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Common Questions About Sex Therapy

Get answers about sex therapy, couples counseling, and what to expect in therapy in Denver, Colorado.

General Queries

Q: What is sex therapy and how does it work?

Sex therapy is a form of talk therapy that helps individuals and couples address sexual concerns, intimacy issues, and relationship challenges. At Sophia O'Connor Therapy in Denver, Colorado, I use conversation, reflection, and guided exercises to help you reconnect with your sexuality in a shame-free way.

Q: Is Sophia O'Connor a certified sex therapist?

Yes. I am an AASECT-certified sex therapist (CST), which is the gold standard certification in sexual health therapy in the United States. I am based in Denver, Colorado and also offer virtual sessions across Colorado and beyond.

Q: Do I have to come in person for sex therapy in Denver?

No. I offer both in-person sessions at my Denver, Colorado office and virtual sessions over Zoom for clients across Colorado.

Q: How do I book a consultation with a sex therapist in Denver?

You can schedule a free 20-minute consultation with my office maner through our online booking page. It's a no-pressure call to see if I am the right fit for you.

​Q: How much does sex therapy cost in Denver, Colorado?

Session fees vary depending on the type of therapy. Visit the About/Fees page for current pricing, or contact my office manager directly at erin@sophiaoconnortherapy.com or 720-289-6822.​

Couples Therapy

Q: What issues does couples sex therapy help with in Denver?

Couples therapy at Sophia O'Connor Therapy in Denver, Colorado helps with intimacy problems, desire differences, communication breakdowns, infidelity recovery, sexual dissatisfaction, and more. Sessions are sex-positive and judgment-free.

Q: How is couples sex therapy different from regular couples counseling?

Couples sex therapy specifically addresses the sexual and intimate dimensions of a relationship — things many general therapists aren't trained to discuss. I am AASECT-certified, meaning I have specialized training to help couples navigate sexual concerns directly and effectively.

Q: How long does couples therapy take to see results?

Every couple is different. I tailor the pace and approach to each couple's specific needs and goals. For couples looking to jumpstart their work, I offer a couples intensive.

Q: Do both partners need to attend couples therapy sessions?

Yes. I start most couples on a 2-1-1 model — the couples first session is together, then each member of the couple has a  one-on-one session with me. After that, all sessions will have both members of the couple together.

Individual Therapy

Q: Who is individual sex therapy for in Denver, Colorado?

Individual sex therapy is for anyone wanting to explore their sexuality, overcome shame, address trauma, understand their desires, or work through concerns around identity, libido, or sexual functioning — all in a safe, confidential, and non-judgmental space.

Q: Is individual sex therapy only for people with sexual problems?

Not at all. Many people come to individual therapy simply to deepen their self-understanding, build confidence, or explore their erotic identity. You don't need to have a "problem" to benefit from sex therapy in Denver.

Q: What happens in an individual sex therapy session?

I use a combination of conversation, self-inquiry, and between-session exercises to help you connect with your sexuality and shed shame or inhibition.

Infidelity

Q: Can therapy help a couple recover from infidelity in Denver, Colorado?

Yes. Infidelity therapy with me in Denver helps couples process the pain of an affair, rebuild trust, improve communication, and decide together whether to repair or move forward separately — all with compassion and without judgment.

Q: How long does infidelity therapy take?

Recovery from infidelity is deeply personal and varies by couple. Some clients find clarity in a few months; others benefit from longer-term work. I will work with you at a pace that feels right.

Q: Is it possible to rebuild trust after an affair?

Yes, many couples do successfully rebuild trust and even report a deeper connection after infidelity therapy. The key is both partners being committed to the process and having professional support to guide the way.

Low Libido

Q: What causes low libido and can therapy help in Colorado?

Low libido can be caused by stress, hormonal changes, relationship dynamics, past trauma, body image concerns, or simply a mismatch in desire between partners. Therapy with me in Denver, Colorado helps identify the root cause and develop practical strategies to reconnect with desire.

Q: Is low libido therapy just for couples?

No. I work with both individuals and couples experiencing low sex drive. Whether you're single or partnered, therapy can help you reconnect with your sexuality on your own terms.

Q: How do I know if my low libido needs professional help?

If low sex drive is causing you distress, affecting your relationship, or making you feel disconnected from yourself, it's worth speaking with a therapist. I offer a free virtual 20-minute consultation to help you decide if therapy is the right fit.

Sex Addiction/Out of Control Sexual Behavior

What is out of control sexual behavior and how is it treated in Denver?

Out of control sexual behavior (OCSB) refers to sexual thoughts or actions that feel compulsive, distressing, or difficult to manage. I provide compassionate, non-shaming therapy in Denver, Colorado that helps clients understand the underlying needs driving the behavior and develop healthier patterns.

Q: Is sex addiction a real diagnosis?

The term "sex addiction" is debated in clinical circles. I use the framework of out of control sexual behavior (OCSB), which focuses on the distress and impact of the behavior rather than labeling it as an addiction. Treatment is personalized, non-judgmental, and evidence-informed.

Q: Will my therapist judge me for out of control sexual behavior?

Absolutely not. My practice is built on a sex-positive, shame-free foundation. Whatever brings you in, you will be met with compassion and professional support.

Male Sexual Functioning

Q: What male sexual concerns does Sophia treat in Denver, Colorado?

I work with men experiencing erectile dysfunction (ED), premature ejaculation, delayed ejaculation, low libido, sexual performance anxiety, and concerns around sexual identity or confidence.

Q: Is it embarrassing to see a sex therapist for erectile dysfunction?

It's completely normal to feel nervous, but most clients feel immediate relief once they're in a session. I create a warm, professional, and judgment-free environment specifically designed for these conversations.

Q: Does male sexual dysfunction always have a physical cause?

Not always. Many cases of ED or performance anxiety have psychological components such as stress, anxiety, or relationship dynamics. Sex therapy addresses these factors directly and can be used alongside medical treatment when needed.

Ethical Non-Monogamy

Q: What is ethical non-monogamy therapy in Denver, Colorado?

Ethical non-monogamy (ENM) therapy helps individuals and couples navigate open relationships, polyamory, and other consensual non-monogamous arrangements. I am a kink and ENM-affirming therapist who provides a judgment-free space to explore these relationship structures.

Q: Can a therapist help if my partner and I disagree about opening our relationship?

Yes. I help couples explore the desires, fears, and boundaries that come with considering non-monogamy. Whether you decide to open your relationship or not, therapy helps you communicate and connect more deeply.

Q: Is polyamory counseling available virtually in Colorado?

Yes. I offers virtual ENM and polyamory counseling sessions across Colorado via Telehealth.

Premarital Therapy

Q: Why should couples do premarital therapy in Denver, Colorado?

Premarital therapy helps couples build a strong foundation before marriage by opening honest conversations about sex, intimacy, finances, conflict, values, and expectations. My sex-positive approach ensures that sexuality is part of the conversation — something most premarital counseling skips entirely.

Q: When should we start premarital counseling?

Ideally 6-12 months before your wedding, but there's no wrong time to start. Even couples who are already married benefit from the tools and conversations that premarital work covers.

Conscious Uncoupling

Q: What is conscious uncoupling therapy in Denver, Colorado?

Conscious uncoupling is a therapeutic process that helps couples separate with kindness, clarity, and mutual respect. Rather than focusing on blame, it helps both partners find closure, honor the relationship's value, and move forward with grace.

Q: Is conscious uncoupling only for married couples?

No. Conscious uncoupling therapy in Denver is available for any committed relationship — married or not — where both partners want to separate in a thoughtful, intentional way.

Discernment Counseling

Q: What is discernment counseling and how is it different from couples therapy?

Discernment counseling is specifically for couples where one or both partners are unsure whether to stay in the relationship or separate. Unlike regular couples therapy, it doesn't try to fix the relationship — it helps each person gain clarity about their decision. I offer discernment counseling in Denver, Colorado.

Q: How many sessions does discernment counseling take?

Discernment counseling is typically short-term however every relationship is different and may need more or less sessions.

Fertility

Q: How can therapy help during a fertility journey in Denver, Colorado?

Fertility challenges, including IVF, miscarriage, and infertility, can take a significant emotional toll on individuals and couples. I provide compassionate counseling to help you process grief, reduce anxiety, maintain connection with your partner, and navigate the emotional complexity of fertility treatment.

Q: Is fertility counseling available virtually in Colorado?

Yes. I offer virtual fertility counseling sessions. 

Fertility

Q: Is there a kink-friendly therapist in Denver, Colorado?

Yes. Sophia O'Connor is a kink, BDSM, and fetish-affirming therapist in Denver, Colorado. She provides a completely non-judgmental space to explore, understand, and embrace your sexual interests without shame.

Q: Do I need to explain my kinks or fetishes to my therapist?

Only what you're comfortable sharing. My role is to support your wellbeing and help you explore your sexuality on your terms — never to judge or pathologize consensual sexual interests.

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