Therapy for Sexual Issues

for Individuals and Couples

Online therapy for Arizona, Colorado, Florida, and New Mexico residents, with licensed therapist in Tucson, Jacob Gotwals, MA.

Are you having sexual challenges?

Do you feel anxious about sexual intimacy?
Do you have difficulties with sexual arousal?
Do you feel ashamed or embarrassed about your desires?
Has past trauma been interfering with your ability to enjoy sexual experiences?
Would you like to improve your sexual relationship with your partner?
Would you like to resolve relationship difficulties that have been affecting your sex life?
Have you and your partner been experiencing conflict or other difficulties related to sexual intimacy?
Would you like to be able to communicate more openly about sexual needs, desires, and preferences?
Do you and your partner have mismatched libidos or desires?

How I Can Help

Sexual issues are, by nature, intimate and private, and you may feel anxious about discussing these issues with a therapist. I take an open, non-judgmental approach to addressing sexual challenges, and you can trust that I’ll respond to your issues with sensitivity and compassion. I have training in human sexuality and I’m comfortable discussing a wide range of sexual issues. We’ll start by discussing the challenges you've been experiencing and your goals for therapy, then I'll help you identify the causes of those challenges and options for resolving them.

Get Started

Frequently Asked Questions

I specialize in psychological and relationship issues related to sexuality (for instance, anxiety, shame, embarrassment, conflict and communication between partners, and trauma). If the sexual issues you're facing are mainly physical, you may need to consult another provider who specializes in these issues.
Individual therapy can help you gain more understanding, confidence, and fulfillment in your sexual life, whether or not you currently have a partner.
Either individual therapy or couples therapy can be helpful for sexual issues, depending on your needs and preferences. After you contact me and I start learning about the issues you want help with, we can discuss these options further. Learn more about individual therapy and couples therapy with me.
My approach is eclectic; I bring all my knowledge, experience, and intuition to my work with each client. You can read more about the approaches that I draw from on my about page. I offer talk therapy only (which never involves sexual contact with my clients).
I have a Human Sexuality Certificate from Southwestern College. For more about my qualifications as a licensed therapist, see my about page.
I’m LGBTQ friendly/affirming and kink friendly/affirming. I’m poly friendly/affirming; I welcome both monogamous and polyamorous clients (however, due to limitations in my systems, I am currently unable to provide couples/relationship therapy with more than two clients together).