Sex therapy Vienna

Sex therapy: what it is, how it works and when it makes sense

Sex therapy is a safe space in which people can openly discuss their questions and challenges relating to sexuality, intimacy and relationships. This form of therapy helps people to develop a better understanding of their own desires, needs and possible blockages that affect their personal and partner experience. Sex therapy can help with issues such as communication difficulties, listlessness, insecurities, sexual dysfunction or the desire for a more fulfilling intimate life. It is not just about providing information, but above all about empathetic and respectful support in the individual process in order to find more connection and pleasure in one's own sexual experience. Find out more →

  • Last update: August 12, 2026
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Sex therapy

Sexuality is a central component of human life and personality. It not only influences physical and emotional well-being, but also the quality of relationships. Nevertheless, the topic is often accompanied by shame, insecurity or taboos. When problems arise in sexuality - whether on an individual or partnership level - this can be stressful and have an impact on many areas of life. This is where sex therapy comes in, helping people to understand their sexual challenges and find solutions.

Sex therapy is a psychotherapeutic method that aims to promote sexual health, satisfaction and self-determination. It is aimed at individuals and couples who are dealing with sexual dysfunction, partnership conflicts, personal insecurities or the processing of trauma. The aim is to clarify individual needs and desires in relation to sexuality and to enable a fulfilled, self-determined sexuality.

How does sex therapy work?

The course of sex therapy varies depending on the therapist and the individual needs of the patient, but generally follows a structured approach:
1. initial consultation
The first step is a confidential discussion in which those affected can describe their concerns. Questions are often asked to help gain an accurate picture of the situation:
  • What are the problems with sexuality?
  • Are there any physical or medical causes that have already been clarified?
  • How do those affected experience their relationship (if they have one)? The aim is to create a basis of trust in which intimate topics can be discussed openly and without shame.
2. diagnostics and objectives
After the initial consultation, a more in-depth analysis of the problem is carried out. Both psychological and physical aspects can play a role here. In some cases, we work closely with medical specialists (e.g. gynecologists, urologists or endocrinologists) to rule out organic causes. Goals are defined together with the patient: Should a sexual dysfunction be treated, should intimacy in the partnership be strengthened or should a better understanding of one's own sexuality be developed?
3. therapeutic interventions
The core of sex therapy lies in dealing with the underlying problems. These can be diverse and require different approaches, e.g:
  • Talk therapy: disclosure of fears, insecurities or conflicts. It is often also about improving communication between the partners.
  • Psychoeducation: imparting knowledge about sexual functions, pleasure and arousal in order to reduce misunderstandings or false expectations.
  • Body-oriented approaches: Although sex therapy is not physical therapy, sometimes exercises are recommended that can be done alone or together (e.g. touching exercises to build trust and intimacy).
  • Trauma processing: If sexuality is impaired by past traumatic experiences, specific methods are used to process these.
4. evaluation and conclusion
Sex therapy is often time-limited and comprises between five and 20 sessions, depending on the topic. The progress is regularly reviewed and therapy ends when the set goals have been achieved or patients feel that they can continue working independently.

Sex therapy - questions & answers

Sexuality is a central component of human life and personality. It not only influences physical and emotional well-being, but also the quality of relationships. Nevertheless, the topic is often accompanied by shame, insecurity or taboos. When problems arise in sexuality - whether on an individual or partnership level - this can be stressful and have an impact on many areas of life. This is where sex therapy comes in, helping people to understand their sexual challenges and find solutions.

Sex therapy is a psychotherapeutic method that aims to promote sexual health, satisfaction and self-determination. It is aimed at individuals and couples who are dealing with sexual dysfunction, partnership conflicts, personal insecurities or the processing of trauma. The aim is to clarify individual needs and desires in relation to sexuality and to enable a fulfilled, self-determined sexuality.

  • Sexual dysfunction
    Problems such as erectile dysfunction, premature ejaculation, listlessness or pain during sexual intercourse (dyspareunia) can have both physical and psychological causes. Sex therapy helps to understand and overcome these causes.
  • Partnership conflicts
    Different sexual needs, a lack of intimacy or communication problems can put a strain on the relationship. Sex therapy helps couples to find a solution together.
  • Changes in life
    Major life changes - such as pregnancy, the birth of a child Child, the menopause or health restrictions - can affect sexuality. Sex therapy helps you to find your way through these new phases of life.
  • Individual topics
    Some people seek sex therapy in order to better understand themselves. Questions about sexual orientation, identity or the role of sexuality in one's own life are the focus here.
  • Processing trauma
    Sexual assault or abuse can have a massive impact on sexuality. Sex therapy offers a safe space to work through such experiences and redefine your own sexuality.

No, sex therapy is also aimed at individuals who want to come to terms with their own sexuality. It is not necessary to be in a relationship to take advantage of sex therapy.

Openness is important, but each patient decides for themselves how much they want to share. The therapists deal sensitively with shame or insecurities and respect personal boundaries.

Sex therapy primarily treats psychological and emotional aspects. Physical causes should be clarified by a doctor beforehand. Medical and therapeutic approaches often complement each other.

Many people feel ashamed at first. However, sex therapists are specially trained to create a non-judgmental, trusting atmosphere in which openness is easier.

Yes, in many cases the therapist will suggest exercises that you can do alone or with your partner at home. These exercises can help you to build intimacy, become more aware of your own body or release sexual blockages. The exercises are individually adapted and are an important part of the therapy process.

No, sex therapy is purely a talking therapy. There are no physical acts or exercises that are performed on the spot in the session. If exercises are suggested, these are always intended for the private setting. The sessions focus on sharing, reflecting and finding solutions.
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