Sex Therapy & Couples Therapy FAQ’s - Dr. Danielle Armour

The two often overlap! Couples therapy typically focuses on communication, emotional intimacy, conflict resolution, and relational patterns. Sex therapy specifically addresses sexual function, desire mismatch, intimacy, erotic identity, and physical discomfort. Because relationship health and sexual connection are deeply intertwined, my approach integrates both—helping you strengthen your emotional bond while nurturing your physical intimacy.

It is very common for one partner to feel nervous, protective, or skeptical about starting therapy. You don't both have to be completely on board from day one—you just need a shared willingness to show up. If your partner isn't ready, you can also begin in individual therapy to explore your own relationship patterns, boundaries, and sexual goals, which often positively shifts the dynamic at home.

Yes. Sexual pain—such as vaginismus, dyspareunia, or pelvic floor tightness—often involves a complex interplay between physical, emotional, and relational factors. Sex therapy offers a supportive space to address the anxiety, pressure, and emotional impact around pain. I frequently collaborate alongside your medical team (such as pelvic floor physical therapists, OB/GYNs, or urologists) to ensure holistic care.

Absolutely. My practice is 100% sex-positive, kink-aware, and affirming of all relationship structures, including consensual non-monogamy (CNM), polyamory, open relationships, and BDSM. You will never have to educate me on your lifestyle or worry about judgment—we focus on building safety, clear communication, and agreements that honor everyone involved.

Because every individual and dynamic is unique, there is no set timeline. Some clients or couples seek targeted, solution-focused support for a specific issue over 3 to 6 months, while others choose longer-term therapy to unpack deeper relational or historical patterns. We will regularly check in on your progress and goals so you always feel in control of your journey.

You don't need to bring anything prepared or have all the answers. The most important thing is a willingness to be open and vulnerable. During our initial sessions, we’ll map out what brought you here, discuss your background, and clarify what you want your relationship and sex life to look like moving forward.