For primary care clinicians
When sex comes up and there’s no time left in the visit
I’m Joseph Maron, MS, LPC, a sex therapist seeing Pennsylvania adults by telehealth. While you provide the medical care, I work alongside you on the anxiety, strain, and adjustment a short visit can’t hold.
Immediate openings
Telehealth only · Adults in Pennsylvania · $195 per 50-minute session · Private pay, superbills provided
The consult is for your patient. The call button is for you. More practice details
Consider a referral when your patient…
Raises a sexual concern with little time left.
There’s no time to do it justice in the visit, and there doesn’t need to be.
Has a chronic condition affecting sex, such as diabetes.
Sexual concerns are common with diabetes, including in patients who aren’t currently sexually active.
Reports sexual side effects from a medication.
Patients rarely raise these unless asked directly.
Has erection concerns after a medical workup.
Some patients need counseling alongside medication.
Mentions low mood, stress, or strain around sex.
Depression and relationships are common contributors.
Has a history of abuse that affects sex now.
If violence is current, safety comes first: National Domestic Violence Hotline, 800-799-7233.
Common reasons to refer
- Erection, ejaculation, or orgasm concerns
- Low or changed desire
- Sexual side effects of medication
- Concerns with diabetes, heart disease, or chronic illness
- Pain with sex, alongside medical care
- Trauma that affects sex and touch
- LGBTQ+ and trans patients’ sexual concerns
Tandem care, not a hand-off
Your care
The medical care stays with you: the medical and cardiometabolic workup, medication review, and chronic disease management.
Sex therapy
I work with your patient on anxiety and avoidance, desire and what affects it, and adjusting to illness and treatment.
A first conversation can simply be about whether a referral might fit. Please wait to send records or identifying details until we’ve set up a secure way to share them.
To refer
Your patient requests a free 15-minute consult at JosephMaronLPC.com. Or call 215-804-9315. Want to talk a referral through first? Call me at the same number.
Telehealth only · Adults in Pennsylvania · Private pay, superbills provided
Tell your patient: sex therapy is talk therapy. No touch, no exam.
Doctoral student in human sexuality, Widener University · Certificate in Affirmative Therapy for Transgender Communities · ADHD-CCSP · LGBTQ+ affirming
A referral does not confirm availability or establish a treatment relationship. This practice is not an emergency or crisis service. Call or text 988, or call 911 for an emergency.
Handouts to print or share
One page for you and a two-sided handout for your patient. The patient handout is also a web page, so you can send a link instead of printing.
-
For patients in primary care
When something about sex has been on your mind
Health conditions, medications, stress, and relationships can all change sex. Sex therapy can work alongside your primary care.
Why it fits
International consensus advises primary care to refer sexual problems for psychological treatment when it fits.1 Psychological treatments, including CBT and mindfulness-based approaches, improve sexual function and sexual distress compared with no treatment in controlled trials.2 In a national survey of Finnish GPs, few had guidance on where to refer sexual problems.3
1 Brotto et al., Sex Med Rev 2025. 2 Frühauf et al., Arch Sex Behav 2013; Liu et al., J Sex Med 2026. 3 Manninen et al., Maturitas 2025.
What I tell your patient about sex therapy
Sex therapy is talk therapy about sexuality, intimacy, and relationships. There is no touch, no exam, and nothing physical happens in sessions.
Sex therapy does not replace medical care or the care you provide. New or sudden changes deserve a medical check. If a medication seems to be affecting someone’s sex life, I ask them to talk with their prescriber before making changes.