Online Sex Therapy in Colorado
Understanding your sexuality, gender identity and relationship structures in sex therapy
Here are some of the areas we might choose to explore together:
Sexual Health and Well-Being
Sexual health and well-being is all about feeling connected to yourself- your body, your emotions, your desires, and experiencing your sexuality in a way that feels right for you.
This can look like taking care of your physical health, but also getting to know what you enjoy, what your boundaries are, and how your feelings and experiences shape the way you relate to intimacy. Your self-image, your comfort in your own skin, and the way you connect with others all play an important role.
At the heart of it, sexual well-being is about feeling safe, respected, and free to be yourself. It’s about having the space to explore your identity, build meaningful connections, and experience pleasure without shame or pressure. There’s no one “right” way, just what feels authentic and aligned with your values.
Approaching yourself with curiosity and kindness can make a big difference. When you let go of judgment and start listening to your own needs, it becomes easier to build a more fulfilling and balanced relationship with your sexuality. If things feel confusing, stuck, or overwhelming at times, therapy can help you better understand yourself, and move toward feeling more confident, comfortable, and at ease in this part of your life.
LGBTQIA+ Couples Counseling in Colorado
Our sexuality and gender identity is a core part of who we are.
Performance Anxiety
For a lot of people, sex is meant to be a space for pleasure, closeness, and feeling connected, but it doesn’t always feel that way. It’s really common for worries about “performance” to creep in and take over. You might find yourself thinking about whether you can maintain an erection, finish “too soon” or not at all, experience pain and discomfort, or live up to what you think your partner expects. When that happens, it’s easy to get stuck in your head instead of actually feeling what’s going on in your body.
If you’ve experienced that, you’re not alone. Performance anxiety shows up for many people, and it can come from all kinds of places, messages you’ve absorbed growing up, past experiences, or quiet fears about not being “good enough.” Over time, those worries can make you pull back, avoid intimacy, or feel disconnected from both yourself and your partner.
For some, there’s also a physical side to it. Sex might feel uncomfortable or even painful, or your body might not respond the way you want it to. That can be frustrating, confusing, and sometimes discouraging, especially when you want to feel pleasure and connection.
Working through this isn’t about “fixing” yourself; it’s about understanding what’s going on with both your mind and your body and learning how to feel more at ease again. Exploring anxiety before, during or after sex can be a space where you can talk openly without pressure or judgment, make sense of your experiences, and gently rebuild trust in yourself. Ultimately, sex can become less about pressure and more about presence, authenticity, confidence, and real enjoyment.
Opening Up Your Relationship in Ethical Non-Monogamy
Opening up a relationship through ethical non-monogamy (ENM) can be a meaningful and deeply personal choice. At its heart, it’s about exploring connection, with yourself and others while staying grounded in honesty, consent, and clear communication.
There’s no one way to practice ENM. It might look like building multiple loving relationships, sharing experiences together as a couple, or creating your own relationship structure that fits your values. Their paths may include different forms of ENM: polyamory, where multiple loving relationships are nurtured; swinging, which allows couples to share intimacy with others in social settings; relationship anarchy, empowering individuals to define their own rules and connections without following societal norms; solo polyamory, where autonomy and independence are central; and casual, non-committed hookups agreed upon by those involved. What matters most is that everyone involved feels informed, respected, and genuinely comfortable.
ENM can bring new kinds of closeness, growth, and self-understanding—but it can also bring up difficult feelings. Jealousy, insecurity, or comparison are common, even in strong relationships. At the same time, many people also experience moments of joy in seeing their partner happy, often known as ‘compersion.’
This path isn’t always simple, but with openness, self-awareness, and ongoing communication, it can lead to deeper trust, stronger connections, and a more authentic way of relating.
Power Exchange, Kink and BDSM
Power exchange is a lifestyle and practice that’s increasingly recognized within the broader spectrum of sexuality, offering individuals and couples an opportunity to explore new relational dynamics and sensations. It is most commonly expressed through BDSM, an umbrella term encompassing bondage, discipline, sadism, and masochism, which can take place in the privacy of the bedroom or be woven into daily life as part of a chosen identity or relationship structure.
Within this context, power exchange involves consensually shifting control between partners, often through the adoption of roles such as dominant and submissive. This intentional exchange can be empowering for both parties, and it enables participants to experiment with boundaries, desires, and limits in a safe and negotiated environment. Communication is central, as partners discuss what feels comfortable, set clear expectations, and build trust to ensure the experience remains positive and respectful.
Engaging in power exchange can bring about a deeper sense of intimacy and connection. By opening up about fantasies, vulnerabilities, and personal needs, couples often discover new pathways to emotional closeness and mutual understanding. For some, the experience is limited to occasional bedroom play; for others, power exchange becomes a core aspect of their lifestyle, shaping how they relate to themselves and their partners.
It’s important to note that healthy power exchange relies on consent, clear boundaries, and ongoing communication. Tools such as safe words, aftercare, and regular check-ins help maintain emotional safety and foster a supportive environment. Whether exploring new dynamics for pleasure or integrating them as a part of daily life, power exchange can be a transformative experience, enhancing trust, vulnerability, and authentic connection between partners.
Discrepancies in Libido
Differences in sexual desire is a common challenge for couples, often emerging when one partner wants to engage in sex more frequently or prefers longer intimate sessions than the other. Libido, or the level of sexual desire you experience, can fluctuate greatly based on various influences, including physical health, hormonal changes, emotional connection, past trauma, stress levels, and the degree of attraction felt toward one's partner. These differences can cause tension and feelings of disconnection, especially if one partner persistently seeks sexual intimacy while the other feels overwhelmed, withdrawn, or unable to express their true feelings about the situation.
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Without open communication, these mismatches can lead to frustration, misunderstandings, and a sense of distance, making it harder for both partners to feel satisfied and connected in the relationship.
Addressing libido discrepancies with honesty and compassion is essential, as it helps each person feel heard and understood, paving the way for healthier intimacy and stronger emotional bonds.
What Are the Benefits of Sex Therapy?
Sex therapy is talk therapy which offers a non-judgmental space to explore the facets of your sexuality and underlying fears or shame you may feel about it.
Some of the benefits may include:
Deepening self-awareness and insight, with a focus on healing and personal growth​
Begin Online Sex Therapy with NOS Counseling
If you are considering starting online sex therapy, the next step is to schedule a consultation to determine whether my approach aligns with your needs and therapeutic goals.
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NOS Counseling offers virtual therapy services to adults across Colorado seeking compassionate, inclusive, and evidence-based support. Please visit the contact page to arrange a consultation and initiate your therapy journey.