Sex Therapy & Sexual Health — Victoria, BC
Sex therapy is not
what most people picture.
It's a clinical conversation — evidence-based, psychologically grounded, and often one of the most productive conversations people have had about something that affects a significant part of how they experience themselves and their relationships.
I offer sex therapy in Victoria, BC and virtually across British Columbia and Alberta. I work with individuals and couples navigating a broad range of sexual health concerns — from low desire and arousal difficulties to sexual anxiety, dysfunction, identity questions, and the impact of physical health on sexual wellbeing.
Get in TouchSex affects a huge part of how people experience themselves and their relationships. Most people wait far too long to address it.
— Tami-Lee Duncan, RPsychWhat Sex Therapy Actually Is
A clinical conversation.
Nothing more. Nothing less.
Sex therapy is talk therapy. There is no physical component, no homework involving other people, and nothing that should feel exploitative or inappropriate. It's a structured psychological process that addresses the thoughts, feelings, relationship dynamics, and physiological patterns that affect sexual functioning and satisfaction.
What makes it distinct from general therapy is the specificity of the training and the willingness to go directly into territory that most clinicians avoid. A lot of people have seen therapists for years without ever having a frank conversation about their sexual concerns — not because the topic never came up, but because their therapist didn't know what to do with it.
I do. I've been working in this area for 15 years and I've taught these topics to medical students, physicians, and allied health professionals across Canada. Sexual health is not a sideline — it's the centre of my clinical work.
Areas of Focus
Sexual health concerns I work
with regularly in Victoria, BC.
Sexual health encompasses a wide range. What follows isn't exhaustive — it's a map of the most common concerns I see, and the ones I have the deepest clinical experience addressing.
Most Common
Low Desire & Arousal
Hypoactive sexual desire disorder (HSDD), responsive vs. spontaneous desire, and arousal difficulties affect a significant proportion of adults at some point in their lives. These concerns are highly responsive to psychological intervention — particularly when we understand the role of stress, relationship dynamics, and the pressure of sexual expectations.
Highly Treatable
Sexual Anxiety & Performance
Anxiety around sex — whether it's performance pressure, fear of judgment, body image concerns, or anticipatory anxiety — creates a self-reinforcing cycle that interferes with both arousal and enjoyment. CBT, ACT, and mindfulness-based approaches are particularly effective here, and results are often rapid once the cycle is understood.
Erectile Difficulties
Erectile dysfunction has a psychological component in a significant majority of cases, even when organic factors are present. I work with men and couples navigating this with honesty, clinical depth, and without shame.
Orgasm Difficulties
Primary and secondary anorgasmia in women, delayed ejaculation in men, and the anxiety patterns that frequently accompany these concerns. Often more quickly resolved than clients expect.
Sexual Pain
The intersection of psychological and physical factors in sexual pain is my deepest area of specialization. For clients where sexual pain is the primary concern, I have a dedicated service page with more detail.
Compulsive Sexual Behaviour
When sexual behaviour feels out of control or is causing harm to yourself or your relationships. I approach this without a predetermined moral framework and without pathologizing sexuality — but with genuine clinical depth.
Identity & Orientation
Questions around sexual identity, orientation, gender, and the intersection of these with relationships and wellbeing. I work across the full spectrum, affirming and without agenda.
Sex & Medical Conditions
Cancer treatment, chronic illness, hormonal changes, neurological conditions, and medication side effects can all significantly affect sexual functioning. I have particular experience working alongside medical teams in these contexts.
Why It Matters
Sexual health is health.
It doesn't belong in a separate category.
Sexual wellbeing is consistently one of the strongest predictors of relationship satisfaction, self-esteem, and overall quality of life — and yet it remains one of the most systematically underserved areas in mental health care. Most therapy training programs spend fewer than three hours on sexual health. Most GPs receive no training in it at all.
The result is that people carry sexual concerns silently for years — often decades — and either normalize them or conclude that nothing can be done. Neither of those things is usually true. Most sexual concerns are treatable. Many resolve relatively quickly with the right approach. Almost all of them improve meaningfully when they're actually addressed.
What to Expect
Direct, informed, and
genuinely comfortable.
The first thing most people notice is that I'm not awkward about this. I've been having these conversations clinically for 15 years and I've learned how to make a topic that feels impossibly private feel genuinely manageable to talk about. You don't have to arrive with language, a clear narrative, or certainty about what the problem is.
Sessions are 50–60 minutes. I work with individuals and couples, in person in Victoria, BC and Edmonton, AB, and virtually for clients across British Columbia and Alberta. I also work collaboratively with pelvic floor physiotherapists, physicians, and other specialists where that's part of the picture.
Getting Started
Sex therapy in Victoria, BC.
Accepting new clients.
If you're looking for a sex therapist in Victoria or virtually across BC or Alberta, get in touch. You don't need to know exactly what you're dealing with or have the right words for it. A first conversation is enough to figure out whether this is the right fit.
