As a sex therapist, this is one of the most common questions people bring into therapy. It usually comes with a lot of uncertainty and often a quiet fear about what the answer might mean. Is it me, or is it us?

If you’ve watched Bridgerton, you might remember the careful way characters talk around sex. One phrase that stands out is the idea of reaching a “pinnacle.” It’s a euphemism, sure, but it’s also a surprisingly useful one. Because for many people, that pinnacle can feel distant, confusing, or completely unreachable.

Romance novels and sexually charged stories are often dismissed as silly, indulgent, or embarrassing. But from a sex therapy and mental health perspective, reading smut can be regulating, empowering, and deeply validating. It can also be a meaningful way to explore desire without pressure, performance, or shame.

Hi there. If you’re here, you might be wondering whether sex therapy can help you or someone you care about navigate intimacy, sexuality, or connection while living with a neurodivergent brain. Whether you have ADHD, autism, OCD, sensory sensitivities, or just find that your experiences of sex and relationships don’t look like what’s portrayed in mainstream culture, you’re not alone.

Let’s talk about something that’s often misunderstood but affects more people than you might think: hypersexuality. Also known as compulsive sexual behavior, hypersexuality isn't just about having a high sex drive—it’s about feeling like your sexual thoughts or behaviors are running the show, even when you wish they wouldn’t.

Let’s just say it: planning a threesome sounds sexy. But it can also be… intimidating. What if someone gets jealous? What if it’s awkward? What if one person is way more into it than the other?

In this comprehensive guide, we'll explore the unique challenges faced by survivors of sexual trauma, the role of sex therapy in their healing journey, and practical strategies for therapists and survivors alike.