Helping individuals and couples navigate intimacy
What is Sex Therapy?
Sex therapy is a specialized, collaborative form of psychotherapy that supports individuals and couples with concerns related to sexual functioning, desire, intimacy, communication, identity, pleasure, and connection. It is evidence-based, trauma-informed, and offered in a respectful, non-judgmental space.
At Middle Way Psychotherapy, sex therapy is grounded in the same relational and nervous-system-aware approach that guides our work in individual therapy and couples therapy. Rather than focusing on performance or “fixing” behavior, therapy explores the emotional, relational, and physiological context that shapes sexual experience over time.
How can Sex Therapy in New York support you and your relationship?
Sex therapy may support you in:
- Identifying emotional or physical barriers to sexual satisfaction
- Developing language and curiosity for talking about intimacy with partners
- Navigating differences in desire or libido
- Exploring sexual preferences or needs
- Reconnecting after long periods of little or no sex
- Healing from sexual trauma or distressing experiences
- Exploring identity, orientation, or gender-related questions
- Strengthening intimacy after medical or life changes
Sex therapy looks beyond symptoms to understand how stress, beliefs, attachment patterns, and nervous system responses influence intimacy and connection.
Who Sex Therapy If For
Sex therapy can benefit a wide range of people and relationships. Many clients seek support when something feels confusing, stuck, or difficult to talk about, even in relationships that are otherwise caring and committed.
Common reasons people seek sex therapy include:
- Differences in sexual desire or libido between partners
- Mismatched preferences, interests, or comfort levels
- Difficulty initiating or maintaining sexual intimacy
- Long gaps in sexual connection
- Anxiety, shame, or self-criticism around sex
- Pain, discomfort, or changes in sexual functioning
- Questions about sexual identity or expression
Many people come to sex therapy not because something is “wrong,” but because they want support in navigating differences, rebuilding intimacy, or learning how to communicate about sex with more safety and clarity.
How Sex Therapy Works
Sex therapy is talk therapy and does not involve sexual touch, nudity or sexual activity in sessions.. Sessions are structured, supportive, and tailored to your goals. Depending on your needs, therapy may include:
- Exploring current concerns and relationship patterns
- Developing language for talking about sex and intimacy
- Understanding desire, arousal, and sexual response
- Learning how stress and the nervous system affect connection
- Working gently with shame, fear, or avoidance
- Supporting reconnection after periods of disconnection
Sex therapy may be provided to individuals or couples and can be integrated with other services at Middle Way, including couples therapy, trauma-informed psychotherapy, EMDR, somatic work, or creative arts therapy.
Meet Our Sex Therapist
Sex therapy at Middle Way Psychotherapy is offered by Taylor Borsina, a licensed psychotherapist with specialized training in sex therapy. Taylor works with individuals and couples navigating desire differences, sexual communication, intimacy challenges, and the emotional and relational factors that shape sexual experience.
Click here to learn more about Taylor’s background and approach here.
Why Choose Sex Therapy at Middle Way Psychotherapy?
Many clients arrive at sex therapy feeling frustrated or discouraged, especially after trying to talk things through without change. Sex therapy helps slow things down and explore what is happening beneath the surface. We prioritize relational safety and repair, especially when intimacy has been shaped by past hurt or misunderstanding.
At Middle Way Psychotherapy, sex therapy is:
- Trauma-informed and relational
- Attentive to nervous system responses such as anxiety, shutdown, or avoidance
- Focused on emotional safety and consent
- Grounded in curiosity rather than pressure or expectation
We explore how stress, past experiences, cultural messages, and relationship dynamics affect desire and intimacy. This approach is consistent with our trauma-focused work, including EMDR therapy and somatic psychotherapy.
There is no single definition of a “healthy” sex life. Therapy is collaborative and paced carefully, shaped around your values, boundaries, and goals.
As sex therapist Esther Perel writes in The Atlantic,
“Sex isn’t something you do; it’s a place you go—a space you enter with curiosity, vulnerability, and presence.”
This perspective guides our work toward connection rather than performance.
Individual Sex Therapy
While sex therapy is often associated with couples, many people seek individual sex therapy to better understand their relationship to sex, desire, intimacy, and their own bodies.
Individual sex therapy offers a private, supportive space to explore concerns such as:
- Low or fluctuating desire
- Anxiety around sex or intimacy
- Difficulty staying present during sex
- Shame or negative beliefs about sexuality
- Healing from past sexual experiences or trauma
- Exploring sexual identity or expression
- Changes related to stress, health, or life transitions
- Pain or discomfort during sex
- Changes in sexual functioning, such as erectile difficulties, orgasm concerns or vaginal dryness
Therapy focuses on helping you clarify what feels safe, authentic, and fulfilling for you, while working with emotional history and nervous system patterns that influence intimacy. Individual sex therapy can also support you in building a more compassionate relationship with your body and desires.
Sex Therapy for Desire Differences and Reconnection
Desire Differences
Partners often experience desire differently over time. Sex therapy helps couples understand these differences without blame and explore ways to stay emotionally and physically connected. While also helping partners notice their responses and needs as they reconnect.
Differences in Preferences
Therapy provides space to talk openly about interests, boundaries, curiosity, and consent, without pressure to change or perform.
Reconnecting After a Long Gap
Periods of no sex are common and often linked to stress, parenting, medical issues, or emotional distance. Sex therapy supports gradual reconnection focused on safety, communication, and mutual desire.
Rebuild, Reconnect and Focus
FAQ for Sex Therapy in NYC
What exactly is sex therapy?
At Middle Way Healing, sex therapy is a form of talk therapy that blends education, emotional insight, and practical tools. It helps people better understand their desires and bodies while addressing physical, relational, or cultural barriers to sexual well-being. Note: There is no physical contact between therapist and client.
Where is the Middle Way Healing office located?
The practice is located in Brooklyn Heights at: 15 Monroe Place, Brooklyn, NY 11201. They also offer virtual sessions for clients in New York and Colorado.
Who provides the Sex Therapy services?
Taylor Borsina is a primary sex therapist at the practice. She is a Licensed Clinical Social Worker (LCSW) with specialized training in sex therapy and a heart-centered, trauma-informed approach.
Is the therapy inclusive?
Yes. The practice emphasizes an LGBTQ+ and BIPOC-affirming environment. They work with all gender identities, sexual orientations, and relationship structures (including monogamous and non-monogamous couples).
How do I get started?
The process typically begins with a 15-minute intake call with an intake coordinator who helps match you with the right therapist based on your specific needs.
Feel Better In Your Body and Mind
Sex Therapy NYC in Brooklyn and Online
Middle Way Healing offers trauma-informed, sex-positive, and LGBTQ+ affirming sex therapy. The practice focuses on helping individuals and couples understand the interplay between their bodies, emotions, and relationships. Their approach is holistic, often incorporating nervous system awareness and somatic (body-based) regulation to address intimacy issues. Middle Way Healing in Brooklyn location is convenient to nearby neighborhoods including Park Slope, Cobble Hill, Carroll Gardens, Downtown Brooklyn, and DUMBO.