SEX THERAPY
Sex therapy in Los Angeles for desire, pleasure, pain, shame, and connection.
Ilana Grines, LMFT, provides sex therapy in Los Angeles and virtually throughout California for individuals and couples navigating low desire, mismatched desire, sexual pain, performance pressure, orgasm concerns, sexual shame, and changes in intimacy.
YOU MAY BE HERE BECAUSE
Sex has become a source of pressure, avoidance, confusion, or distance instead of connection.
WHAT WE MAY WORK ON
Sex therapy is not about performing better. It is about understanding what gets in the way.
Sexual concerns rarely exist in isolation. Desire, pleasure, pain, anxiety, body image, relationship patterns, culture, trauma, medication, and health can all shape what happens in and outside the bedroom.
Low or Changing Desire
Explore changes in libido without assuming that lower desire means something is wrong with you or your relationship.
Mismatched Desire
Reduce cycles of pressure, rejection, resentment, and avoidance while building a more collaborative understanding of intimacy.
Sexual Pain
Address the emotional and relational impact of painful sex while coordinating with appropriate medical or pelvic-health providers when needed.
Performance Pressure
Work with erection concerns, rapid ejaculation, delayed orgasm, difficulty staying present, and the fear of disappointing a partner.
Pleasure and Orgasm
Build greater awareness of arousal, pleasure, communication, and the conditions that make orgasm or enjoyment more accessible.
Sexual Shame and Identity
Unpack messages about sex, gender, orientation, fantasy, bodies, pleasure, and what you were taught you were allowed to want.
MY APPROACH
Sex therapy should feel grounded, human, and free from judgment.
Therapy with me is conversational, collaborative, and direct. We will talk openly about sexuality while paying attention to the relationship, nervous system, body, culture, health, and emotional history surrounding it.
There is no sexual activity in session. Sex therapy is talk therapy that may include education, reflection, communication work, and optional between-session exercises designed around your comfort and goals.
INDIVIDUAL OR COUPLES SEX THERAPY
Sexual concerns can be explored on your own or with a partner.
INDIVIDUAL SEX THERAPY
A private space to understand your sexuality.
Individual work may focus on shame, desire, pain, body image, sexual identity, performance anxiety, pleasure, orgasm, dating, or patterns that feel difficult to discuss elsewhere.
$255 · 50 minutesCOUPLES SEX THERAPY
Support for the sexual relationship between you.
Couples work may focus on mismatched desire, pressure and rejection cycles, communication, postpartum changes, sexual pain, rebuilding connection, or creating a more flexible definition of intimacy.
$300 · 50 minutesAFFIRMING SEX THERAPY
Inclusive care for diverse identities, bodies, sexualities, and relationships.
My practice is LGBTQ+ affirming, sex-positive, and inclusive of non-traditional relationship structures. Your sexuality will not be measured against a narrow or heteronormative definition of what sex or intimacy is supposed to look like.
COORDINATED CARE
Sexual concerns can have emotional, relational, and medical dimensions.
When appropriate, sex therapy may be coordinated with physicians, gynecologists, urologists, pelvic-floor physical therapists, psychiatrists, or other healthcare providers. Therapy does not replace medical evaluation, diagnosis, or treatment.
WHAT TO EXPECT
A clear, collaborative process from the beginning.
Free Consultation
Begin with a complimentary 15 to 30-minute consultation to briefly discuss what is bringing you in, ask questions, and determine fit.
Assessment and Goals
Early sessions explore the concern, relevant health and relationship context, and what meaningful change would look like for you.
Ongoing Work
Sessions may include emotional processing, education, communication work, and optional exercises tailored to your goals and comfort.
COMMON QUESTIONS
What clients often want to know before starting sex therapy.
What happens in sex therapy?
Sex therapy is talk therapy. Sessions may include education, emotional processing, communication work, and optional between-session exercises. There is no sexual activity or physical contact in session.
Can I come to sex therapy without a partner?
Yes. Individual sex therapy can address desire, shame, pain, pleasure, orgasm, body image, sexual identity, performance pressure, and other concerns.
Can sex therapy help with mismatched desire?
Yes. Therapy can help couples understand differences in desire, reduce pressure and rejection cycles, and develop a more collaborative approach to intimacy.
Can you treat sexual pain?
Therapy can address the emotional and relational impact of sexual pain and may be coordinated with medical or pelvic-health providers. Therapy does not replace medical evaluation or treatment.
Do you work with LGBTQ+ clients and couples?
Yes. My practice is LGBTQ+ affirming and inclusive of diverse identities, sexualities, genders, bodies, and relationship structures.
Do you offer virtual sex therapy throughout California?
Yes. Virtual sex therapy is available to clients located throughout California. In-person sessions are also available in Los Angeles.
How much does sex therapy cost?
Individual sex therapy is $255 for a 50-minute session. Couples sex therapy is $300 for a 50-minute session.
READY TO BEGIN?
You do not need to keep guessing your way through something this important.
Schedule a complimentary 15 to 30-minute consultation to discuss what you are navigating and whether sex therapy feels like the right next step.