Limited supervision seats available

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.

A client searching for help with a sexual concern sees this
Licensed TherapistYour state licenseAuthorized to practiceRequired by your stateHeld by every therapistAASECTCERTIFIEDSEX THERAPIST®Licensed TherapistYour state licenseAASECT Certified Sex Therapist®Trained in sex therapySupervised, not guessingTrusted with the hard stuffTHE ONE THEY CALL Licensed TherapistYour state licenseAuthorized to practiceRequired by your stateHeld by every therapistAASECTCERTIFIEDSEX THERAPIST®Licensed TherapistYour state licenseAASECT Certified Sex Therapist®Trained in sex therapySupervised, not guessingTrusted with the hard stuffTHE ONE THEY CALL

Same license. Same city. One more reason to call.

Intensive, case-based supervision Hours built toward AASECT Private Practice Launch Accelerator included
Why Certification Matters

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.

In the room

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.

Before they book

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.

When they're choosing

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.

What Certification Gives You

Same license. Plus the training clients are looking for.

AASECT Certified Sex Therapist®
Here is what the credential means for you, your clients, and your practice.
The one they call

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.

Dr. Richard Mills-Malangone
Your Supervisor

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.

EdD · LCSW · CST · CHT · CKAP · CDM
Supervised to supervise

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.

Dynamic
A couple stuck in desire discrepancy
A referral with a pain disorder
The case on your desk this week

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.

Specialized and Trained
  • 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.

Experienced
20+
years of supervisory experience

Guiding clinicians to certification.

Documentation, case selection, the first hard conversation about sex: the places clinicians get stuck, and how to get through them.

Areas of Focus

Where supervision focuses.

Supervision covers the concerns you'll meet in sex therapy, grouped into four areas.

Sexual Dysfunctions & Physical Response

Erectile dysfunction
Performance fears, mental blocks, and psychological factors behind arousal difficulties.
Orgasm difficulties
Anorgasmia, plus delayed and premature ejaculation.
Low or mismatched libido
Differences in desire between partners, or individual drops in sexual interest.
Sexual pain and discomfort
Dyspareunia (painful intercourse) and vaginismus.

Relational & Communication Challenges

Partner communication
Talking openly and positively about sexual needs, boundaries, and expectations.
Intimacy and connection
Rebuilding closeness after routine changes, conflict, or long-term partnership, including open relationships.
Infidelity and betrayal
Relationship repair, trust, and the impact of affairs.

Psychological & Emotional Factors

Performance anxiety
Fear, self-doubt, and mental distraction during sexual encounters.
Sexual trauma and abuse
Healing from past non-consensual experiences that block safety and pleasure.
Shame and guilt
Negative beliefs, religious or cultural conditioning, and body image concerns.
Compulsive behaviors
Out-of-control sexual behavior, hypersexuality, or problematic pornography use.

Identity & Alternative Lifestyles

Sexual orientation and gender identity
Supporting clients as they explore, accept, or navigate LGBTQI+ identities and gender transitions.
Alternative relationship structures
Guidance for kink, fetishes, polyamory, and ethical non-monogamy.
Life stages and health impacts
Age-related changes, chronic illness, medical procedures, or fatigue affecting sexual well-being.
What Happens in Supervision

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.

Core skill

Taking a sex history

How to open the conversation, what to ask, how to pace it, and how to turn what you learn into a clinical picture and a treatment direction, practiced on your own clients, with feedback.

Case work

Case consultation & review

Bring active or past cases involving sexual health concerns, dysfunction, trauma, or relationship dynamics. We work through conceptualization, treatment planning, and the specific interventions to try next.

Personal work

Navigating awkwardness and countertransference

Talking about sex touches values, shame, and taboos. Supervision is a safe space to process your own discomfort, embarrassment, and reactions to a client's story, so they inform your work instead of steering it.

Ethics

Ethical and boundary guidance

Work through ethical dilemmas, dual relationships, informed consent, and adherence to professional codes of conduct, including those set out by AASECT.

Skill building

Skills and psychoeducation

Mentorship on how to introduce sexological tools, communication exercises, bibliotherapy, and psychoeducation about the physiological and psychological factors that affect sexual functioning.

Applied learning

Putting your Core Knowledge to work

AASECT requires coursework across its designated Core Knowledge Areas (CKAs). We connect each course and CEU to live clinical work, so the learning sticks instead of sitting in a certificate folder.

Format

One-on-one or in a group

Supervision can happen individually or in a group with peers. AASECT asks for 50 hours of supervision over 18 months or more. Ask during your consultation how hours are structured.

Certification

Documentation and evaluation

Hours are tracked and documented to AASECT's standards from the first session. Your supervisor reviews clinical notes, signs off on required hours, evaluates your readiness, and provides the formal documentation your credential requires. Where your state board allows, hours can count toward licensure too.

Sustainability

Burnout and self-care

Sex therapy carries an emotional load. Supervision helps you hold professional boundaries and head off compassion fatigue, so you can keep doing this work well.

The path to AASECT certification

Supervision is one piece of a larger path. Here is what AASECT's published requirements ask of you.

90hours of Core Knowledge coursework
60hours of sex therapy–specific training
10hours of sexual attitude reassessment
50hours of supervision with an AASECT Certified Supervisor
300hours of supervised clinical treatment

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.

Included With Supervision

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.

Discounts on Continuing Education Professional Association Membership
What you'll walk away knowing

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

Is This For You?

Built for clinicians serious about becoming an AASECT Certified Sex Therapist®.

Yes

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.

No

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.

Frequently Asked Questions

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.

Every state is different, and AASECT sets its own separate requirements. We'll confirm both your state board's rules and AASECT's current requirements together during your free consultation, and you should always verify current requirements directly with your board and with AASECT.
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.

Next Step

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
15 minutesFreeNo pressure
Supervision seats are limited. Consultations are booked on a first-come basis.