How It's Complicated works
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Find your therapistUse our free matching service for personal recommendations, or browse our network of 2,500+ therapists yourself.
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Create your free accountSign up in under 2 minutes. All you need is an email and a password, and you're ready to go.
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Start therapyReach out to your therapist and book your first session within 24 hours. Online or in person, in 60+ languages.
Learn more about sexuality
Sexuality encompasses sexual orientation, desires, attractions, identity, and the relational and emotional dimensions of sexual experience. People seek therapy around sexuality for a wide range of reasons: exploring questions about orientation or identity, processing the impact of shame or difficult experiences, navigating relationships and desires that feel in conflict with cultural or family expectations, or working through the intersection of sexuality with faith, disability, or personal history. Sexuality is not a pathology, and therapy in this area does not aim to change sexual orientation or identity. It provides a space to explore what has been difficult to examine elsewhere, with a practitioner who approaches the topic without judgement.
People come to therapy around sexuality at many different stages and from many different starting points.
- You are questioning your sexual orientation or have questions about your identity that you have not had space to explore
- You carry shame, guilt, or anxiety about your sexual desires or attractions that affect your daily life or relationships
- Your sexuality feels in conflict with your religious beliefs, cultural background, or family expectations
- You have had a sexual experience that was unwanted or harmful and are processing its impact
- You are in a relationship in which sexuality is creating difficulty, including questions of compatibility, desire discrepancy, or communication
- You identify as LGBTQ+ and are navigating specific pressures, including discrimination, coming out, or family responses
- You are exploring non-monogamous or non-conventional relationship structures and want support thinking through the dynamics
Several approaches are well suited to work around sexuality, with an emphasis on affirmation, non-directive practice, and genuine expertise in sexual diversity.
- Sex therapy Sex therapy addresses the full range of questions that arise around sexual experience, identity, and functioning, without treating atypical attractions or practices as inherently problematic.
- GSRD therapy GSRD (Gender, Sexual and Relationship Diversity) therapy is specifically designed for people whose sexuality, gender, or relationship structure falls outside dominant norms. Practitioners understand the specific pressures and experiences involved.
- Counselling Counselling provides a consistent, private space to explore questions about sexuality at your own pace, without a fixed agenda or required outcome.
- Psychotherapy Broader psychotherapeutic work can help where sexuality is entangled with earlier experiences, shame, trauma, or relational patterns that need deeper exploration.
- Couples therapy Couples therapy addresses the relational dimensions of sexuality, including desire, communication, and how partners navigate questions of compatibility or change together.
It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set.
Finding a therapist who is genuinely sexuality-affirming and who has relevant experience, rather than simply being tolerant, requires a more careful search than a standard directory allows. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself.
Get matched with a therapist who specialises in sexuality, or browse the directory.
