Sex Therapy & Counselling for Adults & Couples
Support tailored to you that restores and affirms a positive expression of your sexuality.
“Desire isn’t something you have or don’t have. It’s something you create, notice, and nurture.”
— Emily Nagoski
Reconnect with Desire, Pleasure & Self-Confidence
In seeking sex therapy at Thrive, you don’t have to feel awkward, heavy or in a clinical setting. We offer warm, sex-positive support for adults of all backgrounds — individuals and couples navigating low desire, intimacy blocks, or sexual confidence challenges. Whether you’re craving more connection with your partner, your body, or your own sexuality, Sara Bruno, RCC is here to help you rediscover pleasure and empowerment — without shame, pressure, or judgment.
Specialized Support for Your Way Forward
Sex therapy is a space to explore curiosity, tease apart shame, and rebuild trust—both in yourself and with your partner. Many clients come to us with:
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Low sexual desire or libido slipping away
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Desire discrepancy with a partner
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Difficulty with arousal, orgasm, or intimacy
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Body image, shame, or trauma holding you back
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Kink-awareness, ethical non-monogamy, or sex-positive exploration
When to Consider Sex Therapy
You’re in the right place if you’re asking questions like, “Why am I feeling less desire?” or “How do I bring pleasure back without shame?” No need for a diagnosis or predetermined outcome—just curiosity and openness. Our goal is to make sex therapy something you wish you did years ago.
Meet Sara Bruno, RCC – Sexual Desire & Sex Therapist
Sara combines evidence-based therapy with somatic and narrative practices and a sprinkling of playful curiosity. If you want someone who treats sex—and you—with respect, warmth, and no shame, Sara’s your person.
Sara’s specialties include:
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Low sexual desire & libido rebuilding
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Desire discrepancy & relationship intimacy
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Somatic approaches to body confidence
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Sex-positive, kink/allies & non-monogamy
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Trauma-informed sexual empowerment
What We Provide at Thrive
Some clients are exploring pleasure for the first time. Others are healing from past pain, trauma, or body disconnection. And some just feel like something’s “off” but can’t name it. We work with:
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Long-term relationship desire dips
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Mismatched libidos in couples
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Shame around sex or touch
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Navigating sex after trauma
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Changes in desire post-birth, surgery, or life transition
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Exploring identity (kink, asexuality, LGBTQ2IA+)
A Sex-Positive, Queer-Affirming, Trauma-Informed Approach
At Thrive, we welcome all expressions of sexuality and identity. Our sex therapy is inclusive, LGBTQ2IA+ affirming, kink-aware, and grounded in consent and curiosity. Whether you’re monogamous, non-monogamous, questioning, or none of the above—you belong here.
Our practice honours the full spectrum of identities, orientations, and relationship structures—whether you’re navigating dysphoria, unlearning sexual shame, exploring kink, or just trying to feel at home in your body. We centre liberation, consent, and connection, not conformity.
Starting Sex Therapy: What Happens in the First Session?
You don’t have to overshare or know all the answers. Your first session is about building safety and trust. We’ll talk about what brings you in, how you relate to desire, and what you want more (or less) of. It’s okay to feel awkward. There’s no pressure, no performance—just space to be honest.
Sex Therapy FAQs
What is sex therapy, and how is it different from regular counselling?
Sex therapy focuses on concerns related to sexual desire, intimacy, performance, communication, and identity. It’s talk therapy — not physical or medical — and gives you space to explore sensitive topics in a shame-free, informed setting.
Who is sex therapy for?
Sex therapy Vancouver is for individuals, couples, or anyone exploring their sexuality. Whether you’re dealing with low libido, desire mismatch, anxiety around sex, or simply want to reconnect with pleasure, sex therapy in Vancouver can help.
What issues can sex therapy help with?
We work with:
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Low sexual desire or arousal
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Orgasm difficulty
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Erectile issues (psychological origin)
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Body shame or disconnection
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Kink, non-monogamy, or identity exploration
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Postpartum or life transition changes
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Sexual trauma recovery
Do I need to be in a relationship to start sex therapy?
Not at all. Many of our clients come solo. You can work on your relationship with your own body, identity, and desire — partner or no partner.
Is sex therapy awkward?
It’s totally normal to feel nervous at first. But we’ll move at your pace, and everything is consent-based. You don’t have to talk about anything you’re not ready to — ever.
What should I expect in my first session?
Your first session is mostly a conversation. We’ll talk about why you reached out, what you’re hoping to shift, and anything else that feels important. No pressure, no scripts, no rush. Just honest exploration.
How much does sex therapy cost in Vancouver?
Rates vary by therapist, but we do our best to keep sessions accessible while supporting sustainable care. We also offer a free 15-minute phone consult to see if it’s the right fit.
Can sex therapy help if I’ve experienced trauma?
Yes. Our approach is trauma-informed, body-aware, and always centered on safety. You’ll never be pushed to go faster than what feels right for you.
Is this covered by insurance?
In many cases, yes. If your extended health plan covers counselling by an RCC (Registered Clinical Counsellor), your sessions may be reimbursed. Check with your provider.