Sex Therapist’s Couch

Is There Such a Thing as E.D.?

Like eyes and stomachs, penises only do what we want them to under special circumstances. If a man can’t get erect without those circumstances, that is NOT “E.D.”

Unfortunately, many physicians and the public seem to believe that penises should be like ATMs–ready to go on demand, 24/7. Many men who complain about their erections do NOT have “E.D.”–they have unrealistic…

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Instagram Wisdom: Sex, Love, & Intimacy

I write books about sex and relationships. Too long for some people, I also write articles about sex and relationships. Too long for some people, I now post about sex and relationships on Instagram.

Interested in infidelity, desire, empathy, porn, or orgasm? Here are some of my favorite posts, each with a bit of explanation.

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Conflict About Porn is Not About Porn

Many couples argue about porn–but the conflict isn’t really about porn. It’s typically about sexual dissatisfaction–how much they do it, whether they both enjoy, whether they feel close during and after.

These are important issues. And eliminating porn from one partner’s life won’t address any of them.

What’s needed instead is…

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Want to Increase Your (or Their) Libido?

Every week, people come for therapy with desire issues. Someone wants higher libido. Someone else wants their partner to have a higher libido.

My answer is frequently…let’s talk about something else. Important issues might include:
~ Power dynamics
~ Body image
~ Self-esteem
~ Conflict management
~ Old wounds—the individual’s, the partner’s, or the couple’s
~ Religion
~ Alcohol and drugs
~ Aging, health, chronic pain, menopause, contraception

Sometimes the problem is easy to…

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