Sexual Health Institute | Sex Therapy Certification | Transcend Training Institute

Sexual Health Institute · Transcend Training Institute

Post-graduate certification in
sex therapy and sexual health.

For registered psychologists, counsellors, social workers, and marriage and family therapists ready to integrate sexual health into clinical practice. Evidence-based. Trauma-informed. GSER-inclusive.

Sex therapy certification Sexual dysfunction treatment Continuing education DSM-5-TR and ICD-11 Trauma-informed practice GSER-inclusive CE credits Canada

Sexual health is one of the most common presenting concerns in clinical practice. Most clinicians have no formal training to address it.

Graduate programs in psychology, social work, and counselling devote, on average, fewer than three hours to human sexuality across their entire curriculum. Clinicians are left to acquire this knowledge informally through continuing education workshops, self-study, or simply by encountering clients whose needs exceed their preparation.

The result is widespread under-referral, missed diagnoses, and clients who leave appointments without the help they came for. Sexual dysfunction, pain, desire discrepancy, and the relational fallout of these concerns are not niche presentations. They are common, treatable, and consistently undertreated.

This program exists to give registered clinicians the knowledge base, clinical language, diagnostic fluency, and practical interventions to meet those presentations with competence and confidence.

38%
Prevalence of orgasmic disorders in women, the second most common sexual dysfunction domain, and one of the most frequently untreated.
Pooled prevalence estimates; trending upward from 2021 data
52%
of men aged 40–70 experience some degree of erectile dysfunction, yet fewer than 25% discuss it with a healthcare provider.
Feldman et al., 1994; Rosen et al., 2004
75–80%
of women will experience sexual pain at some point in their lives. Average time to diagnosis: two to ten years.
Harlow & Stewart, 2003; Goldstein et al., 2016

What competent sexual health practice actually requires.

Effective sex therapy is not a single skill. It draws on diagnostic knowledge, trauma fluency, relational theory, neuropsychology, anatomy, pharmacology, and cultural awareness, simultaneously, in session, with a client who may never have spoken about this to anyone before.

Most continuing education in this area offers fragments: a weekend workshop on sensate focus, a webinar on desire discrepancy. This program offers the complete clinical foundation, built sequentially, grounded in current research, and designed around how clinicians actually encounter these presentations.

01
Diagnostic fluency
DSM-5-TR and ICD-11 sexual dysfunction classifications; primary vs. secondary; generalized vs. situational specifiers; differential diagnosis across AFAB and AMAB presentations
02
Neurobiological grounding
Sexual response models; dual control theory; arousal vs. desire distinction; responsive desire; hormonal and neurochemical contributors; impact of medication and health status
03
Trauma-informed practice
ACE framework; complex and sexual trauma; somatic awareness; nervous system regulation; safety in clinical encounters; avoiding re-traumatization in sexual health contexts
04
GSER-inclusive competency
Gender identity and expression; sexual orientation; erotic diversity; relational structures; affirmative clinical language; working across the full spectrum of presentation
05
Interdisciplinary collaboration
Pelvic floor physiotherapy; pharmacological treatment; SSRIs and iatrogenic effects; surgical options; when and how to refer; communicating with medical providers
06
Applied intervention
Sensate focus; CBT; ACT; mindfulness-based approaches; psychoeducation; directed masturbation; couples modalities; motivational interviewing; relapse prevention

Twelve modules.
Two sections.

The program is organized in two sequential sections followed by a consultation-based evaluation component. Section 1 builds the ethical and attitudinal foundation for clinical practice. Section 2 develops diagnostic and applied clinical competency. All modules are asynchronous, with live consultation components.

Section 1 — Foundations in ethics and biases Modules 1–5
  • 01
    Ethics and professional practice
    Scope of practice · boundaries · consent · regulatory standards
  • 02
    Cultural influences on sexuality
    Religion · ethnicity · intersectionality · implicit clinical bias
  • 03
    GSER — Gender, sexuality, eroticism, and relational diversity
    Identity · orientation · erotic diversity · affirmative practice
  • 04
    Trauma-informed treatment
    ACE framework · complex trauma · somatic awareness · clinical safety
  • 05
    Sexual Attitude Reassessment (SAR)
    Values clarification · countertransference · reflective practice
Section 2 — Clinical foundations Modules 6–12
  • 06
    Developmental biology and socialization
    Psychosexual development · socialization theory · family-of-origin influences
  • 07
    Anatomy, physiology, and neuropsychology
    Sexual response · dual control model · arousal vs. desire
  • 08
    Theory and research
    Masters & Johnson · Kaplan · Basson · responsive desire
  • 09
    Diagnostic criteria
    DSM-5-TR · ICD-11 · FSIAD · FOD · GPPPD · ED · PE
  • 10
    Assessment and history taking
    Biopsychosocial framework · validated measures · case conceptualization
  • 11
    Collaboration and medical treatment
    Pelvic floor physio · SSRIs · hormonal therapy · referral pathways
  • 12
    Techniques and interventions
    Sensate focus · CBT · ACT · mindfulness · couples modalities
Continuing education — special topics short courses
Premature & delayed ejaculationErectile dysfunctionSexual painLow desireOrgasmic disordersCouples and intimacyInfidelityTrauma and abuseSTIsPoly and kinkCompulsive sexual behaviourSexuality and agingPostpartum sexualityDisability and sexualityIatrogenic dysfunctionReproductive healthDigisexuality and techBisexualityAdvanced consent frameworksTelehealth ethics

Evidence-based. Trauma-informed.
Built for working clinicians.

This is not a survey course. Every module is built around clinical competencies that translate directly to practice, the kind of knowledge that changes how you sit with a client the next day.

Evidence-based throughout

Grounded in peer-reviewed research, DSM-5-TR and ICD-11 diagnostic frameworks, and current sex therapy literature. Theoretical models are taught in critical context, including their limitations.

Trauma-informed by design

Safety, pacing, and nervous system awareness are embedded in the pedagogy, not added as a module. You learn through the same lens you will use clinically, with your most complex presentations.

GSER-inclusive throughout

Gender, sexuality, eroticism, and relational diversity are integrated across all twelve modules, not siloed. Affirmative clinical practice is a foundation, not a supplement.

Asynchronous and flexible

Designed for registered clinicians with full caseloads. Complete modules on your own schedule. Live consultation components are scheduled to accommodate working practitioners.

Interdisciplinary scope

Covers pelvic floor physiotherapy, pharmacological treatment, and medical referral pathways. You leave equipped to collaborate with medical providers, not just receive referrals from them.

Consultation-based and evaluated

The program includes cohort case consultation, peer review, and a final competency evaluation. Certification reflects demonstrated clinical knowledge, not just course completion.

Across the full range of
sexual health presentations.

Graduates are equipped to assess and treat the full spectrum of sexual health concerns in individual and couples therapy, and to recognize when to refer and to whom. The CE short course library allows ongoing specialization in targeted areas after certification.

Desire and arousal
  • Female sexual interest and arousal disorder (FSIAD)
  • Low desire in long-term partnerships
  • Responsive vs. spontaneous desire
  • Desire discrepancy in couples
  • Impact of medications on desire
Orgasm and pleasure
  • Female orgasmic disorder (FOD)
  • Delayed ejaculation
  • Anorgasmia, primary and secondary
  • Pleasure education and sexual self-knowledge
  • Vibrator use and habituation concerns
Sexual pain
  • Genito-pelvic pain and penetration disorder (GPPPD)
  • Vaginismus and vestibulodynia
  • Provoked and unprovoked vulvodynia
  • Lichen sclerosus and dermatological conditions
  • Dyspareunia, AFAB and AMAB
Erectile and ejaculatory
  • Erectile dysfunction, psychogenic and organic
  • Premature ejaculation
  • Performance anxiety and anticipatory avoidance
  • Post-treatment dysfunction (cancer, surgery)
  • Medication-induced sexual dysfunction
Relational and contextual
  • Couples and intimacy
  • Infidelity and relationship recovery
  • Compulsive sexual behaviour
  • Porn use, clinical and subclinical presentations
  • Poly, kink, and non-normative relational structures
Special populations
  • Perinatal and postpartum sexuality
  • Sexuality across the lifespan and aging
  • Disability and sexual health
  • LGBTQ+ and GSER-diverse populations
  • Trauma and sexual abuse survivors

For clinicians,
right now.

While the full program is in development, we are building a free clinical resource library. Available to all visitors, no account required.

Clinical framework

Arousal vs. desire: explaining the distinction to clients

A plain-language framework for the arousal-desire gap, including responsive desire and why spontaneous desire is not a prerequisite for satisfying sex.

Diagnostic reference

DSM-5-TR sexual dysfunction classifications at a glance

A concise clinical summary of AFAB and AMAB sexual dysfunction categories with primary/secondary and generalized/situational specifiers.

Clinical guide

Introducing sexual history-taking in any clinical context

How to open the conversation regardless of your specialty. Includes sample phrasing and a framework for any registered clinician.

Referral guide

When and how to refer: pelvic floor physio, sex therapy, and medical care

Practical interdisciplinary referral guidance, what each provider offers, when to refer, and how to communicate across disciplines.

Get notified when
enrollment opens.

The Sexual Health Institute program is currently in final development. Join the waitlist to receive launch notification, early access to free clinical resources, and founding member pricing when registration opens.

  • Early access to the free clinical resource library
  • Launch notification before public announcement
  • Founding member pricing, locked at registration
  • Priority enrollment in the first cohort
  • Access to pre-launch CE webinars

Join the waitlist.

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