For someone with an injury or disability, sexual encounters can bring physical, emotional, and psychological complexities that require open communication to ensure safety, comfort, and pleasure. It’s perfectly reasonable to raise those complexities with your partner(s) because again, sex is about pleasure for everyone involved. People are not mind-readers and that means communicating what works and what doesn’t is paramount. That might mean not only expressing what feels good and what doesn’t, but also something specific such as a change in position, additional time, the need to adjust tempo or amount of lube, or specific forms of touch.

GUEST BLOG. Exploring kinks and fantasies in a safe environment can be difficult if you’re not surrounded by a supportive and understanding community, or you don’t possess the knowledge and experience to handle such situations. The tips given above are some of the more easier ways to start building a place for yourself to safely explore your interests. Remember, sexuality is fluid and everyone’s interests and turn-ons are unique. Being open and non-judgmental about your fantasies can help you understand the meaning behind them and lead to a cathartic experience for your body and mind.

As we continue to engage in conversations about consent, it’s crucial to remember that it begins within us. It is about understanding our bodies, respecting our feelings, and making choices that align with our true desires. I am grateful for the insights gained from this workshop, as they not only enhance my clinical practice but also contribute to a more compassionate and just society.

I encourage my fellow clinicians and practitioners to explore the concepts presented by Dr. Betty Martin and Dr. Roger Kuhn. By doing so, we can collectively work towards a future where consent is not just an agreement but a fundamental right—a practice woven into the very fabric of our interactions, both personal and societal.

It’s incredibly difficult to unwind the knot of trauma and process these fears, especially when it seems like the solution is just to couple up. However, that doesn’t address the root cause, or help the inner child because really what that wounded self is looking for is a parent. That scared part wants someone to be with them all the time to love them and take care of them. Even the best partners are only capable of so much because they, too, are human.

Aromantics can also experience love even if they don’t fall in love. In my work as a Bay Area sex therapist, I remind folx that love comes in all forms – there’s love for family, friends, pets, nature, the self. . .Romantic love is not the end-all-be-all form of love that our society makes it out to be. Aromanticism challenges societal norms that prioritize romantic relationships and offers a valid and fulfilling way of connecting with others on different levels.

When relationship or intimacy issues arise, finding specialized support can make all the difference. In Pennsylvania, online sex therapy has made it possible for residents across the state—and especially in Philadelphia—to access professional guidance from the comfort of their own homes. Whether you’re navigating concerns with sexual desire, communication, intimacy, or personal exploration, online sex therapy provides a compassionate space for individuals and couples alike.

However, while dissociating through fantasy may protect someone from confronting their trauma head-on, it can also delay healing. Over time, reliance on fantasy can inhibit healthier coping strategies and prevent individuals from fully processing their traumatic experiences. In relationships and daily life, excessive use of fantasy may cause difficulty in staying grounded in the present, hindering authentic connections with others.

During Domestic Violence Awareness Month, it’s important for everyone – not only domestic violence survivors – to understand it’s not so easy for a person to extricate themselves from an abusive situation. The reasons women stay in abusive relationships are multifaceted, involving fear, financial dependence, concern for children, emotional manipulation, hope for change, social pressures, and lack of support. Understanding these reasons is essential for developing effective interventions and support systems to help women safely exit abusive situations.

This dynamic reflects the patriarchal system that often prioritizes men's desires and choices over the emotional well-being of women. Under patriarchy, infidelity is framed as a man's lapse in judgment, and women are seen as “victims” or “homewreckers,” rather than fully formed humans with agency. Patriarchy perpetuates the belief that men can seek fulfillment outside their commitments while women are left to deal with the fallout.

For many individuals and couples, navigating relationship and intimacy concerns can be challenging. In Colorado, there is growing access to professional support through online sex therapy, making it easier than ever to receive specialized care no matter where you live. Whether you’re in Denver, Boulder, Colorado Springs, or as far west as Telluride, online sex therapy provides the opportunity to connect with a licensed therapist from the comfort of your own space.

And I can say in my experience as a Marin County sex therapist, it’s important to acknowledge that people change and relationships do as well. That’s why relational educational work such as developing communication skills and setting and maintaining boundaries is vital. Healthy relationships require these skills and at the same time, no one is perfect.

Through online sex therapy, individuals and couples can address relationship and intimacy concerns, improve communication, and gain insight into their own sexual identities and needs. Ultimately, the goal is to build a foundation for healthier relationships, deeper intimacy, and more fulfilling connections.

In Oregon, online sex therapy is an empowering option for those ready to take the next step toward understanding themselves and their relationships on a deeper level.

Trauma, whether emotional or physical, leaves an indelible mark on the psyche. Emotional abuse can include verbal attacks, emotional manipulation, and neglect of emotional needs. Physical abuse encompasses acts of violence or physical harm, while neglect involves the failure to meet basic emotional and physical needs. When these experiences remain unresolved, they create deep-seated fears and defensive mechanisms that can persist into adulthood. These fears often include anxiety about pain, abandonment, and rejection—experiences that were once life-threatening or profoundly hurtful.

Managing SSRI sexual side effects involves a comprehensive approach that includes medication management, lifestyle adjustments, psychological support, and sexual health education. By addressing these aspects, in my work as a Bay Area sexologist I support my clients in maintaining both their mental health and their sexual well-being, ultimately leading to a more fulfilling and balanced life.

If you’re interested in exploring how sex-positive therapy can support your journey towards greater sexual well-being and fulfillment, I invite you to connect with me. Together, we can work towards understanding and embracing your unique sexual identity, improving your relationships, and navigating any challenges you may face. For more information or to schedule a session, please visit my website. I look forward to working with you on this empowering path.

If you’re navigating the complexities of being a partner during a gender transition and need support, I’m here to help. As a sex therapist, I specialize in guiding individuals and couples through these challenging times. Reach out here to set up an appointment.

If you're interested in exploring how outercourse and other aspects of sexual intimacy can enhance your relationship with yourself or your partner, I can help. As a sex therapist, I specialize in guiding individuals and couples through these important conversations and experiences. Reach out here to set up an appointment and start your journey towards a more fulfilling sexual and intimate life.

As the patriarchy is crumbling and the divine feminine is rising, we’re seeing more public examples of men who are bucking the “traditional” masculine way of being that eschews vulnerability and intimacy. They are challenging the status quo perception of masculinity and that means their partners are forced to confront their own ingrained beliefs as well.

As a Marin county psychologist and sex therapist, I encourage you to consider therapy as a valuable resource during this transitional time. Whether you're dealing with empty nest syndrome, relationship changes, or the stress of the season, therapy can offer the guidance and support needed to maintain emotional well-being, intimacy, and sexual health. Embrace these changes with confidence, knowing that you have the tools to navigate them successfully.

With awareness, compassion, and a willingness to confront past wounds, it is possible to overcome the fear of intimacy and embrace the vulnerability that intimacy requires. As a Marin County sex therapist, it is deeply rewarding to work with clients who move through these fears and into more fulfilling, connected relationships.