Sex therapy is a specialized form of talk therapy focused on relationships, intimacy, pleasure, and sexual well-being.

Therapy is always through conversation—never through touch or sexual contact.

Megan Butler, LMHC

As a Licensed Mental Health Counselor focused on relationship and sex therapy, my work with individuals and couples aims to offer care, conversation, and education about bodies, sex, and sexuality.

My work is grounded in thinking like a therapist first and a sex therapist second—-bringing care to sexual concerns within the context of the whole person. We'll consider how biological, psychological, emotional, interpersonal, and spiritual influences shape our experiences.

I welcome clients from diverse faith traditions and those who are spiritually curious. Therapy is shaped around your values, beliefs, and goals.

For those interested in Gospel-integration/ Christian sex therapy, we’ll explore how we are created as embodied, relational beings.

Our created very good bodies are anchored in dignity, goodness—-and our identity as image-bearers of God. Our very good bodies matter, yet we live in a fallen and broken world. This is part of why bringing care and conversation to experiences in our bodies is so important. 

As we look through the lens of Scripture, we’ll consider how every sexual question is also a spiritual question. Together, we may explore the goodness of pleasure, the impacts of shame, truth and lies from purity culture, God's design for sex, real intimacy and vulnerability, grace in our sexual brokenness, singleness and sexuality, or how we define lust, objectification, and exploitation—all while prioritizing space for the questions and experiences that are important to your story.

Sexual Concerns Commonly Addressed in Therapy

  • Sexual desire differences (no, low, or high desire)

  • Pain with sexual experiences

  • Difficulty with intercourse (including vaginismus and erectile difficulties)

  • Orgasm concerns (including inability to yet orgasm, and ejaculatory difficulties)

  • Arousal concerns

  • Sexual shame and anxiety

  • Purity culture and other faith-related struggles

  • Questions about sexual identity

  • Sexual abuse or trauma

  • Unwanted pornography use and relational impacts

  • Distressing or unwanted sexual urges, behaviors, or patterns (sometimes described as compulsive sexual behaviors or sexual addiction)

  • Infidelity and betrayal (past or present relationships)

  • Sexual changes related to fertility care, pregnancy, postpartum, perimenopause, menopause, aging, hormones, illness, medications, injury, or disability

  • Desired increase in intimacy, connection, and sexual pleasure

Questions?

I offer free 15-minute consultations for individuals and couples.

I currently work with clients in-person and virtually within New York State.