Extraordinary interventions for extraordinary clients: existential sex therapy and open non-monogamy

Open non-monogamy is an important and sensitive area for psychotherapists and counselors, as it can challenge the practitioner's personal values, and professional assumptions about dyadic sexual relationships. Additionally, the increased attention to non-monogamy in popular culture, and the sometimes-ambiguous distinction between monogamy and non-monogamy make understanding the potentials and challenges of non-monogamy a priority for sex therapy specialists. We recommend existential sex therapy as a useful, non-pathologizing model for addressing the needs of openly non-monogamous clients. Both therapists with limited experience working with non-monogamous clients, and those seeking new theoretical frameworks, may benefit from the use of existential sex therapy. We identify core existential therapy principles, including bracketing (i.e. reflectively identifying, and endeavoring to separate out one's own prejudgments and values) and horizontalizing (i.e. working to situate the client's sexual identity within the wider context/horizon of their life experience), as methods for affirming the importance of freedom and belonging in light of the client's subjective, lived experience.