What is Sex Therapy?

Sex therapy is usually a type of medium to long-term psychotherapy which helps individuals and couples struggling with sexual challenges and feelings. If you're feeling overwhelmed and need help, therapy might be what you need.

The focus of Franktalk therapy is men who are dealing with distress about sexual function issues whether they are caused by physiological or psychological problems. Physiological causes may be surgeries, illnesses, diseases, or even age. Examples of psychological causes can include anxiety/depression, performance anxiety, relationship issues, or sexual confusion or orientation.

Sex therapy is often more than a couple sessions. It is goal oriented (we want to help solve your problems), but it allows us to take time to look at you as a whole person. We can explore your family history, your relationship to sexuality growing up, your relationship history, as well as experiences and traumas. If you are feeling overwhelmed and a bit lost and looking for help to sort out some confusing situations, therapy is likely what you are looking for.

Sex therapy usually includes sex education – but not the kind you learned in middle school! Sex education is a re-wiring and retraining of how we think and approach sex. Most of us learned about sex from teenagers and porn - both sources are completely wrong! Sex education is learning to make intentional choices about how we express our sexuality either alone or with a partner(s). We learn how to create a sexual reality based on who we are - not on a sequence of events we learned from porn.

It's important to remember that therapy needs to have concrete goals. This is far more than just talking about your feelings. Therapy is about finding solutions through creating new approaches and reframing thoughts and feelings.

STEP ONE - Complete the Psychotherapist-Client Agreement Form

If you have not already submitted a completed Psychotherapist-Client Agreement form, please take a moment to complete the form below.


Welcome to Franktalk Therapy and Consulting. This document contains important information about our professional services. Please read this Agreement carefully. We can discuss any questions you have about it at your first session. When you sign this document, it will also represent an agreement between us. You may revoke this Agreement in writing at any time and that revocation will be binding on me unless I have taken action in reliance on it.

Psychotherapy is not easily described in general statements. It varies depending on the personalities of the psychologist and client, and the nuanced problems you are experiencing. There are many different methods I may use to deal with the problems that you hope to address. Psychotherapy is not like a medical doctor's visit. Instead, it calls for a very active effort on your part. For the therapy to be most successful, you will have to work on things we talk about both during our sessions and at home. Psychotherapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, frustration, loneliness, and helplessness. On the other hand, psychotherapy has also been shown to have many benefits. Therapy often leads to better relationships, solutions to specific problems, and significant reduction in feelings of distress. There are, of course, no guarantees of what you will experience. Our first few sessions will involve an evaluation of your needs. By the end of the evaluation, I will be able to offer you some first impressions of what our work will include and a treatment plan to follow if you decide to continue with therapy. You should evaluate this information along with your own opinions of whether you feel comfortable working with me. Therapy involves a commitment of time and energy, so you should be careful about the therapist you select. If you have questions about my approach, we should discuss them whenever they arise. If your doubts persist, I will be happy to help you set up a meeting with another Counseling professional and possible referral. When the treatment needs of a prospective client exceed my scope of practice, every effort will be made to identify appropriate resources.

Due to my work schedule, I am often not immediately available by telephone. Texts are best, emails also work well. I will make every effort to return your call on the same day you make it, with the exception of weekends and holidays. I will do my best to respond, but I am often travelling and speaking around the country. If you are unable to reach me and feel that you cannot wait for me to return your call, you may find it helpful to go to the nearest emergency room and ask for the psychiatrist on call.

In accordance with professional ethics and laws, the information revealed in psychotherapy is confidential and will not be revealed to anyone without your written permission, except as required by law. Most states require that I make appropriate reports if you are suicidal or homicidal, or if any child or elder adult has been abused or neglected or may be in danger of harm. While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is import that we discuss any questions or concerns that you may have now or in the future.

These counseling services are out-of-network for all insurance companies. Many clients submit claims to their insurance company for reimbursement. The cost of each session is $250 for a 50-minute session. You will be given an invoice with appropriate diagnoses codes and billing information. Payment is made when the appointment is booked. Payment may be made via Zelle, Google Pay, or Venmo. Thank you for letting me help you achieve your goals,

Paul R. Nelson, LMHC, CSE
Franktalk Therapy


Please make sure your email address is correct, as email is our primary method of communication with clients.

Emergency Contact Information


STEP TWO - Complete the Patient Registration Form

If you have not already submitted a registration form, please take a moment to complete the registration form below.

Patient Registration
Please make sure your email address is correct, as email is our primary method of communication with clients.

Are you currently seeing a mental health professional (MHP)?

Are you currently under active medical care?

STEP THREE - Schedule Your Appointment

instructions for booking online appointment

STEP FOUR - Pay for Appointment

If you are experiencing financial hardships we can add a limited sliding scale.
Contact FrankTalk Therapy for more information.

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