(Please Consult a licensed Therapist, Psychologist and a Psychiatrist Regarding this Very Serious Type of Therapy)
Surrogate Partner Therapy:
Surrogate Partner Therapy (SPT) is a form of therapy that involves a triadic relationship between a client, a licensed therapist, and a trained surrogate partner. It is designed to help clients overcome sexual dysfunctions, intimacy challenges, touch-related anxiety, or trauma-related sexual issues in a structured, therapeutic context.
How It Works
Assessment with a Therapist
The client first meets with a licensed mental health or sex therapist to discuss their concerns and determine if SPT is appropriate.
Issues addressed may include anxiety about intimacy, erectile dysfunction, vaginismus, lack of sexual experience, or touch aversion.
Introduction of a Surrogate Partner
If deemed suitable, the therapist collaborates with a certified surrogate partner (often trained through organizations like IPSA — International Professional Surrogates Association).
The surrogate partner works directly with the client, but always in coordination with the therapist.
Structured Sessions
Sessions may include communication exercises, relaxation techniques, guided touch exercises, sensate focus, body image work, and sometimes sexual activity — depending on therapeutic goals.
Progress is regularly reviewed by the therapist, maintaining ethical oversight.
Gradual Integration
The ultimate goal is for the client to develop comfort, confidence, and skills, and then transition these skills into their personal life or relationships.
Who Can Benefit?
People with sexual dysfunctions (e.g., erectile issues, anorgasmia, vaginismus)
Individuals with trauma-related sexual difficulties
Clients with severe social or sexual anxiety
Those with little or no sexual experience who want to learn in a therapeutic environment
Ethical & Legal Considerations
SPT is legal in many places but is sometimes controversial because it may involve sexual contact.
It is not prostitution — it’s a therapeutic modality conducted with professional standards, contracts, and therapist oversight.
Confidentiality, informed consent, and clear boundaries are essential.
Shervan K Shahhian