- Pelvic Pain (Vestibulodynia, Vulvodynia, Vaginismus, Pudendal Neuralgia, Dyspareunia, etc)
- Anxiety with sexual activity or penetration
- Sexual Aversion
- Vaginismus and Unconsummated Marriage
- Differences in Desire
- Low Desire in Women
- Infidelity/ Affairs
- Intimacy and Relationships
- Sexual Trauma and Sexual Abuse
- Sex Addiction or Compulsive Sexual Behavior
- LGBT concerns
- Gender and sexual orientation concerns
- Dating concerns and pre-marital counseling
- Relationship issues and confusion
Our training in sex therapy is something that differentiates us from other psychotherapists. Some people come to see us with sexual issues as their primary complaint, but many are just happy to know they can discuss how their sexuality and sexual functioning have been affected by the other problems they face.
Much the same as other therapies, sex therapy is a much broader field that looks at the influence of psychological, emotional, relational, physical and sociological aspects of our lives on our sexuality and sexual functioning. Our sex lives are connected to everything that makes us who we are. Our early experiences in our families of origin, our perceptions and feelings about our bodies, our physical health and wellbeing, the cultural and religious communities in which we were raised, our personalities, and our intimate partnerships: all facets weave a tapestry that affects the way we live and experience our sexuality, and may have an impact on sexual concerns.
In both our Silver Spring, MD office and in our Livingston, NJ office, behavioral interventions are only used in the context of this holistic approach. There is no sexual or physical contact involved in sex therapy; it is strictly a talk therapy.
For pelvic pain, unconsummated marriages, and clients with Vaginismus, It is extremely important to get a thorough medical evaluation from someone who is well versed in sexual health. We almost always refer our clients for a medical evaluation and oftentimes a pelvic floor evaluation in order to have the most holistic care possible. The latest research published in the Journal of Sexual Medicine shows that sexual dysfunctions are most effectively treated with psychotherapy and medical interventions together. We work together with OB/GYNs and Pelvic Floor physical therapists in the Greater DC and New Jersey/New York area who treat female sexual dysfunction. The great news is that sexual dysfunction has a higher rate of successful treatment than any other psychological issue. We look forward to healing and health and sexual wellness.
We are one of the only practices in the country that specifically treats sexual aversion. There is very little (almost no) data on sexual aversion, but it is a very real concern for so many women. Sexual aversion is a more extreme version of sexual anxiety, where women will often feel that they are very averse, repulsed, repelled, disgusted, or completely turned off by sexual contact. They do not let their partners arouse them and often feel confused about whether they are "asexual." We are able to educate clients about the signs and symptoms of sexual aversion. We use an evidence-based techniques to treat sexual aversion much like other phobias such as fear of flying or fear of swimming. We use exposure therapy to give clients small exposures and teach them tools and techniques to not only experience sexuality without anxiety but to experience sexuality with pleasure and relaxation as well.