Marriage Counseling or Sex Therapy?


Marriage counseling and sex therapy are not the same thing.

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Many couples have asked themselves after their first marriage counselling session…

“Is marriage counseling worth it, does it actually work?” or even

Does marriage counseling lead to divorce?”  

Well…it might….  

If the goal of couples therapy, for you, is to address a sexual intimacy difficulty then a marriage therapist might not be the right person to see.   

The reason….  

Marriage therapists are not trained in sex counseling.   

So the success rate of marriage counseling for sexual issues is pretty low.  That doesn’t mean that marriage counseling doesn’t work, it just might not be the right kind of therapy for the difficulty you’re facing. 

Should you seek couples counseling or sex therapy?

Certified sex therapists receive specialized training and supervision around the common sexual difficulties people face. Organizations like the American Board of Christian Sex therapists (ABCST), The American Association of Sexuality Educators, Counselors, and Therapists (AASECT)set extremely stringent standards of training, experience, and supervision for certification. 

By working with a certified sex therapist you can have confidence that the professional you work with will know how to assess your situation, diagnose the problem, and formulate a treatment plan to help you reach your goals – If, your problem is of a sexual nature. 

If your difficulty is more of a relational nature, then you might need to work with a marriage counselor first. 

If your spouse doesn’t like you and therefore doesn’t want to have sex with you….that’s more of a relational problem than a sex problem. You’re going to need to address the relational problems first before sex therapy is going to be all that helpful. 

Who comes first…

How do you know if you need marriage counseling? If you’re having relationship conflict: unresolved fights, communication struggles, feelings of resentment, or intense anger with your spouse – You should probably work with a marriage counselor first, before starting sex therapy (unless your sex therapist is also a marriage counselor – which many are). 

Marriage Counseling Near Me

So how do I find marriage counseling near me? You could do a Google search for couples therapy and check out the reviews. You could also ask your pastor for recommendations.  If you live near Kansas City, Missouri, Springfield, Missouri, Columbia, Missouri, Branson, Missouri, or Denver, Colorado you can connect with a MyCounselor.Online marriage therapist in-person. 

Online Marriage Counseling

If you are having trouble finding a marriage counselor in your area you might try connecting with an online marriage counselor through MyCounselor.Online. Many couples find the convenience of meeting with a therapist from their own couch is so great they prefer it over traveling to the counselor’s office. 

MyCounselor provides some of the best online marriage counseling you can find (of course I might be a little bias since it’s where I work :-). Our counselors provide affordable online couples counseling from the convenience of your home. You can’t beat that!

Sex Therapist Recommendations Near Me

If a sex therapist is a right fit for your situation, you might be wondering where you can find one. MyCounselor.Online has sex therapists available to meet with you in-person or online if there isn’t a location near you. You can also find a list of Board Certified Christian Sex Therapists here:


About the Author

Josh Spurlock, MA, LPC, CST is a licensed professional counselor and certified sex therapist with over 10,000 hours of experience. Josh specializes in online marriage counseling and online sex therapy. He founded MyCounselor.Online to increase access to excellent Christian counseling around the world.

Updated: February 28, 2020 — 2:56 am