A Guide to Sex Therapy
What sex therapy is, who it helps, and what to expect. A trauma-informed, LGBTQ+ affirming guide from Middle Way Psychotherapy in Brooklyn Heights.
Read more →Sex therapy in Brooklyn Heights, NY
Trauma-informed, non-judgmental therapy for individuals and couples working on desire, intimacy, communication, and connection. Sessions with Taylor Borsina, LMSW, CST, our certified sex therapist.
Brooklyn Heights · In-person and online across New York
Sex therapy for individuals and couples
Sex therapy is talk therapy that focuses on the things that shape sexual experience: desire, intimacy, communication, identity, pleasure, pain, and connection. It’s evidence-based, trauma-informed, and offered without judgment. We see individuals and couples.
At Middle Way, sex therapy uses the same relational, nervous-system-aware approach as our individual therapy and couples therapy. The focus isn’t performance or behavior change on its own. It’s the emotional, relational, and physiological context that shapes how sex feels over time.
Reasons people start sex therapy with us:
The work looks at how stress, beliefs, attachment, and nervous-system responses affect intimacy. Not symptom-management on its own.
Sex therapy works for a wide range of people and relationships. Many clients reach out when something feels confusing, stuck, or hard to talk about, even in relationships that are otherwise caring and committed.
The six cards we see most often:
Differences in sexual desire between partners, and how to stay connected through them.
Mismatched preferences, interests, or comfort levels, and how to talk about them without pressure or shame.
Difficulty initiating or maintaining sexual intimacy, and long gaps in sexual connection.
Anxiety, shame, or self-criticism around sex. These patterns often sit underneath the surface of the presenting problem.
Pain, discomfort, or changes in sexual functioning, along with the emotional life around those changes.
Questions about sexual identity or expression. LGBTQ+ and BIPOC affirming by default.
Many people come to sex therapy not because something is “wrong,” but because they want help working through differences, rebuilding intimacy, or learning how to talk about sex with more safety and clarity.
Sex therapy is talk therapy. There’s no sexual touch, nudity, or sexual activity in sessions. Sessions are structured and shaped around what you came in for. The work typically includes:
Sex therapy works for individuals or couples. It pairs well with our couples therapy, EMDR, and somatic work.
Meet your sex therapist
LMSW, CST · Certified Sex Therapist
Sex therapy at Middle Way is led by Taylor Borsina, LMSW, CST. She’s a licensed psychotherapist and AASECT-track certified sex therapist. Taylor sees individuals and couples for desire differences, sexual communication, intimacy challenges, and the emotional and relational patterns underneath sexual experience.
Read Taylor’s full background and approach →Why choose sex therapy at Middle Way
Many clients arrive frustrated or discouraged, often after months of trying to talk things through without change. Sex therapy slows the work down and looks at what’s happening underneath. When intimacy has been shaped by past hurt or misunderstanding, relational safety and repair come first.
At Middle Way, sex therapy is:
We look at how stress, past experiences, cultural messages, and relationship dynamics affect desire and intimacy. This is consistent with our trauma work, including EMDR therapy and somatic psychotherapy.
There’s no single definition of a “healthy” sex life. The work is collaborative, paced carefully, and shaped around your values, boundaries, and goals.
“Sex isn’t something you do; it’s a place you go, a space you enter with curiosity, vulnerability, and presence.”
Esther Perel · The AtlanticSex therapy is often associated with couples, but many people come on their own to better understand their relationship to sex, desire, intimacy, and their own bodies.
Reasons people start individual sex therapy with us:
The work helps you clarify what feels safe, authentic, and fulfilling, while paying attention to the emotional history and nervous-system patterns underneath. It also supports building a kinder relationship with your body and desires.
Periods of change in desire, connection, or circumstance are part of most long relationships. The work is how we meet them.
Desire, preferences, reconnection
Partners often experience desire differently over time. We help couples understand those differences without blame, and find ways to stay emotionally and physically connected as they reconnect.
Therapy gives you a place to talk openly about interests, boundaries, curiosity, and consent, without pressure to change or perform.
Long periods of no sex are common and usually tied to stress, parenting, medical issues, or emotional distance. We work toward gradual reconnection grounded in safety, communication, and mutual desire.
At Middle Way, sex therapy is talk therapy. It blends education, emotional insight, and practical tools to help you understand your desires and your body, and to address physical, relational, or cultural barriers to sexual well-being. There is no physical contact between therapist and client.
Our office is at 15 Monroe Place in Brooklyn Heights, NY 11201. We also see clients virtually anywhere in New York State.
Taylor Borsina, LMSW, CST. She’s a Licensed Master Social Worker and Certified Sex Therapist with specialized training in sex therapy and a trauma-informed approach.
Yes. We’re LGBTQ+ and BIPOC affirming and we work with clients of all gender identities, sexual orientations, and relationship structures, including monogamous and non-monogamous couples.
Reach out through our contact page. A 15-minute call with our intake coordinator matches you with the right therapist for what you’re working on.
Brooklyn Heights and online across New York
Middle Way offers trauma-informed, sex-positive, LGBTQ+ affirming sex therapy. We work with individuals and couples on how their bodies, emotions, and relationships interact. The approach is integrative and often draws on nervous-system awareness and somatic (body-based) work.
Our office is at 15 Monroe Place in Brooklyn Heights, close to Park Slope, Cobble Hill, Carroll Gardens, Downtown Brooklyn, and DUMBO. We also see clients virtually anywhere in New York State.
Writing on intimacy
What sex therapy is, who it helps, and what to expect. A trauma-informed, LGBTQ+ affirming guide from Middle Way Psychotherapy in Brooklyn Heights.
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Read more →When you’re ready, we’re here. The consult is fifteen minutes, free, and you can come on your own or with your partner. We’ll listen, ask a few questions, and help you decide whether this is what you need right now.