What Clients Bring In:
It works alone, not with a partner
Fine by yourself, unreliable with someone else. That pattern almost always points to anxiety, not anatomy - which means it's treatable, and usually faster than people expect.
Wanting Different Amounts
One partner wants more, one wants less, and the gap has turned into a verdict on the relationship. It's rarely about libido. It's about what sex means to each of you.
Watching Yourself Instead of Being There
Half your attention is on whether it's working. That monitoring is the problem. We work on getting you back into your body and out of the scoreboard.
When It Hurts
Pain with sex is common, under-treated, and routinely dismissed. I work alongside pelvic floor physical therapists so the body and the fear get treated together.
Jon Prezant, LCSW, MA, CST
AASECT-Certified Sex Therapist in NJ
Sex therapy that takes the sex as seriously as everything around it. I’m a licensed clinical social worker and an AASECT-certified sex therapist, working online with individuals and couples across New Jersey. Erections, performance anxiety, desire that faded, pain, and the shame that tends to travel with all of it.
Most of the men who reach out to me have already tried the obvious routes. The pill works sometimes. Reddit had a lot of opinions. The doctor said everything checks out. What’s left is the part nobody addressed: a belief, often decades old, that losing an erection means something is wrong with you. Information alone doesn’t dislodge that. Therapy can.
What I treat: erectile difficulties, performance anxiety, delayed or early ejaculation, low or mismatched desire, pain with sex, difficulty reaching orgasm, sexual shame carried in from family or religion, and sexual behavior that feels out of your control. When a medical rule-out makes sense, I work alongside urologists and pelvic floor specialists. Licensed in New Jersey (#44SC06579900).
I hold an MA in Trauma and Crisis Studies from Tel Aviv University, an MSW from Yeshiva University, and earned certification in sex therapy through the Modern Sex Therapy Institutes.
I live in Brooklyn with my husband and our dog, Bernie. When I’m not in session, I write and produce music.
Your Questions, Answered.
Everything you need to know about starting sex therapy in New Jersey.
How Sex Therapy Works
What actually happens in a sex therapy session?
We talk. There’s no physical contact, no exam, and nothing happens in session that you’d be uncomfortable with. Sex therapy is talk therapy with a specialist who knows the body, the research, and how to talk about sex without flinching.
Do I need to see a doctor first?
Not necessarily, but for erectile difficulties I’ll often recommend a urology rule-out for hormonal or cardiovascular contributors. I have referral relationships with sexual medicine urologists, so you’re not searching blind.
How long does it take?
Performance anxiety often shifts in eight to twelve sessions. Desire work and longer-standing patterns take longer. I’m not interested in keeping you in therapy forever.
Is This For Me?
Can I come without my partner?
Yes. Many clients start alone. Some bring a partner in later; some never do. Both work.
I've tried medication. Why therapy?
Because medication can help the body respond, but it can’t touch the belief running underneath — the fear of it happening again. That belief is usually what keeps the problem going.
Do you take insurance?
No — $200 per session, out-of-network, with a monthly superbill for reimbursement. Check your benefits in about a minute.
Contact Me
Jon Prezant, LCSW, MA, CST
AASECT-Certified Sex Therapist in NJ
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- AASECT-Certified
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My Blogs
Gay Men and Porn: When It Becomes a Problem (And When It Doesn’t)
Almost everything written about gay men and porn splits into two camps, and neither one...
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Ready for a Relationship? Why That’s the Wrong Question
Most people asking whether they’re ready for a relationship are working from a story our...
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Couples Therapy and the Growth Edge: Rethinking Low Desire, Erectile Dysfunction, and Sexual Boredom
Most couples who come in for couples therapy for sexual issues arrive convinced that something...
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