A current revision of my popular FAQ.
Dr. Brame's FAQ on Sex Therapy as a Career
created 2005/revised 2009
I receive so many requests for information and guidance from students of all ages about how to become a sex therapist that I created a FAQ to address the most common questions. If you see any mistakes, would like to offer feedback, or want to contribute other questions to the FAQ drop me an email at gloriasmind@aol.com
Q: I'm graduating high school and was wondering what kind of college classes I should take to become a sex therapist?
Few colleges offer sexology as a major. So if you wish to prepare now for the future, consider majoring in psychology or social work. These fields will prepare you for the challenges of therapy and provide a solid research foundation for sexology.
If the college you will be attending doesn't offer classes specifically in sexology, get creative. Take art courses about nudes and erotic themes; biology classes about reproduction and primate behavior; English classes about sex in literature; and, of course, look broadly in the social sciences and Women's Studies for courses on sex and gender. Any subject which deepens your perspective on sexuality will put you on the road to becoming a sexologist.
Q. I am in college. I am interested in Sex Therapy as a profession and am trying to see what road would be most beneficial for me to follow, Psychology or Social Work?
For people who know at the beginning of their academic careers that they wish to become sexologists, these fields are the best choices to give you the tools you'll need in the future. If you become a licensed psychologist, you will have innumerable professional advantages, and find it easier to gain employment in traditional clinical and academic settings.
Make an appointment with your college's guidance or career counselor for an in-depth analysis of whether Social Work or Psych would best fit with your goals and talents. As a rule of thumb, psychologists invest more time and money in their education than social-workers. Psychologists receive rigorous grounding in mental health and psychiatric issues and are recognized by other mental health professionals for this training. Social workers commonly work in clinical or public health settings but some open private practices and do one-on-one counseling.
By the way, you do not necessarily need an education in Psychology or Social Work to pursue a graduate degree in sexology. Sexologists come from a diverse range of backgrounds, including clergy, biologists, educators, anthropologists, authors, journalists, business-people, and sex-workers. What unites them is a common interest in the field, a commitment to spreading accurate, positive information about human sexuality, and, more often than not, a track record of work in the field as well (publications, leadership of groups, sex rights activism, etc.) My path to sexology started when I began writing and reporting on sex topics.
Meanwhile, if you'd like to jump on the ladder towards sexological greatness, consider starting an on-campus group or publication in support of sex-related causes you believe in.
Q: What should I do after graduation from college to become a sex therapist?
There are a number of paths you can take. But first, be aware that there are people who call themselves sex therapists without possessing legitimate credentials. There is only one ethical way to become a sex therapist and that is by receiving graduate training in the field of sex. You could be a psychologist (or psychiatrist) who receives training in sexuality; a social worker or marriage counselor who goes for post-grad training in sexology; or you may study sexology at the graduate level after completing an undergrad degree.
Certified sexologists are the only helping professionals equipped to provide practical advice, information and education on sexuality. For example, while any helping professional may be sensitive to ED or inorgasmia, sexologists can diagnose and offer practical solutions to such issues.
For a list of schools which have graduate degree programs in sexuality, visit the Guide to Graduate Study in Sexology: http://www.sexuality.org/l/sex/sexgrad.html
The field of sexology is growing, but still not large enough to have the political power to convince state bureaucracies and insurance companies to extend the same rights and privileges they grant to psychologists. Florida is the only state in the U.S. which licenses sexologists. So sexologists rely on our professional organizations to review our qualifications and issue credentials. Certification as a clinical sexologist is granted by several professional groups, including AASECT (American Association of Sex Counselors, Educators and Therapists), ABS (American Board of Sexologists), and ACS (American College of Sexologists).
Q: I know I want to work in sex, but I don't know if I want to be a therapist. Are there other career paths?
Yes, and they don't all require advanced degrees.
Here is a quick and dirty breakdown of some key sexological professions.
A sex educator is someone who goes into communities to lecture and teach about sex/relationship issues. Certification is available at the undergraduate level.
A sex counselor, peer counselor or sex coach usually has either formal academic training in sexology or a work-history in the field of sex, and offers non-professional counseling. They may sometimes describe themselves as therapists (depending on the state they live in it may be illegal to do so), and the most reputable ones take certification courses in sexology or complete an undergraduate degree in sexology.
A certified clinical sexologist is someone who has achieved the highest level of education in sexology, has submitted credentials to a professional sexological organization and has been certified by that organization. Clinical sexologists may work as educators, counselors, therapists or researchers.
Aside from therapy, sexologists perform vital functions in other fields, whether it is specializing in forensic sexuality to work in the court system, or applying their knowledge base in medical settings to work with special populations. Some lecture extensively, others lead public workshops on sexual self-empowerment, and some join or found non-profits to fight for sex-related causes.
Q. What does a sex therapist actually do?
On the surface, sex therapy resembles traditional therapy: the therapist takes a history of the client, evaluates and analyzes the problems presented, and guides the dialogue in productive directions by asking questions.
The key difference between the two is that sex therapy is generally goal-oriented: clients have a problem and come to you for a solution to that problem. Happily, even when we don't have complete solutions, we can usually improve our clients' quality of life and set them on better, healthier paths. Sex therapy's great good is informed advice and support on life's most sensitive issues. It includes a strong behaviorial component. Sexologists offer education on sexuality, sympathetic counseling on sex-related issues, and suggest techniques or exercises clients implement to break negative sexual behavior patterns.
Q. What is the general pay for a sexual therapist?
For better or worse, there really is no "general" pay range. If you work in a clinical setting or teach in an academic setting, you will be paid competitively, according to the institution's established scale. You may see as many as 6-10 patients a day but your salary is usually fixed.
In private practice, your earnings will depend on a combination of market demand, overhead costs, your reputation, and your business acumen. As a private entrepreneur, you will have to do all your own marketing, advertising and networking; keep all your own books and tax records; and pay the overhead on an office space. Many sex therapists also teach, lecture, run workshops, and/or write books about sex to supplement their income.
A beginning therapist usually charges between $75-100 per hour. An experienced therapist in high demand may charge as much as $175+ per hour. When you're starting out, $75 an hour may sound like a lot of money, but if you only have four or five patients, who see you only one hour a week, it's going to be a struggle. This, by the way, is true for everyone who goes into private practice, whether they're lawyers, physicians or helping professionals. Those first years are financially challenging.
Sex therapy is not a road to material riches, though if you are a hard-charger, you can, over time, make a great living. For most sex therapists, it is the reward of doing the work itself that is so satisfying. If you are genuinely excited about the idea of working with people on their most intimate issues, seeing their lives change for the better, and knowing you made a meaningful contribution towards their personal happiness, you will never regret the decision to become a sexologist.
Personally, I've never met a sex therapist who wished they did something else for a living but I have met a lot of people who wish they were sex therapists.
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Looking for more info? Visit my alma mater, the Institute for Advanced Study of Human Sexuality, and see what they have to say about sexology. The URL is:
http://iashs.edu/
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