Share on Pinterest

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Movies and media have created unrealistic expectations surrounding sex. In reality, sex doesn’t go smoothly all the time, 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. 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 (AASECT).

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, according to research from 2000.

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.

What is a sex therapist?

A sex therapist is a qualified professional (for instance, a doctor, therapist, counselor, or clinical social worker, among others) that has expert-level knowledge in sex therapy and mental health.

A sex therapist can help with various sexual-related problems, such as:

  • lack of libido/no sex drive
  • excessive libido
  • unwanted sexual thoughts
  • erectile dysfunction
  • premature ejaculation and other ejaculation problems
  • inability or difficulty reaching orgasm
  • anxiety around sexual performance
  • sexual problems and/or difficulties between couples
  • trouble with intimacy

Occasional sexual dysfunction or anxiety around sex can be a normal part of life. However, if you find that you’re unable to have a fulfilling sex life or your sexual problems are especially distressing or interfering with your relationships, it may be time to consider seeing a sex therapist.

You may also benefit from a sex therapist if you’re experiencing roadblocks to getting intimate with your partner.

Seeing a sex therapist does not just mean you have to be experiencing issues with your partners, though. If you generally have anxiety surrounding sexual performance, you may benefit from talking with a sex therapist.

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

  • an affordable price or insurance eligibility
  • a commitment to privacy
  • good customer reviews
  • useful communication methods
  • accessibility

We recommend only products from companies we stand behind as being credible and ethical. You can learn more about our vetting process here. Mental health experts also review all our recommendations for mental health-related products.

We chose services that offer online therapy by licensed therapists. However, not all therapists may be trained to offer assistance with sexual health — we recommend making sure that your assigned mental health professional is equipped with the proper skills by asking them about their experience.

Best overall

Talkspace

  • Price: $69–$129 per week, depending on subscription type
  • Insurance accepted: yes
  • App version: yes
  • What you need: computer, smartphone, or tablet; camera and microphone
  • Why we chose it: covers a wide range of issues in addition to sex

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 or have relevant experience.

Online sex therapy through Talkspace can help with compulsive sexual behavior, intimacy concerns in couples, and exploration of 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.

  • Pros: option to choose your therapist
  • Cons: not all therapists offer sex therapy

Best for couples

ReGain

  • Price: $90–$120 per week (billed every 4 weeks)
  • Insurance accepted: no
  • App version: yes
  • What you need: device with a web browser
  • Why we chose it: specifically for couples

ReGain is an online relationship counseling platform that offers 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 concerns that are separate from those they experience with a partner.

One drawback, however, is that ReGain doesn’t support three-way live sessions. This means that both individuals need to be in the same location for joint sessions.

  • Pros: more affordable
  • Cons: does not support more than two cameras per live session

Best for individuals

BetterHelp

  • Price: $90–$120 per week (billed every 4 weeks)
  • Insurance accepted: no
  • App version: yes
  • What you need: device with a web browser, camera, or microphone

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 offers only 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 with 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. This is the standard of care in the field of sex therapy and these therapists are trained to assist you with managing your sexual health symptoms.

Pros: offers financial assistance
Cons: offers only individual counseling

Best for the LGBTQ+ community

Pride Counseling

  • Price: $90–$120 per week (billed every 4 weeks)
  • Insurance accepted: no
  • App version: yes
  • What you need: device with a web browser, camera, or microphone
  • Why we chose it: offers niche and specialized help

Pride Counseling is an online counseling platform for LGBTQ+ individuals. You can speak with a licensed therapist about concerns 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. These are taken into consideration when you’re matched with a therapist.

  • Pros: strong privacy features
  • Cons: offers only general therapy that may include sex — no designated sex therapy option

ServicePriceIndividual or coupleChat and text available?Audio available?Video available?Can you choose a counselor?
Talkspace$69–$129 per weekbothyesyes (voice messages)yesyes
ReGain$90–$120 per weekbothyesyesyesno
BetterHelp$90–$120 per weekindividualyesyesyesno
Pride Counseling$90–$120 per weekindividualyesyesyesno

  • Qualifications. Make sure the professional you’re paired with is certified in sex therapy (look for AASECT certification) or at least has further training in human sexuality than a general therapist.
  • Weigh your options. It’s OK to shop around! You can totally try out a few therapists before you find one that’s the perfect fit for you and any partners.
  • Insurance or cost. Most therapy apps do not take insurance, but if that’s something that’s important to you, do a little research to find out if they accept yours. If they don’t, consider the out-of-pocket cost that’s right for your budget.
  • What they cover. A good sex therapist addresses sexual issues, but a great one takes into account physiological experiences, too. They may also explore how your mental, emotional, spiritual, and relational health impacts your symptoms.
  • Specialties. Make sure to seek out therapists that specialize in attributes applicable to your sex life: LGBT relationships, BDSM, polyamory, etc.

Remember that no one should require you to take your clothes off or perform sexual acts during sex therapy.

If you’d prefer in-person appointments, there are likely therapists that specialize in sex in your area.

Start with an online database of sex therapists like this one provided by Psychology Today or ask a healthcare professional for a referral. You may also be able to search your insurance’s website to find one that accepts your insurance.

In person or online, be sure to keep the above points in mind when finding a therapist that’s right for you.

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 gives you 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 structured using 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 or romance. 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, since it’s a more specialized therapy service. However, online sex therapy is usually more affordable than traditional in-person therapy.

Is online sex therapy secure?

It depends on the service. Check with your provider to see if any security measures are in place to keep your sessions private.

Do I have to attend with a partner?

No. It’s common to attend sex therapy with a partner for concerns that affect both parties in a relationship, but you may also attend solo for issues that affect only you.

Is it the same as marriage counseling or couples therapy?

Yes and no. Marriage counseling or couples therapy may cover sex and intimacy, but sex therapy focuses specifically on sex and doesn’t require you to be married or in a relationship.

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 toward 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.