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What It’s Really Like To Be A Hands-On Sex Coach

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Celeste & Danielle

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Millions of Americans struggle with sex. We don’t like to talk about our coital troubles, though — so we read Men’s Health and Cosmo in private, hoping that one tip, one magic bullet, will allow us to become sex gods. Maybe sometimes these rapturous new moves work, but more often they lead to disappointment.

So what should you do when you want to be a better lover but don’t have a roadmap of how to get there? Who do you turn to when Hollywood has failed you and x-rated features have filled your head with unrealistic expectations of what sex ought to look like? Sometimes you see a sex therapist or an intimacy coach to talk about your problems. And other times… you need a little bit more. That’s where Celeste Hirschman and Danielle Harel (they’d prefer you just call them Celeste and Danielle) come in. They’re the founders of The Somatica Method, an interactive, experiential approach to sex coaching that helps clients break down emotional barriers connected to sex.

What makes The Somatica Method different than most other forms of sex therapy is that it exists in a place between counseling and sexual surrogacy. While communication is the bedrock of Celeste and Danielle’s practice — because good sex can’t happen without it — the duo also recognizes the importance of the physical realm during sessions, meaning that an appointment with them may include everything from a frank discussion about your sex life to a hands on lesson on how to bite your partner’s neck (they’ll practice with you) or throw them up against the wall (if that’s what you’re both into).

So who should get hands-on sex therapy? Can all of us achieve our dreams of leaving our partners gasping for more? We spoke to Celeste and Danielle about what being a sex coach is really like, what clients can get out of it, and how they handle even the toughest sexual problems.

Sex coaching isn’t just for the sexless.

Picture the type of person you think might seek out a sex coach. Is that person generally happy and healthy? Are they fulfilled in other areas of their lives? Are they already in a relationship? The cultural narrative (and every rom-com that revolves around professionals who helps clients lead better sex lives) suggests that only the strangest, neediest people will pay someone to coach them to be better lovers. That’s simply not true.

Committed couples come in regularly, Danielle tells us. They may seek out services because they have desires that they may not be able to talk about on their own. Or their levels of sexual desire may be vastly different and they want to find a happy medium. And men (both single and partnered) may come in because they’re realizing that being good at sex isn’t all about intercourse.

“Men come in because they want to figure out women,” Danielle says. “They can’t understand their wives or girlfriends or women they want to date and also to overcome physiological challenges including getting hard and controlling their orgasm. They want to be better lovers.”

Women set appointments for different reasons — often to work on pain during sex, to ask for help achieving orgasm, or to talk about low levels of sexual desire. Regardless of the reason, the first step in the Somatica Method is to make sure that no one feels stigmatized.

“There’s already so much shame in our culture about sex,” Celeste tells us. “Even now, when you’re seeing sex everywhere, we still have this underlying idea that sex is dirty or extraneous or unimportant, but the bottom line is we’re all sexual beings. We are wired that way from the beginning, but people have learned that sex is bad from many places. I do feel that we’re raising consciousness around sex and shame and we can see the people we work with get so more relaxed around their sexuality.”

You’re not showing up to have sex.

“When clients first come in we’ll sit and talk for a while to discover their issue,” Danielle tells us. “Then, depending on what the issue is, we’re going to do something experiential in that first session.”

If the word experiential sounds daunting, you may be relieved (or disappointed) to know that it’s much less scary than you think. No one’s going to demand that you undress. Instead, Danielle says, the practitioner may start with deep breathing exercises to get the client to feel more in their body and connect with themselves in a way that ignites erotic energy. Sometimes, the experiential portion of the session may include learning how to make eye contact (terrifying for many) or working on relaxing in sexual situations.

“It could be just talking about their fantasies or what turns them on,” Danielle says. “That’s an experience that so many people have never had in a safe nonjudgemental environment.”

That place of non-judgment is essential to the practice. Because most of us have grown up thinking of sex as something shameful (or only reserved for the very attractive and well-endowed). We forget that all of us are entitled to have good sex and not be ashamed to explore the things that turn us on, whether that be BDSM or 20 minutes in the missionary position.

“A lot of what we bring to the approach,” Celeste says, “is celebratory, fun, and exciting, and we stay away from shaming people’s desires. We are normalizing what they are experiencing in all different areas of sex and desire, which is very helpful as it gives them a different perspective about how they can embrace themselves and transform in the ways they want to.

Here’s how this works: Imagine you’re a dude coming in to work on the issue of premature ejaculation (common! Normal! Will happen at least once to most of us!). The first thing your sex coach will do is demystify the experience and explain that because masturbation is viewed as something shameful that needs to be hidden, many men condition themselves to orgasm as quickly as possible, not recognizing that this kind of pattern will affect their sex lives, and then, when they do involve themselves in romantic situations, they end up not feeling adequate.

“I had this young guy who really thought he was supposed to be able to stay hard and not ejaculate for like an hour,” Danielle laughs. “No, honey, that’s not going to happen like that. It’s not realistic. We do a reality check around that.”

And then the work really begins. Once Celeste and Danielle (they work with clients individually) pinpoint the problem, they’ll teach a client how to slow his or her body down, how to touch, and how to relax and enjoy sexual experiences.

“We see many couples,” Danielle says, “many times one partner says, ‘You have to teach them how to do that, you have to teach her to respond the way you respond.’”

But the sessions are sex-y.

While traditional sexological bodywork is a one-way street when it comes to touch (the practitioner does touch the client’s naked body, often with a glove on), Somatica is different in that the practitioner and the client touch each other. The clothes stay on, but instead of manual touch (just physical training), the client and the therapist work on both sexual and relationship techniques to prepare the client for the real thing.

“You’re learning everything from emotional connection and communication to erotic connection,” Celeste says. “A client could be learning about passion by practicing with us throwing each other up against the wall, or they could be learning about romance with tender, gentle touch. You’re learning different energies of erotic connection but also seduction and how to be more in your body in an erotic way. There’s a huge set of experiential tools we use to help people be fully realized sexually and emotionally in relationships.”

Wait up, throwing each other against walls?

“If you just think about it,” Danielle says, “we have this idea that we’re supposed to know those things and to do them. Spontaneously. How the heck are we going to get that information?”

Only the movies come to mind.

“You know there’s technique to everything.” Danielle continues. “You can really learn how to bring the right energy, you can learn how to say the right words, and touch in a way that’s going to make someone feel arousal and turn on. We see some of it in the movies, but we don’t get the full picture or the ‘How To’ – they cut out so many of the most important aspects of sexual connection.”

Media representations of sex tell us one of two stories: The first features people who, by some preternatural means, have become master lovers. We don’t know how, we don’t know why. We just know they’re good at what they do. They know how to kiss, to nibble on ears, and, yes, even throw each other up against walls in ways that are sexy and dominating without being creepy.

The second story is more awkward: We either see people go from ugly ducklings into sex monsters in a brief montage or we never see them get there at all. They live in a world where sex is awkward and strange but enjoyable with the right person. Celeste and Danielle, however, are trying to tell a third story — the one in which even the most insecure people learn to feel comfortable and confident within their own bodies.

“People think we’re going to do role-play, so it seems like it’s going to feel phony,” Celeste says, “but we show up really authentically. When I’m practicing with somebody I’m Celeste. I’m not practicing, ‘Let’s pretend that I’m so and so.’ It’s a very real, very beautiful connection that we share with our clients.”

That connection helps smooth over any nerves, even when you’re doing something that sounds silly or challenging.

“When you first throw somebody up against the wall, yeah there’s definitely going to be some awkwardness and some laughter,” Celeste continues, “but we practice. When somebody comes into my office, they’re not going to practice it one time. We’re going to do it eight times, ten times. By the end, it’s like, “Whoa, that was really hot, you are sensual and you’re turning me on and it’s super exciting. I think any learning curve can have some awkwardness and discomfort to it but the outcome is so profound and fun that I think people are willing to go through the awkwardness.”

And the coaches do get turned on…

With all this talk about being authentic, we wanted to know the answer to the age-old question when it comes to any kind of work in which sex is involved: Is the practitioner aroused?

Turns out, that’s not just a hazard of the job; it’s the goal.

“The best feedback that we can give clients is our turn on, and we’re not faking it,” Danielle says seriously. “We’re letting ourselves respond authentically and get aroused. We’re teaching them how to seduce us and turn us on because that’s the best learning that they’re going to get, an authentic and real response. They really appreciate it, because men especially, very rarely they get gentle and real feedback that points them in the right direction.”

“I had a client in my office the other day and I was teaching him how to bite the back of my neck,” Celeste adds. “We were taking turns and it was so arousing. I was like, ‘Yay, this is my job.’”

But there are clear limits. Bites on the neck? Appropriate. Erotic touch? Part of the process. Kissing? Celeste and Danielle don’t do that, because it’s important to set boundaries when you’re doing this work. “Besides,” Celeste says, “there are other ways to learn how to be a good kisser.” (Yes, this can sometimes involve practicing on hands.)

Even couples have to keep it PG: “They’re making out and touching each other,” Danielle says. “They can kiss each and they can put their hands underneath each others clothing, stuff that we can’t do with them in session. But they don’t get naked.”

Hey, just more excitement for when they get home.

Speaking of boundaries, they’re a cornerstone of a sex coach’s work.

Sure, part of Celeste and Danielle’s job is to teach clients how to turn them — and others — on in order to benefit the client, but another huge part of their work is making sure that clients understand that relationships have boundaries.

“We have a relationship with our clients and it can be a very strong and beautiful attachment,” Celeste says seriously, “but it still stays within the confines of our practice and the boundaries of the session. We’re not seeing our clients outside of session, not going to dinner or dates with them. You can have this beautiful authentic connection with someone and then support them, encourage them to really go out and find that in their lives as well.”

But that doesn’t mean that all clients are so receptive to these boundaries. Some may not be ready for the type of healing Celeste and Danielle offer, others may become jealous due to the nature of the coaching.

“I think in any coach or therapist’s history there are times when things come up that are particularly challenging within the relationship,” Celeste says. “We try to keep the boundaries and try to make sure everybody’s okay in those relationships, but sometimes things don’t go well. It’s almost impossible when you’re working at this level of intimacy for that not to happen sometimes. Danielle and I always try to repair, whenever repair is possible.”

In fact, Celeste and Danielle say that the hurt and jealousy that client experience — especially when the work gets intense — is another learning experience. As is the reconnection that the pair attempt with their clients after such a rupture. Not only can it lead to more strengthened relationships, but, as Danielle points out, it can help clients understand that being part of a couple isn’t perfect all the time. It’s not about never fighting, she says, it’s about being able to repair and reconnect after conflict arises.

At the end of the day, though (and they’re long days!), Celeste and Danielle can’t imagine doing anything else. “I think being in such deep and intimate connection with so many wonderful people, seeing them grow and transform and seeing their lives get better, is so fulfilling,” Celeste says.

“I like the realness of it,” Danielle adds. “I don’t need to try and pretend that I’m someone else. I can be real in the relationship. I really love that.”

Complete Article HERE!

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The nitty-gritty of middle-age sex

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‘It’s good to experiment’

By Alana Kirk

If you are drinking your morning coffee while reading this, then perhaps this article should come with a warning. There are going to be phrases that we tend not to discuss much in public such as vaginal dryness, loss of libido and erectile dysfunction. However, they are a natural part of life, and if we want to continue to be active sexual people well into middle age and beyond, then we have to acknowledge and then address them, because turning the trials and tribulations of middle-age sex into the joy of sex is not difficult.

Sex is important to all of us, regardless of age. Not only is it excellent for getting the blood pumping and putting a youthful spring in your step, it has a number of other benefits too, such as reducing stress, strengthening your immune system, boosting self-esteem, and relieving depression.

The famous manual, The Joy of Sex, still has some salient advice for middle- aged and older people even though it was written nearly 50 years ago. It’s author Alex Comfort wrote: “The things that stop you enjoying sex in an old age are the same things that stop you from riding a bicycle – bad health, thinking it’s silly and no bicycle”.

Well, we can pump up a flat tyre, add some lubricating oil, and still be having sexual enjoyment with no partner. As recent research has shown, and despite an ageist societal view on the topic, our sexuality doesn’t die with middle and growing age. Our sexual needs and levels evolve and change over the years, and the particular issues that might arise from menopause, for example, do not mean we should give up on it. We just need to learn to adapt.

Emily Power Smith may be Ireland’s only clinical sexologist, and talks to large numbers of middle-aged women in her clinics and at talks around the country. “I’ve spoken and written more on this topic than any other related to sex, and the main driver for women coming to me with an issue is poor education. Generally women are very misinformed about what they should be expecting and are very quick to blame themselves.”

If we look at sexual activity as a life-long issue, there can be plenty of interruptions to the normal flow, including illness, childbirth and child rearing, loss of confidence, menopause, and hormonal fluctuations. Low libido, erectile dysfunction, and vaginal dryness are all just normal challenges that can affect our sexual lives, but importantly, ones that can be easily addressed.

“We do specific menopause consultations and counselling for women who start experiencing changes and want to know that they are a normal part of the ageing process,” says Dr Shirley McQuade, medical director of the Dublin Well Woman Centre. “Many women come in with a specific symptom thinking it’s all over, but in fact nearly all issues can be addressed. You just need to realise that your, and your partner’s body changes.”

So what are the main issues and what can be done about them?

Peri-menopausal symptoms

Menopause can effect every aspect of your being, and symptoms including hot flushes, not sleeping, and poor concentration levels, can affect how you feel about yourself.

“Hormonal changes can mean your libido and sex drive go, as well and the emotional havoc they can play,” explains Dr McQuaid. Mood swings, empty nest syndrome, trying teenagers, or work/life balance can weigh in to make us feel less than energetic about sex.

“It is really important to take the time for yourself when you are peri-menopausal, to take stock and adjust to the changes that are happening. I see lots of women who have reached senior career level or have lots of people depend on them and it can be difficult because they feel overwhelmed and aren’t giving enough time to themselves to deal with how they feel.”

The advice is to take pressure off yourself, and try and cull some of the responsibilities. Exercise, eat and sleep well and acknowledge that you can seek help if you need it. “I’ve seen women go to cardiologists because they think they have heart problems when they wake up sweating in the night, or go to rheumatologists with joint pain, when in fact they are just the symptoms of hormonal change.”

Hormone Replacement Therapy

HRT is a common treatment for women who are suffering from continued and difficult symptoms, and it only takes two or three weeks to find out if it will work for you. According to the National Institute for Health and Care Excellence (NicE) in their 2015 recommendations, the benefits of HRT, available in tablet form, gels, and patches far outweigh any risks.

According to Dr McQuaid, it is a positive option to take. “About 15 years ago there were scares about risks relating to heart disease and cancer, but the studies were seriously flawed. For women who take it through their 50s, the benefits are significant.”

HRT is available for as long as your symptoms last, with the average duration being eight years. Despite scaremongering to the contrary, there are no withdrawal symptoms or problems when you stop taking the drug, as long as you leave it long enough for your natural menopause to conclude. HRT masks the symptoms, so if you stop before they have fully receded, they will return.

Not all women experience menopausal symptoms, and for women who do, they do eventually pass.

Vaginal dryness

It is completely normal for most women in menopause to experience dryness. The drop in your body’s oestrogen levels means the vaginal membranes become thinner and drier which can makes for uncomfortable dryness. As a result, thrush and Urinary Tract Infections (UTI) are also more common. Lubrication is widely available and will transform your sexual experience if dryness is a problem. Dr McQuaid also recommends treating the underlying issue rather than just the symptom. A prescription product, licensed in Ireland as Vagifem, provides low levels of oestrogen to the local area, and if taken over the longer term can alleviate all symptoms of dryness. Regular sexual activity or stimulation from masturbation also promotes vaginal health and blood flow.

Erectile dysfunction

For men who may identify their every maleness with work and sexual ability, a lowering of libido or erectile dysfunction can be catastrophic. However, accepting that this will happen occasionally, and seeing it a normal part of the ageing process and hormonal changes may encourage them to seek help. The advice is to go to your GP to get checked out to make sure erectile dysfunction is not related to vascular changes and bold pressure / diabetes, and then again there is a simple medication solution.

Painful intercourse

Again this can be a common change in sexual experience, usually due to vaginal dryness. However, other reasons could be a prolapse of the uterus or front wall of vagina which can cause discomfort, so the first port of call for any pain is to get examined by your GP or at the Well Women clinics. All issues can be addressed with medication or procedures.

Heavy periods

A common complaint for women entering peri-menopause is very heavy periods, which are caused by the womb being uncomfortable and bulky. Some women from the age of 40 develop fibroids which make the womb heavier and along with hormonal fluctuations, combine to make structural and hormonal changes that affect the flow of periods. Some women have low iron levels, because heavy periods are the main reason for low iron which makes you tired, so it’s important to keep a medical check on your body while going through the menopause.

Traditionally this was often treated by a hysterectomy, whereas today women can access the pill or coil. All countries where the coil has been introduced have seen a significant reduction in hysterectomy operations.

Change of mind

Addressing specific symptoms is only one way of evolving our sexual lives. Changing the way we have sex is another. “I meet women who have only ever used one position, and now that that proves painful they are at a loss,” explains Dr McQuaid. “It’s useful to experiment and change. It’s more interesting too!”

What we need to remember is that sex is not just about intercourse. There is a variety of sensual, loving, exciting activities that can bring joy and satisfaction. For women experiencing menopause especially, they might need and want more touching and foreplay than before, but after years of marriage, it can be more difficult to change. Asking for what you need is important. Tantric sex – slightly ridiculed in the press after Sting and Trudie Styler admitted to it – is encouraged by many counsellors as it focuses on the sensual intimacy rather than an orgasmic goal.

Whatever the issue with sex may be, Dr McQuaid advises you start with a medical to check to make sure everything is okay. Once that is done, it’s just about dealing with specific issues. “I’ve had a 78-year-old woman come to me recently having a little bit of trouble because her partner has been given Viagra. So she went on Vagifem and has no more problems,” says McQuaid. “I have lots of women come to us for help and they’re happy and healthy and they certainly don’t stop having a sex life. Nor should they.”

Psychologically however, it is also important to rise above the social conditioning that we lose our sexiness as we get older. “There is just no scientific evidence to back this up,” explains Power Smith. “Irish women are very quick to blame themselves and feel guilty for not being better, not feeling enough or good enough. In part we are brought up to feel this way with magazines and media, and then when middle age hits, physical things happen to compound that.” She has three golden rules for women in their middle age with regards to keeping their sex lives healthy and functioning: masturbation, lubrication and communication.

So while the number of potential causes of sexual changes and challenges during menopause and middle ageing can seem overwhelming, there are just as many strategies and treatments for overcoming them.

You can go back to drinking your coffee now.

Complete Article HERE!

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Sex education needs to pay more attention to masturbation

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Having a wank is bloody brilliant.

It’s the only form of sex that’s 100% safe from risks of STDs. It’s a vital part of learning what you like. It’s a way to enjoy sexual pleasure without the need for a partner or a random hookup buddy.

It’s safe, great, and healthy, basically.

So why is masturbation so rarely mentioned as part of sex education?

If your experience of sex education was anything like mine, masturbation wasn’t mentioned once.

The focus was likely on the reproductive side of things, teaching you about how eggs are fertilised and babies are made.

But your sex education classes also likely had lessons around STIs. You remember – the classes in which they told you to always, always use a condom and showed you a bunch of scary pictures of genital warts.

t’s strange that in these lessons, we were only presented with two options: use contraception or don’t have sex.

Why wasn’t masturbation offered as an alternative – a way to try out sex without any risks?

A lot of it boils down to the complete exclusion of sexual pleasure from sex ed.

The majority of our sex ed lessons like to pretend that sex is had purely for the purposes of reproduction, skimming over things like the female orgasm (because unlike male orgasm, it’s not essential for conception), the existence of the clitoris, and sexuality.

Ignoring pleasure and, as a result, masturbation (a sexual thing for only the purpose of pleasure) can be damaging.

It encourages the idea that sex isn’t about enjoyment, and that painful, unpleasant sex is perfectly okay. Because feeling sexual isn’t mentioned, there’s no suggestion of only having sex when you’re really into it.

Ignoring masturbation, and our desire to masturbate, allows all kinds of unhealthy stereotypes to be upheld.

Girls are allowed to think that wanting sex is weird, or gross, or makes them a slut. By refusing to mention masturbation, we uphold the idea that it’s something to be silent about, to be ashamed of.

Refusing to talk about it means there’s no opportunity for teachers to break down myths, like masturbating making you blind (it doesn’t), or masturbating being morally wrong (it isn’t).

A lack of masturbation mentions also means there’s no opportunity for educators to make sure people are masturbating safely – with the right tools, with clean hands, and with consideration for your delicate bits.

By the time they reach sex education classes, many young people are already masturbating.

But they likely aren’t talking about it, feel ashamed of doing it, or aren’t sure how to do it.

Those who are already having solo sex sessions could do with reassurance that what they’re doing isn’t shameful or unhealthy.

Those who aren’t need to be taught that masturbation is a near-essential part of having a satisfying, healthy sexual relationship – one in which you’re aware of what you like and can guide your partner to get you off.

Being unaware of what pleasure feels like, and your ability to give yourself pleasure, is dangerous. It allows young people to put up with painful, uncomfortable sex that they believe is to be expected, or to believe their pleasure isn’t necessary.

Young people need to be taught about masturbation because it’s the starting point of learning about sexuality and pleasure.

They need to be taught about masturbation so that they know it’s nothing to be ashamed of, nothing to make fun of, and that it doesn’t define them as ‘weird’ or ‘gross’.

They need to learn about masturbation so that they’re able to start exploring sex without needing to involve someone else – someone who may not have their best interests at heart.

If you want your kids to have safe sex, teach them about masturbation. If that feels awkward, that’s a shame, but it’s reasonable. That’s why we need schools to be mentioning masturbation at the same time as sex.

Complete Article HERE!

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Revealed, fifth of women unhappy with sex lives

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One woman in five is unhappy with her sex life, a major survey carried out for the Daily Mail reveals.

Only 17 percent of women say they are very satisfied.

By SOPHIE BORLAND

And only 17 percent of women say they are very satisfied.

One in ten has sex only once a year at most, while two thirds make love once a month or less. Just 10 percent said they had sex at least once a week.

The survey of 2 002 women aged 30 to 80 was commissioned by the Daily Mail in association with LloydsPharmacy.

A quarter of all women said they sometimes avoided sex because they were too tired, while 13 percent did so because they were too anxious, 11 percent due to a lack of intimacy with their partner and 11 percent because sex was painful. Six percent said their partner had issues such as erectile dysfunction.

About 27 percent – mostly those who were single, divorced or widowed – said they never had sex.

The survey found that the 30 to 44 age group are the least happy with their sex lives, despite having sex the most often.

A quarter of this group said they were dissatisfied, including 11 percent who were very dissatisfied. Half those aged 65 to 80 declined to say how often they had sex, believing it a private matter.

Experts said many couples find sex a chore because they are too busy or exhausted to make it enjoyable. Peter Saddington, a Nottingham-based sex therapist for Relate, which provides counselling services, said: “The common problem is lack of time.

“People say they haven’t got the time, haven’t got the energy, they’re feeling pressured, it’s hard to switch off from work.

“Actually being in a relaxed enough state to have sex just doesn’t happen. You go through a period of time of squeezing sex in, then it becomes dissatisfying so you end up not doing it at all.

“It can become a chore, it can become boring if it’s repetitive, uninteresting and there’s no involvement or enjoyment.”

Krystal Woodbridge, a psychosexual counsellor based in St Albans, Hertfordshire, said: “It’s a very common issue and arguably it is becoming more common.”

Women do not enjoy sex if they do not feel a strong, emotional bond with their partner, she added. “If she’s angry, upset or resentful to her partner for any reason, she is going to have a low sexual desire.”

Professor Mary Ann Lumsden, senior vice president of the Royal College of Obstetricians and Gynaecologists, said women who experience pain during sex may suffer from a medical condition.

“If women are concerned about changes in their sexual feelings, they should speak to a healthcare professional,” she said.

“Many women may feel too embarrassed to discuss intimate issues and suffer in silence, but it is important to remember that healthcare professionals are used to talking to women about this and are happy to offer treatments that could help women enjoy sex again.”

Natika H Halil, chief executive of the Family Planning Association said: “Sexual wellbeing is an important aspect of many people’s lives, but unfortunately many different factors can get in the way. Good communication can go a long way to help address anything that might be impacting your sexual wellbeing.

‘By sharing your sexual likes and dislikes, ideas about what you’d like to try, or speaking up about things you don’t want, it’s much easier to find pleasure with each other. It also means you don’t have to act as a mind reader and play a guessing game of what works.”

Complete Article HERE!

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What To Do If You Get A Panic Attack During Sex

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By Sophie Saint Thomas

A few years ago, while an ex-partner was going down on me, I realized I was having trouble breathing. Then a sense of dread filled my head, and I felt like I was being stabbed in the chest. So I quickly asked him to stop — not because he was doing anything wrong, but because I was having a panic attack during sex.

One of the (few) good things about panic attacks is that they usually only last for about 15 minutes, says Gail Saltz, MD, psychiatrist and author of The Power of Different: The Link Between Disorder And Genius. When I had my attack, I sat on the edge of the bed and did a series of breathing exercises. Gradually, I did begin to feel better.

But one of the most perplexing aspects of panic attacks is that they’re intensely fearful physical reactions that occur in the absence of any real danger or identifiable cause, as the Mayo Clinic explains. In my case, I was in a safe space with someone I trusted when my ex was going down on me. However, I had very real and terrifying feelings of detachment, the aforementioned shortness of breath, and chest pains.

Of course, I’m speaking about panic attacks during consensual sex. Fear that happens during an assault or dangerous sexual experience is completely different than having a panic attack during healthy sexual intimacy. (Reach out to RAINN if that’s the case.)

Although there are many causes for panic attacks, post-traumatic stress disorder (PTSD) is often to blame, says Barbara Greenberg, PhD, clinical psychologist and relationship expert. That was true for me: I’m a survivor of multiple sexual assaults and have been diagnosed with PTSD by a psychiatrist. As a result, sometimes during sex, I’ll have a flashback of an incident and experience a panic attack. Although the attacks subsided thanks to therapy and medication, it’s an ongoing process.

That said, panic attacks during sex can also happen to people who haven’t been sexually assaulted or diagnosed with PTSD. Dr. Greenberg says that generalized anxiety disorder and panic disorder can also trigger panic attacks during intimacy, but anyone can have one during their life — with or without a diagnosed disorder. Sometimes these things just happen.

However, if your panic attacks are, like mine, recurring and have an identifiable root cause, it’s an especially healthy idea to see a psychiatrist, Dr. Saltz says. “If you are having multiple panic attacks or PTSD flashbacks you should 100% get treatment,” Dr. Saltz says. Treatment will begin with an evaluation of the cause of the panic attacks with a mental health professional. Then, that person will suggest therapy, medication, or both.

But is there anything you can do when you’re in the midst of a panic attack during sex? The first thing to do, if you can, is explain to your partner what’s happening — and step back from sex to take care of yourself. You can always try having sex again later when you’re feeling better. Deep breathing exercises, mindfulness practice, and reassuring self-talk can all be helpful in calming a panic attack, says Michael Aaron, PhD, a sex therapist and author of Modern Sexuality: The Truth about Sex and Relationships. Changing your physical position or getting up to walk around can also help comfort you.

At that point, Dr. Aaron says it’s okay to take any anti-anxiety medication you’ve been prescribed, such as benzodiazepines (e.g. Xanax, Ativan, and Klonopin). Because you can become dependent on such medications over time, they’re meant to be used on an as-needed basis, Dr. Aaron says. But, depending on your individual needs, you may be taking them for a week or have a prescription at-the-ready for the rest of your life. While you’re taking these medications, though, you’re also (ideally) learning other self-soothing techniques in therapy that will come in handy when you stop taking the meds as frequently.

On top of managing what’s happening in your own mind and body, explaining it to your partner presents another challenge. In particular, when I had a panic attack, my partner had a hard time understanding that he did nothing wrong. But Dr. Saltz says that, in the moment, it’s enough to “tell your partner [your panic attack] will pass, take slow and deep breaths, and relax your muscles.” After the crisis has passed, you can get into a more detailed description of what you experienced — and how it wasn’t your partner’s fault.

If you’ve been a witness to someone else’s panic attack, know that they have likely experienced panic attacks before meeting you and probably will have them after you’ve parted ways, says Amanda Luterman, MA, OPQ, a psychotherapist who specializes in sexuality. “What you can do is be a soothing and stabilizing partner for that person, keep the focus on them, and reassure them that it’s going to pass,” she explains.

So, remember that panic attacks do go away. But if you continue to have them during sex as part of a larger mental health issue or due to unresolved trauma, you should seek treatment. Trust me, it can be a life- (and sex life-) saving experience.

Complete Article HERE!

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