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Sex therapy — Melbourne & telehealth

Sex therapy in Melbourne, for whatever sex actually looks like in your life.

Sex therapy is counselling that focuses on sex and intimacy. Put more simply, it's a room where you can talk about sex out loud with someone who won't go red or change the subject. You can come on your own or with a partner, in Carlton or online.

Abstract artwork of two close profiles formed by negative space in deep violet

Who this is for

  • Partners whose levels of desire have drifted apart, or never quite matched in the first place
  • People for whom sex has started to hurt, or has become something to get through
  • Couples who have stopped having sex and don’t know how to bring it up without a fight
  • Anyone who wants to understand their own desire, arousal or pleasure a bit better
  • People working out kink, sexuality, gender or a new relationship structure
  • Anyone whose last therapist seemed uncomfortable the moment sex came up

What to expect

  • A trained sex therapist who talks about sex in plain language
  • Sessions on your own, with a partner, or with more than one partner
  • Talk-based sex therapy, with body-based somatic sex education also available
  • Online, or in person at our Carlton office

What actually happens in sex therapy?

A lot of people put off sex therapy because they imagine it's more confronting than it is. Talk-based sex therapy is exactly that: talking. You stay clothed, nothing physical happens in the room, and you decide how much detail you go into.

The first session is mostly about understanding what's going on: when it started, what you've already tried, and what you'd like to be different. After that, sessions usually mix conversation with small things to try at home, in your own time and at your own pace.

If you come as a couple, the work generally looks at the relationship as well as the sex. Sex can work a bit like a dashboard light. When it changes, it might be pointing at stress, health, resentment or distance somewhere else, and sometimes it really is just about the sex. Working out which is part of the job. Our couples therapy page covers the relationship side in more detail.

What do people come to sex therapy for?

Some of the things people bring:

  • Desire: wanting sex more or less than a partner, or losing interest altogether
  • Arousal, erections, lubrication and orgasm
  • Pain or discomfort during sex
  • Sex after a baby, an illness, menopause or another big change
  • Shame or anxiety about sex, often learned long before you had words for it
  • Kink, fantasies, and what to do with them
  • Opening up a relationship, or sex with more than one partner
  • Sexuality and gender, including questions you're still working out

To be clear, there's no threshold of "bad enough". Plenty of people come because they'd like sex to be better, not because something is wrong. If pain or changes in arousal are new, it's worth seeing a GP as well, since there can be a physical cause, and your therapist can work alongside them.

Who will I see?

Natasha Lama is a counsellor and sex therapist with a Master's in Counselling and training in clinical sexology. She sees individuals and couples, works in a sex-positive and relationship-diverse way, and is usually the first person we suggest for sex therapy.

Sam Beer is a somatic sexologist and intimacy coach. Sam's work is body-based rather than talk-only: noticing what your body does as you get close to desire, touch or a boundary. It can suit people who feel they've already talked a problem to death and want to work with sensation as well.

Not sure who fits? Send an enquiry, tell us a little about what's going on, and we'll suggest someone.

How much does it cost?

Individual sessions with Natasha or Sam are $235 (50 min). Sessions for two people are $355 (65 min), and $410 (75 min) for three or more. In-person sessions in Carlton have a $20 surcharge; telehealth doesn't.

Medicare rebates don't apply to sessions with Natasha or Sam. Some private health extras policies rebate sessions with Natasha, so it's worth checking with your fund. Full details are on the fees page.

Why Unison, not a generalist clinic?

Unison started in 2019 to work with the people mainstream services tend to get wrong, and sex is usually part of that story. Kink, non-monogamy, queer sex and sex work come up here every week, so you won't spend the first session explaining the basics. You don't need to educate your therapist to get good therapy.

Common questions

Do I have to bring my partner?

No. Lots of people come to sex therapy on their own, including people who are partnered. If you'd like to come together later, you can start individually and bring a partner in when it makes sense.

Is anything physical involved?

No. Sex therapy with Natasha is talk-based: you stay clothed and nothing physical happens in the session. Sam's somatic work pays closer attention to your body, and Sam will explain exactly what a session involves before you start.

Can I do sex therapy online?

Yes. We see people by telehealth anywhere in Australia, and a lot of people find it easier to talk about sex from their own couch.

Do I need a GP referral?

No. You can book sex therapy directly.

Therapists who work in this space

Portrait of Natasha Lama

Natasha Lama

Counsellor & Sex Therapist · she/her

Natasha is a registered psychotherapist with a Master's in Counselling and specialised clinical training in sex therapy. She offers inclusive sex therapy, multicultural counselling, and sex-positive, relationship-diverse care.

Full profile
Portrait of Sam Beer

Sam Beer

Somatic Sexologist & Intimacy Coach · they/them

Sam is a somatic sexologist and intimacy coach who works with individuals, couples and groups on sex, pleasure and connection. The work is body-based rather than talk-only: noticing what your body does as you get close to desire, touch or a boundary, and trying out a different response. Sessions follow your lead and your pace. Sam is trained in trauma-informed practice and pays close attention to what your nervous system — and anyone else in the room — can manage on the day. Sam does not engage in any form of direct touch during the session.

Full profile
Portrait of JC Christoff

JC Christoff

Accredited Mental Health Social Worker · they/them

JC is an Accredited Mental Health Social Worker and Medicare provider with over 20 years' experience. They specialise in offering deeply affirming, non-judgemental spaces for LGBTQIA+, non-binary, trans, polyamorous, and kink-aligned individuals. They have practised Existential Psychotherapy for the past 7 years.

Full profile
Portrait of Nicki Nelis

Nicki Nelis

Counsellor · she/her

Nicki is a Gestalt therapist with nearly 20 years of experience helping young people and adults navigate life's complex transitions. She provides a warm, relational space to explore identity, self-esteem, grief, and relationship patterns.

Full profile
Portrait of Meg Wilson

Meg Wilson

Founder, Psychotherapist · she/her

Meg is the founder and lead psychotherapist for Unison. For over a decade, she has integrated clinical psychotherapy with creative art therapies and systemic relationship models, with a special focus on non-typical relationship structures.

New clients are currently waitlistedFull profile

Ready when you are.

Start with a free 15-minute fit call — a real conversation with a therapist, not a sales pitch. If it isn’t the right fit, we’ll say so and point you somewhere better.

Unison is not a crisis service. If you are in immediate danger call 000, or contact Lifeline 24/7 on 13 11 14.