You may have difficulty experiencing orgasms, worry about how often you and your partner engage in sexual activities, or feel insecure about your performance during sex.

If you have fears or frustrations about sex, it may be helpful to look into sex therapy or telehealth options, like online sex therapy.

Here are the best online sex therapy programs you can access from the comfort of your own bedroom.

Sex therapy is a type of talk therapy that addresses concerns related to sexual function, satisfaction, and intimacy in individual or couples counseling. It’s a specialized type of psychotherapy. Sex therapy can be effective for people of all ages, genders, and sexual orientations.

Not all therapists undergo sex therapy training, so sex therapists are specialists who have expertise in sexual health. Some are certified sex therapists by the American Association of Sexuality Educators, Counselors, and Therapists.

Like other forms of psychotherapy, sex therapy involves sharing your feelings about your sexual life. Talking about your sexual experiences and worries with a sex therapist can help treat conditions, like sexual dysfunction, which affects approximately 43 percent of women and 31 percent of men to some degree in their lifetime.

Online sex therapy is a type of telehealth service that can be accessed from home. Telehealth is more accessible and often more affordable than traditional in-person therapy, so online sex therapy is an option for people who have limited access to or prefer it to face-to-face sessions.

To select the best online sex therapy programs, we considered various factors, like:

  • price
  • insurance eligibility
  • privacy
  • customer reviews
  • communication methods
  • accessibility

We chose services that offer online therapy by licensed therapists with relevant expertise related to sexual intimacy and relationships.

Best overall

Talkspace

  • Price: $260–$396 per month for individuals or $396 per month for couples
  • Insurance accepted: Yes

Talkspace is one of the largest and most well-known telehealth platforms. It’s a subscription-based site that offers several plans for individuals and couples. Some plans include text, video, and audio messaging, while others offer live sessions.

You can get matched with a therapist or choose one yourself using Talkspace’s directory of licensed therapists. For sex therapy, Talkspace recommends selecting your own therapist, since not all therapists offer sex therapy services and have relevant experience.

Online sex therapy through Talkspace can help with compulsive sexual behavior, intimacy issues in couples, and exploring your sexuality.

Couples who seek sex therapy together don’t have to be in the same room. Talkspace offers a private room that’s shared with a professional, so discussing your feelings and experiences is safe, secure, and convenient.

Best for couples

ReGain

  • Price: $60–$80 per week (billed monthly)
  • Insurance accepted: No

ReGain is an online relationship counseling platform that offers online sex therapy services for couples. Using a computer, tablet, or smartphone, anyone can have access to a safe and discreet method of speaking with a licensed therapist.

While couples share a joint account that’s used to communicate with their therapist, individuals can request one-on-one live sessions to speak with the therapist privately.

This can be beneficial for individuals who have sex-related issues that are separate from those they experience with a partner.

One drawback, however, is that ReGain doesn’t support three-way live sessions. Both individuals need to be in the same location during their live sessions.

Best for individuals

BetterHelp

  • Price: $60–$90 per week (billed monthly)
  • Insurance accepted: No

BetterHelp is another well-known online therapy platform that offers text-based chat, phone calls, and live video sessions. Like Talkspace, BetterHelp has a large network of experienced therapists with various specialties, like family, marriage, and sex.

However, BetterHelp only offers individual counseling. Couples interested in online sex therapy may be directed to ReGain, BetterHelp’s sister site, for relationship counseling.

When signing up for BetterHelp, you can select “intimacy issues” as a reason you’re seeking therapy. This can help you get matched to a therapist who specializes in sexual issues.

If you feel like your therapist isn’t a good fit, you can choose an AASECT certified sex therapist, who are the standard of care in the field of sex therapy and are guaranteed to have relevant experience related to sex therapy.

Best for the LGBTQ+ community

Pride Counseling

  • Price: $60–$90 per week (billed monthly)
  • Insurance accepted: No

Pride Counseling is an online counseling platform for LGBTQ+ individuals. You can speak with a licensed therapist about issues related to your sexual orientation and gender identity through text, phone, and video.

While Pride Counseling doesn’t explicitly offer sex therapy, many of the licensed therapists are experienced in sex-related issues that people in the LGBTQ+ community face. All Pride Counseling therapists specialize in treating people in the LGBTQ+ community.

The lengthy sign-up questionnaire also asks specific questions related to sex and gender as these are taken into consideration when you’re matched with a therapist.

Is sex therapy right for me?

If you experience sexual challenges or sexual dysfunction, or if you have frustrations related to sex, you may benefit from sex therapy. There are many reasons to see a sex therapist.

For individuals, sex therapy can be helpful if you’re questioning your sexual orientation, experiencing low libido, or processing sexual trauma.

For couples, sex therapy can be helpful if you have mismatched desires or fetishes, difficulties communicating, or interest in opening up your relationship.

Online sex therapy may be right for you if you’re comfortable with online communication. Online therapy also opens up more options compared with limited local options. Depending on your needs and expectations, telehealth services may be a better option.

How is online sex therapy structured?

Online sex therapy is a hybrid between face-to-face sessions and telehealth. Since online sex therapy can be for individuals or couples, you may attend with a partner.

Using a smartphone, tablet, or computer, you’ll connect to a secure video chat where you can privately and comfortably speak with your therapist. This requires an internet connection.

Sexual acts or education don’t occur during online sex therapy. You, your partner, and your therapist do not engage in sexual intercourse. You won’t be asked to disrobe, nor will your therapist disrobe in front of you.

Your therapist may assign homework for you or for you and your partner to do on your own time and speak about during later sessions.

What does online sex therapy usually cost?

The cost of online sex therapy can range. It can cost as low as $55 to more than $195 per session. This depends on the telehealth service you use, if you have health insurance, the therapist, and a number of other factors, like where you live.

Couples counseling tends to cost more than individual counseling. Sex therapy is typically more expensive than traditional therapy, as it’s a more specialized therapy service. However, online sex therapy is usually more affordable than traditional in-person therapy.

A healthy sex life can be a fulfilling and natural part of life. For many, having a sexual connection with their partner has emotional and physical benefits. However, fears and frustrations surrounding sex can lead to sexual dysfunction.

Online sex therapy is one way to talk through your feelings and experiences related to sex and worked towards increased sexual satisfaction. Seeing a sex therapist can help individuals and couples achieve healthier sex lives.


Lacey Bourassa is a health, wellness, and beauty writer based in Southern California. She holds a BA in English. Her work has appeared in digital publications like Livestrong, Verywell, Business Insider, Eat This Not That, and others. When she’s not writing, Lacey is likely pursuing her other interests: skin care, plant-based cooking, pilates, and traveling. You can keep up with her by visiting her website or her blog.