Dr. Lily Zehner Book a Free Consultation

What Is Sex TherapyIt's talk therapy. Holistic and complete.

Sex therapy is a specialized form of psychotherapy focused on sexual health, intimacy, and relationships. We sit together and talk, like other therapies — but your whole self is welcome.

You can walk in the door knowing that your entire identity, sexuality too, will be part of the conversation, among everything else — so we get the full, complete humanity of you.

I work collaboratively with individuals and relationships to explore and resolve issues affecting sexual well-being. The aim is better sexual satisfaction, clearer communication, and healthier relationships.

What we might work on

I'm trained to address a wide range of concerns, including erectile disappointment and dysfunction, painful sex, desire discrepancy, sexual trauma, difficulty with orgasm, and questions about sexual identity — among many others.

A fundamental part of this work is creating a space where you can discuss intimate concerns openly, without fear of criticism or shame. That space is the point. Most people have never had one.

It isn't only about the physical

Sex therapy addresses the emotional, psychological, and relational parts too. We explore past experiences, belief systems, and communication patterns that may be contributing to what's happening now. That's usually where the real insight lives.

Communication is central. I help clients develop the skills to express desires, boundaries, and concerns with clarity and empathy — which is often what actually resolves the sexual concern.

Alongside conversation, the work may include therapeutic techniques, homeplay assignments, and educational components, all aimed at building practices that support your growth.

Things sex therapy is not

In essence: not a mythical cure, but a collaborative, mindful path toward sexual well-being.

How I work

I use Jack Annon's P-LI-SS-IT model — Permission, Limited Information, Specific Suggestions, and Intensive Therapy. I'm trained in all four stages. Like Annon, I believe most people with sexual concerns are helped in the earlier stages, with only a smaller percentage needing intensive therapy.

You may be wondering whether you're normal. I'm here to tell you: you are normal.

I take an integrative approach and bring in other specialists when it's useful — pelvic floor physical therapists, urologists, gynecologists, and others. I work from a mix of therapeutic orientations because I don't believe in one-size-fits-all.

I always work through the lens of my humanity, paying particular attention to attachment and family systems history — how we were cared for from the moment we were born, and how that shapes how we relate to others now.

You can read more about what being a sex positive therapist means, or see what to expect in sessions.

I'm an affirming sex and relationship therapist. I believe you when you tell me who you are. I trust that you know yourself better than I do, or anyone else does.

A stack of books in Dr. Lily Zehner's office including All About Love, Becoming Cliterate and My Grandmother's Hands

We sit together and talk.

Like any other therapy — except your whole self is welcome in the room, sexuality included.

Start with a free 15-minute consultation

We'll talk about what's going on and whether I'm the right fit for you. If I'm not, I'll point you toward someone who is. No pressure, no paperwork, no cost.

Book a Free Consultation