It's Just a Conversation
One of the biggest misconceptions about sex therapy is what actually happens during a session. To be clear: Sex therapy is strictly talk therapy. There is no physical contact, no exams, and no nudity. It is a safe, clinical, and confidential space where we discuss the emotional, psychological, and relational factors that affect your physical intimacy.
Why People Seek Sex Therapy
Sex is a natural part of the human experience, yet it's often the hardest thing to talk about. Whether you are navigating this as an individual or with a partner, we help address common concerns such as:
-
Communication Gaps
Learning how to talk about needs and boundaries without shame or conflict.
-
Low Desire or Mismatched Libido
Understanding why the "spark" has faded and how to reconnect.
-
Performance Anxiety
Breaking the cycle of stress and pressure that interferes with intimacy.
-
Physical Barriers
Navigating how health issues, aging, or trauma impact your sexual well-being.
A Judgment-Free Zone in Centennial
At Collaborate Counseling, we approach these topics with the same professionalism as any other mental health concern. We don't look for "who is to blame". Instead, we look for the patterns and beliefs that are keeping you stuck. Serving Centennial, Englewood, and Greenwood Village, our goal is to help you move past the awkwardness so you can enjoy a fulfilling, healthy, and connected intimate life.
Frequently Asked Questions
No concern is too small if it affects your quality of life or your relationship. Whether it's a slight dip in connection or a long-term struggle, addressing it early prevents small gaps from becoming deep emotional divides.
Not at all. We work with individuals and couples at every stage, from those in new relationships establishing boundaries to those who have been together for decades navigating life transitions like menopause or health changes.
Yes. Mismatched desire is one of the most common reasons people seek help. We use the Dual Control Model to help you understand your individual "accelerators" and "brakes," moving away from blame and toward a shared middle ground.
The brain is the body's largest sexual organ. Anxiety and depression can "hijack" the nervous system, making physical connection feel difficult or even stressful. We work on calming the nervous system so your body can feel safe enough to connect.
Only if you want to and if it's relevant to your current goals. While past experiences can shape our present, sex therapy is very much focused on the here and now, giving you practical tools to improve your life today.
Success is defined by your personal goals, whether that's better communication, decreased anxiety, or increased intimacy. Most clients see significant improvement when they consistently apply the communication tools and "home assignments" we discuss in session.
Payments & Rates
I want to be transparent about my current availability—I have limited space for clients using insurance but more availability for private pay clients.
While I understand that using insurance can be important for many, private pay offers several benefits. It allows for greater flexibility in treatment, ensuring that your therapy is tailored to your unique needs rather than being limited by insurance restrictions. Private pay also provides more privacy, as your records are not shared with insurance companies, and it eliminates the potential for session limits or diagnosis requirements imposed by insurers.
If you're considering using out-of-network benefits, I have an insurance benefits calculator available to help you determine your coverage. You can use it to check if your insurance plan offers reimbursement for therapy sessions.
If you have any questions or want to explore your options, please reach out—I'd be happy to help!
Contact a Couples Communication Skills Therapist in Centennial, CO
Carolyn S. Riviere, Licensed Therapist
Leave a Message
Thank you for visiting Collaborate Counseling Online. Please fill out the following form to send our couples communication skills therapist in Centennial, CO, a message. Please click on the “SUBMIT” button when you are ready to send your message. You may use this form to request more information about any of our therapy services and to provide feedback about this website. We look forward to hearing from you!
