Sex Therapy Supervision
Become the therapist people choose for the conversations that matter most.
Intensive supervision toward your AASECT Certified Sex Therapist® credential, from a supervisor with years of experience guiding clinicians there, plus a practice-building accelerator that turns the credential into a caseload.
Same license. Same city. One more reason to call.
A license says you can practice. Certification says you're trained for this.
Sexual concerns are some of the hardest things for clients to say out loud, and some of the easiest for an untrained therapist to avoid. AASECT certification changes all three moments that matter.
You work with individuals and couples with a framework, not guesswork.
Certification means structured training in sexuality, a sex history you can take with confidence, and supervised clinical experience across a range of presenting concerns. Desire discrepancy, arousal and orgasm difficulties, painful sex, intimacy that has gone quiet. You stop steering around these conversations and start treating them.
It tells a stranger they can be honest with you.
Reaching out about a sexual concern feels risky. A credential that says you've been trained and supervised in this work lowers that risk. They know you won't flinch, won't judge, and aren't learning on them. For many clients, that reassurance is the difference between sending the email and closing the tab.
It can tip the decision.
Two therapists, same license, similar fees. One has completed years of specialized training and supervision in sex therapy. For someone with a sexual concern, that is often the one they call, and it's the credential that supports a confident, private-pay specialty in a crowded market.
Same license. Plus the training clients are looking for.
What you've trained in
- 90 hours of Core Knowledge coursework
- 60 hours of sex therapy training
- 50 hours of supervision with an AASECT Certified Supervisor
- 300 hours of supervised clinical treatment
When clients are searching
- A credential that says you're trained for this
- Trust before the first session
- A reason to choose you over a similar therapist
- Proof you won't flinch or judge
What you can build
- A sex therapy specialty, not a general practice
- A specialty colleagues refer to
- A fully private-pay practice
- Marketing and client attraction, from the ground up
Hours summarized from AASECT's published requirements. Always confirm current details at aasect.org.

Supervision that's dynamic, specialized, and seasoned.
Dr. Richard Mills-Malangone has spent more than two decades in private practice, with deep experience in sex therapy and in working with a wide variety of people. Dr. Mills-Malangone integrates multiple approaches and modalities, and supervises clinicians toward licensure and certification. This isn't a signature at the end of an hour. It's an apprenticeship in doing this work well.
Dr. Mills-Malangone is currently under supervision of Dr. Stephen Braveman, to become a supervisor, which is what allows him to supervise you. Ask how it works during your free consultation.
Built around your caseload, not a script.
Sessions flex to the cases you're actually carrying, so what you learn is what you use on Monday.
- IFIO
- IFS
- Sex Therapy
- Hypnotherapy
- EMDR
- Brainspotting
- Ketamine-Assisted Psychotherapy
Depth across seven clinical approaches.
Taught as tools you can bring into sex therapy work, not as separate tracks.
Guiding clinicians to certification.
Documentation, case selection, the first hard conversation about sex: the places clinicians get stuck, and how to get through them.
Where supervision focuses.
Supervision covers the concerns you'll meet in sex therapy, grouped into four areas.
Sexual Dysfunctions & Physical Response
Relational & Communication Challenges
Psychological & Emotional Factors
Identity & Alternative Lifestyles
Intensive by design.
This is built to make you effective at treating couples and sexual dysfunction, not to log hours. Expect to bring real cases, real questions, and real coursework into the room.
The path to AASECT certification
Supervision is one piece of a larger path. Here is what AASECT's published requirements ask of you.
Summarized from AASECT's published certification requirements. Requirements change. Always confirm current details with AASECT at aasect.org.
The clock starts when supervision does. AASECT spreads supervision across a minimum of 18–24 months, so the clinicians who begin sooner are certified sooner. Every month you wait is a month of that timeline you don't get back.
Supervision teaches you to treat. The Accelerator teaches you to build.
Becoming certified is only half of the work. The other half is a practice where the right clients can find you, and supervision alone doesn't teach you that.
Every supervisee receives full access to the Private Practice Launch Accelerator, so you walk away with the clinical skills and a ground-up understanding of how to market yourself and attract clients.
How to build a private practice from the ground up.
How to market yourself and your sex therapy specialty with confidence
How to attract clients, starting from zero
How to set up and run a fully private-pay practice
How to turn your certification into the reason clients choose you
Built for clinicians serious about becoming an AASECT Certified Sex Therapist®.
This is for you if…
You want to become an AASECT Certified Sex Therapist® and are ready to start the clock.
You're carrying couples or clients with sexual concerns and want real case consultation, not theory.
You want a supervisor who's comfortable talking directly about sex, and can teach you to be.
You want your Core Knowledge coursework and CEUs connected to live clinical work.
You want to learn how to market yourself and attract clients, not just treat them.
You'd like the Accelerator, discounted CE courses, and Association membership included, not sold separately.
This is NOT for you if…
You're not interested in certification and just need general clinical supervision.
You're not currently seeing clients and have no caseload to bring into sessions.
You're uncomfortable discussing sexual material directly and aren't looking to change that.
You're just looking for the cheapest option you can find.
You're already happy with the supervision you currently have.
You're hoping supervision happens to you, without showing up prepared to talk about your cases.
What to know before you book.
Sex therapy supervision sits at the intersection of your state's licensure rules and AASECT's certification requirements. Here's what most clinicians ask.
What are the Core Knowledge Areas (CKAs), and how do CEUs fit in?
AASECT requires coursework across its designated Core Knowledge Areas as part of certification. Supervision is where you apply that coursework to real clients, so the learning shows up in your clinical work. Sex Therapy CE courses are available at a discount through the Collective.
What actually happens in a supervision session?
Sessions are built around your caseload: practicing and refining how you take a sex history, consulting on couples and sexual dysfunction cases, planning treatment, and connecting your coursework to what's happening with your clients. Expect to come prepared with cases and questions.
Why do you describe supervision as "intensive"?
Because the goal isn't hours logged. It's becoming effective at treating couples and sexual dysfunction. That asks more of you than a check-in: real cases, honest self-assessment, and a willingness to be challenged.
Can the same hours count toward both licensure and AASECT certification?
Where your state board allows it and the hours are documented to each body's standards, supervision can serve both. The specifics depend on your state and your current standing. We'll confirm exactly how it applies to you before you start.
Do I need to already be working with sex therapy clients?
You should have an active caseload, and it helps to already be seeing some clients with sexual concerns or couples. If that part of your practice is still developing, we'll talk through how to grow into it, and the Accelerator can help you attract those clients.
What's included besides supervision?
Full access to the Private Practice Launch Accelerator, discounted Sex Therapy continuing education courses, and the Professional Association Membership through Laike Rising Collective.
What does it cost?
Rates depend on format (individual vs. group) and frequency. We'll go over current pricing during your free consultation so you have a clear answer before committing to anything.
How do I get started?
Book a free 15-minute consultation below. We'll talk through your caseload, where you stand with AASECT and your state board, and whether we're the right fit before anything is scheduled.
Book your free 15-minute consultation.
No pressure, just a conversation. In 15 minutes we'll talk through:
- Your caseload
- Your certification goals
- Your state's requirements
- Whether we're the right fit