
Sex Therapy vs Couples Therapy: What's the Difference?
transcript
show notes
Most people don't know the difference between a sex therapist and a couples therapist, or which one they actually need. In this episode, Tania Wellby, an Accredited Mental Health Social Worker and Sex Therapist, joins Marie to talk about sexual scripts, mismatched desire and why your partner turning you down is almost never about you. It's a direct conversation about the stuff most of us only type into Google late at night and never say out loud.
Things Discussed
- The difference between a sex therapist and a couples therapist, and how to know which one you need
- What actually brings people to sex therapy, from mismatched desire to sexual trauma to dating anxiety
- Sexual scripts, the unspoken rules about sex and gender we absorb from culture and never actually chose
- Why one partner's low desire so often gets misread as rejection
- The vulnerability cycle, and how it shows up around sex as much as it does around conflict
- How to say what you actually feel instead of the thing that starts a fight
- Why nothing shocks a good sex therapist, and what that means for the rest of us
Timestamps
0:00 What actually brings someone to sex therapy
2:00 Welcome to This Complex Life with Tania Wellby
5:00 Why sex is still taboo, even among social workers
8:00 What actually brings people through the door
13:00 Sex therapy or couples therapy, how to know which one you need
14:00 Sexual scripts, the blueprint nobody signs up for
17:00 The vulnerability cycle and why low desire gets read as rejection
23:00 Is there anything that could still shock her
Resources and Links
Tania Wellby
https://www.yestherapy.com.au/meet-tania
Free sex and intimacy guide
https://marievakakis.com.au/time-to-talk-a-guide-to-talking-about-sex-and-intimacy/
Keep the Conversation Going
forms.gle/ExJAeBTXAfn8xGkQ9
Guest Info
Tania Wellby is an Accredited Mental Health Social Worker and Sex Therapist. She's dual trained, which means she works across both the mental health side and the sex therapy side of what people bring into the room, including desire, sexual trauma, sexuality and relationships.





