Dr. Marisol G. Westberg — Online Sex Therapist

Telehealth Sex Therapy

Online sex therapy
— as effective as in-person

Oregon Connecticut New York

I've been providing online sex therapy for five years. My clients consistently tell me it's the same experience as sitting across from me in the office — and research confirms it. Telehealth is effective, private, and far easier to fit into a real life.

Schedule Appointment

Why Telehealth Works

Research has found online therapy to be as effective as in-person therapy across a wide range of issues — depression, anxiety, trauma, relational dynamics, and sexual concerns. I’ve seen it work consistently in my own practice. The therapy isn’t compromised in any way. I’m able to work on all the same issues I address in person.

We meet via Zoom. You get a link, log in, and we work. Most clients tell me it’s easier than driving to an office. And yes — I’ve shared many sessions with some very cute babies and puppies.

01

No commute, no parking

Sessions from home mean one less logistical hurdle — which matters when you’re already managing a full life. Easier to keep appointments, easier to show up.

02

Works with children and pets

No need to find a sitter or arrange childcare. I’m used to kids and pets — they’re welcome. Telehealth makes therapy accessible for people who couldn’t otherwise make it work.

03

Greater privacy

For sensitive topics like sex therapy, many clients prefer not to be seen walking into an office. Attending from home removes that barrier and often helps people feel more at ease from the start.

04

Same techniques, same results

CBT, EFT, somatic work, couples interventions — all of it translates to the online format. The therapeutic relationship and the clinical work are the same. The platform is just different.

What I Treat Online

Sexual issues I work with

I work with the full range of sexual and relational concerns online — the same issues I address in my in-person practice.

Reduced or low sexual desire

Infidelity & betrayal trauma

Arousal difficulties

Erectile concerns

Orgasm challenges

Communicating about sex

Routine or disconnected sex lives

Sexless marriages

Desire discrepancy

Questions about attraction & turn-ons

Sex with a history of trauma or abuse

Pain during sex

Out-of-control or compulsive sexual behavior

Body image concerns

Difficulty experiencing pleasure

Sex with physical challenges or chronic illness

Sexual orientation & identity

Gender transitions

Alternative relationship styles

Fetishes & sexual practices

Navigating non-monogamy

Sexual violence & abuse recovery

Performance anxiety

Premature ejaculation

— how to choose

How to find the right online sex therapist

Not all therapists are equipped to work with sexual issues. Here’s what to look for.

01

Look for couples therapy training

Sexual issues almost always involve relational dynamics — conflict, communication, wounding. A therapist who is trained in couples therapy or is a licensed Marital and Family Therapist is far better equipped than one working only with individuals.

02

Make sure they have specific sex therapy experience

Many couples therapists are uncomfortable with the sexual aspects of relationships and don’t know how to address them directly. Ask explicitly about their experience with sexual issues before booking.

03

Be cautious with coaches

Sex coaches may not be trained to handle relational dynamics, psychological issues, or trauma. If your concerns have any clinical complexity, you want a licensed therapist — not a coach.

04

Look for a holistic approach

An effective therapist addresses emotional, cognitive, relational, behavioral, and contextual dynamics — as well as past wounding. Sexual issues rarely exist in isolation from the rest of a person’s history and relationship.

05

Choose someone flexible

An effective therapist leads you toward where you want to go — not toward what they think you should be doing. Look for someone who is adaptable, practical, and focused on what actually works for you rather than on applying a rigid model.

Logistics

How online sessions work

What to expect

01

You’ll receive an email with consent forms, HIPAA information, and intake paperwork to complete before your first session.

02

Payment information is collected before or after the session via credit card, Square, or PayPal. Some clients pay via Venmo.

03

You’ll receive a Zoom link for your scheduled session. Log in a few minutes early to check your connection.

04

If you can’t connect or are running late, send a quick email or text. I’ll be there.

How to prepare

01

Check your internet speed — at least 1.5 Mbps is recommended for a stable video connection.

02

Test your audio and video in Zoom before the session. Zoom provides built-in instructions for this.

03

Find a quiet, private space where you won’t be interrupted. Close other apps to minimize distractions.

04

Connect to the link a few minutes before the session. Kids and pets are welcome — just let me know.

— common questions

Frequently asked questions

How much does online sex therapy cost?+

My fees are $350 for the initial 60-minute intake session and $250 for ongoing sessions. Rates vary across therapists depending on location and experience — most charge between $80 and $300 per session. Some platforms offer reduced-cost subscription or group plans.

Does insurance cover online therapy?+

Most states have a telehealth mandate, and telehealth services are billed the same way as in-person sessions. As an LMFT, my therapeutic services may be eligible for out-of-network reimbursement — I can provide a superbill. I recommend contacting your insurer before your first session to verify your benefits.

Can I join a session with children or pets present?+

Yes — I’m used to it and I welcome them. One of the advantages of telehealth is that it works for people who can’t easily find childcare or a pet-sitter. That said, check with your therapist beforehand, as preferences vary.

Is online sex therapy really as effective as in person?+

Yes — peer-reviewed research has found online therapy to be as effective as in-person sessions for depression, anxiety, trauma, relational issues, and more. In my own practice, I’ve found the same to be true for sex therapy specifically. The therapeutic relationship and the clinical work are unchanged. The platform is just different.

— ready to get started?

Effective sex therapy —
from wherever you are

Online sessions via Zoom. Available to clients in Oregon, Connecticut, and New York. Schedule below and I’ll be in touch within one business day.

✓ Oregon ✓ Connecticut ✓ New York ✓ Zoom Sessions
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Also Available

Prefer to start
at home?

My intensive online course for couples covers the same core principles as the coaching process — 10 modules, 24 hours of content, and practical exercises to work through together. A more affordable starting point, from the comfort of home.

Explore the course

10 modules covering desire, pressure, communication, and emotional regulation

24 hours of audio content plus 10 worksheets and exercises to do together

Equivalent to over 12 hours of couples therapy — at a fraction of the cost

Self-paced — work through it together on your own schedule