Sex Therapy Collaboration for Pelvic Floor Therapy
Psychological and relational support alongside physical treatment
Therapy supporting pelvic floor rehabilitation
Pelvic floor physical therapy addresses the structural and physiological components of pelvic health. Psychological and relational factors often interact with physical treatment, affecting outcomes and the patient's experience of recovery.
Sex therapy can help patients work through fear, avoidance, shame, and relational stress that may accompany or complicate pelvic floor treatment.
Referral scenarios
Consider a referral when:
- A patient's fear, avoidance, or shame is limiting their physical therapy progress
- Sexual pain has relational dimensions that need therapeutic attention
- A patient and their partner need communication support around physical treatment and sexual activity
- Psychological factors (anxiety, trauma, shame) are interacting with the pelvic floor concern
- A patient needs help rebuilding sexual confidence or intimacy after extended pelvic floor symptoms
- The patient's partner needs education and support to understand the patient's experience
Services and location
- Individual sex therapy
- Couples therapy for sexual and intimacy concerns
- In-person sessions in Issaquah, WA
- Telehealth across WA, UT, and NV
How collaboration works
- Therapy addresses psychological and relational dimensions alongside physical treatment
- Sex therapy does not replace physical therapy; the two approaches complement each other
- With patient authorization, brief updates can support understanding of how physical and psychological factors interact
- Collaboration can clarify when psychological concerns need attention or when fear-avoidance cycles are limiting progress
The two-day intensive option
- For couples navigating pain, avoidance, or relational stress during pelvic floor treatment
- When communication about sexual activity needs structured, concentrated work
- For rebuilding intimacy and sexual connection after extended pelvic floor symptoms
How to refer
- 1.Discuss fit with Anastasia for your patient's psychological or relational needs
- 2.Your patient can reach out directly or access a referral link to schedule consultation
- 3.Intake and ongoing coordination happen between Anastasia and your patient