For someone with an injury or disability, sexual encounters can bring physical, emotional, and psychological complexities that require open communication to ensure safety, comfort, and pleasure. It’s perfectly reasonable to raise those complexities with your partner(s) because again, sex is about pleasure for everyone involved. People are not mind-readers and that means communicating what works and what doesn’t is paramount. That might mean not only expressing what feels good and what doesn’t, but also something specific such as a change in position, additional time, the need to adjust tempo or amount of lube, or specific forms of touch.

When relationship or intimacy issues arise, finding specialized support can make all the difference. In Pennsylvania, online sex therapy has made it possible for residents across the state—and especially in Philadelphia—to access professional guidance from the comfort of their own homes. Whether you’re navigating concerns with sexual desire, communication, intimacy, or personal exploration, online sex therapy provides a compassionate space for individuals and couples alike.

Through online sex therapy, individuals and couples can address relationship and intimacy concerns, improve communication, and gain insight into their own sexual identities and needs. Ultimately, the goal is to build a foundation for healthier relationships, deeper intimacy, and more fulfilling connections.

In Oregon, online sex therapy is an empowering option for those ready to take the next step toward understanding themselves and their relationships on a deeper level.

Open communication is the cornerstone of the triadic model. As the psychologist, I meet regularly with both the client and the surrogate to ensure that the process aligns with the client’s goals and emotional well-being. These meetings also allow us to adjust the pace or focus of the work based on the client’s evolving needs.