— Psychedelic Sex Therapy 101

I asked a doctor who’s an expert in the treatment

Whether through the iconic Dr. Ruth Westheimer (RIP) or the Netflix hit Sex Education, you’ve probably heard of sex therapy. But have you heard of psychedelic sex therapy? It’s basically traditional sex therapy that integrates the use of psychedelics to address sexual issues. I reached out to Dr. Steven Radowitz, MD, the Chief Medical Officer and Co-Founder of the psychedelic wellness clinic Nushama, to learn more.

Meet the Expert

Dr. Steven Radowitz, MD, is the Chief Medical Officer and Co-Founder of the psychedelic wellness clinic Nushama. Dr. Radowitz has a wealth of experience seeing the effects trauma can have on our physical health firsthand. He joined Nushama to oversee and develop treatment modalities, believing psychedelics are the future of mental wellness as current solutions treat symptoms, not underlying issues. Dr. Radowitz also runs the primary care program at Goldman Sachs and has practiced internal medicine and primary care since 1998. He completed his MD at Chicago Medical School, worked at St. Vincent’s in general medicine and HIV/AIDS units and was Medical Director of the inpatient alcohol and opiate detox and treatment unit.

What Is Psychedelic Sex Therapy?

In psychedelic couples therapy, both members of a couple, with the help of a sex therapist, work through the emotional blockages that have been getting in the way of healthy intimacy.

Many relationships get stale over time, thanks to life stressors like work, kids and money, which start to make their way into the bedroom. Sex therapy in a committed relationship can help maintain a deep physical and emotional connection and bond between a couple,. Psychedelic sex therapy takes it to the next level: “Psychedelic experiences can help realign our consciousness and focus away from these mounting worries, help process past difficult life situations and in doing so, regain a greater sense of connection to those that we love,” Dr. Radowitz tells me.

He adds, “Psychedelic sex therapy integrates the use of psychedelics with traditional sex therapy techniques to address sexual issues, intimacy challenges and trauma. This approach combines the psychological healing effects of substances like MDMA, psilocybin or ketamine with therapy aimed at improving sexual well-being, intimacy and relationships.” He adds that currently, on a federal level, ketamine is the only legal psychedelic available to use in a clinical setting in the United States. MDMA and/or psilocybin are legally available for clinical use in a number of other countries such as Australia (MDMA, psilocybin), Jamaica (psilocybin) and the Netherlands (psilocybin truffles).

How Does Psychedelic Sex Therapy Differ from Traditional Sex Therapy?

Per Dr. Radowitz, here’s how it differs from traditional sex therapy:

Use of Psychedelics: Psychedelic sex therapy involves the controlled use of substances that alter consciousness, with the intention of accessing deeper emotional states, healing trauma and fostering openness in therapy. Dr. Radowitz says, “Traditional sex therapy typically relies on talking, behavioral interventions and psychological techniques without the use of psychoactive substances.”
Access to the Subconscious: He explains that psychedelics allow access to unconscious emotions and memories that may be difficult to reach in traditional therapy, which can help individuals or couples explore and resolve deep-seated issues related to sexuality (like trauma, repression or body image issues), which might be harder to address in a non-altered state.
Increased Emotional Openness: “Substances like MDMA can reduce fear and increase feelings of trust, safety and emotional intimacy,” Dr. Radowitz tells me. “This can enhance the therapeutic process by helping people feel more comfortable discussing sensitive issues or facing difficult emotions. Traditional sex therapy may take longer to achieve this level of openness and vulnerability.”
Somatic Awareness: Psychedelics often heighten body awareness, which can help address physical or sensory aspects of sexuality. “This can facilitate the exploration of body sensations, desires and boundaries, which may be more difficult to achieve through talk-based therapy alone.”
Enhanced Empathy and Connection: Another benefit of psychedelic experiences: they can foster empathy, which is particularly beneficial in couples therapy. Dr. Radowitz notes that the altered state can help partners connect on a deeper emotional and spiritual level, potentially leading to breakthroughs in communication and intimacy that traditional therapy may struggle to achieve as quickly.
Therapist’s Role: “In psychedelic sex therapy, the therapist’s role may involve guiding the patient through the psychedelic experience, helping to integrate insights and ensuring a safe and supportive environment,” according to Dr. Radowitz. “In contrast, traditional sex therapy focuses more on facilitating discussion, behavioral change and education within the confines of standard cognitive or somatic therapy techniques.”

Are There Any Risks?

Dr. Radowitz stresses that it’s crucial to work with a reputable clinician and therapist who has experience in screening out anyone with a contraindication to the use of psychedelics (including prior history of psychosis/schizophrenia or active mania in someone with bipolar affective disorder). He adds, “Also, it’s critical to make sure they are medically stable for treatment and there are no interactions with any of their current medications. It’s important to work with a therapist who is experienced and comfortable working with psychedelics, who could properly prepare, guide and integrate their experience.”

Complete Article ↪HERE↩!

— Psycho-Sexologist and host of Audible’s ‘Sex Therapy’ podcast, Chantelle Otten, on how it could improve your life.

By Chantelle Otten

If your sex life feels like it’s missing something—be it connection, pleasure, or understanding—it might be time to consider sex therapy. Often misunderstood, sex therapy is a powerful, judgement-free space that’s all about fostering deeper connections, improving communication, and embracing sexual confidence. No one knows this quite like psycho-sexologist and relationship expert Chantelle Otten, whose Audible Original podcast Sex Therapy takes listeners inside her sessions with anonymous, real-life patients. Whether you’re seeking guidance about mismatched libidos or simply after a better understanding of your body and needs, scroll on for the key signs that sex therapy could help you unlock a more fulfilling, empowered sexual life, according to Chantelle.

sex therapy 101

How can sex therapy contribute to one’s overall emotional wellbeing and personal growth?

Sex therapy can have a profound impact on emotional wellbeing and personal growth. Our sexuality is deeply connected to how we feel about ourselves, our relationships, and the world around us. When we’re able to explore and understand our desires, boundaries, and experiences without shame, it opens up space for greater self-awareness and confidence.

Through sex therapy, people can work through feelings of insecurity, past trauma, or relationship challenges that might be holding them back. By addressing these issues, they often find that not only does their sexual health improve, but so does their overall sense of self. It’s about giving people the tools to connect more deeply—with themselves and with others—leading to more fulfilling relationships, better communication, and ultimately, personal growth.

It’s empowering to realise that sexual health is an integral part of emotional wellbeing, and therapy helps people embrace that in a healthy, balanced way.

What are some common misconceptions about sex therapy that might deter people from seeking help?

One of the most common misconceptions about sex therapy is that it’s only for people with extreme issues or dysfunctions, but that’s far from the truth. Sex therapy is for anyone who wants to improve their relationship with their sexual self or their partner. People often assume they’ll be judged, or that it will be awkward, but it’s really about creating a safe, supportive space where they can explore their concerns without fear or shame.

Another misconception is that sex therapy is purely focused on the mechanics of sex. In reality, so much of what we work on is emotional—communication, self-esteem, intimacy, and understanding how past experiences shape current dynamics. It’s about the whole person, not just the physical aspect of sex.

Lastly, some people worry that coming to sex therapy means something is “wrong” with them, but it’s really about growth and empowerment. Seeking help is a positive, proactive step towards better understanding and enhancing your sexual health and relationships.

In what ways can sex therapy address issues beyond sex?

Sex therapy can actually address a wide range of issues that extend beyond just the physical aspects of sex. A lot of the work we do is centred around emotional connection, self-esteem, communication, and intimacy. For example, many people come in thinking their concerns are purely sexual, but often it’s linked to stress, anxiety, or unresolved emotional trauma. By working through these underlying issues, we can help people feel more secure in themselves and their relationships, which has a ripple effect on their overall wellbeing.

We also explore relationship dynamics—how partners interact, communicate, and express their needs. These skills translate into other areas of life, like building stronger emotional resilience and improving self-awareness. It’s about learning to connect with yourself and others in a more meaningful, authentic way, which ultimately enhances both your sexual and emotional life. So while the focus might start with sex, the impact of therapy can be much broader.

How does sex therapy integrate with other forms of therapy or counselling to provide a well-rounded approach to mental health?

Sex therapy often works hand-in-hand with other forms of therapy or counselling, creating a more holistic approach to mental health. Our sexual wellbeing is deeply intertwined with our emotional, psychological, and relational health, so it’s important to treat the whole person. If a client is already working with a psychologist or counsellor, sex therapy can complement that by focusing specifically on the sexual and relational aspects of their life.

For instance, if someone is dealing with anxiety, depression, or trauma, those issues often impact their sexual experiences or how they connect with a partner. In sex therapy, we can work through those concerns in a way that addresses both the emotional and sexual sides of things. By integrating approaches, we create a safe, cohesive space where clients can explore all aspects of their mental health without compartmentalising one part of their life from another. It’s all about treating the person as a whole, not just focusing on isolated symptoms.

What role does open communication play in the success of sex therapy, and how is this cultivated in sessions?

Open communication is absolutely essential to the success of sex therapy. So much of the work we do revolves around helping people feel comfortable enough to express their needs, desires, and boundaries—often for the first time. In therapy, we create a space where clients feel safe to talk openly without fear of judgement or shame, which is key to making progress.

In sessions, this is cultivated by encouraging honest, non-confrontational dialogue. We explore how to communicate clearly and compassionately with both yourself and your partner. For couples, it’s about learning how to listen and express themselves in a way that strengthens the relationship, rather than causing misunderstandings. We also talk about practical strategies, like using “I” statements or slowing down conversations to really understand what each person is saying.

Over time, these communication tools become part of the client’s daily life, not just in the therapy room. The more open and honest you can be, the deeper the connection you can build with your partner—and with yourself.

How can individuals or couples know when it’s the right time to seek sex therapy?

The right time to seek sex therapy isn’t just when you’re facing issues—it’s also when you want to learn more about sex, explore new sides of your sexual self, or deepen your connection with your partner. Sex therapy can be an empowering space to explore the fun side of things, gain valuable education, and understand more about your desires and boundaries. Whether you’re curious about enhancing intimacy, improving communication, or just wanting to feel more confident in your sexual experiences, therapy can help.

Of course, if communication around intimacy starts breaking down, or you’re noticing recurring issues like mismatched libidos or sexual dysfunction, that’s a sign it might be time to explore things further. But even if you’re not dealing with big concerns, sex therapy is also about growth, education, and discovering what feels good for you.

It’s all about taking a proactive step, whether it’s to resolve an issue or simply to learn and grow in your sexual wellbeing.

What are some of the most significant barriers people face when considering sex therapy, and how can they be overcome?

One of the biggest barriers people face when considering sex therapy is the fear of judgement or shame. Talking about sex can feel vulnerable, and many people worry that their concerns will be seen as abnormal or embarrassing. To overcome this, it’s important to remember that sex therapists are trained to create a safe, non-judgmental space where these topics are handled with sensitivity and care. Everyone’s experiences and challenges are valid, and seeking support is a positive step towards growth.

Another common barrier is the misconception that sex therapy is only for people with major issues. Many people think they need to wait until something goes seriously wrong to seek help. In reality, sex therapy is for anyone looking to improve their sexual health, whether that’s addressing concerns or simply learning more about sex and intimacy. Normalising therapy as part of a healthy lifestyle can make it easier to take that first step.

Lastly, some people might feel hesitant due to cultural or societal taboos around sex. Overcoming this involves recognising that sexual health is just as important as physical or mental health, and that seeking help is a way to enhance overall wellbeing. The more we talk openly about sexual health, the less intimidating it becomes.

How has the field of sex therapy evolved in recent years?

The field of sex therapy has evolved significantly in recent years, becoming much more inclusive, open, and attuned to the complexities of human sexuality. There’s a greater emphasis now on recognising the diversity of sexual experiences, from different sexual orientations and gender identities to non-traditional relationship structures like polyamory or open relationships. This shift has made therapy more accessible and welcoming to a broader range of people.

We’re also seeing more integration of mental health and sexual health, recognising that these two are deeply connected. Conversations around anxiety, trauma, and body image are often part of sex therapy now, as people understand that emotional wellbeing plays a huge role in sexual satisfaction and connection.

Another big change is the move towards normalising sex therapy as not just a last resort, but as a proactive and educational resource. More people are seeking therapy to enhance their sexual experiences, improve communication, and explore pleasure—not just to address problems. The field is growing to reflect the understanding that sexual health is a key part of overall well being, and that’s been a really exciting development.