Sex & Intimacy Therapy in Vancouver
Sex is deeply personal — and yet for many people, it’s one of the hardest things to talk about.
I offer sex and intimacy therapy in Vancouver, supporting individuals and couples who want to explore their sexuality, desires, and relationships without shame, judgment, or pressure.
Let’s Talk About Sex—Without Shame or Judgment
Many people struggle to talk openly about sex because they were socialized to believe that sexuality, desire, or pleasure is “bad,” inappropriate, or something to keep hidden.
As a result, many people carry sexual frustration, confusion, or shame in silence.
They may never have been taught how to communicate their needs, boundaries, or desires — and over time, this can lead to disconnection from themselves or from their partners.
Sex can be difficult to talk about.
But it doesn’t have to be. We are all wired for connection, closeness and intimacy.
In our sessions, there is no shame and no agenda — just open, respectful conversations about your sexuality. My role is to help you feel safe, supported, and more connected to what truly feels fulfilling for you.
Empowering Women in Their Sexuality & Self-Expression
Throughout history, women have been given very specific messages about sex, their bodies, and their desires — often rooted in control, silence, or double standards.
Many women were taught to prioritize being desirable rather than desiring.
To be accommodating rather than expressive.
To feel responsible for others’ comfort while disconnecting from their own.
Although cultural narratives are slowly shifting, these messages still live in the body.
Much of my work involves supporting women in reconnecting with their sexual selves — not to meet expectations, but to feel more embodied, confident, and aligned. This is a deeply personal journey, and we move at a pace that feels safe and respectful.
For many women, becoming more sexually empowered also means becoming more self-trusting, expressive, and free.
Sex Therapy for Women
Many women come to sex therapy not because they are “broken” or dysfunctional, but because they feel disconnected — from their bodies, their desire, or their sense of agency.
In my work with women, sexual concerns are often intertwined with:
emotional safety
self-trust
body image
boundaries
relational dynamics
early messaging about sex and worth
For some women, desire feels muted or inconsistent. For others, it’s present but difficult to access within their relationship. Many women carry shame, pressure, or confusion around what they should want versus what they actually feel.
Sex therapy offers a space to slow down and listen to your experience without judgment. Together, we can explore desire, pleasure, boundaries, and intimacy in a way that feels respectful, embodied, and aligned — not performative or pressured.
This work is not about fixing or forcing desire.
It’s about reconnecting with yourself.
Relationships, Intimacy, and Sexual Well-Being
Many people seek therapy because something has shifted in their intimate life.
You might be wondering:
Why does intimacy change in long-term relationships?
What if my sexual needs or desires have changed?
Why do I feel disconnected from my partner sexually?
The early stages of a relationship often come with novelty, excitement, and spontaneity. Over time, intimacy can change — especially as stress, resentment, unresolved conflict, or life transitions accumulate.
As we evolve, our desires, fantasies, and needs may also shift. This can create confusion, distance, or fear if it isn’t talked about openly.
Sex and intimacy therapy provides a space to explore these changes with curiosity rather than blame, and to rebuild connection in ways that feel honest and alive.
A Safe, Inclusive Space for Sexual Exploration
My work in sex therapy is grounded in inclusivity, intersectionality, and respect.
I work with individuals and couples from a wide range of backgrounds and identities, and I consider the whole of who you are — including your history, culture, values, and sexual orientation.
I offer unconditional support whether you are:
monogamous
polyamorous
ethically non-monogamous
LGBTQ+
exploring identity, desire, or relationship structures
Having an outside, non-judgmental perspective can be incredibly grounding.
You deserve to feel confident and in control of your sexuality.
You are worthy of pleasure, agency, and connection to your body.
Exploring this part of yourself may feel vulnerable — and it can also be deeply liberating.
Emotional Connection, Communication & Intimacy
For many people — and often for women — sexual desire is deeply connected to emotional closeness.
When someone feels unseen, unheard, unsupported, or alone in their relationship, intimacy can begin to shut down. Not because they don’t care, but because their nervous system doesn’t feel safe or connected enough to open.
This dynamic is incredibly common.
Sexual distance is often less about sex itself and more about:
feeling emotionally disconnected
unspoken resentment
unmet needs
conflict that never feels resolved
communication that feels defensive, dismissive, or shut down
In my work, I often support individuals and couples in learning how to communicate more relationally — in ways that foster understanding, safety, and emotional responsiveness.
When communication shifts, intimacy often follows.
Therapy can help you:
understand the emotional patterns impacting closeness
express needs without blame or shutdown
feel safer being vulnerable
rebuild trust and connection
create conditions where intimacy can return organically
Intimacy isn’t something you force.
It’s something that grows when people feel connected.
Sex & Intimacy Therapy Can Help With
Sexual shame or guilt
Intimacy challenges in long-term relationships
Difficulty communicating sexual needs or boundaries
Low desire, mismatched libidos, or changes in sexual desire
Reconnecting with pleasure
Exploring sexuality or identity
Body image and self-acceptance
Rebuilding intimacy after conflict or disconnection
Frequently Asked Questions
About Sex & Intimacy Therapy
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It can feel vulnerable at first — especially if you’ve never talked openly about sex. My role is to create a calm, respectful, and non-judgmental space where these conversations can unfold at your pace.
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No. Many people seek sex therapy individually to explore desire, shame, identity, pleasure, or past experiences.
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Yes. I work with many women who are exploring desire, intimacy, boundaries, and their relationship with their bodies and sexuality.
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Absolutely. I work with individuals and couples across sexual orientations, gender identities, and relationship structures, including non-monogamous and polyamorous relationships.
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Yes. I offer sex and intimacy therapy online across British Columbia and in person in Vancouver.
Book Sex & Intimacy Therapy in Vancouver
You are worthy of pleasure, connection, and self-acceptance.
If you’re curious about exploring sex, intimacy, or relationships in a supportive and grounded space, I invite you to reach out.
Click below to schedule a free consultation or reach out with any questions. If you do not see any appointment times that work for you, please email connect@erinmalki.com, as I may have additional availability on my end.