In the introductory part we are dealing with the idea of sexuality and how it has changed over time, with special emphasis on the major individuals in shaping sexual therapy. Furthermore, by studying contemporary sexual therapy, we list some of the models that are being used. For the purpose of this paper, qualitative research was conducted to gain insight into the experiences of sexual therapists in the use of sexual therapy as a counseling process. The sample consists of licensed sexual therapists in Croatia in the period from February to May 2018, and the method of data collection is a semi-structured interview. During the discussion we tried to answer the questions of defining sexual therapy as a special approach to counseling, specificity in therapy, as well as therapy application in common with other psychotherapeutic directions and what kind of sexual therapy evaluation. The obtained data refer to the perception of sexual therapists in the use of sexual therapy in terms of education for sexual therapy, users who come to therapy, techniques specific to psychotherapeutic schools and the techniques specific to sexual therapy. We also address issues of work challenges or challenges in working with users, but also the emergence of taboos, myths and beliefs as a barrier to work. The results argue that even though literature provides a theoretical framework, the situation in practice is somewhat different but what is most explicitly emphasized is the individualized approach to users throughout the therapeutic process.