By Katy Davis MSW, LCSW-PIP, QMHP | June 4, 2025
For many people, sexuality is one of the most difficult topics to talk about—even in therapy. It’s common to carry shame, uncertainty, or confusion when it comes to sexual health and intimacy, and unfortunately, our culture often reinforces the idea that these topics are taboo or inappropriate to bring up.
But here’s the truth: your sexual health is a vital part of your overall well-being, and it deserves attention, care, and open conversation—just like any other aspect of your mental and emotional health.
At Ensō Mental Health in Spearfish, SD, we offer sexual intimacy therapy and sexual health therapy in a space that is sex-positive, inclusive, and judgment-free. That means we talk openly and professionally about sexuality, pleasure, relationships, identity, and more—always with respect, compassion, and clinical insight.
What Is Sexual Health Therapy?
Sexual health therapy is a specialized form of mental health support focused on the emotional, relational, and psychological aspects of sexuality. People seek this kind of therapy for many reasons, including:
- Low or mismatched sexual desire
- Difficulty with arousal or orgasm
- Intimacy concerns within a relationship
- Recovery from sexual trauma or shame
- Questions about sexual orientation, identity, or preferences
- Wanting to explore and understand their sexuality more deeply
You don’t need to be in crisis to benefit from this work. In fact, many people come to therapy simply to feel more connected to themselves and their partners—and to reclaim their sense of agency and comfort around sex and intimacy.
A Shame-Free Zone
As a sex-positive therapist, I believe sexuality is not something to hide or be ashamed of. It’s something to explore with curiosity, compassion, and context. Whether you’re in a long-term relationship, newly dating, single, or navigating gender or sexual identity, you’re welcome here. You don’t have to “have it all figured out” to start this work.
Therapy can help you:
- Communicate more openly with partners
- Let go of shame-based beliefs
- Understand your own body and desires
- Heal from painful or confusing past experiences
- Build a more empowered, informed relationship with your sexuality
You’re Not Alone—And You Don’t Have to Stay Silent
So many people carry silent questions and concerns about their sexual lives, unsure where to turn. If you’ve been holding something in, unsure if it’s “okay” to talk about in therapy, this is your reminder: it is okay—and it’s welcome.
If you’re interested in learning more about sexual health or intimacy therapy, or if you’re curious whether this could be helpful for you, I invite you to reach out to Ensō Mental Health in Spearfish, SD. We’re here to support you every step of the way.
Learn more about Sexual Health and Intimacy Therapy at Ensō Mental Health.
Schedule an appointment with Ensō Mental Health today to get help understanding Sexual Health and explore how we can support you!
