Sam RicePsychotherapy · Ottawa Book a resonance check
Sex & relationship therapy

Your sexuality and relationships are part of your mental health.

Sex, intimacy and relationships can be some of the most meaningful—and sometimes most complicated—parts of our lives.

They can bring connection, pleasure, belonging and joy. They can also bring shame, confusion, conflict, grief, disconnection, insecurity or uncertainty. Sex and relationship therapy is psychotherapy that creates a space to explore these experiences openly, without judgment.

Sam smiling up at tall cattails in a green marsh

You don't need to have a “problem” to come to therapy.

  • Sometimes you simply want to understand yourself better.
  • Sometimes you want to communicate differently.
  • Sometimes your relationship has changed.
  • Sometimes your sexuality is changing.
  • And sometimes you know something isn't working but aren't sure how to talk about it.

What can we explore?

I work with individuals, couples and people in diverse relationship structures around concerns including:

Sexual desire & differences in desireIntimacy & emotional connectionCommunication & conflictSexual shame or shame around desireIdentifying & communicating sexual needsBoundaries & consentSexual confidence & assertivenessBody image & sexualityReconnecting with pleasureSexuality & identityGender & sexual identity explorationLGBTQIA+ relationship & sexuality concernsEthical non-monogamyPolyamory & consensual non-monogamyKink-informed concernsChanges in sexual desire or functioningAnxiety related to sex or intimacyInfidelity & rebuilding trustTransitions within a relationshipFeeling disconnected from yourself or your partnerRecurring relationship patterns

Sex therapy isn't about telling you how to have sex.

There isn't one “right” way to experience sexuality or relationships. My role isn't to prescribe what your relationship should look like, how often you should have sex, or what kinds of desires you should have. Instead, we can explore:

What do you want?

What feels good, safe and authentic to you?

What have you learned you're “supposed” to want?

Where do shame, fear or obligation enter the picture?

What would greater freedom and authenticity look like for you?

Context

Sexuality doesn't exist in isolation.

Our sexual selves are shaped by much more than our sexual experiences. They are influenced by our bodies, attachment histories, relationships, families, culture, religion, gender, social expectations, experiences of safety and danger, and messages we've received about what sexuality is supposed to look like.

Rather than viewing a sexual or relational difficulty as something wrong with you, we can become curious about the context in which it developed. Understanding its origins can help create more compassion—and more choice.

Between people

When sex and relationships intersect.

Sexual concerns often have relational dimensions. Differences in desire may become a cycle where one person feels rejected and the other feels pressured. A difficulty communicating needs may gradually create distance. A history of trauma may affect intimacy or the ability to stay present in the body. Anxiety may make sexual experiences feel performative rather than connected.

Rather than treating these experiences as isolated problems, we can explore the patterns that emerge between people as well as what is happening internally.

Individuals are welcome too.

You don't need to be in a relationship to explore sexuality. Individual sex therapy can be a place to explore your own relationship with:

your bodydesirepleasuresexualityidentityshameboundariesintimacyfantasiessexual experiencesrelationshipsself-worth

You can come simply because you want a space where you can talk honestly about something you've never felt comfortable discussing elsewhere.

Couples & alternative relationships

I welcome couples and people in a range of relationship structures, including:

  • Monogamous relationships
  • Ethical non-monogamy
  • Polyamorous relationships
  • Open relationships
  • Queer relationships
  • Kink-informed relationships
  • Relationships exploring changes in structure or agreements

I don't assume that one relationship model is inherently healthier than another. Instead, we can explore whether the structure and agreements you've chosen are consensual, communicated, workable and aligned with your values.

About couples & alternative relationship therapy →

A trauma-informed approach to sexuality

For some people, sexuality and trauma are deeply connected. Trauma can affect how we experience our bodies, boundaries, desire, intimacy, trust and capacity to remain present.

My trauma-informed and somatically informed approach means that we don't have to force ourselves through difficult material. We can pay attention to your capacity, your boundaries and your body's responses. We can move slowly. And we can work toward creating greater choice and agency in how you experience intimacy.

There is no shame in being where you are.

Your sexuality, relationships and desires deserve a space where you can be curious rather than judged.

Wondering if sex or relationship therapy might be a good fit? I offer a free 15-minute resonance check. Read the FAQ

Book a resonance check