Sex Therapy

Sex therapy with trans people requires that a clinician have a sex-positive perspective on sexual health and consensual sexual practices and experimentation. The World Health Organization (WHO) defines sexual health as including physical, mental, emotional, and social well-being. Trans sexual health sits at the intersection of gender identity and expression, sexual orientation, and individual desire landscapes. Historically (1950s–early 2000s), sex therapy has emphasized sexual performance and centered the experience of able-bodied, heterosexual, monogamous people. Beginning in the 2000s, clinicians began to queer sex therapy, which allows for sexual identities and practices that exist outside the two-gendered binary and are inclusive of erotically marginalized trans people.