viviana coles
HOUSTON RELATIONSHIP THERAPY

Viviana A. Coles is a sex therapist. Now, stop the images and thoughts that immediately start going through your mind and replace them with these facts: She’s married to her husband Bobby, has two young children, is 30 years old and received her Bachelor of Arts degree in psychology at Southwestern University in Georgetown, Texas. She’s earned both Master’s and Doctoral degrees in marriage and family therapy at Nova Southeastern University in Fort Lauderdale, Florida, and received certification in sex therapy at the Florida Post-Graduate Sex Therapy Institute in Palm Beach, Florida. She is the director and lead psychotherapist at Houston Relationship Therapy, PLLC. Sounds a lot more professional than what you originally thought, right?
What is sex therapy?
Sex therapy is mainly about creating intimacy, the physical as well as the emotional parts. When things aren’t going well intimately, it can really cause problems, lead to divorce, feelings of separation and when couples are able to work things out, it’s wonderful. My clients come to me to rebuild a healthy intimacy.
How did you decide to become a
sex therapist?
Well, for some reason while I was growing up, people used to come to me for advice. I naturally gravitated towards a career where I could be valuable in that. I began to study marriage and family therapy. Sex therapy began as a supplement to my marriage and family practice; and from the time I got trained and began to talk about the value and importance of sex therapy, it’s grown and is now the primary focus of my practice.
What is the reaction most people have to your being a sex therapist?
Well, sometimes there’s giggling, but really people are less and less bogged down by the stigma of going to sex therapy now. I have couples that are both young and old but the goals are the same: to have things “work” in the bedroom. I still get some confused looks, people that think there may be a “hands on” approach, which there’s not (that’s a sex surrogate) but for the most part sex therapy has become much more mainstream and less taboo than in the past.
There’s also this misconception that sex therapists must have this great sex life and everything is always perfect and that’s just not accurate. I’m just like everyone else. It’s just that as someone with professional experience and training I don’t let issues interfere and I tend to deal with things faster and more upfront than most.
How does sex therapy really work?
First it’s either a couples issue, meaning they’re addressing their concerns together, or it’s an individual issue. Is it me or us? If it’s individual, then maybe it’s a woman experiencing pain with intercourse, lack of sensation or interest. When it’s a couple, it’s more what works well, what doesn’t, one party wants to do/try something and the other is unwilling, are there financial issues, family issues, etc., that are affecting sex life & intimacy. If everything else is going well in life, then it’s usually a physical issue. When there are other issues, they manifest themselves and cause problems in the bedroom that we can work on.
What’s the typical male issue and
female issue?
With women it’s far more often about low sexual desire. They are just not interested in sex anymore. For men, it’s erectile dysfunction.
What are the challenges?
I appreciate hearing things that I haven’t heard before. There are definitely times where I hear things and think “oh, that’s different” but that’s OK. If the individual is happy with it, their partner is happy with it, then it may not be for me, but who’s to say that it may not be good for them. There’s all sort of fetishes out there. Everyone has a club or a type. I may not want to join all of them, but there is something for everyone and it’s not for me to judge. At the heart of everything is the intimacy and “is it working” realities of any relationship.
I don’t push preferences or my own feelings because I’m not the one who has to go home and do them. It’s not about me. Sexuality does have to do with good sex. There is a notion that as a woman I’ll see things from a certain perspective but I really look at things from both partner’s sides and how they can both get what they want out of their relationship and feel good about it.
What advice would you give to couples?
More premarital counseling and therapy! So many issues could be avoided if couples got out ahead of issues. I started a 10-step course to address this as communication, openness. It covers finances, sexuality and spirituality. The most important message I’m trying to get out is how vital premarital counseling is. It’s a lot cheaper than divorce!
Greg Scheinman is an Associate at Insgroup Inc., the 4th largest independent insurance agency in Houston. Greg also plays host to some of Houston’s most influential CEOs, entrepreneurs and risk-takers on his PBS television talk show, Profile with Greg Scheinman, which airs Thursdays at 10:30pm on Houston PBS Ch.8 (gscheinman@insgroup.net).
Photography by Jill Hunter









