Sexual Avoidance
Although some couples have a terrific bond and relationship outside the bedroom, many times they come to feel like roommates. The thrill of seduction, the excitement of passionate play has been stripped of the relationship. I work with couples to explore the changes that may have contributed to the shift. At times the avoidance is due to deeper issues in a partner’s history or the couple dynamic.
Desire Discrepancy
After the early stage of a relationship, the sexual relationship may diminish. It is a common difficulty for partners to have different needs or desires in the frequency of sexual connections. No one is broken or wrong, just different. Sex therapy can provide a path forward.
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 and/or couple’s recovery.
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.
Low Libido
One of the most common problems people 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.
Painful Sex
There are a variety of different causes of sexual pain. While the particular treatment depends on the source or type of pain, counseling for the individual and the relationship can provide tremendous help. Often, once the pain cycle starts, people attempt to force through the pain and endure for their partner. This amplifies the pain, makes it worse, and leads to emotional distress for everyone involved. Stopping the cycle of exacerbation is vital to moving forward.
Inability to Orgasm
The inability to reach orgasm can be a frustrating experience for some women. The causes may be multifaceted. We can work on this issue in sex therapy.
Erectile Dysfunction
There can be different causes of ED including medical, medication related, or relational to name a few. Many times struggling with ED can lead to sexual avoidance with their partner. The impact on your relationship can cause tremendous anxiety and strife.
Early Ejaculation
For some men the ability to control when they want to climax can cause dissatisfaction and disappointment for themselves and their partners.
Delayed Ejaculation
The difficulty to climax with a partner can stress and anxiety. As with other sexual dysfunctions, causes can be layered. Delayed ejaculation can begin to impact the relationship in difficult ways as well.
Lack of Technique as a Lover
Due to one’s cultural, religious or psychological reasons, a person may not have a lot of experience with a partner. This may affect their confidence in dating or in the beginning of a relationship. In therapy, clients are taught through resources and homework assignments to be watched, read and/or practiced between therapy appointments. We also focus on the cultural myths that may be impeding one’s exploration of one’s sexuality.
Kink related Issues
Whether one is interested in lighter power exchange or more intense BDSM type play in your sexual relationship, a person often has difficulty discussing these types of desires and or fantasies with their partner/spouse. Sex therapy sessions allow for a neutral well-trained therapist to lead the discussion and offer education and resources to a couple or individual.
Non-monogamous Relationships
Sometimes a couple would like to negotiate or re-negotiate their monogamy contract to include other partners. These conversations can be challenging given the fears and jealousy partners may experience in branching into a new type of relationship openness.