Sexuality is negotiated through intimate and familial relationships within larger systems of culture and society. In contemporary Iran, religion and cultural upbringing exert a large influence on women's sexual development. This article presents a case study of a young adult, single woman in Iran who participated in online, client-centered art therapy to explore her sexual identity in a safe space. Social role and sexual double standards emerged in the case, along with relief from sexual repression and the provision of a safe space that empowered her to discuss a taboo subject within the norms of her culture and religious family structure. Through her artmaking process and related discussions, she was able to gain understanding of healthy sexuality and identity, and lifestyle choices and constraints within a culturally sensitive relationship.