---
title: "Sex Therapy for Men | FrankTalk Therapy"
description: "Sex therapy for men and men in couples with Paul Nelson, LMHC: ED, low libido, performance anxiety, Peyronie's, and post-prostatectomy recovery."
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# Sex Therapy

[Home](/)/ Sex Therapy 

## What is Sex Therapy?

Sex therapy is usually a type of medium to long-term psychotherapy which helps individuals and couples struggling with sexual challenges and feelings. If you're feeling overwhelmed and need help, therapy might be what you need.

The focus of Franktalk therapy is men who are dealing with distress about sexual function issues whether they are caused by physiological or psychological problems. Physiological causes may be surgeries, illnesses, diseases, or even age. Examples of psychological causes can include anxiety/depression, [performance anxiety](/specialties/performance-anxiety), relationship issues, or sexual confusion or orientation.

Sex therapy is often more than a couple sessions. It is goal oriented (we want to help solve your problems), but it allows us to take time to look at you as a whole person. We can explore your family history, your relationship to sexuality growing up, your relationship history, as well as experiences and traumas. If you are feeling overwhelmed and a bit lost and looking for help to sort out some confusing situations, therapy is likely what you are looking for.

Sex therapy usually includes sex education – but not the kind you learned in middle school! Sex education is a re-wiring and retraining of how we think and approach sex. Most of us learned about sex from teenagers and porn - both sources are completely wrong! Sex education is learning to make intentional choices about how we express our sexuality either alone or with a partner(s). We learn how to create a sexual reality based on who we are - not on a sequence of events we learned from porn.

It's important to remember that therapy needs to have concrete goals. This is far more than just talking about your feelings. Therapy is about finding solutions through creating new approaches and reframing thoughts and feelings.

If you are still deciding whether this is the kind of clinician you want, it may help to read what a [sexual therapist for men](/sexual-therapist-for-men) actually does in the room, and how Paul's training and scope compare with other sources of help.

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Years of practice

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Men supported

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Sessions

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Confidential

## What men bring to Sex Therapy

Tap any topic to learn how we approach it.

Erectile DysfunctionPerformance AnxietyLow LibidoPeyronie's DiseasePost-ProstatectomyPorn & CompulsivityRelationship & IntimacySexual Identity

### Erectile Dysfunction

We look at both the physiological and psychological drivers of ED, coordinate with your medical team when useful, and rebuild sexual confidence step by step.

Some men arrive knowing they want ongoing sex therapy. Others want one expert read on the situation and a plan. Three questions will tell you which of the two is the better place to start.

Not sure yet

### Is sex therapy the right depth for this?

Question 1 of 3

#### What best describes what you're looking for right now?

Long-term support to work through something → Focused advice on a specific problem → 

Starting Sex Therapy

## How the first session comes together

No intake packet on a public web page, and no questionnaire before we have spoken. Four steps, in this order.

Step One Get in touch 

Send a note through the contact page and tell me briefly what is going on. You do not need to have the words for it yet. I read every message myself.

[Contact FrankTalk Therapy](/contact)

Step Two We find a time 

I will come back to you with times that work. Sessions are 50 minutes.

Step Three Paperwork, sent to you privately 

Before your first session I will send the client agreement and registration forms to you directly, through a secure system. They are deliberately not on this website, because your date of birth, your address and your history should not travel through a public web page.

Step Four Payment 

Payment is collected at the time of booking. Payment may be made via Zelle, Google Pay, or Venmo.

If you are experiencing financial hardship we can add a limited sliding scale. [Contact FrankTalk Therapy](/contact) for more information.

Book sex therapy

50-min Sex Therapy session

$250 

[Talk to Paul](/contact)

Sessions run Mon and Wed evenings, Friday daytime, and Saturday mornings, all times ET.

Questions?

[Contact FrankTalk Therapy →](/contact)

Sex Therapy FAQ 

## Questions men ask before a first sex therapy session

Will we talk about sex in detail? 

Yes, plainly and without euphemism. That is the point of a sex therapy room. You set the pace, and nothing you say here surprises Paul.

Do I need a medical workup first? 

For erectile changes, pain, curvature, or a sudden loss of function, a physician should evaluate you. Paul is not a physician and does not prescribe. The two kinds of care run alongside each other.

Is there any physical exam or touch in a session? 

Never. Sessions are conversation. Any practice work happens privately at home, on your own or with a partner, and we talk about how it went.

Can my partner join? 

Often useful, and never required. Many men start alone and bring a partner in once the pattern is clearer. Men in couples are welcome from the first session.

How is this different from general therapy for men? 

The focus stays on sexual function, intimacy, and the meaning you attach to both. If broader mental health becomes the main issue, we can shift into Therapy for Men instead.

Do you take insurance? 

Sessions are out-of-network for all insurance companies. You'll receive an itemized superbill with diagnosis and billing codes to submit for reimbursement.

Still have questions? [Contact us](/contact)

Book a Session

## Ready to Book a Sex Therapy Session?

Focused sex therapy for men and men in couples, covering ED, low libido, performance anxiety, Peyronie's, post-prostatectomy, intimacy, and identity. Pick a time and get started.

[Book a Sex Therapy Session](/contact)

Private, direct, and you don't have to explain yourself first.

### Appointments are generally available: Mondays 5pm–9pm, Fridays 9am–6pm, & Saturdays 9am–1pm 

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-   [Home](/)
-   [About Paul](/about)
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-   [Consulting](/consulting)
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-   [What We Help With](/specialties)
-   [Guides for Men](/guides)
-   [What to Expect](/what-to-expect)
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-   [FAQ](/faq)
-   [Areas Served](/areas-served)
-   [Join Waiting Room](https://doxy.me/franktalktherapy)
-   [Contact](/contact)

### Contact

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