Integrative Sex & Couples Therapy Book

Dr. Nelson and renowned colleagues like Wendy Miller, Pam Finnerty, Neil Cannon, Deborah Fox explore the challenges for clinicians when integrating sex and couples therapy, dimensions of kink relationships, a variety of treatment approaches, and challenges that face LGBTQ+ couples. This collection of insights from experienced clinicians provides the tools to help your clients connect with each other or future partners.

Order at, on the PESI website, or Audiobook here.


A Therapist’s Guide to New and Innovative Approaches

Book Cover Integrative Sex and Couples Therapy


Audio book cover for Integrative Sex & Couples Therapy A Therapist's Guide to New and Innovative Approaches with translucent blue leaves

How do you help the most challenging clients reach the next level in their relationship? What tools do you need to get past the obstacles and objections? Tammy worked with experts and experienced clinicians to build the handbook you’ve been waiting on.


Featuring new approaches combining sex therapy and relationship counseling, Integrative Sex & Couples Therapy brings treatment skills into practice, with real-world experiences, interventions, techniques, strategies, and case examples.

For professionals who are couples therapists or who are just beginning to learn about sex therapy, do not be afraid to ask clients about their sexuality. Most people feel relieved when we create a space to discuss sexuality. If a couple’s dance is obvious, ask how this dance shows up in sexuality. If they talk about the influence of their family, ask how their family has influenced their sexuality. If they talk about performance anxieties, ask if this shows up in their sex lives. If they talk about their traumas, ask how these have affected their sex lives.

Most importantly, take the risk to ask this simple question at any time: “How are things going for you sexually?” If clients do not want to talk about sex, they won’t. This is not a question based on the agenda of the therapist. This is a question based on the fact that sexuality is a part of living, and it needs to be welcomed into people’s lives in order for them to be fully alive and connected.
— Gail Guttman, LCSW

Throughout her 30-year career, Dr. Tammy Nelson found that couples therapists have traditionally been taught little about sex therapy, and sex therapists have minimal education in relationship systems. This leaves clinicians searching for more interventions for both couples and sexuality. To bridge the gap, Dr. Nelson, relationship expert and board-certified sexologist, has gathered the top authorities in the field of integrative treatment to create this groundbreaking book for all therapists looking for a comprehensive treatment resource.

Topics include:

    • Biopsychosocial Approach
    • Sexual Medicine Model
    • Imago Relationship Therapy
    • Internal Family Systems
    • Trauma and Group Therapy Intersectionality
    • Kink Competence
    • Art Therapy
    • Somatic Interventions
    • LGB(Trans)QIA
    • Nutri-Sexual Health
    • Alternative Mindfulness
    • Future of Sex

Contributing Authors:

    • Janet Brito, PhD
    • Neil Cannon, PhD
    • Pamela Finnerty, PhD
    • Deborah Fox, MSW
    • Gail Guttman, LCSW
    • Amanda Holmberg-Sasek, LMFT
    • Stephanie King, PsyD
    • Pebble Kranz, MD
    • Einat S. Metzl, PhD
    • Wendy E. Miller, PhD
    • Malika O’Neill, MS
    • Daniel Rosen, LCSW-R
    • James C. Wadley, PhD


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