Sex & Relationship Therapy

Sex therapy Vancouver welcomes adults with sexual and relationship issues regardless of their age, sexual orientation, or gender.  Clients usually attend sessions together if in a relationship, but may attend individually as well.  Commonly addressed issues are:

Low Sex Drive

  • Low sexual desire
  • Discrepancies of sex drive
  • Lack of sex or intimacyin sex


Relationship Therapy Vancouver

  • Communication problems
  • Conflict (arguing and fighting)
  • Extramarital affairs
  • Dealing with separation & divorce
  • Lack of trust and intimacy

Male Sexual Performance

  • Erectile dysfunction (ED)
  • Premature Ejaculation (PE)
  • Delayed Ejaculation (DE)


Sex Addiction Vancouver

  • Porn addiction
  • Uncontrolled promiscuity
    (addiction to escorts etc.)
  • Telephone sex
  • Cybersex


Sex therapy Vancouver uses a comprehensive approach, drawing on techniques that are appropriate to clients’ needs from various approaches such as Client-Centred Therapy, Voice Therapy, Cognitive Behavioral Therapy, and Emotionally-Focused Therapy.

Recognizing that it is often difficult for people to talk about sexuality, sex therapy Vancouver strives to establish a warm, compassionate, therapeutic relationship in which clients feel safe to explore the complexity of their sexual and relational issues. Thanks for visiting sex therapy Vancouver.

Sexual Performance Issues

Sexual Performance Issues

Premature Ejaculation (PE), Erectile Dysfunction (ED), and Retarded Ejaculation (RE) are male sexual dysfunctions that cause considerable emotional and relational distress. Typically the man feels embarrassed and tries harder to control the dysfunction, thereby creating performance anxiety which compounds the problem. The partner feels inadequate and blames herself for the dysfunction. Read more about Sexual Performance Issues.

Low Sex Drive

Low Sexual Desire

Low sex drive or inhibited sexual desire is the number one sexual problem with many couples. About one in three women, and one in seven men report periods of low sex drive.  Low sex drive manifests itself in low sexual marriages (defined as having sex less than twenty five times a year), and non sexual marriages (defined as having sex less than ten times a year). Read more about Low Sex Drive.

Relationship Therapy Vancouver

Relationship Therapy Vancouver

Couples come to counselling because they are experiencing problems on the two dimensions of human interaction:  attachment and influence.  In healthy relationships, couples have their legitimate needs for closeness and identity met.  In counseling, couples learn to tolerate a closer attachment and to share influence in a way that respects each person’s identity. Read more about Relationship Therapy Vancouver.

Sex Addiction Vancouver

Sexual Addiction Vancouver

Addictive sexual behavior involves the dysregulation or disinhibition of sexual arousal and desire. This disregulation is characterized by a lack of control over non relational sexual fantasies, urges and activities resulting in adverse consequences. Individuals report negative consequences such as failed relationships, financial hardship, reduced productivity, low self-esteem, and sexually transmitted diseases. Read more about Sex Addiction Vancouver.

"Sex is a vital part of our experience as human beings and a strong motivating force in our lives. It has the potential for creating intense pleasure and fulfillment or causing much pain and suffering"
- Robert Firestone & Joyce Catlett -

For further information about my approach to sexual and relationship therapy and how it applies to individuals and couples, see the links provided.
I welcome new clients and invite you to contact me at info@pauljames.ca or at 604.873.0222.


Sex Therapist Vancouver - Dr. Paul James - 604.873.0222