Category Archives: Sex Therapy

Fear of Sex, Lasting Longer, Performance Anxiety, Preorgasmic Women, Sensate Focus

Doctors urged to advise patients about risks of abstinence-centric sex education

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American Academy of Pediatricians’ new report is the clearest denouncement of the failures of not talking about STIs and pregnancy prevention

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

Across the US only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention.

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The country’s largest organization of pediatricians entered fraught political territory on Monday, with a call for doctors to use their time with patients to combat the potential health consequences of abstinence-centric sex education.

In a new report, the American Academy of Pediatricians (AAP) issued its clearest denunciation yet of sex education programs that fail to offer comprehensive information on topics such as sexually transmitted infections (STIs) and pregnancy prevention.

“This is the mothership telling pediatricians that talking about sex is part of your charge to keep children and adolescents safe,” said Dr Cora Breuner, a professor and pediatrician at Seattle Children’s research hospital and the report’s lead author.

“These guidelines give pediatricians in communities where people might say, ‘We don’t want you talking to our kids about this stuff,’ permission to say, ‘No, I can talk about this, I should talk about this, I need to talk about this.’”

The report is broadly a call for pediatricians to help fill in the gaps left by the country’s patchwork sex education programs. It urges pediatricians to teach not only contraception and the benefits of delaying sexual activity, but to cover topics such as sexual consent, sexual orientation and gender identity with school-aged children who may not receive any information in the classroom and involve their parents.

But the authors single out abstinence-heavy education, which sometimes excludes information about contraceptives, as a key concern for doctors looking to help adolescent patients avoid sexually transmitted infections and unintended pregnancy. As a result, it is likely to fuel an already contentious debate.

Groups that have advocated for sex education to emphasize abstinence instantly found fault with the new guidelines.

“A health organization like the AAP should not be affirming a behavior that can compromise the health of youth,” said Valerie Huber, the president of Ascend, a group that promotes abstinence-centric sex education and advocates for federal funding. The group was formerly known as the formerly the National Abstinence Education Association.

“They recommend ‘responsible sex’ for young adolescents. Exactly what is responsible sexual activity for adolescents? … The science is clear that teens are healthier when they avoid all sexual activity.”

Moreover, Huber said, programs that “normalize teen sex” are unpopular with many parents.

“Most communities do not support the type of sex education they recommend,” she said.

Still, others embraced the report as bringing the AAP’s recommendations more in line with the reality.

“This is a fantastic move,” said Chitra Panjabi, the president of the Sexuality Information and Education Council of the United States (SIECUS), a research group that supports comprehensive sex education. “It’s really important that our medical providers are standing up and saying, hey, the youth in our communities are coming to us because they’re not getting the information they need. And so we need to step in.”

The US does not enforce national standards for sex education and schools in many states are not required to teach it. Across the country, SIECUS estimates, only 50% of high school students receive sex education that meets the recommendations of the federal Centers for Disease Control and Prevention. The other half of students receive anything from an incomplete sex education, to education that emphasizes abstinence, to abstinence-only education, with a focus on delaying sex until heterosexual marriage.

In February, Barack Obama proposed a budget for 2017 that eliminated the $10m the department of health and human services spends on abstinence-only programs every year. But funding continues to flow to those programs from other sources. Title V, an abstinence-only program, allocates $75m a year to abstinence-only programs, money that states match by 75%.

In the last quarter-century, programs emphasizing abstinence as the optimal way to avoid pregnancy and STIs have received more than $2bn in funding from the federal government. Comprehensive sex education, by contrast, has no dedicated federal funding stream.

“It’s a political climate where people don’t want to talk about these issues,” said Breuner. “But it makes our job so much harder when we cannot coordinate our efforts with the schools. It takes time away from the other safety issues we need to be discussing. Don’t smoke weed. Don’t text and drive.”

Recently, two major surveys of existing research on sex education concluded that there was no evidence or inconclusive evidence to show that abstinence-centric programs succeeded in delaying sexual activity. One of the surveys found that comprehensive sex education was actually more effective than abstinence education at delaying sexual activity in teens. (Ascend points to select studies which show the opposite.)

A long-term study found that teens receiving abstinence-only programs were less likely to use contraceptives or be screened for STIs, although rates of infections were not elevated.

The studies helped compel the AAP to issue its first major guidance on sex education since 2001.

“It’s important for pediatricians to have the backing to say, ‘Look, I can’t support telling this stuff to children,’” Breuner said. “I have to deal with the aftermath, which is a 15-year-old who’s pregnant, or a 16-year-old who has a sexually transmitted infection he’s going to have for the rest of his life.”

Breuner said a number of her patients have suffered consequences from abstinence-only education. Many of them are pregnant teenagers and girls who, in the absence of accurate information, came to believe in common myths about pregnancy prevention.

“They’ll say, ‘I thought you couldn’t get pregnant when you were having your period,’ or, ‘I thought it took two or three years after you get your period to be able get pregnant.’ It’s heartbreaking, because I know with education, this could have been prevented.”

Complete Article HERE!

10 Reasons Why Women Lose Their Libido

Ladies, libido means sexual desire. Women having decreased libido is one of the most common complaints I hear in the office, especially for those stressed out supermoms. Trust me – you’re not alone, ladies. It is estimated that more than 40% of women experience some sort of sexual dysfunction in their lifetime. Here’s why, and what you can do about it.

Dried Rose On Old Vintage Wood Plates

Female sexual dysfunction can include problems with desire, arousal, achieving orgasm and sexual pain that causes significant distress in your life. More specifically, decreased libido is when you don’t want to engage in any type of sexual activity, including masturbation, and you don’t want to have any sexual thoughts or fantasies. Sound like someone you know? Let’s review some reasons why you may not want to have sex with your significant other:

1. Bad Relationship.

Fighting with your partner is an easy way to kill your sex drive. When you are angry or hurt, sex is the last thing on your mind. Fix your relationship — go to couples’ therapy.

2. Stress.

It doesn’t matter where the stress comes from, all of it can cause your libido to drop. It doesn’t matter if you’re stressed out from financial problems, from trying to get pregnant, or from worrying about your job – it all negatively impacts your libido. Stress can also lead to you being fatigued, which worsens the problem. Find ways to chill out ladies – I mediate daily to deal with stress, and that might work for you, too.

3. Alcohol and Smoking.

Both of these drugs have been shown to decrease sexual desire and satisfaction. While alcohol in moderation is okay, when you binge drink, sexual dysfunction starts to occur. On the other hand, any kind of smoking is bad – just quit!

Easier said than done, right? You have to know why you are smoking. Substitute that why with something else. For example, if you smoke because you are bored, instead of lighting up go to the gym.

4. Mental Illness.

Mental conditions such as depression and anxiety can also cause your libido to drop. Talk to your doctor and get treated. Sometimes medications used to treat these conditions can also cause a drop in libido – but not every medication does, so talk to your doctor.

crying girl

5. Birth Control.

Hormonal birth has been shown to decrease testosterone in your body, which could lead to a lowered libido. This is because testosterone is one of the hormones that makes you horny.

Other medications such as antidepressants, anti-seizure meds, opioids, medical marijuana, antihistamines, and hypertensive medications can also decrease your sexual desire. Talk to your doctor about switching your medications if you think any are giving you a problem. Your healthcare provider can also potentially switch you to a non-hormonal birth control option, like the Paragard IUD.

6. Trauma in your Past.

Negative sexual experiences in the past can cause issues with decreased libido. Women who were raped or have been victims of domestic violence may, understandably, have issues here. Going to therapy to work through your pain can help.

7. Poor Body Image.

In a world full of fake butts and boobs, it isn’t hard to image women struggling with their body image. Not thinking you are sexy enough can cause your sex drive to plummet. If you don’t like something about yourself, change it – in a healthy way, of course. Eat clean, drink water and exercise – though, keep in mind that a lot of times this is something that you have to work out in therapy.

8. Medical Conditions.

Medical illnesses such as diabetes, hypertension, thyroid disease, congestive heart failure, or cancer can all affect libido. They can alter hormones that have an impact on your sex drive. Proper treatment of the underlying disease can often improve libido.

9. Pregnancy and Breastfeeding.

Hormones fluctuate during pregnancy and breastfeeding, which can decrease your sex drive. Being pregnant can cause you to be tired and not feel sexy, which certainly doesn’t help your libido! Do your best to focus on intimacy with your partner — also, when you have the baby, get help. Let those grandparents help out with babysitting!

10. Aging.

In menopause, estrogen levels drop drastically because the ovaries aren’t working anymore. Low estrogen causes, among other things, a dry vagina, which makes sex painful. This can lead to decreased sexual desire. Arthritis in the aging population can make having sex less fun. When vaginal dryness makes sex uncomfortable, use lubricants (try a free sample of Astroglide Liquid or Astroglide Gel, which temporarily relieve dryness during intercourse). Some women find using vaginal estrogen also helps.

Complete Article HERE!

I Can’t Cum, dammit!

Name: Jayme
Gender: female
Age: 23
Location: ??
I have a pretty major question that I think you’d be perfect to answer, with your credentials. I’ve not had the best relationship history. My second boyfriend, right after I graduated high school, was abusive in every way but physically. I stayed with him for 7 months before getting wise and getting out. A few months after the breakup I was almost raped at a party. I found afterward that I was unable to do anything sexual with anyone, unless I was drunk. It was 4 years before I tried hooking up with anyone.

It’s now been 4 years and 6 months since all that happened, and I’m finally starting to get more comfortable with being sexual. I went through some minor therapy over the summer that really helped me to get past the near-rape I experienced in college. Because of that, I was finally able to have sex for the first time a few weeks ago. I’ve been hooking up with a good friend semi-regularly, and it’s been mostly great. The only problem I’ve run into is that I can’t relax enough to cum with this guy, from anything. He’s fingered me, gone down on me, and we’ve had sex, and I just can’t get off. I’ve had no problems ever bringing myself to orgasm, and when I’m with this guy I can feel like I’m just about to, but I can’t get all the way to that point. Do you have any suggestions for me?

Jilling off

Hey there, Jayme.

Thanks for your message. I do have one really important suggestion for you. This is the same suggestion I make to other women who, for whatever reason, are not getting off with a partner.

You say you have no problems bringing yourself to orgasm. This happens during masturbation, right? Do you use your hand, or do you employ a toy of some sort? Perhaps you do both. Whatever your pattern is, it is successful, and that’s the important part.

My suggestion to you is that you masturbate with and for your partner. I am a huge proponent of a couple masturbating together. There is a wealth of information that each can share with their partner about technique and sensitive areas of one’s body. This is a particularly effective means of resolving issues like the ones you have. And I hasten to add that these masturbation events don’t have to be some boring clinical affairs; they can be totally hot. Put on a show for him and he for you. Read erotica aloud to one another. Incorporate toys, whatever.

If you were my client I’d insist on a fucking moratorium. I’d have you and your partner do lots of playful masturbation together — dry hand, wet hand, toys, whatever. Once you get into a rhythm of orgasmic filled masturbation events, I’d have you move on to mutually masturbating each other. When this is successful you could move on to oral, just as long as you also use your hands. Then and only then would I allow you to incorporate full-on fucking to your sex play.

Eliminate the performance anxiety, share your Jack & Jilling off technique and make your sex play fun; that’s your homework.

Good luck

Here’s What Could Get You Committed If You Were a Woman in the 1870s

Many of things that got women committed in the 1870s would be considered normal behavior today.

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Woman in the 1870s

Despite all the effort made today to de-stigmatize mental illness, the history of mental health and its treatment isn’t pretty. Even as late as the 1970s, lobotomies were widely practiced in the United States to “cure” things such as depression, anxiety, and even homosexuality. Now, imagine yourself in the late 1800s … let’s say around 1875. The germ theory of medicine had barely been worked out, let alone any sound understanding of the human mind and mental illness. People were still treated with bloodletting, mercury, and other dangerous practices. The definition of “insanity” was flexible, and often used to strip inconvenient family members of their money and land. Protections against being committed to an insane asylum in the late 1800s were few … and even fewer if you were a woman. With only the signature of a husband or a male guardian, women could be committed for the rest of their lives for “illnesses” that are now recognized as normal, healthy sexual behavior.

 

Complete Article HERE!

5 everyday ways to teach your kids about consent

Sexual consent can be tough to explain to young kids. But this psychotherapist has some advice.

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By Lisa McCrohan

My daughter and I are waiting in the exam room for the pediatrician. We are here for her annual wellness checkup.

And from the moment our pediatrician walks through the door, she is all about focusing on my daughter. She looks my daughter in the eyes and kindly greets her. She shakes her hand. She addresses my daughter with her questions. She explains what we’ll be doing today.

And the pediatrician asks for consent. She asks, “May I listen to your heartbeat now?”

As a psychotherapist, I’m tuned into the ways in which our pediatrician is communicating this message to our daughter: “I regard you as a human being,” “You matter,” and “Your body is to be regarded.”

This is very different from a routine doctor’s visit at a different office I had many years ago with my son, though.

During that visit, the pediatrician rushed through the exam. He didn’t look at my son or address him. The nurse came in with the immunizations and said, “Hold him down. It’s better if we do this fast without him knowing what’s coming. He won’t remember this.”

As a mom, I knew my son. As a body-centered psychotherapist, I knew that his nervous system would remember this experience. And I knew that conditions like that can cause an experience to be traumatic for a young person. “No,” I said. “I know what my son needs. I need to talk to him first and explain what we are doing.”

That day, we didn’t rush, we didn’t surprise him, we didn’t hold him down, and we didn’t give him a treat for “not crying.” I showed my son regard by honoring what I knew he needed.

Parents: Teaching sexual consent to our children begins with us.

Every parent I know wants their child to grow up to be confident, be resilient, feel good about who they are, and show compassion toward others. As parents, we want to communicate: “You matter. Your body matters. Your consent and boundaries matter.”

This is regard, and it begins the moment our children are born. We communicate messages that help our children form their self-concept and sense of self-worth. And they learn how to interact with themselves and others through our regard for their bodies, emotions, opinions, and personhood.

With regard as your foundation, here are five everyday ways you can teach your children about sexual consent:

1. Ask for their consent often.

Last night, my son and I were walking home from the park. I went to reach for his hand, but then I stopped myself and asked him, “Can I hold your hand?” He smiled at me and reached out.

Asking for your child’s permission to touch them or come into their personal space can be this simple. You can ask such questions as: “May I brush your hair?” “Can I have a hug?” and “Is it OK if I hold your hand?”

Does this mean you have to ask for their consent every time? As parents, we want to be intentional about what we are doing and why we are doing it.

Imagine your children as teenagers going out with friends with hundreds — if not thousands — of experiences at home where you modeled consent day after day. They will be more likely to respond to any situation with regard for their bodies, and they will be more likely to regard others’ bodies and ask for consent, too.

2. Teach them that their “no” matters.

A client came to me because she was feeling distant from her 12-year-old daughter. And in working together, we eventually realized that her daughter wanted more regard for her personal space, time, and boundaries.

So she started to look for ways she could ask, rather than demand, that her daughter engage with her. Instead of saying, “Give me a hug goodbye,” she would ask her daughter, “Can I have a hug goodbye?” And on the days her daughter said “no” or her body language indicated “no,” she would say, “That’s cool. If you ever want a hug, I’m here. I love you. Have a great day.”

If you ask to brush your daughter’s hair, and she says “no,” it’s so important to regard her “no.” If you ask to hug your son, and he says “no,” regard his “no,” too. You could reply with, “OK, I respect that. Let me know if you change your mind.”

concent

It’s also OK if your child doesn’t want to hug anyone at all. They can still respectfully greet others with a sincere acknowledgment of “hello.”

When you or anyone else begs or tries to convince a child to change their answer now, they learn to override their inner barometer of what feels comfortable and what doesn’t feel comfortable just to give in to someone who they perceive has more power. Over time, you respecting their “no” teaches your children that their “no” matters.

3. Model to your child that “yes” can become “no” at any time.

Let’s say you are gently wrestling with your young child, and she says, “Stop!” What do you do? You stop. Even if she is joking, you stop and check in with her.

Let’s say you have a group of elementary-school-aged boys over your house, and they are running around with swords and roughhousing. Teach them to pause the game every so often and check in with each other to see if the game is going OK for everyone.

And if you have a tween or teenager? Have “the conversation.” As you share about sexual intimacy based on your family’s values, include communicating to them that the absence of “no” is not “yes.” Teach them that a “yes” can turn into a “no” at any time.

When you model to your child that “yes” can become “no” at any time in everyday experiences, you are sending the message “at any point when you feel uncomfortable or have had enough in any situation, you are to listen to that inner voice. And at any point another person feels uncomfortable and has had enough, you are to respect them and stop what you are doing.”

4. Seek to understand.

This past spring, my daughter announced, “I don’t want to take gymnastics anymore!” I was confused. I thought she loved gymnastics. I had put a lot of thought and effort into finding the right place for her. But instead of saying to her: “Yes, you do! I know you do!” I said, “Tell me about it.”

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This opened the door for my daughter to feel comfortable to share what she was feeling and for me to listen to her. I came to understand that actually she loved gymnastics, but what she really loved was doing gymnastics on her own at home and making up routines rather than being in a structured class.

When you seek to understand your child, you communicate the message: “Your opinion matters. Your voice matters. Your feelings matter. And I’m here to listen and be alongside you.” Even if you think your child is playing around or sharing an opinion out of frustration, when you seek to understand, you are connecting to your child with regard.

5. Keep “regard” at the forefront of your mind.

Our children have their own bodies, minds, feelings, opinions, and dreams. Just like adults, our children want to be regarded, listened to, and respected. So ask for your child’s opinion. Speak your child’s name in a way that is regarding. Look at your child when he or she is talking. These are everyday ways that you can communicate the message “You matter.”

We are our children’s first teachers.

The recent Stanford sexual assault case reminded me, yet again, that we have work to do as a culture when it comes to teaching our children about sexual consent.

As parents, it can feel scary to broach loaded and triggering topics like sexual consent. However, these simple, everyday actions can empower us to show regard to our children in our daily lives. And as our children experience our regard in everyday ways, they are more likely to regard themselves and other people’s bodies and integrity, too.

No matter the age of your child, you can support your child being a confident, resilient, compassionate (to self and others) person by choosing to look at, talk to, and be with your child. You can support your child’s future by the regard you show them today.

Complete Article HERE!