Tell me more about your erotic life, because I think it's important. As a sex-positive therapist working with couples in New York City, I am open to conventional partnerships as well as alternative lifestyles, identities, and gender expressions. Our differences are normal expressions of love. Sex and intimacy are topics that arise often during relationship counseling, and couples often wonder if it’s time to seek sexual counseling. I’ve included in this post some questions that might help you decide your path forward.