A sex therapist may take couples therapy one step further by focusing on the couple's physical relationship. After identifying the couple's attitudes about sex and the sexual problem, the sex therapist recommends specific exercises to refocus the couple's attention and expectations.Sex therapists often use what are called "sensate focus" exercises to treat sexual problems. The exercises start with nonsexual touching and encourage both partners to express how they like to be touched. The goal is to help both partners understand how to recognize and communicate their preferences.