Sex Therapy Issues With Which Women Seek Treatment
Low Libido
One of the most common problems women bring into sex therapy is lack of desire. This may be due to medical issues, side effects from medication, hormonal changes and/or complex issues in one’s relationship. Sex therapy looks at all the layers that affect this presenting issue.
Pain During Intercourse
I do a thorough bio psychosocial assessment and work with other healthcare providers to help women get a proper diagnosis and treatment for their Genito Pelvic Pain/Penetration Disorder including: Vulvodynia, Vaginismus, and /or Sexual Aversion.
Past Childhood Abuse or Trauma
One’s sexual history involving abuse, rape or boundary crossings can have a profound effect on one’s current and future relationships. Sex Therapy is an integral part of a person’s and/or couple’s recovery.
Inability to Orgasm
The inability to reach orgasm (Inorgasmia) can be a frustrating experience for a woman and her partner (if she’s in a relationship). We work on this issue with both the woman and her partner so that both are educated and supported during the treatment.
Sex Therapy Issues With Which Men Seek Treatment
Performance Anxiety while Dating and/or in Relationships
For single and newly single men the dating world poses challenges in what men feel is expected of them. The culture pressures them to be ready willing and able to have sex whenever a partner expresses the interest and consent. For men in committed relationships, the anxiety to fulfill what a partner is desiring can have a domino effect over time and lead to sexual avoidance. Learning how to express one’s needs, fantasies and desires can be challenging in these situations. Sex Therapy can address these and help people overcome these concerns.
Erectile Dysfunction
There are several causes to ED including medical, pharmacological, intrapersonal (issues relating to your own psyche) and interpersonal (patterns between partners). Many times the domino affect of ED is ]sexual avoidance with his partner. This then has the next domino affect of the partner experiencing a wide array of reactions including: concerned, rejected, lonely, sexually frustrated, angry and avoidant themselves. The impact on your relationships(s) can cause tremendous anxiety and strife.
Uncontrolled (Premature) Ejaculation
For some men the ability to control when they want to climax can cause dissatisfaction and disappointment for themselves and their partners.
Inhibited (Delayed) Ejaculation
The difficulty to climax with a partner can cause rifts with partners and most men don’t feel it’s an issue until they’re in a long-term committed relationship and their partners are feeling anxious, rejected, frustrated, and/or worried about becoming pregnant if that is one of their long-term goals.
Past Childhood Abuse or Trauma
One’s sexual history involving abuse, rape or boundary crossings can have a profound effect on one’s current and future relationships. Sex Therapy is an integral part of a person’s and/or couple’s recovery.
Out of Control Sexual Behavior
One can feel the compulsion to watch porn for so many hours that it interferes with their professional or personal functioning or can’t stop pursuing hookups for the sake of the thrill or high. Sex Therapy takes into account the behavior and the underlying reasons into the multi-axial assessment and treatment.
Sex Therapy Issues With Which Adults Seek Treatment
Sexual Avoidance
Although some couples have a terrific bond and relationship outside the bedroom, many times they come to feel like platonic roommates. The thrill of seductions, the excitement of passionate play has been stripped of the relationship. We work with couples to explore the timeline of the changes or the milestones that may have contributed to the shift. At times the avoidance is due to deeper issues in a partner’s history or a couple’s initial non-verbal contract.
Discrepant Desire
A common difficulty occurs when partners have different needs or desires in the frequency of sexual connections.
Infidelity/Affair Recovery
The discovery of an affair or cheating incident wreaks havoc on a couple and is experienced as a crisis in their relationship and family. Nicole is trained to help a couple works on the recovery of trust but also address the challenges to their intimate life.
Lack of Technique as a Lover
Due to one’s cultural, religious or at times psychological reasons, a person may not have a lot of experience with a partner and this make affect their confidence in dating or in the beginning of a relationship. Nicole teaches clients through resources and home play assignments to be watched, read and/or practiced between therapy appointments. She also focus on the cultural myths that may be impeding one’s exploration of one’s sexuality.