Couples can learn how to communicate about sex and this may include their sexual needs and desire. Also, couples can learn how to get curious about each other and how to get creative with sex.

When there is a disconnect in their sexual experience. This may include desire discrepancy, being in a sexless relationship, infidelity/ cheating, curious about opening up their relationship, closing their relationship, if they are polyamorous and they are having problems with other romantic partners, wanting to get creative with sex because their sex has become routine and boring, wanting to explore kink and BDSM, and sexual challenges such as erectile dysfunction, premature ejaculation, delayed ejaculation, sexual challenges due to disability, chronic pain, and disability.

Communication issues centered on sexual desire, emotional disconnection, sexual challenges, cheating/ infidelity, wanting to explore non-monogamy/ polyamory, and couples who are having a difficult time conceiving a child.

Weekly, every other week, monthly

Couples sex therapy includes discussing a couple's sexual concerns while couples counseling may not include the discussion of sex.