New patients sometimes look at me quizzically when I greet them in the waiting room and introduce myself as a behavioral therapist. After all, if they’re struggling with pelvic pain or discomfort, what’s the relevance of mental health care? I can appreciate their confusion. So, once we’re behind closed doors in the comfort of our …
Continue ReadingWhy the FDA approval of Flibanserin is important.
Here is the most significant thing to remember: sex is not just about what happens in the bedroom. My friend used to say that sex in a relationship is like the third leg of a stool. When it’s there, you don’t spend much time thinking about it, but when it’s gone the whole stool starts …
Continue ReadingAsk for it.
We had a patient today who told us that her sex life had improved significantly but that sometimes she just wanted more. I pushed her a bit to talk about what “more” was for her and she struggled with the answer. Finally she sighed. “I guess, like, sometimes I want more orgasms.” I looked at …
Continue ReadingThe difference between desire and arousal.
It happens every few days. A woman comes in and says that she has a problem with “my desire.” Then she goes on to say that she really wants to have sex, but she just doesn’t get turned on or it takes forever to get turned on, “so you see…” she sighs. “I have a …
Continue ReadingMen vs women.
A recent NY Times opinion piece discussed how much of our sex-related behavior is “hard-wired.” The articles questioned those behaviors which we believe to be inherited in men vs. women. For example we know that men think about sex way more often than women do, and we’ve seen studies that show that men are way less …
Continue ReadingMasturbation-in-training.
Have you heard of Betty Dodson? She’s an 80-something woman, author of two books about sex and the self-described Queen of Masturbation. This link was sent to me by one of my young friends in college who always makes me smile, and I thought I’d pass it along: Bottom line, the author of the article …
Continue ReadingTeaching about vibrators.
One of the parts of my job that I think is the most fun is teaching women about vibrators. As part of our treatment protocol, particularly for women who are having difficulty having orgasms, we introduce women to vibrators. Many women have tried one or two over the course of their lives. Some women try …
Continue ReadingWeathering the storm of sexual dysfunction.
Throughout Hurricane Sandy, it was fascinating to watch social media activity and see how people were coping with disruption in their routines and their fears of the unknown. Facebook statuses were anything from “No electricity or water” and “A tree fell on our house!!” to “Anyone else annoyed about missing Monday night football??” and “Whew, …
Continue ReadingInspiration.
I am often inspired by my patients, by their courage to face their issues, by their commitment to the process of getting better and often by their fearlessness to do things that are completely foreign and that make them feel incredibly uncomfortable. I saw a patient yesterday who did all of the above. When we …
Continue ReadingHappiness.
In the field of therapy one of the common goals is to alleviate suffering and work towards increased happiness. Happiness in and of itself requires further definition. Those in the field of positive psychology define it in 3 ways, ” we work under the assumption that happiness is a scientifically unwieldy term and that its …
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