Category Archives: Performance Anxiety

For Veterans, Trauma Of War Can Persist In Struggles With Sexual Intimacy

U.S. Marines march in the annual Veterans Day Parade along Fifth Avenue in 2014 in New York City.

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Much has been said about the physical and psychological injuries of war, like traumatic brain injury or post-traumatic stress disorder. But what we talk about less is how these conditions affect the sexual relationships of service members after they return from combat.

Since 2000, service members who were deployed received at least 138,000 diagnoses of PTSD. More than 350,000 have been diagnosed with traumatic brain injury since 2000. Evidence suggests the numbers are actually higher because many don’t seek treatment.

These conditions cause their own sexual side effects, such as emotional numbness, loss of libido and erectile dysfunction. And the long list of medications used to treat PTSD, TBI and other medical conditions can worsen those side effects.

‘He would sleep for days’

Chuck and Liz Rotenberry of Baltimore struggled with their own challenges when Chuck returned from Afghanistan in 2011. He’s a former Marine gunnery sergeant who trained military working dogs. He left active duty in 2012.

For Liz and Chuck, sex had never been a problem. They’ve been married for 14 years and they’re still very much in love. Liz says she fell for Chuck in high school. He was that guy who could always make her laugh, who always had a one-liner ready and never seemed sad.

But when Chuck returned from Afghanistan, their relationship would soon face its greatest challenge. Baby No. 4 was just two weeks away; for sure, it was a chaotic time. But Liz noticed pretty quickly, something was terribly wrong with her husband.

“I wouldn’t be able to find him in the house and he wouldn’t be outside, and I’d find him in a separate bedroom just crying,” Liz says. “He would sleep for days. He would have a hoodie on and be just tucked away in the bed, and he wouldn’t be able to get out of bed. He would have migraines that were so debilitating that it kept him in the bed.”

When Chuck was in Afghanistan, an IED — improvised explosive device — exploded 3 feet behind him. Shrapnel lodged into his neck and back.

It would take three years for someone at the Department of Veterans Affairs to explicitly lay out for Liz that Chuck had developed severe post-traumatic stress and suffered a traumatic brain injury — and that she would need to be his caregiver.

The Marine self-image

During that three-year period, there were times Chuck estimates he was taking 15 to 16 different medications twice a day.

Sex was usually the furthest thing from his mind.

“I didn’t think about it. I wanted to be with Liz, I wanted to be near her,” he says. “When the desire was there, it was unique. It was rare, as opposed to the way it was before. And a lot of times, with the mountains of medication I was on, you know, in my head [it was] all systems go, but that message didn’t go anywhere else.”

Liz noticed that Chuck stopped initiating physical affection.

“The thought of him reaching out to me to give me a hug wasn’t existent. It was like I had to give him the hug. I now had to step in and show him love,” she says.

Sometimes months would go by before they would have sex.

“It started off as being pretty embarrassing, pretty emasculating,” Chuck says. “It was like, ‘Really? This too doesn’t work?’ You blame it on, ‘Oh, it’s just the medication,’ or ‘You’re tired,’ or whatever initially, and you don’t realize it’s stress or my brain just doesn’t work like it used to.”

Liz and Chuck had never really talked about sex in any serious way before. So they kept avoiding the conversation — until this year. That’s when Chuck finally asked his primary care provider for help. The doctor prescribed four doses of Viagra a month. Liz and Chuck say the medication has improved things substantially — though they joke about how few doses the VA allots them every month.

But asking for just those four doses took Chuck three or four visits to the doctor before he could work up the nerve. He says it can be especially hard for a Marine to admit he’s having problems with sex because it contradicts a self-image so many Marines have.

“You know, as a Marine, you can do anything. You believe you can do anything, you’ve been trained to do nearly anything,” he says. “You’re physically fit. You’re mentally sound. Those are just the basics about being a Marine.”

If he has any advice for a Marine going through the same thing he and his wife are facing, he says you need to talk about it. Bring it up with your spouse. Bring it up with your doctors.

“Marines always jokingly hand out straws. You got to suck it up. You got to do what you need to do to get it done,” Chuck says. “It’s just a different mission. … Don’t let your pride ruin what you worked so hard for.”

 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

Shaming Men Doesn’t Build Healthy Sexuality

By David J Ley Ph.D

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Male sexuality is intensely under attack, in the increasingly vitriolic social dialogue related to pornography. Though women watch and make pornography, most of the current debates focus on aspects of masculine sexual behaviors. These behaviors include masturbation, use of pornography, prostitutes or sexual entertainment like strip clubs. Promiscuity, sex without commitment, and use of sex to manage stress or tension are all things that are frequently a part of male sexuality, whether we like it or not. But, male sexuality is not a disease, not a public health crisis, it is not evil, and it does not overpower men’s lives or choices. Shaming men for these behaviors isolates men, and ignores powerful, important and healthy aspects of masculinity.

There is a common perception of male sexuality as intrinsi­cally selfish, overly focused on “scoring” and sexual conquests, on anonymous, “soulless” sex, and on the outward manifestations of virility.  But there are other, oft neglected sides of male eroticism. Straight men are far more focused upon women’s needs, and upon closeness with women, than we give them credit for. Nancy Friday wrote that “Men’s love of women is often greater than their love of self.” Men give up friends and male camaraderie and accept a life of economic support of women, even leading up to an earlier death, all in order to be with women. More than half of all men describe that their best sexual encounters came when they “gave a woman physical pleasure beyond her dreams.” Men redi­rect their selfishness away from their own satisfaction, and toward a sense of fulfillment and accomplishment, by giving sexual satisfaction. Male sexuality often involves an intense focus on the needs of their partners, and men gain great pleasure, even a strong sense of manliness, from giving their lover sexual pleasure.

In fact, men’s desire to sexually satisfy their partners comes at the price of their own satisfaction. When a man is unable to make his partner orgasm, many men report incredible frustration, disappointment, and self-doubt. Women even complain that men put so much pressure and intent upon helping the woman achieve orgasm that the act ceases to be pleasurable and starts to feel more like childbirth. In such cases, women fake orgasms, not for themselves, but to satisfy their partner’s needs. Until a woman has an orgasm, a man doesn’t think he’s done his job, and his masculinity hangs in the balance.

Franz_Von_Stuck_-_SisyphusMen are taught from a young age that they must be sexually competent and sexually powerful with exaggerated and impossible ideals. Surveys of sex in America find that, compared to women, men are far more insecure and anxious about their sexual performance. Nearly 30 percent of men fear that they ejaculate too soon, most men sometimes experience erectile dysfunction connected to anxiety, and one man in every six reports significant worries about his sexual abilities to satisfy his partner. These are huge burdens that men carry, and are just one reason why many men pursue other forms of sex such as masturbation to pornography.

Compared to women, men actually experience greater pain and psychological disruption from the ups and downs of romantic relationships. Not only do the negative aspects of a romantic relationship hurt men more than women, but the positive aspects and benefits of that relationship have greater impact upon the man than the woman. Because women are better able to access outside support from friends and family, they often fare better than men. Men are often isolated and burdened with the expectation that they shouldn’t feel pain, or if they do, they must suffer alone.

For men, physical affection and sex is one of the main ways we feel loved, accepted, and regarded. For many men, it is only through physical love that we can voice tenderness and express our desire for togetherness and physical bonding. Only in sex can we let down boundaries and drop our armor enough to be emotionally vulnerable.

Sex plays a greater role in the lives of men as a form of acceptance and mutual regard than it does for women. Women touch each other all the time, with hugs, holding hands, closer body contact, and smaller “personal space.” Men shake hands. Really good friends might, at best, punch each other in a loving way, do a careful “man hug,” or even swat each other’s buttocks, if it’s during an approved masculine sporting event. (Many homosexual men experience this differently, when they come out and are part of the LGBTQ community) So the body-to-body contact that sex offers feeds an appetite, a craving, one that is often starved near to death in men.

Male sexuality is portrayed as something that men must guard against, and describe it as though it is a demonic force, lurking within our souls, which must be constrained, feared and even rejected. Men are portrayed as powerless to control themselves, in the face of sexual arousal that is too strong. Men are painted as weak, harmed and warped by sexual experiences such as pornography. As a result, men are told to be ashamed of the sexual desires that society has called unhealthy, and told to forego those condemned sexual interests. But an essential part of man is lost when we encourage men to split them­selves from their sexuality.

Unfortunately, as we teach men to be men, to understand, accept, and express their masculinity, we rarely attend adequately to the loving, nurturing, and amo­rous side of men. The most positive way that society and media currently portray male sexuality is when it is depicted as bumbling and stupid-making, a force that turns men into fools, easily led by our penises. But more often, male sexuality is depicted as a force that hovers just on the edge of rape, rage and destruction.

What is necessary for a healthy man, for complete masculinity, is the in­tegration, consolidation, and incorporation of ALL the varied aspects of our sexuality. When we try to externalize our desires for love and sex, excising them from ourselves as something external and dangerous, we run the real risk of creat­ing men without compassion, without tenderness, and without the ability to nurture. It is easy to suggest that what we are trying to excise are the base, primitive parts of men’s eroticism, those desires to rape, dominate, and sat­isfy oneself selfishly. But in truth, those desires, as frightening as they can be, are integrally linked to male emotional desires for safety, acceptance, protection of others, and belonging.

A_ShipwreckThose things that make men admired and respected—their strength, courage, independence, and assertiveness—are the same things which contribute to the differences in male and female sexuality. By condemning these characteristics, we run the real and frightening risk of abolishing qualities that are essential to healthy masculinity.

A healthy sexual male is one who accepts and understands his erotic and sexual desires, along with his drive for success, dominance (and often submission as well) and excellence. Healthy sexual choices come from internal acceptance and awareness, not rejection and shame. Research has shown that all men have the ability to exercise control over their levels of sexual arousal and sexual behavior, but no men can fully suppress their sexual desire. Healthy men can be men who go to strip clubs, visit prostitutes and watch pornography. They are men who make conscious sexual choices, accepting the consequences of their actions.

Our culture needs a sexual ethic focused on personal relationships and social justice rather than particular sexual acts. All persons have the right and responsibility to lead sexual lives that express love, justice, mutuality, commitment, consent and pleasure. Grounded in respect for the body and for the vulnerability that intimacy brings, this ethic fosters physical, emotional and spiritual health. It accepts no double standards and applies to all persons, without regard to sex, gender, color, age, bodily condition, marital status or sexual orientation. The Religious Institute

We need to begin encouraging personal integrity, responsibility, self-awareness and respect, both for oneself and one’s sexual partner(s). This is, I think, the goal for all men – to make their sexual choices an integrated part of who they are, and the kind of man they desire to be. Unfortunately, as long as we continue to shame and condemn men in general, and specific sexual acts, we are merely isolating men. Further, we are exacerbating the problem, because removing porn or shaming men for their desires or fantasies, does not teach men how to be a sexually healthy man.

Complete Article HERE!

How to Stop Getting So Damn Distracted During Sex

By Vanessa Marin

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During sex, do you frequently find yourself thinking about grocery shopping, or getting distracted by the cobwebs on the ceiling? It’s frustratingly hard to turn our brains off when we’re being intimate, even though we all know how much better sex can be when we’re mentally present. These tricks can help.

Practice Outside the Bedroom

The key to all of this is mindfulness, or put less jargon-y, learning how to be more present in the moment. If you spend your entire day adrift in a sea of anxiety, multitasking, and overactive thinking, you can’t expect to be perfectly calm and centered the second your partner starts taking your clothes off. The best way to learn how to be more present in the bedroom is to practice slowing your mind down outside of the bedroom. Being present is a skill that requires practice, and it’s usually easier to make the space for that practice when you’re not naked with another person.

Meditation can help a lot here. I highly recommend Headspace, an app that teaches you how to meditate. Headspace takes a topic that seems befuddling to most people, and breaks it down into simple, easy-to-understand concepts. It guides you through structured meditation sessions, so you’re never left wondering what you’re supposed to be doing. Even 10 minutes of meditation a day will naturally make it easier for you to feel more present during sex. If ever there was a good argument for starting up a meditation practice, this is it.

Set Yourself Up for Success

The distractors that I hear about most frequently from my clients are clutter, electronics, and to-do lists. You can transform your bedroom a sex haven by making it a clutter- and electronics-free zone. If you’re a frequent to-do list ruminator, quickly jot down your list items before you go pounce on your partner.

Take a moment to think about any other distraction triggers that you might have. Do you tend to get distracted if you know there are dirty dishes in the sink? Or maybe the peeling paint on the wall always catches your eye. Take any necessary steps to remove that distraction. Some distractors can be eliminated permanently, while others may require ongoing effort, but the idea is to try to create more mental space for yourself. You don’t want to create a situation where things have to be perfectly in place before you’re able to be intimate with your partner, but you can try to keep your usual distractions at a minimum.

Expect Distraction

If you’re like most people, you’ve probably had the experience of thinking about the cupcakes you need to bake for your kid’s soccer team, and the consequent feelings of guilt for thinking about baked goods while balls deep in your partner. You get so derailed by your frustration that you wind up getting even more distracted than you were by the original thought.

The truth is that it’s impossible to be present and focused 100% of the time. You can’t stop your brain from thinking. You’re going to have unwanted (and incredibly random) thoughts pop into your head at all moments of the day, including during sex. If you have the expectation that your mind should be clear of all thoughts except for how much fun you’re having with your partner, you’re going to be bitterly disappointed. Instead, acknowledge that distraction is the price we pay for having brains. Try to reframe your goals and think about minimizing distractions rather than eliminating them altogether.

Don’t Fight Your Thoughts

Trying to prevent yourself from thinking never works, and usually just intensifies the distraction. You’ve got to figure out a way to let the thoughts just be, without making them take up even more space.

 


 
Headspace has a great metaphor where they compare mindfulness to sitting beside a busy intersection. Imagine that your thoughts are the cars driving down the roads. You can’t stop the flow of cars, but you can prevent yourself from hopping into one of the cars and driving off in it. Try to allow thoughts to pop into your head during sex, but don’t actively think about them. You may even find it useful to visualize them driving out of eyesight.

Use Your Breath

Focusing on your breath is one of the core principles of mindfulness. It’s a great way to let go of your thoughts and bring yourself back into the moment. When you feel yourself hopping into that little hot rod with one of your thoughts, take a deep breath and imagine gently opening the car door and escorting your brain out of the car. One particularly effective breathing technique is to imagine sending your breath down to your X-rated bits as you inhale, and back up to your nose as you exhale. This requires a bit of extra attention, and brings your focus back to your body.

Narrate What’s Going On

Here’s another super simple mindfulness technique that can work wonders during sex: Tell yourself a story (in your head) about what’s happening from moment to moment. It might sound something like, “now he’s running his hand up my thigh. Now he’s spreading my legs apart.” This trick gives your brain something to do, but focuses it on the sex itself. You can also narrate your body’s reactions to the events at hand, which will help you tune in to the sensation even more. For example, “now I’m feeling my breath start to quicken. Now I’m feeling my stomach flutter. Now my skin feels like it’s tingling in anticipation.” It’s like writing your own erotica.

Consider Your Choice in the Moment

Sometimes the best way to combat distraction is to remind yourself of the decision you have in front of you. You can allow yourself to get swept up in your thoughts, or you can make an effort to stay present with your partner. Try something like, “I can keep thinking about the asshole who cut me off on the freeway, or I can enjoy finally getting a chance to be alone with my incredibly sexy partner” or “I can spend all of my mental energy worrying about when I’m going to work out, or I can spend it on this beautiful ass in front of me.” You can try being gentle with yourself, like, “It’s okay to feel annoyed about my client no-show, but I’ll have plenty of time to worry about that after I’ve boned down,” or you can try being a little sassy, like, “am I really going to think about my mother while I’m getting it in?” These kinds of statements help bring you back into the moment and focus on what’s actually important.

Staying in the moment during sex can seem like a challenge if you’re used to constant distraction, but it’s much more doable than you might think. Plus, is there any great motivation for learning to improve your mindfulness skills than hotter sex?

Complete Article HERE!

Notching the belt

Hey Doc,

So I’ve asked you a question anonymously before and you were a huge help so here I am again.
My names Mike and I’m 17 years old. For some reason it takes me a ridiculously long time to “finish” with my girlfriend. It’s not her, because this has happened with about 4 or 5 other women before her. It’s an annoying flaw that it takes me about 90 minutes to finish, if I finish at all. My GF and I get tired and eventually just stop because it’s too tiring and just plain tiresome. Is it performance anxiety or something? My first time having sex was anal with a girl, and I have done anal with girls many times before so it was a lot tighter than vaginal intercourse, not sure if that affects anything… I am really tired of lasting so long; I just want to be done when she is, much earlier.

I’ll be glad to answer any questions or anything you might need to know,
Thank you so much in advance, Mike.

finger fuck00445Where to begin, Mike? You’re 17, you’re having performance problems with your GF and you have had with about 4 or 5 other women before her. Holy Cow! you certainly are a sexually precocious lad, aren’t you?

I can’t help but notice a bit of sexual bravado in your message. I don’t know if that’s intended or if it’s more of a subliminal message. Either way, I have a feeling that there is some belt notching goin on here and that may be the root of your problems.

Here’s why I say this. There is nothing in your message that communicates that the sex you’re having is fun, or that it’s play. All I hear is that you’re a young man on a mission. You want to get off in a timely fashion and you’re currently being frustrated in that pursuit. You sound so goal oriented and your sex sounds like a task, rather than a playful adventure.

Us men folk get like this sometimes; and we’re the poorer for it. We’re all about solving a problem instead of enjoying the moment. The curious thing about this is that enjoying the moment is often the best way to solve a sexual performance problem.bryan_tony_box

When I hear men and/or women talking about their sex life like it’s work, I know there will be problems ahead. And you, Mike, sound like your sex is way more work than fun. If you were a sex worker or a porn star, I’d understand your predicament. But I suspect that you are neither a sex worker nor a porn star. You are, however, a young man who has, for one reason or another, scuttled all the joy and wonderment from your sex play. And that, my friend, is a crying shame…and at your tender age too. How do you suppose you’ll behave when you’re an old man of 25?

This path you’re on will continue to lead you into a sexual wilderness. You will become increasingly frustrated in your efforts to cum “on time”…and I use that term in quotes, because you’re all about bangin’ something rather than pleasuring and being pleasured by someone.

The comment you make about the difference between butt sex and pussy sex also tells me a lot about the kind of tightness you need to get off. I’d be willing to guess that you have a death grip on your johnson when you wank; am I right? Obviously your average asshole is a tighter orifice than your average pussy. But, if you were really turned on and enjoying the mutual pleasure available to you and your partner, instead of worrying about busting your nut during the fuck itself, you could jettison all those “shoulds” you have when you’re supposed to be enjoying yourself in the company of your lover.

beltWhy not stop what you are doing and take a look at why and how you are doing it. You may surprise yourself with what you find. And if you are man enough, have a heart-to-heart chat with your GF and get her feedback on what she encounters when she fucks you. Again, I’d be willing to guess she’d have some timely advice to offer you on how to fuck and get fucked.

Good Luck