Sex Therapy in Utah for Individuals and Couples

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Sexual problems are common, and they are treatable. Many people wait years before asking for help because it feels embarrassing or they don't know where to go. Covenant Sex Therapy is a team of licensed therapists who specialize in sex therapy. We see individuals and couples in Provo, in Pleasant Grove, and by telehealth anywhere in Utah, in English or Spanish.

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What people come to us for

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Desire: low libido, different sex drives, a sexless or low-sex marriage, or desire that faded over time.
Arousal and orgasm: erectile dysfunction, premature or delayed ejaculation, trouble with arousal, or difficulty reaching orgasm.
Pain: painful sex, vaginismus, and pelvic pain. We work alongside your doctor or pelvic floor physical therapist.
Pornography and betrayal: pornography use that feels out of control (what many people call porn addiction), compulsive sexual behavior, infidelity, affair recovery, and rebuilding trust.
Anxiety and shame: performance anxiety, sexual shame, religious guilt about sex, body image concerns, or fear that makes intimacy hard.

OCD: unwanted intrusive sexual thoughts, religious scrupulosity, and relationship doubt that drives checking, confessing, or reassurance seeking.
Trauma: sexual abuse or past trauma that still affects intimacy today.
Life changes: newlyweds adjusting to sex, intimacy after having children, and changes that come with aging or menopause.

Dating: dating anxiety, sexual confidence, relational skills, and intimacy, including for people dating after a divorce.
A better sex life: nothing is technically wrong, but you want more connection and satisfaction.

 

This isn't a full list. If your concern isn't here, reach out anyway.
See everything we treat

 

Individual and couples sex therapy

 

We work with both. Some of the people who come to us are couples facing something together. Just as many come on their own. Either way, you do not need a diagnosis, and you do not need a partner to start.

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Individual sex therapy

Many sexual concerns are treated one on one: low desire, erectile difficulty, trouble reaching orgasm, sexual pain, anxiety about sex, pornography use that feels out of control, shame carried from the past, and the effects of sexual trauma. People also come simply to understand their own sexuality, or to get healthy before a future relationship. If your spouse will not or cannot come, you can still make real progress alone, and one partner starting often changes the whole dynamic. Insurance is more likely to cover individual therapy than couples therapy, and some of our therapists accept it.

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Couples sex therapy

When the problem lives between the two of you, we work with both of you: differences in desire, initiation and rejection, talking about sex without blame, rebuilding after betrayal, and building a sexual relationship that works for both people.

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Sex therapy that respects your Latter-day Saint faith

 

If you're looking for an LDS sex therapist, you're in the right place. Covenant was founded by Dr. Anthony Hughes, a member of The Church of Jesus Christ of Latter-day Saints. Our therapists get to the heart of intimate issues without asking you to set aside your values. We take the gospel seriously and the research seriously. You don't have to be a member of the Church to work with us, and everyone is welcome.

 

Why Covenant

 

Dr. Anthony Hughes earned his PhD at Brigham Young University. He is a licensed marriage and family therapist, an AAMFT Approved Supervisor, and an AASECT-certified sex therapist. AASECT certification requires specialized training and supervised clinical hours in sex therapy beyond a standard therapy license. His doctoral research focused on couple attachment and sexual desire discrepancy, and he is the author of You, Me, and We, a book on marital intimacy for Latter-day Saint couples published by Cedar Fort. Our therapists use evidence-based approaches and match each client with the therapist who fits their concern.

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Common questions about sex therapy

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What is sex therapy?

Sex therapy is talk therapy focused on sexual concerns. Sessions are conversations, in our office or by video, just like any other therapy appointment.

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Is it confidential?

Yes. What you share stays private, within the legal limits every licensed therapist follows.

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Does my spouse have to come?

No. You can start on your own, and one partner starting often changes the whole dynamic.

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How can I pay for therapy?

Every therapist accepts self pay, bishop pay, and HSA. Some of our therapists also accept DMBA, EMI Health, Select Health, and Blue Cross Blue Shield, which may cover individual therapy for certain diagnoses. Many plans don't cover couples or sex therapy, so we'll help you check your plan before you start.

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How do I get started?

Fill out our contact form and we'll usually get back to you within one business day to match you with the right therapist.

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Written by Dr. Anthony Hughes, PhD, LMFT, AASECT-Certified Sex Therapist and author of You, Me, and We. Last reviewed September 2026.

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