5 Ridiculously Common Worries Sex Therapists Hear All the Time

For anyone asking, “Am I normal?”

By Anna Borges

Fun sex things to talk about: enthusiastic consent, pleasure, sex toys, kink, orgasms, positions, intimacy. Less fun sex things to talk about: insecurity, inadequacy, unwelcome pain, dysfunction, internalized stigma, embarrassment. Understandable. No one wants to sit around chatting about their deepest sexual anxieties. But when you rarely see people having these less sexy conversations, it’s easy to assume you’re the only one who might have a complicated relationship with sex. You’re not.

“The sex education standard in North America is fear-based, shame-inducing messages that erase pleasure and consent,” sex therapist Shadeen Francis, L.M.F.T., tells SELF. “Because of this, there is a lot of room for folks to worry. Most of the insecurities I encounter as a sex therapist boil down to one overarching question: ‘Am I normal

To help answer that question, SELF asked a few sex therapists what topics come up again and again in their work. Turns out, no matter what you’re going through, more people than you might think can probably relate.

1. You feel like you have no idea what you’re doing.

Listen, good sex takes practice. It’s not like sex ed often covers much outside the mechanics: This goes here, that does that, this makes a baby. For the most part, people are left to their own devices to figure out what sex is actually like. A lot of the time, that info comes from less-than-satisfactory places, like unrealistic porn that perpetuates way too many myths to count. So if you’re not super confident in your abilities and sometimes feel like you have no idea what you’re doing, you’re not the only one.

This is especially true for people whose genders and sexualities aren’t represented in typical heteronormative sex ed. “Intersex people, gender non-conforming people, and trans people rarely have been centered in sexual conversations and often are trying to navigate discovering what pleases them and communicating that with partners outside of gender tropes,” says Francis.

People also worry that they’re straight up bad in bed all the time, Lexx Brown-James, L.M.F.T., certified sex educator and the founder of The Institute for Sexuality and Intimacy in St. Louis, tells SELF. “The most common question I get is, ‘How do I know if I’m good at sex?’” This, Brown-James emphasizes, isn’t the right question to be asking. Not only is everyone’s definition of “good sex” different, but it’s not going to come down to something as simple as your personal skill set. It’s about consensually exploring and communicating about what feels good, emotionally and physically, with your partner or partners.

2. You’re embarrassed about masturbation.

Depending on a few different factors, you might have a lot of internalized shame and self-consciousness around masturbation. Maybe you grew up in an environment that told you it was dirty or wrong, maybe no one talked to you about it at all, or maybe you’ve always felt a little nervous about the idea of pleasuring yourself. According to Francis, a lot of people have masturbation-related hangups.

If that sounds familiar, it’s important to remember how common masturbation is and that there’s no “right” way to do it. Not only do people of all ages, abilities, races, genders, religions, sizes, and relationship statuses masturbate, but there are tons of different ways to go about it, too. “People masturbate using their hands, their body weight, their toys, and various household or ‘DIY’ implements,” says Francis. Same goes for how people turn themselves on—people masturbate to fantasies, memories, visual and audio porn, literature, and a lot more. Some masturbate alone, while others also do it in front of or with their sexual partner or partners. Sex therapists have heard it all.

Basically, if your way of masturbating feels good to you and does not create harm for yourself or others, then it is a wonderfully healthy part of your sexuality and you should embrace it, says Francis. (Just make sure you’re being safe. So…don’t use any of these things to get yourself off.)

3. You worry that you’re not progressive enough.

You’ve probably noticed that lifestyles like kink and polyamory are bleeding into the mainstream. It’s not unusual to stumble across phrases like “ethically non-monogamous” and “in an open relationship” while swiping through a dating app.

According to sex therapist Ava Pommerenk, Ph.D., this increased visibility is having an unfortunate side effect: Some people who aren’t into the idea of polyamory or kink have started to feel like they’re…well, boring or even close-minded. Which is not true! But plenty of people equate alternative sexual practices with progressiveness when it’s really about personal preference. If you’ve been thinking your vanilla nature makes you old-school, just keep in mind that it’s totally OK if any kind of sexual act or practice isn’t your thing

While we’re on the topic, it’s worth noting that both non-monogamy and kink can be wonderful but require a lot of trust and communication. Some people who aren’t educated on the ethics involved are taking advantage of these practices as buzzwords to excuse shitty behavior.

“I get a lot of people, particularly women in relationships with men, whose [partners are] making them feel guilty for not opening up their relationship,” Pommerenk tells SELF. At best, that kind of behavior means there’s been some serious misunderstanding and miscommunication, but at worst, it can suggest an unhealthy or even emotionally abusive dynamic, says Pommerenk. If that sounds familiar to you, it’s worth unpacking, possibly with the help of someone like a sex therapist. You can also reach out to resources like the National Dating Abuse Helpline by calling 866-331-9474 or texting “loveis” to 22522 and the National Domestic Violence Hotline by calling 800-799-SAFE (7233) or through email or live chat on the hotline’s contact page.

4. You feel pressured to have sex a certain way or amount.

“One aspect of this that I see a lot—and this is true for all genders—is pressure to perform,” sex therapist Jillien Kahn, L.M.F.T., tells SELF. “[That] can include things like the pressure to have sex at a certain point in dating, feeling expected to magically know how to please a partner without communication, and/or fear of sexual challenges and dysfunctions.”

Kahn likes to remind her clients that sex isn’t a performance. “The best sex happens when we forget the pressure and are able to connect with our bodies and partners,” she says. “If you’re primarily concerned with your own performance or making your partner orgasm, you’re missing out on so much of the good stuff

Pommerenk also says it’s not uncommon for her clients to worry about the consequences of not being sexually available to their partners. For example, they feel like they’re bad partners if they’re not in the mood sometimes or that their partners will leave them if they don’t have sex often enough. A lot of this is cultural messaging we have to unlearn. It’s not difficult to internalize pressure to be the “perfect” sexual partner. After all, people in movies and porn are often ready and available for sex at all times. But much like worrying that you’re not open-minded enough, if this is how your partner is making you feel or something that they’re actually threatening you about, that’s not just a sexual hangup of yours—it’s a sign of potential emotional abuse.

5. You’re freaked out about a “weird” kink, fetish, or fantasy.

“Many of my clients seem to have a fantasy or enjoy a type of porn they feel ashamed of,” says Kahn. Some of these clients even feel ashamed to mention their fantasies or preferred porn in therapy, she adds. “The thing is, the vast majority of your fantasies have been around far longer than you have. The porn you look at was developed because a lot of people want to watch it. Even in the rare exception of unique fetishes or fantasies, there is nothing to be ashamed of,” says Kahn.

It can help to remember that just because you have a fantasy or like a certain type of porn doesn’t necessarily mean you want to do any of it IRL. According to Kahn, that’s an important distinction to make, because people often feel guilty or panicked about some of the thoughts that turn them on. For example, rape fantasies aren’t unheard of—in fact, like many fantasies, they’re probably more common than you’d expect, says Kahn—and they don’t mean that a person has a real desire to experience rape.

“I try to make sure my clients know that the fantasy doesn’t necessarily mean anything about them, so it is not necessary to try and analyze it,” says Kahn. “Whatever you’re fantasizing about, I can confidently tell you that you’re far from the only person excited by that idea.”

What if you do want to carry out a fantasy you’re worried is weird? Again, as long as you’re not actively harming yourself or anyone else, chances are pretty good that whatever you’re into sexually is completely OK—and that you can find someone else who’s into it, too.

If you’re still feeling embarrassed about any of your sexual practices, desires, or feelings, Kahn has these parting words: “Sexual anxiety and insecurity [are] such a universal experience. There’s constant comparison to this continually changing image of sexual perfection. [People should] discuss sex more openly for many reasons, and if we did, we would see how incredibly common sexual insecurity is.”

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