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Communication in relationships

Learning to talk about sex

Talking about sex is hard for many people – even in long, close relationships. What we want, what bothers or unsettles us, often goes unsaid. Yet an honest conversation can change a lot.

When words are missing

Many couples come feeling that they talk past each other – or no longer talk about sex at all. Typical situations include:

Different ideas of closeness, tenderness and sex
Desires or fantasies you don't dare to bring up
Boundaries that are hard to name
Conversations about sex that quickly turn into blame or withdrawal
Trust that has been shaken by hurt

Why it's so difficult

Very few of us have learned to talk about sex. Words are often missing – or they feel too clinical, too crude or too embarrassing. Add to that shame, the fear of hurting the other person and the worry of being rejected.

Differences in a relationship are normal. It usually only becomes difficult when there is no room for them in conversation.

How sex therapy can help

Sessions offer a protected space where even what has gone unsaid has a place. Together we look for a language that works for both of you. We clarify desires and boundaries and look at how you can handle differences.

Small exercises for everyday life help you try out at home what you have learned. The goal is not the perfect conversation, but an honest one.

You can come as a couple or on your own. A lot can be clarified on your own too: what you want and how you can bring it up.

Frequently asked questions

Do both partners have to come?

No. Joint sessions are often helpful, but you can also start on your own. Sometimes a mix of individual and couple sessions makes sense.

Is this couples therapy?

The focus is on sexuality, intimacy and closeness in the relationship. If other issues are in the foreground, we can discuss whether additional couples therapy would be helpful.

What if we argue during the session?

That's okay. I make sure both of you are heard and that the conversation stays safe for you both.

Is it covered by health insurance?

Sessions are generally not covered by basic health insurance. If you have supplementary insurance, it is worth checking in advance. A session costs CHF 150 (individual, 50 min) or CHF 225 (couple, 75 min); a reduced rate is available on request.

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