Sex Therapy in Chicago and Online Across Illinois
Support for sexual dysfunction, painful sex, erectile difficulties, and intimacy struggles—for individuals and couples.
A respectful place to talk about what feels difficult, understand your needs, and work toward connection at your own pace.
Sexual wellbeing is part of your wellbeing.
You may be experiencing pain, difficulty with arousal, worry about sexual performance, or a growing distance between you and your partner. You may want help finding words for your needs, boundaries, or concerns.
Sex therapy offers a space to explore the emotional and relationship aspects of sexual health. You can come on your own or as a couple. The goals are shaped around your comfort, values, and the changes that matter to you.
Concerns we support
- Sexual dysfunction and distress about sexual functioning
- Painful sex and anxiety connected with pain or penetration
- Erectile dysfunction and difficulty getting or maintaining an erection
- Sexual performance anxiety and pressure
- Low desire or differences in desire between partners
- Arousal or orgasm difficulties
- Intimacy struggles, emotional disconnection, and difficulty discussing sex
- Communication about consent, boundaries, comfort, and sexual needs
Painful sex and erectile dysfunction
Sexual pain and erectile difficulties can have physical as well as emotional contributors. A medical professional can evaluate possible physical causes, including health conditions or medication effects.
Therapy can address the anxiety, distress, avoidance, and relationship strain that may accompany these concerns. It does not replace medical assessment or treatment. With your permission, your therapist can coordinate with other members of your care team.
What to expect
- Start with a conversation. Share your concerns, goals, and relevant background at a pace that feels manageable.
- Understand the patterns. Explore how stress, expectations, communication, and relationship experiences connect with intimacy.
- Build a plan together. Work on communication, reducing pressure, and strengthening connection in ways that respect your boundaries.
Sex therapy at Astute is talk therapy. Sessions do not involve sexual contact, nudity, or sexual activity with or in front of the therapist.
Sex therapy with Margot Torossian
Margot Torossian, LPC, MHC, MA, works with individuals and couples around sexual health, painful sex, intimacy-related anxiety, desire differences, and relationship concerns. Her work brings attention to both emotional wellbeing and connection.
Learn more about her approach and request placement through our New Patient Questionnaire. Therapist availability and fit are reviewed by the intake team.
The scope of this service
This service focuses on consensual adult sexual health, sexual functioning, and intimacy.
Astute’s sex therapy service does not provide treatment for sex addiction or compulsive sexual behavior, pedophilic disorder or sexual interests involving children, or sexual offending. Those concerns require a provider or program with the appropriate specialized services.
Common questions
Do I have to attend with my partner?
No. Individuals and couples can seek sex therapy. Your therapist will discuss which format fits your goals.
Do I need a diagnosis before reaching out?
No. You can describe the difficulties you are experiencing without knowing a diagnosis or the right clinical term.
Where are appointments available?
Astute offers in-person therapy in Lakeview, Chicago, and telehealth for clients physically located in Illinois. Placement depends on clinician availability and fit.
Learn more about sexual health
General educational resources: American Psychological Association: Treatment for sexual problems and Cleveland Clinic: Sex therapy. These resources describe sexual health care broadly; Astute’s service scope is stated above.