For therapists, psychiatrists, and ADHD clinicians
When to bring in a sex therapist
I’m Joseph Maron, MS, LPC, a sex therapist seeing Pennsylvania adults by telehealth. While you continue the therapy or prescribing, I work alongside you on the part that’s about sex.
Immediate openings
Telehealth only · Adults in Pennsylvania · $195 per 50-minute session · Private pay, superbills provided
The consult is for your client. The call button is for you. More practice details
Consider a referral when your client…
Reports sexual side effects from psychiatric medication.
Clients rarely bring them up unprompted, and they are often why people stop antidepressants.
Has low desire alongside depression or anxiety.
This is common even without medication, and it takes time to untangle.
Has trauma that shows up in sex or touch.
PTSD and sexual difficulties often go together.
Has ADHD and struggles with sex or intimacy.
Reviews find more sexual difficulties in adults with ADHD and urge clinicians to ask.
Is autistic and finds touch or intimacy overwhelming.
Autistic adults’ touch preferences vary; predictability and sensory fit can make the difference.
Has relationship strain centered on sex.
Talking openly about sex is tied to sexual satisfaction.
Common reasons to refer
- Low or changed desire
- Sexual side effects of medication
- Trauma that affects sex and touch
- Erection, orgasm, or ejaculation concerns
- Intimacy for ADHD and autistic adults
- Sexual behavior the client feels is out of control
- Changes with gender-affirming care
- Kink, non-monogamy, identity
Tandem care, not a hand-off
Your care
The mental health care stays with you: diagnosis and treatment, medication management, and your ongoing therapy goals.
Sex therapy
I work with your client on desire and what affects it, trauma and touch, intimacy that fits ADHD and sensory needs, and sexual shame and identity.
A first conversation can simply be about whether a referral might fit. Please wait to send records or identifying details until we’ve set up a secure way to share them.
To refer
Your client requests a free 15-minute consult at JosephMaronLPC.com. Or call 215-804-9315. Want to talk a referral through first? Call me at the same number.
Telehealth only · Adults in Pennsylvania · Private pay, superbills provided
Tell your client: sex therapy is talk therapy. No touch, no exam.
Doctoral student in human sexuality, Widener University · Certificate in Affirmative Therapy for Transgender Communities · ADHD-CCSP · LGBTQ+ affirming
A referral does not confirm availability or establish a treatment relationship. This practice is not an emergency or crisis service. Call or text 988, or call 911 for an emergency.
Handouts to print or share
One page for you and a two-sided handout for your client. The client handout is also a web page, so you can send a link instead of printing.
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For people in mental health care
When how you’re feeling gets in the way of closeness
Sex and intimacy are part of mental health too. Sex therapy can work alongside the care you already have.
Why it fits
Sexual side effects of antidepressants are rarely reported unprompted and often lead people to stop treatment;1 psychological approaches are advised but untested in randomized trials.2 Sexual difficulties are common in depression, anxiety, and PTSD even without medication.3 Reviews of adults with ADHD report more sexual difficulties.4 Psychological treatments, including CBT and mindfulness-based approaches, improve sexual function and sexual distress compared with no treatment in controlled trials;5 trials in people with psychiatric diagnoses are lacking.
1 Montejo et al., J Clin Med 2019. 2 Taylor et al., Cochrane Database Syst Rev 2013. 3 Herder et al., J Sex Med 2023. 4 Soldati et al., J Sex Med 2020; Verney et al., L’Encéphale 2026. 5 Frühauf et al., Arch Sex Behav 2013; Liu et al., J Sex Med 2026.
What I tell your client about sex therapy
Sex therapy is talk therapy about sexuality, intimacy, and relationships. There is no touch, no exam, and nothing physical happens in sessions.
Sex therapy does not replace medical care or the care you provide. New or sudden changes deserve a medical check. If a medication seems to be affecting someone’s sex life, I ask them to talk with their prescriber before making changes.