Joel and Marissa are very nice people. They care for each other and plan to spend their lives together. Each of them has very little sexual experience, however, and they’re having trouble getting into any sort of intimate rhythm together.
They’ve come to me while grappling with a perfect storm: very little sexual experience, very little knowledge about sex and bodies, and a lot of anxiety about sexual activity and competence. This would be enough to make sex difficult for anyone.
I’ve always said that I’m not one of those sex therapists who gives advice. I don’t tell you who you shouldn’t marry, which sex position “most women” like, or if you should try a threesome. Rather, I see my job focusing more on education: providing facts about biology, laying out competing ideas about how to make decisions, and sharing my accumulated experience of how things tend to work.