Sex Therapy

Board Certified Clinical Sexologist, Sex Therapist | California, New York, Utah, Vermont | Gender Affirming Mental Health | Kink Aware Professional | Queer Therapist | Consensual Non-Monogamy, Poly Relationship Counseling
Sex Therapy
Sex therapist, Michael DeMarco, PhD is an LMFT specializing in psychedelic assisted psychotherapy

SEX THERAPY, Sex Counseling, & Coaching

Sex therapy with is evidence-based and aims to help you create the sex life that you find most fulfilling, not based on religious propaganda or pseudo-science.  

Spotlight: The shameful history of psychedelic gay conversion therapy
A range of other gay “treatments” were also in use, not only mind-altering drugs but also aversion therapy with electric shocks, and chemical castration.

Post by @PsychedelicInstitute@mastodon.social
View on Mastodon

Post by @PsychedelicInstitute@mastodon.social
View on Mastodon

"Believing that you are addicted to porn and telling yourself that you're unable to control your porn use hurts your well-being. It's not the porn, but the unresolved, unexamined moral conflict. Many of the moral values we were raised with, about sex, race or gender, are no longer fully applicable to the modern world. Because of religious opposition to sexual education, many people struggling with masturbation don’t understand what is normal, or that their sexual interests are healthy. Helping people to consciously examine and consider their religious beliefs about sex, masturbation, and porn with modern, adult, self-determining eyes, may help them reduce the pain and suffering caused by this moral conflict."

According to Abraham Maslow, sex is one of the most very basic of human drives (even more basic than love).  Therapists specializing in sex therapy use this as a guiding principal.  

Abraham Maslow suggested in his Hierarchy of Needs that humans are all striving towards the top of the pyramid, which is self-actualization– an ongoing process of making sure the other blocks of your pyramid are sturdy. Sex, a basic human need, is sometimes confused with love and sexual intimacy, which are higher-order needs. Are you fully self-actualized? Not many of us are- which means most of us can benefit from therapy.

Do your sexual parts not work the way you think they should? Do you your sexual parts not look the way you think they should? You might have a sexual dysfunction. Feel like your sex life is out of control? Put down the "sex addiction" self-help book, and talk to a sex therapist who can help you sort through the noise.  

Sex has finally come out of the closet. People talk more openly about sexuality now than we have in decades. There are people who claim to be sex experts who want to cure your sex addiction, porn addiction, or masturbation addiction through prayer and magical thinking. Weaponizing your pre-existing fear, guilt and shame surrounding sex drives clicks and makes money. Although there is no license for sex therapy, look for ABS Certified Clinical Sexologists or AASECT Certified Sex Therapists.

Sex therapy is talk therapy.

Conversion therapy is not therapy at all.

Therapy does not involve sex with your therapist.

Spotlight: Encyclopedia Britannica-- 6 Cultures That Recognize More than Two Genders
“Throughout history, many cultures have recognized gender identities other than male and female. Nonbinary people have often occupied unique positions in their societies, serving as priests, artists, and ceremonial leaders. ”

Why do you go to a sex therapist?

Issues ranging from working out guilt surrounding masturbation, sexual fantasies, porn, fetishes, dating, sexual identity, gender identity, relationship style, infidelity issues (and often the desire to be consensually non-monogamous) to sexual dysfunctions like premature ejaculation, delayed ejaculation, painful sex, difficulties become aroused, difficulties achieving or maintaining erections, difficulties with vaginal lubrication, difficulties reaching climax.

Who Goes to Sex Therapy?

Sex therapy is as fitting for singles or people in relationships across the lifespan. Sex is a basic human drive, yet sexuality conflicts affect people from birth to death.

What Happens in Sex Therapy?

  1. Permission
  2. Broadening your Limited Information about sex
  3. Specific Suggestions & Exercises to try at home
  4. Intensive Therapy

This model is called the PLISSIT Model of Sex Therapy.

BUT WHAT IS A SEX THERAPIST?

Here's a great explanation from AASECT, the American Association of Sex Educators, Counselors and Therapists:

AASECT requires sexuality counselors and sex therapists to fulfill specific and rigorous training requirements in order to become certified and use the title of sex therapist. AASECT Certified Sex Therapists are mental health professionals, trained to provide in-depth psychotherapy, who have specialized in treating clients with sexual issues and concerns. They are either licensed, or in the absence of required licensure, they are certified, registered, or clinical members of a national psychotherapy organization.

Sex therapists work with sexual concerns and, in addition, where appropriate, are prepared to provide comprehensive and intensive psychotherapy over an extended period of time in more complex cases.

Supporting Resources
CBT + Relational Therapy
Ketamine + Couples (Relational) Therapy
Psychedelic ketamine is being used in relationship counseling, couples counseling, marriage therapy, family therapy and group therapy
Spotlight “Pedagogy, Politics, and Betty Dodson’s Liberating Masturbation” (Sutton, 2024)
“Melding sexology, aesthetics, technology, and an unabashed libidinal energy, Dodson advocates for collective, erotic pedagogy as a source of knowledge production. In doing so, her work carves out a space for pleasure and joy in the messiness of lived experience.”
Spotlight: pioneer Albert Ellis on Anxiety, Sex
Ellis developed fundamental concepts of cognitive behavioral therapy in the middle of the last century

How Many Adults and Youth Identify as Transgender in the United States?
A think tank at UCLA Law dedicated to conducting rigorous, independent research on sexual orientation and gender identity law and public policyWilliams Institute | A think tank at UCLA Law dedicated to conducting rigorous, independent research on sexual orientation and gender identity law and public policy

Trans people exist, and always have. Educate your Self.

Personal and perceived partner orgasm pursuit: A daily diary study about the gendered orgasm gap (Wolfer, et al, 2025)

https://journals.sagepub.com/doi/10.1177/02654075251316579

New Study About The ‘Orgasm Gap’ Should Be Required Reading For Men
A new study offers takeaways for men and women looking to up their game in the bedroom.
(Wong, 2025)
Spotlight: Countering the Monogamy-Superiority Myth: A Meta-Analysis of the Differences in Relationship Satisfaction and Sexual Satisfaction as a Function of Relationship Orientation (Anderson, et al, 2025)
“Studies have shown that non-monogamy is a largely misunderstood concept within general society, and it has often been assumed that non-monogamous relationships are inferior to monogamous relationships ”
Spotlight: Affirmations inspired by “The Ethical Slut”
Psychedelic Therapy, Research, News, Professional Development & Psychedelic Supervision | Virtual Community of Practice | Ketamine-Assisted Psychotherapy & Support
Is Monogamy Natural or Just a Social Construct? (2025)
Spotlight: Rethinking Infidelity... a talk for anyone who has ever loved -- Esther Perel (2015)
“we still seem to be lured by the power of the forbidden”
Spotlight: Beyond Gender: Indigenous Perspectives, Muxe
A limited series on some of the world’s third gender Indigenous people
Spotlight: Gender Affirming Mental Health Services - CA, NY, UT, VT
Telehealth Support for Gender Marker, Name Change, Hormone Therapy
Psychedelic Institute of Mental Health & Family Therapy – Kink Aware Professionals (KAP)
Cognitive behavioral therapist Michael DeMarco, PhD has practiced since 2002, is a board certified clinical sexologist, and specializes in psychedelic-assisted psychotherapy, specifically with ketamine.

Sex Therapist California Sex Therapist New York Sex Therapist Vermont Sex Therapist Utah

Spotlight: The State of Sexual Education: State Laws and Regulations Mandating Sexual Education in the United States (Nelson, et al, 2025)
“Although many states mandated sexual education, few required content beyond sexual abstinence, HIV, sexually transmitted infections, and child abuse prevention. Laws that make content optional or facilitate opt-outs can undermine access to this education.”
Sex Ed in America Sucks, New Study Confirms
Boston University’s School of Public Health has released the results of a research paper that paints a grim pictures…

Right now, as you read this, in the year 2025, the website for Oklahoma’s State Department of Health states that “AIDS prevention education shall specifically teach students” that homosexuality is “primarily responsible” for exposure to AIDS. It sounds like it was written in 1985 and has never been updated. Note- homosexuality does not cause AIDS.

Mastodon Mastodon