For individuals and couples experiencing such distress, sexuality counseling, an emerging specialization in professional counseling, may provide relief, understanding, healing, and intimacy. This review attempts to describe the paradigm shifts and key figures in the field, sexuality counseling as a professional specialization, the process of sexuality counseling including assessment, diagnosis and treatment planning, and various roadblocks to intimacy. It concludes with advocacy of the new specialization as a synthesis of trends in sexual health.