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Sex Therapy

Professional, compassionate support for individuals and couples seeking to address sexual concerns, enhance intimacy, and improve sexual wellbeing.

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Understanding Sex Therapy

Sex therapy is a specialized form of psychotherapy that addresses concerns related to sexual function, sexual feelings, intimacy, and relationships. It provides a safe, non-judgmental space to discuss sensitive topics and develop strategies to overcome challenges related to sexuality and intimacy.

At Hisparadise Therapy, our approach to sex therapy is holistic, recognizing that sexual wellbeing is influenced by physical, psychological, relational, and cultural factors. We work with individuals and couples to address specific sexual concerns, enhance communication about intimate needs, and foster healthier attitudes toward sexuality.

Contrary to common misconceptions, sex therapy does not involve any physical contact or sexual activity during sessions. Instead, it focuses on discussion, education, and therapeutic exercises that clients practice in the privacy of their own homes. Our sex therapy services are conducted with the utmost professionalism, respect, and cultural sensitivity.

Couple in discussion with therapist

Our Guiding Principles

1

Sexual Health is Essential Health

We recognize that sexual wellbeing is an important component of overall health and quality of life, deserving the same attention and care as other aspects of health.

2

Cultural Sensitivity

We approach sexuality with awareness of diverse cultural backgrounds, religious beliefs, and personal values, providing respectful care that honors your individual context.

3

Sexual Diversity

We affirm and respect the diversity of sexual orientations, gender identities, relationship structures, and sexual expressions that are consensual and healthy.

4

Trauma-Informed Care

We understand the impact that past trauma can have on sexuality and intimacy, and provide care that is sensitive to these experiences, prioritizing safety and empowerment.

5

Couple-Centered Approach

For those in relationships, we view sexual concerns as couple issues rather than individual problems, focusing on mutual understanding and shared solutions.

6

Education and Destigmatization

We believe in the power of accurate information and normalization to reduce shame and stigma around sexual concerns, promoting healthier attitudes toward sexuality.

Our Therapeutic Approach

At Hisparadise Therapy, we utilize evidence-based approaches to sex therapy that address the complex interplay of physical, psychological, relational, and cultural factors that influence sexual health and satisfaction. Our therapists are trained in multiple therapeutic modalities that we integrate based on your specific needs.

We combine elements from several evidence-based approaches, including:

  • Cognitive-Behavioral Sex Therapy: Addressing unhelpful thoughts, beliefs, and behaviors that impact sexual function and satisfaction
  • Sensate Focus Techniques: Structured touching exercises that help couples reconnect physically without pressure
  • Emotionally Focused Therapy: Addressing emotional barriers to intimacy and connection in relationships
  • Mindfulness-Based Approaches: Developing present-moment awareness to enhance sexual experience and reduce anxiety

Each therapy plan is tailored to address your specific concerns, preferences, and goals, with an emphasis on practical strategies you can implement to create meaningful change.

1

Assessment

A comprehensive evaluation of sexual concerns, relationship dynamics, health factors, and personal history to understand the full context of your situation.

2

Education

Providing accurate information about sexual health, anatomy, function, and common concerns to address misconceptions and reduce anxiety.

3

Skill Building

Developing specific skills such as communication about intimate topics, mindfulness techniques, and strategies to address specific sexual concerns.

4

Integration

Working to integrate new perspectives, skills, and experiences into your intimate life in a way that feels authentic and sustainable.

Issues We Address

Individual Concerns
Relationship Concerns
Situational Issues
Psychological Factors

Individual Sexual Concerns

Many people experience challenges related to their sexual function or response. These issues can impact self-esteem, relationship satisfaction, and overall quality of life, but they are often treatable with appropriate therapeutic support.

Common individual concerns we address include:

  • Low sexual desire or interest - Persistent or recurrent lack of interest in sexual activity
  • Arousal difficulties - Challenges becoming or staying physically aroused during sexual activity
  • Orgasm concerns - Difficulty reaching orgasm, delayed orgasm, or premature ejaculation
  • Sexual pain disorders - Discomfort or pain during sexual activity
  • Erectile difficulties - Challenges achieving or maintaining an erection
  • Body image concerns - Negative feelings about one's body that impact sexual confidence and enjoyment

Our approach involves identifying contributing factors (physical, psychological, relational, and cultural), providing education about normal sexual function, and developing specific strategies to address your unique concerns.

Relationship and Intimacy Concerns

Couples often face challenges related to sexual connection and intimacy. These issues typically involve both partners and benefit from a therapeutic approach that addresses the relationship dynamics as well as individual factors.

Common relationship concerns we address include:

  • Mismatched desire - Differences in levels of sexual interest or frequency preferences
  • Communication difficulties - Challenges discussing sexual needs, preferences, or concerns
  • Intimacy avoidance - Patterns of avoiding physical or emotional intimacy
  • Sexual boredom or disconnection - Feeling that sex has become routine, predictable, or lacking in connection
  • Negotiating differences - Finding mutually satisfying approaches when partners have different preferences or interests
  • Impact of life transitions - Adjusting to changes like parenthood, health issues, or aging that affect sexuality

Our couples-centered approach focuses on enhancing communication, understanding each partner's perspective, and developing strategies that honor both individuals' needs and boundaries while fostering connection.

Situational Factors and Life Transitions

Many sexual concerns are related to specific life circumstances or transitions. Understanding these contexts is essential for developing effective approaches to sexual wellness.

Common situational factors we address include:

  • Adaptation to parenthood - Navigating changes in sexuality and intimacy after having children
  • Menopause and aging - Addressing physical and emotional changes that impact sexuality
  • Health conditions and medications - Managing the impact of health issues or treatments on sexual function
  • Relationship transitions - Adjusting to changes such as moving from casual to committed relationships
  • Work-related stress - Addressing how career demands affect energy and interest in intimacy
  • Cultural adjustment - Navigating different cultural expectations around sexuality

Our approach for situational factors involves practical strategies for adaptation, communication skills for discussing changing needs, and techniques for maintaining connection during periods of transition or stress.

Psychological and Emotional Factors

Mental health, past experiences, and emotional states have profound effects on sexuality. Addressing these psychological components is often essential for resolving sexual concerns.

Common psychological factors we address include:

  • Sexual anxiety - Worry, fear, or performance concerns related to sexual activity
  • Impact of past trauma - How sexual trauma or abuse affects current sexuality
  • Negative sexual beliefs - Unhelpful or inaccurate ideas about sex from family, religion, or culture
  • Shame and guilt - Uncomfortable feelings about sexual desires, interests, or behaviors
  • Depression and anxiety - How mood disorders impact sexual desire and function
  • Self-esteem issues - Low self-worth affecting sexual confidence and expression

Our approach to psychological factors integrates cognitive-behavioral techniques, mindfulness practices, and compassionate exploration of emotions and beliefs, all within a trauma-informed framework that prioritizes safety and empowerment.

Benefits of Sex Therapy

Improved Communication

Develop skills to discuss intimate topics openly and respectfully, making it easier to express needs, preferences, and boundaries with your partner.

Enhanced Self-Awareness

Gain deeper understanding of your own sexual responses, desires, and triggers, allowing for more authentic sexual expression and satisfaction.

Deeper Intimacy

Build stronger emotional connection with your partner, creating a foundation for more fulfilling physical intimacy and overall relationship satisfaction.

Accurate Information

Receive evidence-based education about sexual health and function, correcting misconceptions and expanding your knowledge of sexuality.

Reduced Anxiety

Learn to manage performance anxiety and worries about sex, allowing for more relaxed, present, and enjoyable intimate experiences.

Healthier Attitudes

Develop more positive, accepting attitudes toward sexuality, reducing shame and guilt that may have been limiting your sexual expression and enjoyment.

Meet Your Sex Therapist

Dr. Sarah Okonkwo specializes in helping individuals and couples address concerns related to sexuality and intimacy. With specialized training in sex therapy and over 12 years of clinical experience, she provides compassionate, culturally-sensitive care in a non-judgmental environment.

Ph.D. in Clinical Psychology with specialization in Sexual Health
Certified Sex Therapist
Training in Emotionally Focused Therapy for Couples
12+ years of experience in relationship and sex therapy
More About Dr. Sarah
Dr. Sarah Okonkwo - Sex Therapist

Client Success Stories

"

Rebuilding Intimacy After Childbirth

Tola & Chidi M.

After the birth of our second child, physical intimacy became almost non-existent in our marriage. I was dealing with pain during intercourse and extremely low desire, while my husband felt rejected and frustrated. We were both worried about what this meant for our relationship. Dr. Sarah created a safe space for us to discuss these sensitive issues openly. She helped us understand the physical and emotional factors at play postpartum and gave us practical strategies to reconnect intimately in gradual, comfortable ways. The education about what's normal after childbirth was incredibly reassuring, and the communication exercises transformed how we talk about our needs. Six months later, we have a fulfilling intimate life again, with much deeper emotional connection than before.

"

Overcoming Anxiety and Performance Issues

Samuel O.

I'd been struggling with erectile difficulties for about a year when I finally worked up the courage to seek help. Every unsuccessful attempt made my anxiety worse, creating a cycle that was destroying my confidence and affecting my relationship. I was extremely nervous about discussing such personal issues, but Dr. Sarah's professional approach immediately put me at ease. Through our sessions, I learned that my issues were primarily anxiety-related rather than physical. The mindfulness techniques and gradual exposure exercises she recommended completely changed my approach to intimacy. Instead of focusing on performance, I learned to stay present and enjoy the experience. Within three months, my function had significantly improved, but more importantly, my relationship with sexuality became much healthier and more positive.

"

Finding Balance in Desire Differences

Grace & Emmanuel K.

The difference in our levels of sexual desire had been a source of conflict throughout our 7-year marriage. I felt constantly rejected, while my husband felt pressured and inadequate. We'd tried to address it on our own but always ended up in the same arguments. Dr. Sarah helped us understand that our issue wasn't just about frequency—it was about how we were interpreting each other's actions and what intimacy meant to each of us. Through therapy, we learned to recognize and respect our different needs while finding compromises that worked for both of us. The most valuable insight was understanding that there are many ways to be intimate beyond sex. Our relationship is now much stronger, with better communication and mutual understanding, and our intimate life has found a rhythm that satisfies us both.

Pricing & Packages

Initial Assessment

₦35,000

90-minute comprehensive evaluation

  • Detailed sexual health history
  • Assessment of concerns and goals
  • Exploration of contributing factors
  • Initial recommendations and education
  • Treatment plan development

Comprehensive Package

₦157,500

Initial assessment + 5 follow-up sessions

  • Complete assessment and treatment plan
  • Five 60-minute therapy sessions
  • Customized therapeutic exercises
  • Educational materials and resources
  • Email support between sessions
  • 10% discount on standard session rates

Follow-Up Sessions

₦30,000

Per 60-minute session

  • Ongoing treatment and support
  • Progress evaluation and adjustments
  • Implementation of therapeutic strategies
  • Available for individuals or couples
  • In-person or secure video options

* Sliding scale rates may be available based on financial need. Insurance coverage varies by provider—contact us for details.

Frequently Asked Questions

What exactly happens during sex therapy sessions?

Sex therapy sessions involve talking—and only talking—about sexual concerns in a professional therapeutic environment. Here's what typically occurs:

  • Discussion of sexual concerns, history, and goals
  • Education about sexual health, function, and relationships
  • Exploration of thoughts, feelings, and beliefs about sexuality
  • Development of communication skills for discussing intimate topics
  • Assignment of specific exercises to practice at home

It's important to understand that sex therapy never involves any physical contact between the therapist and client(s), nor does it involve observing clients' intimate interactions. All exercises involving physical intimacy are done in private, outside of therapy sessions.

The therapist creates a professional, non-judgmental environment where clients can discuss sensitive topics comfortably while maintaining appropriate boundaries at all times.

Should I see a medical doctor before starting sex therapy?

In many cases, it's advisable to consult with a medical doctor before or alongside sex therapy, especially when dealing with:

  • Erectile difficulties or changes in sexual function
  • Pain during sexual activity
  • Significant changes in sexual desire
  • Concerns that may be related to medications or health conditions

Sexual concerns often have both physical and psychological components. A medical evaluation can help determine if there are underlying physical conditions (hormonal imbalances, vascular issues, medication side effects, etc.) that need to be addressed.

During your initial assessment, we can help determine if a medical consultation would be beneficial and can collaborate with your healthcare provider with your permission. We take a holistic approach that recognizes the interconnection between physical and psychological aspects of sexual health.

How long does sex therapy typically take?

The duration of sex therapy varies widely depending on several factors:

  • The nature and complexity of the concerns being addressed
  • How long the issues have been present
  • Whether there are other relationship dynamics involved
  • The presence of contributing factors like trauma or anxiety
  • Client commitment to attending sessions and practicing recommendations

General timeframes often look like:

  • Short-term therapy (6-10 sessions): Often sufficient for specific issues with recent onset, like situational erectile difficulties or issues related to life transitions
  • Medium-term therapy (10-20 sessions): Typical for more established problems, desire discrepancies, or when addressing complex relationship dynamics
  • Longer-term therapy (20+ sessions): Sometimes needed for concerns related to trauma, deeply ingrained negative beliefs, or multiple overlapping issues

We regularly assess progress and adjust plans accordingly. Many clients notice initial improvements within the first few sessions, even if complete resolution takes longer.

Is sex therapy only for couples?

No, sex therapy is beneficial for both individuals and couples across diverse relationship statuses and sexual orientations. We work with:

  • Individuals: Single people or those in relationships who want to address personal sexual concerns
  • Couples: Partners experiencing relationship or sexual issues
  • People of all genders and sexual orientations: Our practice is inclusive and affirming
  • People across the adult age spectrum: From young adults to seniors

Individual sex therapy can address concerns such as sexual identity questions, body image issues affecting sexuality, personal sexual difficulties, effects of past trauma, low desire, or orgasm concerns.

Even when the concern involves a relationship, sometimes individual therapy is recommended initially, especially if there are personal factors like trauma or anxiety that need focused attention. In other cases, we might suggest starting with couple sessions and then incorporating some individual sessions as needed.

During your initial consultation, we'll discuss the most appropriate format for your specific situation.

Is what we discuss in sex therapy confidential?

Yes, sex therapy adheres to the same strict confidentiality standards as all other forms of therapy. This means:

  • Information shared in sessions is kept private and not disclosed without your written consent
  • Your records are maintained securely and with utmost privacy
  • Details about your therapy are not shared with insurance companies beyond what is required for billing (diagnosis codes and session dates)

There are a few legal and ethical limitations to confidentiality that apply to all therapy:

  • If there is imminent danger of harm to yourself or others
  • In cases of suspected abuse of children, elderly, or vulnerable adults
  • If required by court order or other legal proceedings

For couples therapy, the "client" is considered to be the relationship, which means information shared with the therapist by one partner may be discussed in joint sessions if relevant to treatment goals. We establish clear policies about this at the beginning of treatment.

We understand that discussing sexual concerns requires significant trust, and we honor that trust by maintaining the highest standards of confidentiality and professional ethics.

Take the First Step Toward Sexual Wellbeing

Sexual health is an important part of overall wellbeing. Our compassionate, professional approach creates a safe space to address concerns and enhance intimacy and satisfaction.