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Sex Therapy

A private, professional space to talk about sex, intimacy and desire, with a therapist trained in this work.

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.

Talking about sex is difficult for most people. Talking about it when something has gone wrong, when desire has quietly disappeared, when it hurts, when one of you wants it and the other has started dreading it, is harder again. Plenty of people carry that for years before they say it out loud to anyone.

Online sex therapy gives you somewhere to say it. Sessions are by secure video, so you can attend from home or anywhere private, wherever you are in Ireland. You can come on your own or with a partner. Nobody will rush you, judge you, or expect you to have the right words ready.

What is online sex therapy and how does it work?

Sex therapy, also called psychosexual therapy, is a talking therapy. It looks at the psychological, physical and relationship factors that affect sex and intimacy, and how they feed into each other. No physical examination, no touch, no watching. Just conversation, some straightforward information about how bodies and desire actually work, and sometimes an exercise you agree to try privately at home between sessions.

Titles in this area can be confusing, so here is the short version.

Who they are What that usually means
Sex therapist (psychosexual therapist) A qualified counsellor or psychotherapist with additional specialist training in sexual difficulties, working with individuals and couples
Sexologist A broad term covering people who study or teach about human sexuality; it does not on its own mean clinical therapy training
Relationship or couples counsellor Trained in relationship work, though not always in psychosexual difficulties specifically
General psychotherapist Trained across a wide range of difficulties; may or may not have done specialist sexual health training

The specialist training matters because sexual difficulties sit across the body, the mind and the relationship at once. It is reasonable to ask any therapist what theirs is. The College of Sexual and Relationship Therapists (COSRT) sets out what specialist psychosexual training involves.

One thing that is never part of it: therapy does not involve any sexual contact, nudity or sexual activity with your therapist. Not at any stage. Any therapist who suggests otherwise is breaching professional ethics, and you should end contact and report it.

What sexual or intimacy concerns can online sex therapy help with?

People come with all sorts of things. Some of the most common:

  • Low desire, or desire that no longer matches your partner’s
  • Arousal difficulties, including erectile difficulties
  • Difficulty reaching orgasm, or premature or delayed ejaculation
  • Painful sex, including vaginismus
  • Performance anxiety, and the dread that builds up around it
  • Loss of intimacy, sexual dissatisfaction, or not knowing how to talk about any of it
  • Rebuilding after infidelity
  • Adjusting after illness, surgery, childbirth or menopause

There is also the harder-to-name stuff. Shame about your body or your wants. Sexual behaviour that feels out of your control. The long echo of a difficult or frightening sexual experience.

Medical, psychological and relationship factors overlap constantly here, and untangling them is part of the work. Where something might have a physical cause, your therapist will suggest you also talk to your GP, or sometimes a pelvic health physiotherapist or another specialist. The HSE’s sexual wellbeing service is a good starting point for the medical side.

Not sure if this is the right fit?

A first session is just a conversation.

Is online sex therapy suitable for me, my partner or both of us?

Both. You can attend on your own or together, and it depends on what you are hoping to change rather than on any rule.

If your partner does not want to come, is not available, or simply is not ready, individual therapy still works. Quite a lot changes in a relationship when one person starts understanding their own part of it differently. You are not stuck just because they are not sitting beside you.

  • Couples sessions tend to suit mismatched desire, communication breakdown, and rebuilding trust. You can join from the same room or from two different places.
  • Individual sessions often suit shame, body image, past sexual experiences, or working out what you actually want.
  • Both, at different points, is common. Some people start individually and bring a partner in later.

Everyone is welcome here, whatever your sexual orientation, gender identity, relationship structure, age or ability. You will not be asked to explain or defend how your relationships are arranged.

What happens during an online sex therapy session?

The first session is mostly you talking and your therapist listening. You will be asked about the concern itself, a bit of your sexual and relationship history, how you are doing generally, and whether there is anything medical in the picture. You share what feels manageable. Nothing more.

Then you agree together on what you are working towards. Realistic things, not a performance target.

After that, sessions might involve:

  • Plain information about how arousal, desire, and the body work, which clears up more than people expect
  • Practising how to say what you want, and what you do not want
  • Noticing the thoughts that fire up during sex and learning to hold them differently
  • Mindfulness and slowing down, particularly where anxiety is driving things
  • Sensate focus, agreed touch exercises done privately at home, usually beginning with touch that is not sexual at all

Nothing is done to you and nothing happens without your say-so. If difficult or traumatic experiences are part of your history, the pace is set around what feels safe, and you can stop or change direction at any point.

Is online sex therapy as effective as meeting in person?

Research into talking therapy delivered by video has generally found it works about as well as sitting in a room together for common difficulties such as anxiety and low mood. For psychosexual work specifically the research base is smaller, so the honest answer is that it suits many people well, and outcomes still vary depending on the person and the difficulty. Some people also find the small distance of a screen makes the first conversation easier, not harder.

What online does reliably give you:

  • Access from anywhere in Ireland, including places with no local psychosexual therapist
  • No drive, no car park, no waiting room where you might meet somebody you know
  • Sessions from a room you already feel safe in
  • Evening and weekend times that fit around work and childcare

You will need a reasonably steady internet connection, a device with a camera and microphone, and somewhere you cannot be overheard. Headphones help a lot with that. Some people take the session in a parked car, and that is fine.

Online is not right for everybody. If there is active risk to your safety, ongoing coercion in the relationship, or a difficulty that needs medical assessment first, your therapist will say so and talk through what would serve you better, including services near you. That conversation happens early, not months in.

How do I choose a qualified and confidential online sex therapist in Ireland?

Every therapist here is a qualified counsellor or psychotherapist, accredited with a recognised professional body and working under regular clinical supervision. Anyone taking psychosexual work has additional specialist training in it. Statutory registration for counsellors and psychotherapists in Ireland is still being put in place through CORU, so for now accreditation with a body such as the Irish Association for Counselling and Psychotherapy is the clearest marker to look for, whoever you go to.

Worth asking anyone, including us:

  • What are your qualifications, and which body are you accredited with?
  • What specific psychosexual training have you done?
  • Have you worked with this particular difficulty before?
  • Do you work with individuals, couples, or both?
  • Are you in ongoing supervision?

On privacy: sessions run on an encrypted video link that arrives by email, with nothing to install. What you say stays between you and your therapist. Brief, secure notes are kept as professional practice requires. The limits are narrow and your therapist will explain them at the start: serious risk to you or someone else, a concern that a child or vulnerable adult is at risk, which carries reporting duties set out by Tusla, or a court order.

Use a first session to notice how you feel in it. Respected? Able to breathe? That instinct is worth trusting.

Common questions about online sex therapy

Worth checking before you book Where you will find it
Individual and couples session fees Shown on the booking page before you confirm anything
Session length and payment method Booking page
Cancellation notice required Booking confirmation email
Whether reduced-cost places are available Ask us directly

How much does online sex therapy cost in Ireland?

Current fees for individual and couples sessions are listed on the booking page, so you see the exact figure before you commit. Sessions are typically 50 minutes and paid at the time of booking, and the cancellation notice we ask for is in your confirmation email. Some health insurance policies contribute towards counselling and psychotherapy, so it is worth checking yours. If cost is the thing standing in your way, ask us what is available rather than deciding on your own that the door is closed.

How long does sex therapy usually take to work?

It depends on the difficulty, how long it has been going on, and what you want to be different. Some concerns shift noticeably within a handful of sessions; others, particularly where there is a long history behind them, take longer. You and your therapist review how it is going as you go, and you decide together whether to continue. Nobody can promise you a particular result, and you should be wary of anyone who does.

Do I need a GP referral to access online sex therapy in Ireland?

No. You can book directly, with no GP letter and no waiting for a referral. That said, some sexual difficulties have a physical element, so your therapist may suggest you also see your GP, a pelvic health physiotherapist or another specialist alongside the therapy. Medication, certain health conditions and hormonal changes can all play a part, and it helps to have that checked rather than assumed.

How can I book an online sex therapy session?

Booking takes about two minutes and you do not need to set up an account.

  1. Pick a therapist from the profiles, or book with no preference and we will match you thoughtfully.
  2. Choose a time that works, including evenings and weekends.
  3. A private, encrypted video link arrives by email. Nothing to install.

If you would rather ask something first, send us an enquiry and we will normally come back to you within one working day. You will not be asked for intimate details in that first message, and there is no pressure to book afterwards. A few questions answered is a perfectly good reason to get in touch.

If you need support outside therapy, the HSE’s sexual wellbeing service covers sexual health information and services in Ireland, the National 24-Hour Rape Crisis Helpline is free on 1800 77 8888, and Samaritans is free on 116 123 at any hour if things feel too heavy to hold on your own tonight.

When you're ready, we're here.

Booking takes about two minutes, and you can reschedule any time up to 24 hours before.

Book a session Questions? Contact us →