Category Archives: Sex Therapy

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

IM Distress Signals

When I first began writing this advice column, back in the Paleolithic era, most correspondence came via snail mail. Those were the days, huh? Email replaced letters as the dominant means of communication about 8 years ago, and so it remains today. Lately, there’s been yet another innovation — the Instant Messenger. Never fear, Dr Dick stands at the ready to console and advise even at cyber speed.
Instant messenger technology allows me to do something I’ve never been able to do before, save the whole shebang as a single document. This, dear readers, will provide you, as you will see below, an intimate vantage point to a crisis as it is being reveled.
What follows is an abridged version of an exchange I recently had with a good friend. This is someone I deeply respect and admire. However, my friend has been through a terrible lot this past year and the signs of stress are beginning to show. His judgment, generally razor sharp, is now clouded and he is consumed with self-doubt.

William: Hey Dick, I have a question. Do you know the current social standards surrounding marijuana use?

DD: Are there current standards? I didn’t get the memo.

William: Smart ass!
Let me put it a different way, is daily, long-term use of pot a sign of an addiction?

DD: Probably. Certainly designates one as a heavy user.
There is a simple test. Can/will the user go 48hrs without?

William: Here’s the deal, a guy I hang with smokes every time we get together. He says it relaxes him after a hard day. I told him I thought that was a rationalization. I don’t drink daily; so I have to deal with life as it presents itself, rough edges and all.

DD: I guess you told him, huh?

William: I know I can’t drink every day without it becoming a problem for me, but am wondering if pot smokers think daily usage is different than what I think about daily drinking?

DD: See my comments above.

William: My friend’s paternal grandfather was an alcoholic; his dad neverglory_hole_d29.jpg drank. My friend admits to doing 200 hits of acid in high school and crystal when first arriving in town 10 years ago. He claims he hasn’t done either for 7 years.
Trouble is my Dad was an angry alcoholic so this guy’s marijuana use triggers feelings of abandonment and flashbacks of abuse in me.

DD: Right about now you should be hearing yourself say out loud: “Whoops, where did I put my car keys? Gotta run! Call me when you get home from Betty Ford”

William: I confronted my friend about his pot consumption and he got all defensive. He countered with, “what am I supposed to do, not smoke while you’re around? He was already high when we had this exchange. He said I should have warned him about not smoking before he rolled the joint he just smoked.

DD: Wait a minute; he’s saying his drug “(ab)use” is now your issue? Why does this stink to high-heaven?
Here’s a tip; don’t be surprised when you confront a pot-head, while he’s ripped, about his habit and he gets, as you say, “all defensive”.
William, I’m pretty confident that was not a teachable moment, don’t you agree?

William: The problem is he’s generally stoned by the time we get together, so there’s no real good time to talk to him.
I even entertained the idea of smoking with him to get in the same mind set. Instead, I drank a half a bottle of wine. I realized later that both options were self-defeating.

DD: At least you’re clear on that. In this instance, sinking to the lowest common denominator is not a good idea.

William: Bottom line is I feel he needs to smoke to be around me.

DD: I suggest that he needs to smoke around everyone and everything, not just you.

William: I am thinking this is an indicator of his low-self esteem.

DD: You betcha! Aren’t all addictions?

William: Maybe I am projecting.

DD: What if you are? It doesn’t diminish the fact you called it right.

William: I also questioned what type of relationship we are forming if all our time together happens while he’s in an altered state.

DD: That’s easy, a codependent one!

William: I’ve been thinking, maybe he needs to smoke to have sex. Maybe that’s the only way he can cope with his guilt or shame. When he smokes he likes to top me. But when I top him, he’s a very passive. I told him what I like sexually, so he knows. But he doesn’t even try to please me. He doesn’t play with my nips when I top, which is the only way I can cum. When I bottom it’s simply out of desire for intimacy, it doesn’t do anything for me sexually.

DD: YIKES! Sounds like a match made in heaven.
Like my momma always used to say, “if it has four wheels or a dick you know you’re gonna have trouble with it.”

William: For example, when I realized I wasn’t going to get what I wantedmale_art2.jpg sexually the other night, I shut down. I got him off and he fell asleep.
He knows me well enough to know when I’m pissed. So the next time we were together, he asked if he had done something wrong. He’s a fuckin’ genius! He asked if he had been too passive as a bottom. Unfortunately, he was pretty stoned at this point, so I thought any further discussion would be fruitless.

DD: Again, YIKES! Any more red flags and this would be a Chinese New Year Parade, for christ sake!

William: If I dump him, am I throwing the baby out with the bath water?

DD: Darlin’, there is no baby in the bath water! There’s just a fucked up stoner dude who is taking you for a ride. He’s welcome to live his life as he so chooses. You, on the other hand, need to find someone a less fucked up.

William: I like him, he is smart, affectionate and we have the same analytical way of thinking.

DD: When he’s not stoned, ya mean.
Here’s a suggestion, why not keep him as a friend. Have dinner together occasionally, enjoy his sparkling conversation and then, quick as you can, get back in your car and go home.

William: He takes care of my physical needs, except sexually. There is, after all, more to a relationship than sex.

DD: EXCEPT SEXUALLY????? That’s like saying he takes care of your nutrition needs, except for the protein and carbohydrates. Sheesh!
You’re right, there is more to a healthy relationship than sex. But given that you are an intensely sexual man, why would you start a relationship with a deficit like this?

William: This is triggering my deep-seeded feelings of inadequacy and self-doubt, which I fully accept as my own shit. I want to please him, so I did not ask him to stop smoking around me. But I did tell him how “not present” he is to me when he smokes prior to sex.

DD: I am so amazed that you are bottoming for this dude. What’s up with that? You hate being a bottom. Listen darlin’, you are way too needy at this point to be looking to someone like this to even begin to meet your needs.

William: He said that he did not think his personality changed when he smokes. But yet he thinks people liked him better when he’s got a buzz on.

DD: Where did you find this guy? Does he live under a bridge?

William: Is this a glitch in a new relationship? Do you think I should hang in there during this adjustment period?

DD: This is scariest thing you’ve said up to this point.
GLITCH??? Are you serious? Does a stripped down, burnt out skeleton of a car on the what_a_ride.jpgside of the road, suggest to you that the owner is having a problem with his windshield wipers? Good lord, man, what can you be thinking?
What follows comes from the deepest recesses of my heart, William. I put this out there because you are my friend. The fellow you describe would be a handful for you if you were at your peak of your emotional and psychological powers. But even then, I’d suggest you avoid him like the plague.
But now, dear William, you are in crisis. You’ve had a terrible lot happen to you this past year. You are hanging on by a thread. I support and encourage all your efforts to find your balance in your life once again, because you are a good and resilient person.
I empathize with your desire to connect with someone who will love you, stand by you and care for you during this difficult time. This is decidedly not the time to be taking on dead weight.
Look to yourself, care for yourself, nurture yourself, love yourself, heal yourself. Come back to us refreshed and whole. Then, and only then, will you be able to take on a complete wreck of a project like this dude.
Count on me to walk through this with you. Thanks for letting me be part of your life. Remember, I’m only as far away as your Instant Messenger.

Over and Out!

Sex Advice With An Edge — Podcast #07 — 03/26/07

Hey sex fans,

This week we have an all chick dr dick podcast —

  • Allie wants to give it up…for the first time.
  • Jennifer is a radical queer and dyke porn lover…but her boyfriend ain’t!
  • Tia is cherry, but the BF thinks she’s not. What to do?

And finally A Sexual Enrichment Tutorial

  • Beginning Sex Play — Tips and Techniques

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the toll free voicemail number is (866) 422-5680.

Dr Dick is now on iTunes and SexAudia.com. On iTunes, you’ll fine me in the podcast section under the heading — Health, subheading — Sexuality. Or search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Today’s Podcast is brought to you by: SexAudia.com — All Sex Internet Radio

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Pros and Wannabes

When it comes to sex, pro and amateur alike have issues. (It’s a good thing too; otherwise I’d be out of work.) Weather one is just getting the hang of things or one is making bank pleasuring others, body awareness and sexual technique can be fine-tuned.

In our culture just about everyone, regardless of age, faces some kind of bugaboo about sex and/or intimacy. When we are young, inexperience and the sexual misconceptions and misinformation that accompanies youth can seem charming to some. Youth, after all, is a time for stumbling about.

Not so when we’re all grown up. Those who are old enough to know better, but don’t, are not judged as indulgently as greenhorn youth. Older folks are expected to learn the lessons of youth while we are young. And while there are a whole set of particular issues that arise for us in our middle years, it’s exasperating to encounter an oldster who is still clueless about the fundamentals.

Hey Dick!
As you know, I am an escort. My business is doing very well. In fact, so well I need to ask if you know of any meds, besides Viagra, that I can take that will help me maintain an erection over a longer period of time?
Can I be frank? Here’s the deal, let’s say I have I have two one-hour clients during the day. Then a regular of mine calls and wants an all-nighter. That’s not a problem other than the fact that this particular client wants to get fucked hard. I mean real hard, for hours at a time. He’s an insatiable power bottom.
I want to be able to ride his ass, like the bitch he is. Hell, I’m even attracted to him. I just can’t stay hard enough to fuck him like he likes (especially after having had the two clients before him that same day). Sometimes I have difficulty getting it up for him, and wind up finger-fucking him till my hand is sore. I do not want to lose this client. And shifting days is not the solution. Because when he wants it he wants it and I have to produce. That’s what I do, I sell “muscle.” I have a reputation for giving the best hard driving, dominating and controlling sex around.
Again, is there a medication I can take to maintain the erection?
Works Hard

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the

copy-of-ego_jock0.jpg

vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

I thoroughly understand the pressures you and other sex workers face. It’s not as glamorous a life as it is often portrayed, huh? Ok, so you’re beautiful, men idolize you and crave your attention. You’re getting loads of sex, putting all those “bitches” in their place, and crying all the way to the bank. It’s a tough job, but someone’s got to do it. But then again, there are all those sniggling performance issues that even a he-man like you must contend with.

The trouble lies in the fact that you are a workaholic. And that’s never good, regardless of the work one does. Sex work, like any other work, will burn you out if you’re not careful. If you don’t learn to pace yourself, darlin’, you’ll fizzle. (How’s that for an appropriate euphemism?) And from what you tell me, this is already beginning to happen. Keep it up (no pun intended), you won’t be the first causality in this line of work, nor will you be the last. But If you ask me, and I happen to know a little something about sex work myself, the object here is to grow old (or older in your case) in your chosen profession.

I’m tellin’ ya, WH, if the erectile burnout don’t get ya the psychological torment will. I’ll bet you’re terrified the word will get out that MR. Big-Beautiful-29-year-old-Stud-Power-Fucker can’t get it up. That would be real bad for business. And you know how those johns can gossip. Bitches! They don’t know that you’re servicing men at a rate that would make a superhero blush. All they see is limp willie and that spells trouble right there in River City.

It’s not surprising that you are having erection concerns given the number of clients you are seeing in one day. I mean, girlfriend, when do you find time to eat? You don’t need a new med, you need a vacation. If Viagra and a good cock ring don’t do the trick, then, in my humble opinion, your body is telling you to slow the fuck down.

And here’s another tip; research is beginning to show that prolonged and persistent use of Viagra can have some very unpleasant side effects. Those who overuse this potent cardiovascular drug, particularly young men who use it recreationally, may be in for some very unpleasant surprises down the road. So, I have one simple suggestion, WH, have a care about your sexual wellbeing and treat your dick gently. Despite the pounding you can inflict with it, it is a very delicate mechanism.

Good Luck

Dear doc, I am just about to turn 50 years of age. Is there a sex life ahead for me? I love sex clubs and anonymous sex. But is it too late for me to get into a relationship.
Washed up?

I regret to inform you, Washed, sex does, indeed, come to a screeching halt right as you turn 50. In fact your dick is gonna fall off too, cuz you ain’t gonna be needin’ that little thing no more.zoo_3_bg_070402.jpg

I mean, come on, I’m sure you know better than that. Thanks to the wonders of modern pharmacology even Bob Dole is getting laid, for Christ sake. Wake up and smell the coffee, Washed!

Oh, and one other thing, since there’s no guarantee that you’ve taken note of this subtlety, especially seein’ how you missed the big picture above, I have a tip for you. If it’s relationship sex you’re after, you’re gonna have to look for that in a different venue than where you are currently skulking around for stand-up sex. And you can pretty much count on the fact that relationship sex is gonna demand a whole different set of skills than anonymous sex. Do you have what it takes? Hmmm, the jury is still out on that. But if you’re just now lookin to nest at 50, I’d say an acquittal is highly unlikely.

Good Luck

Dear Doctor, I am gay, 49 and after a “broken heart” in my 30’s I went back to the closet for 20 years. I feel so lonely. Seems I have wasted my life. At my age, how can I ever find a lover with whom I can truly be happy, both spiritually and sexually? This is very difficult for me and I really would appreciate any good advice. Thank you. Kind regards.
Lonely in Louvain

Dear LL,

Hey, it’s never too late to find what you are looking for. However, this particular questleavemealone.jpg is not for the faint of heart. If you’re prone to retreat into your shell, or closet as the case may be, every time you are disappointed or rejected, don’t even start this adventure. But, if your life of loneliness and isolation has taught you to value the companionship and love of others, then your years in the closet may not have been a total waste. Get out there and make a difference.

Live authentically; it is the best aphrodisiac. You may not find everything you are looking for in one package, but that shouldn’t matter. That’s the stuff for fairytales. The object is to satisfy your needs. So, if you find satisfying sex with one person and spiritual fulfillment with another, so be it.

And may I suggest that you try and expand your concepts of what defines happiness for you. You don’t want to box yourself in now that you’re finally venturing out of the closet.

Good Luck

Sex Advice With An Edge — Podcast #06 — 03/19/07

Hey sex fans,

This week we have a slew of written submissions —

  • Roxy is a cock in a frock and his marriage is on the rock-s!
  • Young Pete is queer, and his yahoo family hates fags.
  • Gwen is over the hump, but still wants to hump.

And finally A Sexual Enrichment Tutorial

  • Suppressing the Gag Reflex!

BE THERE, OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s dr dick’s toll free podcast voicemail. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.Got a question? No time to write? Give dr dick a call at (866) 422-5680. Again, the toll free voicemail number is (866) 422-5680.

Dr Dick is now on iTunes. You’ll fine me in the podcast section under the heading — Health, subheading — Sexuality. Or search for Dr Dick Sex Advice With An Edge. And don’t forget to subscribe. I don’t want you to miss even one episode.

Today’s Podcast is brought to you by: Daddy Oohhh! Productions, Quality Adult Entertainment, Enrichment and Educataion

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Clearing The Deck

Time to clean out the dr dick sex advice anonymous submission in-box. I wish I could have used some of these questions in my podcast. But I can only do that if you use the toll-free voicemail phone number to call in your submissions, people!

If you want to be in one of my podcasts, use the Lick-A-Dee-Split Connection!

Name: Sofia
Gender:
Age: 54
Location: Arizona
You are sick Dr DICK! I believe that porn is a sign of weakness in men and women. They cannot control their need and put their personal relationship in harm. Its degrading towards women and it gives off the wrong message to men about women. Porn is very harmfull in peoples daily lives.Relationships come to an end because of mens porn addiction. Men have lost families, wives, girlfriends etc. because of porn. Men find themselves defending it so much that they end up losing the people in their lives who do not agree with it (wives, GF, BF, ect.) What does porn leave them? Nothing! Lonely nights with no one by their side and a PC full of nasty images. Porn leaves men lonely and pathetic. Men are destroying their lives to make a porn film maker more wealthy. What a great exchange.

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So nice of you to drop by, Sofia, and thank you for being so solicitous about my health. Yes, I was sick, I had a little cold there for a couple of days, but now I’m better.

Oh wait, you’re saying I’m sick because I don’t share your repressive opinion about porn. I get it; you’re another moral crusader who needs to denigrate those who don’t share your beliefs. What’s up with that?

Ya know the thing is, darling, I actually believe, as you do — that a lot of porn is harmful and exploitative. It also can be very disruptive to people’s lives and can cause serious damage to otherwise healthy relationships. I mean how difficult was it for you to come up with that critique? Taking pot shots at porn in this sex-negative culture is like shooting fish in a barrel. Get over yourself, girlfriend.

And ya know what else, ma’am, all the things you accuse porn of — being harmful and exploitative, disruptive, damaging to relationships — you could say about organized religion, the fast food industry, our government, the credit card industry, the big oil companies, the pharmaceutical industry, the medical industry, the war machine and it’s horrific profiteers, like Halaburton. And the list goes on and on. Hell, everything humans touch has the potential for becoming harmful and exploitative; it’s human nature. Even your own tirade is harmful to and disruptive to those of us who are trying to make a difference in the adult entertainment industry. Trust me, you would have made a better case if you said you wanted to help change the status quo in porn, not just point out its inherent flaws.

And what’s all this; “Porn leaves men lonely and pathetic”? What, are you saying you’re the alternative? Perhaps, if you weren’t so bitchy and condescending your men wouldn’t need to turn to porn. Your abrasive personality and moral rectitude would even drive the pope to porn.

Oh, and have a nice day!

Name: suzanne
Gender:
Age: 25
Location: Auckland
Should a woman fake an orgasm to keep her partner happy?

Brilliant idea, Susanne! Rather than help your ineffectual lover overcome his female_ontop.jpginadequacy with the truth and a little tutorial on how to make you cum — lie to the monkey about his sexual prowess.

I see nothing wrong with that! Other than when you’re done fuckin’ him, or he’s done fuckin’ you, the next unlucky woman he happens upon will have twice the work. She’ll not only have to tell him the truth — that he sucks as a lover — but she’ll also have to contend with his ego. Thanks to you and your deception, he’ll be convinced that he’s a fabulous lover when, of course, he’s not.

What could be wrong with that, Susanne? D’oh!

Name: emily
Gender:
Age: 28
Location: Texas
How much should I tell my new partner about my sex life with my exes?

How about just enough to get his dick hard?

Hell, I don’t know! Some guys get off on hearing the gory details of the sexual exploits of their partners, albeit it’s a relatively small number of guys. Just keep in mind that most men would prefer the bliss that is ignorance.

If you’ve been around the block a time or six, maybe you best keep that to yourself till you find out how much the new guy can stomach.

Good Luck

Name: Phillip
Gender:
Age: 31
Location: Austin, Texas
Dr. D, I’ve never had a problem with my sex life up until now. My wife and I have been very happy with our physical relationship. But, about 8 months ago, in a very vivid nightmare, I dreamed we were making love and when I came, the ejaculate was blood. I came blood. Everything in the dream stood still as I watched, almost third person, as my life flowed out of me. I woke in a sweat, and we’ve not made love since. We’ve talked about the dream, tried to be intimate, but I’m simply not able to enjoy the contact anymore. This is someone about whom I care deeply and with whom I am deeply in love. Considering professional help but would like your take. Thanks, Phillip in Austin

Interesting! Yet another case of how one’s psyche can override one’s eroticism.

This is nothing to be toyed with, Phillip. Like an earthquake, this vivid dream has jolted you out of your happy, healthy sex life with your wife. And like anyone who has survived an earthquake, or a similar natural disaster, you need to put your life together again as quickly as possible. I encourage you to seek a sex-positive therapist to help you break the spell of this nightmare.

The longer you let this thing hang out there the more perverse it will become.

Good Luck

Name: Mike
Gender:
Age: 33
Location:
I can only get off by squeezing my cock with my thighs. I have done this for as long as I’ve masturbated. I only found out years later that you should use your hand. But this does not work for me. Is this normal or common?

Mike, what you report is neither normal nor common. But do you really care about “normal” and “common” if it works for you? Apparently your masturbation technique isn’t any less effective than those who employ a more common practice — like using one’s hand.

Basically, there aren’t a whole lot of “shoulds” when it comes to style of masturbation. If squeezing your cock with your thighs works for you — SWELL, pup, knock yourself out!

Since you don’t report that this method of getting off is getting in the way of your partnered sex, I think you should leave well enough alone and enjoy your uniqueness.

Good Luck

Name: Sam
Gender:
Age: 22
Location: London, UK
Dear Dr. Dick, I am a young gay guy, and when I masturbate I am able to achieve orgasm and ejaculate; but when I am with another guy I do not cum. Don’t get me wrong, I have a great time during sex, but my partner doesn’t get me off. This is not a person-specific thing — this has been happening to me since I was 16.
Call it “delayed ejaculation”, if you will; but it’s more like “non-existent ejaculation”! The weird thing is, I don’t mind myself; the foreplay and sex is totally hot and I’m as happy as a clam with that as it is. But my partners have always been frustrated and disappointed, as if ejaculation is the official mark of success to show the culmination of a great fuck. So they keep trying until they get tired, which I guess is inevitable.
Is this something I should be worried about if I’m otherwise okay with sex. Or should my partner be less concerned about the orgasm and just realize that it doesn’t bother me. Many thanks, and kudos for such an informative site.

Hey Sam,

Thanks for your kind words about the site, they’re much appreciated.male_fuck19.jpg

As to the issue you present, it’s not particularly uncommon. Many people aren’t able to, or choose not to get off in partnered sex. And there are several common reasons why. Without going into detail about that, let me just ask one thing. Are you able to masturbate yourself to orgasm when you are with a partner, like you can do when you are alone? If so, maybe you could incorporate that into your sex play with a partner.

It’s true what you say about some people thinking a sexual encounter is only “successful” if both partners cum. That’s nonsense, as you well know. There’s no necessary connection between an ejaculation and sexual satisfaction. If you cave into that way of thinking you won’t help your misguided partners and you will certainly add a good deal of performance anxiety to your sex encounters. And nobody wants that! Stick to your guns, Sam!

Good Luck

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