Why Are Couples and Sex Therapy Taught Separately?

Therapists interested in pursuing couples work often face a dilemma: Do they study and train in a couples therapy modality, or do they pursue sex therapy training? But this choice prompts a larger question: Why are couples therapy and sex therapy taught separately in the first place? Many early career clinicians may be asking themselves this, and as they will discover, these two fields have been largely kept separate.

Couples therapy and sex therapy are taught separately for one reason—they were developed separately. There is no scientific or clinical reason for clinicians not to learn both modalities. In fact, therapists would benefit from knowing both because couples coming to therapy often need help navigating many aspects of their relationship, including communication and sex.

When working with couples, they will undoubtedly face issues related to intimacy, both emotional and physical. Indeed, these two types of intimacy are closely tied. For many, an emotional connection is a necessary ingredient for a sexual connection, and physical intimacy leads to a sense of emotional closeness. Why, then, is there not a more integrative approach to learning how to foster both emotional and sexual intimacy?

The best that most therapists can do is choose to pursue training in both fields so they are as educated and qualified as possible to do this type of work. This puts the burden on therapists to decide which types of training or modalities to pursue, financially invest in multiple programs, and integrate the knowledge on their own.

Perhaps a better approach would be teaching these two specializations side-by-side, allowing students and early career therapists to learn foundational knowledge and skills for treating couples. This approach would also allow therapists to get a sense of their interest in becoming certified in one path over the other, or if they’d like to continue pursuing both specializations.

Navigating Intimacy: An Introductory Guide to Couples and Sex Therapy
PUB089630
It’s rare for couples to experience sexual problems without also experiencing communication difficulties. Likewise, it’s uncommon for couples who experience conflict and relationship dysfunction to not struggle with sexual intimacy as well. Why, then, are couples therapy and sex therapy taught separately? 

It’s time for an approach that integrates couples therapy and sex therapy together—the way they are in real life.  

In Navigating Intimacy, you’ll find the tools you need to help couples strengthen their emotional connection and resolve recurring conflicts while also helping them talk about and navigate sexual challenges.

Whether you’re a seasoned couples therapist or are just starting on your path to specialization, let this book be your guide to navigating the nuance, complexity, and art of couples and sex therapy.
Online Course: Integrative Sex and Couples Certification Training with Tammy Nelson
NRS001608
Tammy Nelson brings you a comprehensive program on integrating sex and couple’s therapy. Upon completing this course, you will be qualified for the Certified Sex Therapy Informed Professional (CSTIP) certification through Evergreen Certifications. Supercharge your work with couples by learning this exceptional approach to couples and sex therapy.
Isabelle Morley PsyD

Isabelle Morley, PsyD, is a clinical psychologist and an EFT (emotionally focused therapy) certified couples therapist. She is a contributing author to Psychology Today in her blog Love Them or Leave Them. She is frequently sought out by journalists for expert commentary on topics such as relationships, couples therapy and reality television, and has been featured in The New Yorker, The Boston Globe, Business Insider, Vox, and Verywell Mind, among others.

In philanthropic work, Dr. Morley is a founding board member of the Unscripted Cast Advocacy Network (UCAN) Foundation, a nonprofit organization that supports reality TV cast members in accessing mental health and legal support and advocates for industry change. She has a private practice providing couples therapy and intensives in the Boston area.


Speaker Disclosures:
Financial: Isabelle Morley maintains a private practice and has an employment relationship with Tufts University. She receives a speaking honorarium from Psychotherapy Networker and PESI, Inc. She has no relevant relationships with ineligible organizations.
Non-financial: Isabelle Morley has no relevant non-financial relationships.

 

Let's Stay in Touch

Get exclusive discounts, new training announcements & more!

You May Also Be Interested In These Related Blog Posts
Hands Breaking Free From Handcuffs Against A Blue Sky
How To Harness the Power of Values and Help Your Clients Speak Up When It Matters
Dr. Danielle N. Moyer shares clinical strategies for using values-based interventions to empower clients to communicate authentically, overcome avoidance, and build meaningful connections.
Mindfulness Practices Person Meditating
Using Mindfulness to Support Clients with Sociopolitical Unrest
Learn practical exercises to manage your own reactions, stay present with clients, and respond with intention rather than fear when difficult topics arise in session. This resource helps clinicians...
Close Up Of Elderly Hands Holding In Comfort
Navigating Challenging Conversations with Compassion
Learn practical strategies for managing difficult conversations with clients, colleagues, and loved ones using compassion-based approaches.
Document Management Concept, Online Documentation Database Technology, Document Management Design For Business Technology Background
Cultural Context in Mental Status Exams: Avoiding Documentation Blind Spots
Discover how cultural awareness transforms mental status exams from potential misdiagnosis to accurate assessment. Essential strategies for clinicians documenting diverse client presentations.
Hands Breaking Free From Handcuffs Against A Blue Sky
How To Harness the Power of Values and Help Your Clients Speak Up When It Matters
Dr. Danielle N. Moyer shares clinical strategies for using values-based interventions to empower clients to communicate authentically, overcome avoidance, and build meaningful connections.
Mindfulness Practices Person Meditating
Using Mindfulness to Support Clients with Sociopolitical Unrest
Learn practical exercises to manage your own reactions, stay present with clients, and respond with intention rather than fear when difficult topics arise in session. This resource helps clinicians...
Close Up Of Elderly Hands Holding In Comfort
Navigating Challenging Conversations with Compassion
Learn practical strategies for managing difficult conversations with clients, colleagues, and loved ones using compassion-based approaches.
Document Management Concept, Online Documentation Database Technology, Document Management Design For Business Technology Background
Cultural Context in Mental Status Exams: Avoiding Documentation Blind Spots
Discover how cultural awareness transforms mental status exams from potential misdiagnosis to accurate assessment. Essential strategies for clinicians documenting diverse client presentations.