There is perhaps no more difficult subject to discuss than our sexuality. Whether in individual or couples therapy, psychotherapy provides a uniquely confidential and safe environment in which to talk about sexual issues. We all have specific ideas about what sexual behavior “should” be, largely based on how we were raised and the prevailing cultural norms of our time. In therapy, we can sort out our own personal sexual styles and preferences, learning new ways of communicating sexually, which leads to a more satisfying sex life. Many issues of sexual dysfunction can be effectively dealt with in psychotherapy once medical causes have been ruled out.