Sex forms a focal point of many powerful internal and external forces in human life. Indeed the grandfather of psychotherapy, Sigmund Freud, saw a healthy sexual expression as central to psychological wellbeing.
So while a fulfilling sex life can contribute to overall wellbeing, a compromised sex life can contribute to depression, anxiety, relationship problems or other psychological distress. Now humans are complex, and the process of fantasy, attraction, love, desire, arousal and fulfillment are rather individual and particular. Similarly motivations for sex are many an varied including emotional closeness, reassurance, self-esteem enhancement, stress reduction, partner manipulation, protection from partner's negative affect and behavior, power exertion, physical pleasure, nurturing one's partner, and procreation.
So it is all rather a jigsaw, depended on many personal and interpersonal factors. So while we can surf the web and get any amount of information on virtually any aspect of sexuality, the topics of sex and intimacy continue to be difficult for many to talk about or resolve by themselves.
Sexual issues may well be intertwined with emotional, psychological, relational, cultural or even medical issues. For this reason, your therapist is likely to take a holistic approach, viewing any particular issue as just one aspect of your overall wellbeing.
Two important aspects of sexuality is sexual orientation and gender identity. While attitudes to sex, sexuality and gender identity have changed considerably over the past few decades, exploring these areas can still be a confusing process.
