The Multi Effects of Sexual Dysfunction

Most of our patients have fairly busy lives that require juggling multiple roles and responsibilities. When there is a sexual issue, life continues to be busy, and the sexual issue can easily get thrown to the “later” pile. But sexual dysfunction affects more than sex, and with time the pain becomes more palpable. Here are …

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Breakups Hurt

Relationship breakup is an issue that often comes up in my therapy sessions with patients.  Breakups—whether it be a brief courtship, a long dating relationship, a committed marriage—can bring on a mix of emotions that may fluctuate.  But somewhere, somehow, many of us have internalized this notion that life events should be experienced one emotion …

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Hope For Vaginismus

Suffering from sexual dysfunction is often a lonely struggle, especially for women who have primary vaginismus. It’s hard for the average person to imagine a couple being together for years and not be able to have intercourse. It sounds like a strange, bizarre phenomenon that can’t happen to modern, wordly, successful people who are in …

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When Touch Gets Touchy

Every couple is different. Every couple has its own unique dynamics and ways of connecting. Yet so many issues are the same from couple to couple and when it comes to sexual dysfunction, we see many of the same patterns in couples from all age groups and backgrounds. An example of this is what happens …

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Why Couples Therapy Needs To Talk About Sex

If I had a dollar for every time I’ve heard of a couple in couples therapy with a therapist who never asked about sex, let’s just say I’d have many, many dollars. Yes, therapy should begin where the client is, and if a couple goes to therapy for a specific issue supposedly unrelated to sex, …

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Motherhood and Sex

Very often patients will tell us that before they had children they thought about sex, enjoyed sex, were adventurous sexually. And then they became a mom.  And the lights went out. Being a mom and a sexual being is not an oxymoron.  But for many women it is, and how you conceptualize the effect of …

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Idealistic Sex vs Realistic Sex

In our center, we are often troubleshooting with patients when it comes to creating a sex life that feels sustainable on a regular, non-vacation basis. While each case is different and every relationship has its unique challenges, what often emerges from patients are idealistic notions about sex that may sound nice and appealing, but are …

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Just not that into it: Coping with depression.

Depression is a fairly common condition but is widely misunderstood and misdiagnosed (or not diagnosed at all). For starters, depression doesn’t always look like the way people may imagine it; slumped on the couch in front of the TV for hours, wearing the same pajamas from last week (unwashed), not answering the phone, and saying …

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Threads of commonality.

I can’t count how many times I’ve heard a patient start a sentence with, “so I don’t know if you have ever heard this before but……..”, and they then share something we hear ALL time. In fact, we may have heard it already several times that day. It can be anything from describing symptoms, how …

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