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Sex Positive Therapy in Nashville & Middle Tennessee

A Non-Judgmental Space to Explore Sexuality, Desire, and Connection

Sex is a normal and healthy part of the human experience, and it can also be complicated.

You may have questions, concerns, curiosity, or experiences that feel hard to talk about elsewhere. You may be navigating changes in your body, your relationship, your identity, or your sense of desire. Or you may simply want a space to better understand yourself without shame or pressure.

At Works Counseling Center, we offer sex positive therapy for individuals, couples, and partners across Nashville, Bellevue, Belle Meade, West Meade, Broadway, Nolensville, Gallatin, Hendersonville, Smyrna, Brentwood, Franklin, and Fairview, as well as virtual therapy throughout Tennessee.

Sex positive therapy is talk therapy. There is no touching or sexual contact of any kind. Sessions focus on conversation, education, reflection, and support in a respectful, professional setting.

What Is Sex Positive Therapy?

Sex positive therapy is a therapeutic approach that views sexuality as diverse, personal, and worthy of care rather than judgment.

There is no single goal you are expected to reach. Therapy is shaped around what you want to understand, change, heal, or explore. Some clients come with specific concerns, while others come with curiosity or a desire to feel more at ease in their bodies and relationships.

People seek sex positive therapy on their own, with a partner, or with multiple partners. All relationship structures are respected.

What You Can Talk About in Sex Positive Therapy

Desire and Arousal

Many people seek therapy around desire. This might include differences in desire between partners, changes in desire over time, loss of desire, increased desire, or feeling confused about what you want.

We also work with individuals navigating compulsive sexual behavior or pornography use, helping them understand patterns without shame and build healthier relationships with sexuality.

Sexuality After Trauma

Sexual trauma can deeply impact desire, safety, and connection.

Sex positive therapy offers a supportive space to explore sexuality after trauma at your own pace. This may involve rebuilding trust with your body, understanding triggers, or redefining what pleasure and safety mean for you now.

Body Changes, Health, and Sexuality

Changes in the body can affect sexuality in complex ways.

We support clients navigating:

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Pregnancy and postpartum changes

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Aging and menopause

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Weight loss or weight gain

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Chronic pain or illness

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Disability

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Medication side effects

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Infertility or reproductive challenges

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Pain with sex or physical limitations

Therapy helps you adapt, communicate, and reconnect in ways that honor your body as it is.

Gender, Identity, and Sexual Expression

Sex positive therapy is inclusive of trans, non-binary, gender-fluid, and questioning individuals.

We support clients exploring sexuality alongside:

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Gender identity exploration

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Medical or non-medical gender transition

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Body changes related to transition or affirmation

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Shifts in desire or attraction

You do not need to fit into any label or timeline. Therapy meets you where you are.

BDSM, Kink, and Non-Traditional Sexual Interests

Kink and BDSM are not inherently problematic, disordered, or unhealthy.

Clients often come to therapy to explore:

  • Communication and consent
  • Safety and best practices
  • Navigating power dynamics
  • Integrating kink into relationships
  • Addressing shame or secrecy

Sex positive therapy provides informed, respectful support without pathologizing consensual interests.

Education and Self-Understanding

What Really Makes Sex Satisfying Here’s What the Research Says

Some clients come to therapy because they were never given accurate or affirming sexual education.

Sex positive therapy can include education and exploration around:

  • Understanding your own body
  • Desire and arousal patterns
  • Masturbation and self-pleasure
  • Orgasm
  • Asexuality and low-desire identities

There is no “normal” you are required to meet. A fulfilling sex life can look many different ways, including choosing not to have sex at all.

 

What Sex Positive Therapy Is Not

Sex positive therapy is not explicit, graphic, or inappropriate.
 It is not sexual activity.
 It is not about pushing you toward any specific behavior.

It is a professional, respectful space focused on understanding, consent, communication, and wellbeing.

Who We Work With

We provide sex positive therapy for:

  • Individuals
  • Couples and long-term partners
  • Polyamorous or consensually non-monogamous relationships
  • LGBTQIA+ individuals and partners
  • People exploring sexuality later in life
  • Survivors of sexual trauma

Whether you attend sessions in Nashville, Franklin, Brentwood, Hendersonville, or Gallatin, or meet virtually from elsewhere in Tennessee, our approach remains the same: affirming, informed, and non-judgmental.

Frequently Asked Questions

Is sex positive therapy appropriate if I feel embarrassed or nervous?

Yes. Many people feel unsure at first. Therapy moves at your pace and respects your comfort level.

Do you work with couples or partners?

Yes. We work with individuals, couples, and partners in various relationship structures.

Do you support asexual clients?

 Absolutely. Asexuality and low-desire identities are valid and respected.

Do you offer virtual sex positive therapy in Tennessee?

 Yes. We provide virtual sessions to clients anywhere in Tennessee.

Ready to Get Started?

You deserve a space where you can talk openly about sexuality without judgment or pressure.

We offer in-person across Middle Tennessee and virtual throughout Tennessee

Whether you’re seeking healing, clarity, education, or connection, we’re here to support you with care and respect.