Occupational therapy for sexual wellness and intimacy
Sex is an occupation.
Let's talk about what happens when your body makes it harder to participate.
Disability. Injury. Chronic illness. Aging. Surgery. Pain. Fatigue. Neurological changes. Your body may have changed. Your sex life doesn't have to disappear with it.
Sex.
Intimacy.
Your body.
Healthcare has gotten pretty good at helping people get back to work, get dressed, make dinner, drive, exercise, and live independently.
But when it comes to sex?
Suddenly everyone gets awkward.
We're not doing that.
SXOT is occupational therapy focused on the practical, functional aspects of intimacy and sexual activity.
Because if something matters to your life, it belongs in the conversation.
So what does SXOT actually do?
We look at the things that can make intimacy harder—and work with you to figure out what might make them easier.
01 · Movement
Movement & Positioning
Finding positions and ways of moving that work with your body rather than against it.
02 · Energy
Pain & Fatigue
Managing energy, pain, and recovery so intimacy doesn't become an endurance event.
03 · Access
Mobility & Transfers
Adapting the process of getting where you need to be—because sometimes getting to sex is half the battle.
04 · Tools
Adaptive Equipment
Exploring tools, supports, and modifications that can make sexual activity more accessible.
05 · Environment
Your Environment
Looking at the bed, room, privacy, temperature, equipment, and whatever else affects the experience.
06 · Change
Changing Bodies
Adapting to disability, illness, injury, surgery, aging, medication, or simply a body that doesn't work quite the way it used to.
The goal isn't to make you ‘normal.’
It's to help you participate in the intimacy and sexual expression you want.
Your body may have changed. Your sex life doesn't have to disappear with it.
SXOT is for people of all genders and orientations whose health, disability, injury, pain, fatigue, aging, or changing body has made intimacy or sexual participation more complicated.
Who is SXOT for?
You don’t need a particular diagnosis, relationship status, or definition of ‘normal’. If something about your body, health, or environment is getting in the way of the intimacy or sexual participation you want, that’s enough to start a conversation.
Disability & neurological conditions
Including mobility, sensation, positioning, fatigue and changes in sexual function.
Amputation & limb difference
Adapting movement, positioning, prosthetic considerations and confidence.
Injury, surgery & recovery
When your body works differently and you need to figure out what works now.
Aging & changing bodies
Because sexuality doesn't have an expiration date.
Pain, fatigue & chronic illness
Because “just push through it” is not a treatment plan.
Anyone with a functional barrier
You don't have to fit neatly into a diagnosis to deserve help.
Sometimes the problem isn’t desire.
You can want sex. You can have a healthy libido. You can be medically 'fine‘. And still find that your body, energy, or environment makes participation difficult.
That’s where occupational therapy can help.
Positioning
Finding positions that work with your body.
Mobility
Transfers, movement, and physical access.
Fatigue
Energy conservation and planning.
Pain
Adapting activity around symptoms
Equipment
Adaptive strategies and tools.
Environment
Making the space work better
Yes, kink belongs here.
Your sexuality doesn't have to fit neatly into someone else's definition of “normal” to be worthy of healthcare.
SXOT is kink-affirming, disability-affirming and judgment-free. That can include queer sexuality, nontraditional relationships, adaptive sex, toys, power dynamics and other forms of consensual sexual expression.
Clinical boundaries still apply, obviously. We're healthcare, not your dungeon.
But judgment doesn't need to be part of the treatment plan.
Meet Jessica.
Healthcare is pretty comfortable talking about almost every activity of daily living.
Sex? Apparently we've reached the limit of everyone's emotional bandwidth.
Jessica Baptie, OTR/L, CSOT is an occupational therapist who believes people deserve support participating in the activities that matter to them—including intimacy and sexual expression.
SXOT brings the functional, practical problem-solving of occupational therapy into a part of life that healthcare too often leaves unaddressed.
The approach is professional, direct, inclusive and—because this subject is already awkward enough—occasionally a little cheeky.
Cash pay. No insurance runaround.
SXOT is a private-pay practice. That means you work directly with your therapist rather than navigating insurance requirements that may not fit the care you actually need.
Telehealth is available where clinically appropriate and permitted.
Current rates and payment details will be provided before scheduling care.
Questions you may be too embarrassed to ask.
Good news: you can ask them here.
-
No. SXOT is occupational therapy focused on intimacy and sexual participation. The work centers on function, adaptation, environment, mobility, positioning, fatigue, pain, equipment and other barriers to participation.
-
No. A functional barrier is enough. You may have desire and still need help adapting how you participate.
-
SXOT is not limited to women. Services are intended for people of all genders and orientations who are experiencing functional barriers to intimacy or sexual participation.
-
Yes. Kink and consensual nontraditional sexual expression are welcome topics of care. You do not have to fit someone else's idea of “normal.”
-
SXOT is cash pay only. Payment, fees and any documentation available for out-of-network reimbursement will be explained before care begins.
Let's talk.
If you're wondering whether SXOT could help, you don't need to have the perfect words. Start with the problem you're trying to solve.
Please don't share personal health information through this website or social media. This is a starting point for general questions and scheduling a consultation.
hello@sxottherapy.com
Location
California · Telehealth available where appropriate
Follow along
@sxottherapy