Individual Sex Therapy in Greensboro, NC
Professional, nonjudgmental support for sexual wellness, desire, confidence, and healing. Private sessions in-person and online.
Individual Sex Therapy for Sexual Wellness, Confidence, and Healing
Individual sex therapy is talk therapy, not medical treatment. You meet one-on-one with a trained therapist to work through whatever is getting in the way of your sexual wellness, confidence, or sense of self. Sessions are in-person in Greensboro or via secure telehealth across North Carolina.
People come for different reasons. Some have a specific concern: painful sex, low desire, or anxiety around intimacy. Others are dealing with something harder to name, like shame they’ve carried for years, or a disconnect between who they are and how they experience their sexuality. Both are valid starting points.
At A Path to Wellness, our clinicians include AASECT-certified expertise. That matters because sex therapy requires specific training that most therapists don’t have. When sexual wellness is the core concern, specialized care makes a real difference.
Sex Therapy Helps With More Than Sexual Function
Sexual wellness doesn’t exist in isolation. It connects to mental health, trauma history, relationship patterns, body image, identity, and life changes you may not have fully processed. Individual sex therapy looks at the concern and the context around it.
Areas We Work WithHow We Approach the Work
No single method works for everyone. Your therapist draws from several approaches depending on what you’re working through, often combining them across sessions as the work evolves.
Cognitive Behavioral Therapy
Somatic Approaches
Trauma-Informed Therapy
Mindfulness-Based Therapy
Psychodynamic Therapy
Attachment-Focused Work
Sex-Positive Framework
Emotionally Focused Therapy
Sex therapy is talk therapy. No physical contact between client and therapist, ever.
What to Expect
Starting sex therapy can feel vulnerable, especially if you’ve never talked about these things with anyone. You set the pace. Nothing gets covered before you’re ready, and nothing you share will be met with shock or judgment.
Pre-Screening
Complete a short, secure form online. Our practice manager follows up within one business day to discuss your needs, availability, and which therapist is the right fit.
First Session
You share your concerns and some personal history. Your therapist listens, asks questions, and starts building a picture of what’s going on. You decide how much to share and when.
Ongoing Work
Sessions are typically weekly or biweekly. Your therapist draws from the approaches that fit your situation and adjusts as the work develops. Progress is rarely linear, and that’s expected.
Why Choose Us for Individual Sex Therapy
Sex therapy requires specific training that most therapists don’t have. At A Path to Wellness, it’s one of the practice’s core service areas, not an add-on to general counseling.
One of the few practices in the Triad with AASECT certification on staff. Sex therapy is a core service area, not an add-on.
We work with sexual concerns specifically. You don’t have to hope a general therapist is comfortable with the topic.
All orientations, identities, and relationship structures are welcome. No judgment, no assumptions about what normal looks like.
See us in Greensboro or from home. Telehealth is a practical option for clients who want privacy or flexibility.
The goal isn’t just to fix a problem. It’s to help you build a relationship with your own sexuality that holds up long-term.
Hannah Smith and Randy Garcia are in-network with Blue Cross Blue Shield, Aetna, United Healthcare, and Cigna.
AASECT-Certified Sex Therapy
AASECT (American Association of Sexuality Educators, Counselors and Therapists) certification represents the highest clinical standard in sex therapy. Hannah Smith holds this credential, making her one of a small number of AASECT-certified therapists in the Greensboro area. For individuals dealing with sexual concerns that require specialized training, that distinction matters.
Virtual Sex Therapy Across North Carolina
All three of our clinicians offer secure telehealth sessions. For clients who want privacy or flexibility, telehealth is a practical option. State availability varies by clinician:
Dr. Tom Murray
AASECT CST · PhD, LMFT, CSTS, CFT
Practice Owner
Randy Garcia Zavala
LCMHC · Bilingual (English & Spanish)
Hannah Smith
LCMHC, AASECT CST · Virtual Only
Licensure status may change. Confirm availability with our office before scheduling across state lines.
Frequently Asked Questions
What is individual sex therapy?
It’s a one-on-one form of talk therapy focused on sexual concerns, sexual wellness, and the emotional factors that affect how you experience intimacy and your own body. You might come in with something specific (low desire, painful sex, anxiety around intimacy) or something harder to name (shame, disconnection, patterns you can’t seem to shift). Either way, the goal is to understand what’s actually going on and find a clearer path forward.
What issues can individual sex therapy help with?
Quite a range. Low libido, sexual anxiety, orgasm difficulties, painful sex, erectile concerns, sexual trauma, shame, body image, questions about identity or expression, medical changes that have affected your sex life, and distressing thoughts or behaviors. In most cases, the presenting concern connects to something broader: stress, past experiences, relationship history, or how you’ve learned to think about sex. Therapy looks at both.
Does sex therapy involve any physical touch or contact?
No. Sex therapy is talk therapy. There is no physical contact between client and therapist, ever. This is one of the most common misconceptions, and it’s worth being clear about. What happens in a sex therapy session is a conversation, the same as any other form of counseling.
Do I need a diagnosis or a specific problem to start?
No. You don’t need a medical diagnosis or a clinical label to benefit from sex therapy. Some people come in with a clear, defined concern. Others come in because something feels off and they want to understand it better. Both are good reasons to reach out. If you’re not sure whether sex therapy is the right fit, our pre-screening process will help figure that out.
How do I know if individual sex therapy is right for me?
If you’re dealing with a sexual concern that is affecting your quality of life, your relationship with your body, or your sense of self, and it hasn’t resolved on its own, that’s usually reason enough to have a conversation with us. You don’t have to have it all figured out before you reach out. You just have to be willing to start.
You Don’t Have to Keep Navigating This Alone
Sexual concerns are among the most common and the least talked about. Our team provides a private, nonjudgmental space to work through what’s going on and find a path forward.
Confidential · Judgment-Free · HIPAA-Secure