A more honest conversation about sex, intimacy, and desire.
Sex is deeply personal—and difficulties with it rarely exist in isolation. Desire, pleasure, confidence, communication, relationships, identity, our bodies, and the experiences we carry with us can all become part of the story.
At Austin Concierge Therapy, sex therapy offers a private, thoughtful space to understand what feels stuck without judgment or pressure. Whether you come alone or with a partner, we can help you move toward greater connection, authenticity, and pleasure.
AASECT-Certified
Expertise
Private
& Discreet
Inclusive
& Affirming
Sex Positive
& Shame-Free
Sex can become difficult for reasons that have surprisingly little to do with sex.
Sex is shaped by far more than attraction. Stress, resentment, parenting, health, pain, hormones, medication, body image, past experiences, cultural messages, and the way we relate to ourselves and each other can all influence desire and connection.
Sometimes one partner wants sex more often than the other. Sometimes desire disappears altogether. Sex may become painful, pressured, frustrating, or simply absent. And sometimes the hardest part is not knowing why something that once felt natural now feels so complicated.
There isn't one way for sex to get complicated.
01
Desire Discrepancy
Differences in desire can create cycles of pursuit, rejection, pressure, guilt, and withdrawal that leave both partners feeling hurt.
02
When Desire Disappears
Stress, relationships, hormones, medication, body image, identity, emotional safety, and life transitions can all affect desire.
03
Pleasure & Orgasm
Therapy can help with concerns around arousal, orgasm, erectile function, delayed ejaculation, pain, and the ability to experience pleasure.
04
Sexual Trauma & the Past
Sexual trauma, coercion, shame, difficult experiences, and learned messages about sex can continue shaping intimacy long after the experience itself.
05
Reconnection
Long-term relationships can drift into distance, routine, resentment, or “roommate mode.” Reconnection is about much more than simply having sex more often.
06
Sex, Pain & Chronic Illness
Pain, disability, pelvic-floor concerns, endometriosis, hormonal changes, medication, chronic illness, and other health conditions can profoundly affect sexuality and intimacy.
The problem is rarely just sex.
When sex becomes difficult, it is easy to focus on frequency, initiation, orgasm, or performance. But sex can become the place where much larger experiences are expressed: safety, rejection, resentment, shame, identity, grief, power, vulnerability, health, and the need to feel wanted.
Trying harder to have sex rarely resolves what is underneath. The work is to understand what sex has come to mean—for each person, and for the relationship.
our approach
No definition of “normal.”
Good sex therapy is not about convincing you to want more sex, perform differently, or fit someone else’s idea of a healthy relationship.
It is about understanding what is happening—emotionally, relationally, physically, and sexually—and helping you create a way forward that actually fits you.
No Right Amount of Sex
Your sex life does not need to meet anyone else’s standard for frequency, desire, pleasure, or relationship structure.
Understand the Whole System
Sex exists inside a body, nervous system, relationship, history, culture, and life circumstance. We look at all of it.
Connection Before Performance
We focus on safety, communication, agency, curiosity, pleasure, and connection—not simply frequency or performance.
You shouldn’t have to explain who you are before you can talk about what brought you here.
Our sex therapy is affirming of LGBTQ+ identities, queer and trans clients, consensual non-monogamy and polyamory, kink, BDSM, power-exchange dynamics, and relationships that don’t fit conventional templates.
You do not need to educate us about who you are before we can begin the work. We’re interested in whether your sexuality, relationships, and choices work for you—not whether they conform to someone else’s expectations.
Specialized training for the places where sex, relationships, and
deeper patterns intersect.
Advanced expertise in sexuality and relationships.
Sara is an AASECT Certified Sex Therapist, a certified sex therapist through the Sexual Health Alliance, and an Imago Certified Couples Therapist and Facilitator. Her work brings advanced training in sexuality, attachment, relationships, desire, and sexual health to individuals and couples.
Before becoming a therapist, Sara taught at Columbia University, including work centered on gender, sexuality, and identity. She has also contributed as a sexual-health expert to national publications including Cosmopolitan, Women’s Health, and Vice.
When the obstacle goes deeper than insight.
Marc specializes in the places where trauma, learned patterns, nervous-system responses, and unconscious associations interfere with sexuality and intimacy. His work integrates trauma-focused therapy, hypnotherapy, parts work, and couples therapy.
He has worked with sexual trauma and persistent sexual blocks including erectile concerns, vaginismus, orgasm difficulties, and patterns that can keep people disconnected from their bodies or partners. His work with hypnotherapy for erectile dysfunction has also been published.
meet our team
Two complementary perspectives on sex, relationships, and the patterns that can get in the way.
Sara Sloan
LMFT, CST, IRT
AASECT-Certified Sex Therapist • Desire • Sexual Health • Couples • Poly/ENM
Marc Geronimo
LMFT-A, CHT
Trauma & Sexual Blocks • Hypnotherapy • ED • Reconnection • Couples
common questions
Sex therapy is talk therapy focused on the emotional, relational, physical, and psychological factors affecting your sexual life. We’ll explore what is happening, what may be contributing to it, and what kind of change would actually feel meaningful to you.
No. We work with both individuals and couples. Sometimes the most useful work happens together; other times it begins with one person understanding their own desire, history, patterns, or relationship to sex more clearly.
Yes. We work with concerns including low or mismatched desire, difficulty with arousal or orgasm, erectile concerns, delayed ejaculation, vaginismus, pain, and other sexual-function issues. When appropriate, we also consider medical, hormonal, medication-related, and other physical factors that may be contributing.
Yes. Past sexual trauma, chronic pain, pelvic-floor conditions, disability, illness, hormonal changes, and other health concerns can profoundly affect intimacy and sexual response. Therapy can help you understand those effects, work with the emotional and nervous-system responses around them, and explore forms of connection that fit the body you have now.
No. Sex therapy is psychotherapy, and there is no sexual activity or physical sexual contact between therapist and client. The work happens through conversation, education, reflection, and therapeutic exercises that you may choose to explore privately or with your partner outside of session.