Is it OK to talk about sex in couples therapy? YES, it is OK to talk about sex in your couples therapy. To be more precise, you should be able to talk about sex in your couples therapy especially if your couples therapist is a psychosexual therapist/sex therapist as well as a relationship therapist. Sex is not just physical, it is not just an act of physicality or bodies coming together. Sex is part of emotional intimacy as much as it is physical intimacy. Our sexuality is