Sex and Sexuality Therapy

A private, unembarrassed place to talk about sex, desire, identity and intimacy, with an accredited therapist by secure video.

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Accredited therapists Fully confidential Evening & weekend times

Everything is confidentialWhat you say in a session stays in the session.

Secure video, Ireland-wideFrom wherever you feel comfortable, on any device.

No GP referral neededBook online in a couple of minutes.

Evening and weekend timesSessions that fit around work and family.

Sex is one of the last things people say out loud. Even with someone you love. Even with a GP you have known for years. A difficulty that has crept in over a few months, a question about who you are attracted to, a feeling of shame you have carried since you were a teenager, these tend to stay unsaid.

Online therapy gives you somewhere private to say them. Sessions happen by secure video, so you can attend from home or anywhere you feel comfortable, from any county in Ireland. No waiting room, nobody to meet on the way out, and no long drive home while you sit with what you have just talked about.

What is online sex and sexuality therapy?

Sex therapy, also called psychosexual therapy, is talking therapy focused on sexual wellbeing: desire, arousal, pleasure, pain, sexual response, and the emotional and relationship factors sitting around all of it. It is conversation, and sometimes agreed exercises you do in your own time, in private. The specialist body for this work in Britain and Ireland, COSRT, sets standards for therapists trained in it.

Sexuality counselling looks wider. It is often about sexual orientation, gender identity, self-acceptance, and finding language for your own experience that actually fits you. Neither of these is the same as general relationship therapy, though they overlap often, because communication, desire and intimacy rarely stay in their own box.

Type of support	Usually focuses on
Sex therapy (psychosexual therapy)	Sexual response, desire, arousal, pain, performance anxiety, and what feeds them
Sexuality counselling	Sexual orientation, gender identity, self-acceptance, stigma, coming out
Couples or relationship therapy	Conflict, trust, communication and connection, with sex as one part of it

One thing worth saying plainly. There is no sexual contact of any kind, no physical examination, and you are never asked to demonstrate or perform anything. You talk, and you agree between you what, if anything, you try at home.

What sexual or intimacy concerns can therapy help with?

People come with all sorts of things, and most of them are far more common than the person sitting with them believes. Some of what comes up regularly:

Erectile difficulties, ejaculating sooner or later than you want, and the anxiety that builds around performance. The NHS notes that erectile dysfunction is very common and often has both physical and psychological causes.
Low desire, or two partners wanting sex at very different rates, which often turns into a row about something else entirely.
Difficulty with arousal or orgasm, or sex that has quietly stopped feeling pleasurable.
Painful sex and pelvic pain, changes during pregnancy and after birth, and changes around menopause, ageing, illness, or recovery from medical treatment.
Pornography use or sexual behaviour that feels out of your control, shame about sex, body image, and simply not knowing how to raise any of it with a partner.

Causes are usually mixed. Physical health, medication side effects, stress, past experiences, what you were taught about sex growing up, and what is happening in the relationship all feed into each other. Therapy can also be a place to work with the effects of sexual trauma, though that takes time, and some people need specialist trauma support or medical care alongside it. No therapist can promise you an outcome.

Not sure if this is the right fit?

A first session is just a conversation.

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Is online therapy suitable for me, my partner or my identity?

You can come on your own or with a partner. Plenty of people start individually even when the concern involves the relationship, because it is easier to say the first version of it to one person.

Couples work tends to be about the practical stuff: how to talk about sex without it turning into an argument, rebuilding closeness after a long gap, and negotiating real differences in what each of you wants, in a way both of you can live with.

Individuals, couples, and people in relationship structures that are not monogamous
All sexual orientations and gender identities, with affirmative practice as the baseline, not a special request
People with little or no sexual experience, and people who have had a lot
Anyone exploring their identity, dealing with stigma, or thinking about coming out

Being unsure about your orientation or gender is not a disorder, and good therapy does not treat it as one. The work is about your own language and your own pace. If you want peer support alongside therapy, LGBT Ireland offers information and a national support line.

How does online sex therapy work, and what happens in the first session?

You book online, usually in about two minutes, with no GP letter needed. An encrypted video link arrives by email, with nothing to install. If you are attending as a couple you can sit together in one room or join separately from two locations, whichever suits.

Stage	What happens
First session	You describe what is going on now, some relevant sexual, relationship and health history, what you would like to be different, and where your limits are. It is also your chance to see whether this therapist feels right.
Later sessions	Understanding how sexual response actually works, communication work, mindfulness, and small things to notice or try between sessions. You can withdraw consent from any exercise at any point.

Sessions are confidential, and records are kept securely in line with data protection law, overseen in Ireland by the Data Protection Commission. The limits are standard and your therapist will explain them at the start: serious risk to you or someone else, child protection concerns, or a court order.

A few practical things help. Use headphones, pick a room where you will not be overheard, and use a private connection rather than shared office wifi. Your therapist will take an address for where you are during sessions and an emergency contact, which is normal practice for online work.

How do I choose a qualified sex or sexuality therapist in Ireland?

The title "sex therapist" is not protected, so check what sits behind it. Look for a core qualification in counselling, psychotherapy, psychology or medicine, then specialist training and supervised experience in psychosexual or sexuality work on top of that.

Current accreditation or registration with a recognised body: IACP, IAHIP, the Psychological Society of Ireland, or COSRT for psychosexual work specifically
Experience with your particular concern, with couples if relevant, and with LGBTQI+ affirmative and trauma-aware practice
Clear fees, session length and cancellation terms before you book

Statutory regulation of counsellors and psychotherapists in Ireland is still being put in place by CORU, so professional body membership remains the practical check for now. Beyond the paperwork, ask yourself after the first session whether you felt respected and able to speak honestly. That matters more than any letters after a name.

Frequently asked questions

How much does online sex therapy cost in Ireland?

Fees vary by therapist, by session length, and by whether the appointment is for one person or a couple, with couples sessions often longer and priced accordingly. Current fees are shown on the booking page before you confirm anything. Some health insurance policies contribute towards counselling and psychotherapy, so it is worth checking your own cover.

How effective is online therapy for sexual difficulties?

Research on therapy delivered by video generally finds it comparable to meeting in a room for many common difficulties, and the structured approaches used in sex therapy have a long track record. That said, results depend on what is causing the difficulty, how much you engage with it, and whether medical treatment is needed as well. Specific evidence on video-delivered psychosexual therapy is more limited than for anxiety or low mood, so treat any strong promise about outcomes with caution.

When should I see a GP or medical specialist instead of a sex therapist?

See a doctor first, or alongside therapy, if you notice any of the following:

New or persistent pain during sex, or pelvic pain
Bleeding, discharge, or a possible sexually transmitted infection
A sudden change in erections, sensation, or function
Symptoms that started after beginning a new medication

The HSE can point you towards sexual health services. Medical care and therapy work perfectly well side by side, and often the honest answer involves both.

How can I take the next step?

You can book a confidential online session whenever you feel ready, or send an enquiry first if you would rather ask a question before committing to anything. When you get in touch, it helps to say:

Whether you are looking for individual or couples support
A rough sense of what you would like help with, in whatever words you have
Times that suit you, including evenings and weekends

You do not need to know the cause. You do not need the right vocabulary, and you do not need to have it worked out before you speak to anyone. Bringing it in half-formed is how most people start.

One important note. This is not an emergency service. If you are in immediate danger or thinking about harming yourself, phone 999 or 112, contact your GP or nearest emergency department, or ring Samaritans free on 116 123, any hour of the day.