[2] She facilitates workshops in which participants explore sexuality through a holistic approach that includes practices like erotic breathwork and Tantra, and she has lectured at various institutions, including the Museum of Sex in New York City, Vassar College, Barnard College, and the Chicago Art Institute.
[9] During the late 1980s, Barbara Carrellas began teaching Sacred Sex workshops with Annie Sprinkle and Linda Montano.
[11] She has specifically developed her brand of sacred sex in order to make tantra accessible to people who "felt left out" of such sexuality,[8] such as transsexual and transgender individuals.
In 2017, she collaborated with sex educator Joseph Kramer to create the film Transcendent Bodies—The Erotic Awakening Massage for Trans and Gender Non-Conforming Bodies.
[13][14] She maintains that breathing and being vocal are key to enjoying sex, and that many people are culturally discouraged from doing this as they are first learning to be sexual.