Sex Therapy & Intimacy Coaching: Frequently Asked Questions
Everything you want to know about working together — how it works, what to expect, and whether it's right for you.
Frequently asked questions
How do I book a sex therapy session?
The simplest way is to book directly through my Calendly page: calendly.com/rachaelhibbertpro/consultation. You can choose your session format, find a time that works, and confirm online. If you have questions before committing to a session, you're welcome to reach out by email at rachaelhibbertpro@gmail.com. I'm happy to answer anything before you take the step.
Do you offer in-person or online sessions?
All sessions are held online, which means you can work with me from wherever you are in the world. Most people find the flexibility and privacy of working from home actually makes it easier to open up, and the results are just as real.
Do you offer sliding-scale pricing or payment plans?
I believe access to support around sexual wellbeing shouldn't be a luxury. If cost is a genuine barrier for you, reach out and let's have an honest conversation about what's possible. I can't accommodate everyone, but I'll always do my best to be flexible where I can.
How confidential are our sessions?
Everything you share in our sessions is strictly confidential. I follow professional ethical guidelines around privacy and confidentiality. The only exceptions, which I'd always discuss with you openly, are situations where there's a serious risk of harm, as required by law. Outside of that, what you share stays between us. Full stop.
Can I bring my partner to therapy?
Yes. I work with both individuals and couples. Some people start alone and later bring their partner in; others come as a couple from the beginning. There's no single right way. We'll figure out what structure serves your situation best.
Do you offer one-off consultations, or is therapy an ongoing process?
Both are available. A single session can be genuinely useful: for clarity, for a specific question, or just to see what this kind of work feels like. Ongoing therapy is there for those working through deeper patterns or wanting sustained support. There's no obligation to commit to anything before you're ready.
What happens if I need to cancel or reschedule my session?
Life happens. I ask for as much notice as possible, ideally 24 hours, so the time can be offered to someone else. Cancellations made with enough notice can be rescheduled without charge. Late cancellations or no-shows may be subject to a partial fee. I'll always communicate this clearly when you book.
I experience performance anxiety, can sex therapy help?
Yes, and you're far from alone. Performance anxiety is one of the most common concerns I work with, for people of all genders.
What we often discover is that the anxiety started long before the bedroom: in early messages about what sex is supposed to look like, in pressure to "do it right," in the habit of watching yourself instead of feeling yourself. We work on shifting your attention from performance to presence, rebuilding trust in your body, and breaking the thought loops that take you out of the experience. Real change is possible here.
How do I rebuild intimacy in my relationship after infidelity or betrayal?
Betrayal breaks the foundation of safety in a relationship. Rebuilding it takes time, honesty, and a willingness from both people to do uncomfortable work. It's not guaranteed, but it is possible when both partners are genuinely committed.
In our sessions, we work on re-establishing trust gradually, processing the grief and anger that come with betrayal, and creating new patterns of honesty and connection. Intimacy after infidelity doesn't look like going back to how things were. It looks like building something more honest than what existed before.
Can therapy help if my partner and I have different sexual desires?
Desire discrepancy is one of the most common sources of tension in long-term relationships, and one of the most workable. The gap rarely means you're incompatible. It usually means you haven't had the tools or the language to navigate it yet.
Together, we explore what each person actually wants (which is sometimes different from what they've been asking for), identify where desire has gone, and find ways to meet in the middle, or renegotiate what the middle looks like for you specifically.
I've lost my libido, what can I do?
First: this is more common than you think, and it's almost never just physical. Libido responds to stress, sleep, self-worth, relationship dynamics, hormones, mental load, and how safe you feel in your own body. When desire goes quiet, it's worth listening to what it's trying to say rather than just trying to force it back.
In sessions, we explore what's sitting underneath the loss of desire, because there's almost always something there. Sometimes the work is practical; sometimes it's deeper. Either way, the goal is to reconnect with your body on its own terms, not to manufacture something artificial.
How do I talk to my partner about my sexual needs without feeling awkward?
Most people find this genuinely hard, not because they lack courage, but because we've never been taught how to have these conversations. Desire gets tangled up with vulnerability, fear of rejection, and the worry that wanting something different means something is wrong.
We work on building the language, identifying what you actually want to say (which isn't always obvious), and practising the kind of communication that opens doors rather than closes them. Talking about sex gets easier when it feels less like a confrontation and more like an invitation.
Can you help with issues related to past trauma?
Yes. Sexual trauma, whether overt assault or more subtle experiences of shame, coercion, or violation, shapes how we relate to our bodies, desire, and intimacy, often in ways we don't fully recognise.
I work with trauma-informed approaches that prioritise your safety and pace. We don't rush toward anything. The goal is to help you rebuild a relationship with your body and sexuality that feels like yours again, not erasing the past, but no longer being defined by it.
If your needs require clinical trauma therapy beyond my scope, I'll be transparent about that and support you in finding appropriate care.
How can I improve my self-esteem and confidence in intimacy?
Sexual confidence isn't about looking a certain way or being able to perform to a standard. It's about feeling at home in your own skin: knowing what you want, trusting your body, and being able to be present with another person without the running commentary in your head.
We work on the beliefs underneath the self-doubt (often installed long before any sexual experience), the body relationship, and the habits of presence that gradually replace anxiety with ease. This is some of the most rewarding work, because it ripples into every area of your life, not just the bedroom.
I struggle with communication in my relationship. Can intimacy coaching help?
Absolutely. Communication and intimacy are inseparable: you can't have real closeness without the ability to be honest about what you feel and need. And for many couples, communication breaks down specifically around sex and vulnerability, because that's where the stakes feel highest.
Intimacy coaching gives you concrete tools and a safe space to practise the conversations that feel too risky to have alone. We work on listening, expressing needs without blame, navigating differences, and rebuilding the kind of emotional safety that makes physical intimacy feel good rather than fraught.
How do I navigate sex and intimacy as a neurodivergent person?
Neurodivergence, ADHD, autism, sensory processing differences, and others, can shape sexual experience in significant ways: sensory sensitivities, differences in communication style, rejection sensitivity, difficulty reading social cues, or intensity of emotional connection. And yet, this is rarely talked about in sex education or therapy spaces.
I work with neurodivergent individuals and their partners to understand their specific landscape: what works, what doesn't, what has been misread or misunderstood, and to build an approach to intimacy that honours how their brain and body actually work, not how they're "supposed to."