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I’m a Clinical Sexologist in private practice here in Seattle. I’ve been a practitioner of psychotherapy, sex therapy and relationship counseling for over 30 years. I am a sex positive and kink aware helping professional.

I am available weekdays, some evenings and weekends so you can comfortably fit your sessions in around your work, family and social life.

If you would like to talk to someone about your sexual thoughts, feelings, lifestyles and/or experiences then arrange for a consultation at our mutual convenience.

WHAT I OFFER / THERAPY, COUNSELING, CONSULTING or COACHING SESSIONS
I provide therapy in a variety ways —

  • on the telephone
  • online
  • in person

All sessions are 60 minutes in duration. Telephone and online appointments are paid for in advance via Paypal.

Here’s a bit more about the way I work.

I don’t believe therapy should become a lifestyle. Thus, my therapeutic intervention is short term, goal directed and personally liberating. I generally contract with my client(s) for four, six or eight visits (clients of course can terminate at any time). This way we build in an automatic termination date, keeping all of us focused on the goal and honest about the progress we’re making. And, more importantly, the end is always in sight. Rarely do I see client(s) for more than eight session in a row. If my client(s) doesn’t have what he/she/they need to work independently on the problems he/she/they face by that time, then I didn’t do my job properly.

I also firmly believe in at-home-work and journaling. These things keep my client(s) integrated and involved throughout his/her/their with me. Our time together will be concentrated, so there will little time to waste…either yours or mine.

My fee is $110 per session. I do, however, offer a sliding fee schedule for those who have need of that.

You’re welcome to contact me for an appointment if you’d like to move forward with this. You can reach me at: dr_dick@drdicksexadvice.com

TELEPHONE
Some people find it easier to talk about intimate aspects of their life over the phone rather than in person. Access therapy from the comfort and privacy of your own home, car or office. Telephone therapy helps get round geographical, transport and mobility issues.

ONLINE
I can also provide my services via the most commonly used chat and message platforms such as Skype, Yahoo Messenger, etc.

SCHEDULE THERAPY
To book your therapy session(s) email me your preferred date and time dr_dick@drdicksexadvice.com. We will then arrange your preferred payment method. Sessions can be made in block bookings or singly whatever suits your budget and commitments. Early booking is advisable.

CANCELLATIONS
A 24 hours notice is required from the client to cancel or change a booked appointment time. Clients will not be entitled to a refund or an alternative appointment if a cancellation is made with less than 24 hours notice.

PUNCTUALITY
All sessions will start and end at the agreed time. Late calls or visits will result in a shorter consultation. All consultations are by appointment only.

SERVICES
Clinical services cover a full range of sexual heath concerns including:

— Guilt associated with religious upbringing or training.
— Sexual trauma and/or sexual abuse
— Conflicts or sexual dissatisfaction between partners.
— Ejaculation and/or erection concerns.
— Orgasm concerns.
— Sexual orientation/lifestyle preference.
— Sexual inhibitions.
— Socio-sexual skills.
— Sexual misinformation.
— Love and sexuality.
— Jealousy and possessiveness.
— Poor body image.
— Unsatisfactory sexual outlet.
— Safe-sex concerns.
— Sexuality and illness or disability.
— Sexuality and grieving.

My practice combines the best of a short-term cognitive behavioral therapy model with a compassionate, person-orientated counseling technique. My purpose is to help clients come to terms with their sexual problems and conflicts as these relate to their own life values, expectations and goals.

My services are open to individuals, couples, families and groups, of any sexual persuasion, who have sexual concerns. I am available for lectures, workshops, and in-service training.

BACKGROUND
Since the completion of my doctoral studies in 1981 I have been involved in a wide range of sexological activities including counseling, teaching, lecturing, writing, publishing, video production, in-service training and facilitating groups and workshops.

I’ve been writing this online sex advice column for well over fifteen years now.
I am the founder and former Executive Director of the nonprofit organization, PARADIGM; Enhancing Life Near Death — an outreach and resource for terminally ill, chronically ill, elder and dying people.

My therapeutic training includes The Institute for Advanced Study in Human Sexuality San Francisco, The University of California, San Francisco Human Sexuality Unit, and The Pacific Center for Human Growth, Berkeley.
Besides my sexological training I carry a Masters degree in Theology from the Jesuit School of Theology, Berkeley.

I am Board certified by The American College of Sexologists, The American Board of Sexology and The American Association of Sex Educators, Counselors and Therapists.

Richard Wagner, M.Div., Ph.D., ACS





More of Megan Andelloux – Podcast #222 – 07/28/10

Hey sex fans,

My friend and colleague, everyone’s favorite Sexual Health Educator, Megan Andelloux. is back with us this week with more of her signature SEX WISDOM. I am so happy to have her here again this week for Part 2 of our conversation about what’s new and exciting in the field of sexology.

But wait, you didn’t miss Part 1 or our conversation that appeared here last week at this time, did you? Well not to worry if ya did, because you can find it and all my podcasts in the Podcast Archive here on my site. All ya gotta do is use the site’s search function to your right; type in Podcast #220 and Voilà! But don’t forget the #sign when you do your search.

Megan and I discuss:

  • The sex “addiction” controversy.
  • Celebrity sex scandals.
  • Sex toys — health concerns and green toys.
  • Circumcision.
  • The G-spot debate.
  • Female ejaculation.
  • Age appropriate sex education.
  • Sex and aging.
  • Her sexual heroes.
  • The Center for Sexual Pleasure and Health

Be sure to check out Megan’s fun and informative website HERE! And to learn more about her nonprofit organization, The Center for Sexual Pleasure and Health, on their website HERE

See another slideshow of Megan & friends at work and play.

Click on the thumbnails below.

[nggallery id=79]

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for all my podcasts on iTunes. You’ll find me in the podcast section, obviously. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Today’s podcast is bought to you by: : Dr Dick’s Stockroom.

drdicksstockroom.jpg

Who’s up next?

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 harmful in peoples daily lives. Relationships come to an end because of men’s 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, etc.) 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 filmmaker more wealthy. What a great exchange.

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 I’m much better now.

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

Ya know the thing is, darlin’, I actually share many of your concerns — 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 otherwise healthy relationships — you could say about the worst aspects of organized religion, the fast food industry, our government, the credit card industry, the pharmaceutical industry, the medical industry, the war machine and it’s horrific profiteers, like Halliburton. And what about BP and the damage it is wreaking families, an entire way of life and on a whole ecosystem in the Golf of Mexico? The list goes on and on.

Hell, everything humans touch has the potential for becoming harmful and exploitative; it’s the nature of the beast. 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”? Are you suggesting that you are the alternative? Perhaps, if you weren’t so bitchy and condescending your men wouldn’t turn to porn. Your abrasive personality and moral rectitude would drive the pope to porn.

Oh, and have a nice day! NEXT!

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 inadequacy with the truth and a little tutorial on how to make you cum — lie to 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 inflated ego. Thanks to you and the deception you practice, he’ll be convinced that he’s a fabulous lover when, of course, he’s a Neanderthal.

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 all 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 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 like a 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.

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 jarred 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 back 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: Lorenzo
Gender:
Age: 33
Location: Italy
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?

Lorenzo, what you report is neither normal nor common. But do you really care about “normal” and “common” if this technique works for you? And what the fuck is normal anyhow — statistical normalcy? I think we can forget that being the arbiter of things sexual.

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 the style one employs to squeeze one off — and in your case, I mean that literally. If squeezing your cock with your thighs works for you — SWELL, 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.

As to the issue you present, it’s not particularly uncommon. Many people are unable to, or choose not to, get off in partnered sex. And there are several very 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 your partner.

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

Good Luck

More of Mark Zedler – Podcast #189 – 03/03/10

Hey sex fans,

We’re back with sex historian, Mark Zedler, and more of his fascinating SEX WISDOM. This is Part 2 of our enlightening conversation about some of our culture’s sexual taboos.

If you somehow missed Part 1 of this thought-provoking expose, which premiered at this time last week, you’ll find it in the podcast archive here on my site. All ya have to do is use the site’s search function in the sidebar to your right, type in Podcast #187 and Voilà. It’s that simple. But don’t forget to use the #sign when you search.

Mark and I discuss:

  • Same sex sexual expression integrated into the social fabric of the ancient world.
  • How social stigma become attached to same sex sexual expression.
  • Philo of Alexandria reinterprets the Sodom and Gomorrah story.
  • The repressive theology of John Chrysostom.
  • The power of the dominant culture to dictate social norms.
  • His passion for Female Ejaculation.
  • Does female ejaculation cause performance anxiety?
  • How information about FE was suppressed.

Mark invites you to visit him on his site HERE! Explore themes like alternative lifestyles, erotica, adult humor, taboos and the history of sex.

Mark put together a little slide show for you

[nggallery id=60]

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for all my podcasts on iTunes. You’ll find me in the podcast section, obviously. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Today’s podcast is bought to you by: : Dr Dick’s Stockroom.

drdicksstockroom.jpg

IN THE MOOD

Hey Sex Fans!

We came dangerously close to having a fantastic Sex EDGE-U-cation podcast for ya today.  Unfortunately, my scheduled guest had technical difficulties and we had to put off the interview till next week.  Such is life!

In lieu of a podcast, we have some swell Q&A.

Name: Brian
Gender:
Age: 40
Location: Canada
After a guy ejaculates can he have another ejaculation? Like after I cum if I put on a cock ring will it stay hard enough to continue with intercourse and achieve another orgasm? I basically want to cum twice in a row.

Yep, that’s doable.  All depends on your particular refractory period and how turned on you are.  Let’s take a quick look at the male sexual response cycle again, just so we understand what we’re talkin’ about.  Ok?

The sexual response cycle refers to the sequence of physiological changes that occur as we become sexually aroused and move through to afterglow. The sexual response cycle has four phases: excitement, plateau, orgasm and resolution. Both women and men experience these phases of course, although the timing usually is very different for each gender.  In addition, the intensity of the response and the time spent in each phase will vary from person to person and from situation to situation. That’s why I say cuming twice in a row is doable.  But is it gonna happen for you?  I guess we’ll just have to wait and see, huh?

Ok, Phase 1: Excitement (or the boner stage)

  1. Muscle tension increases.
  2. Heart rate quickens and breathing accelerates.
  3. Our skin may become flushed particularly on our chest and back).
  4. Our nipples may become erect.
  5. Blood flow to the genitals increases, thus the boner.
  6. Our balls swell, our sack tightens, and we may drip precum.  Mmmm, precum!

Phase 2: Plateau (or the strokin’ or pumpin’ stage)

  1. Everything in phase 1 intensifies.
  2. Our balls may pull up into body cavity.
  3. Our breathing, heart rate and blood pressure increase.
  4. Our toes curl, face contorts and hands clench.

Phase 3: Orgasm (or the “yabba dabba doo” stage)

  1. Involuntary muscle contractions begin.
  2. Blood pressure, heart rate and breathing excelerate.
  3. There’s a rapid intake of oxygen.
  4. Muscles in the feet spasm.
  5. There is a sudden, forceful release of sexual tension.
  6. Rhythmic contractions of the muscles at the base of our cock result in the ejaculation of spunk.
  7. A “sex flush” may appear all over our body.

Phase 4: Resolution (or the “I need a nappy” stage)

  1. During this phase, the body slowly returns to its normal level of functioning, and the parts of your body that swelled and engorged return to their previous size and color.
  2. This phase is marked by a general sense of well-being, enhanced intimacy and, often, fatigue.
  3. Most women are capable of a rapid return to the orgasm phase with further sexual stimulation and may experience multiple orgasms.

Men, on the other hand need recovery time after orgasm, this period is called the refractory period.  This doesn’t have to be the end of sex.  Like you suggest, a cockring may prevent your dick from going soft.  But don’t count on an immediate second ejaculation, even if your dick stays hard. Don’t forget, the duration of the refractory period varies and is situational.  It will also increase as we age.

Name: Ivan
Gender: Male
Age: 33
Location: Spain
I am considering the social usage of Viagra or Cialis to improve sexual performance. Which of the two would you recommend for recreational usage?

I don’t recommend recreational use of prescription drugs, particularly these vascular dilators.  And certainly not when used in conjunction with other non-prescription drugs.  Maybe you ought consider a low-tech solution like a cockring instead.

I hasten to add that I’m not averse to using some drugs recreationally.  But I think that we’d do well to stick to those that are more natural.  The less processing involved and fewer added chemicals the better, in my humble opinion.

Did you know that health officials in the UK and here in the US are investigating reports of blindness among men using Viagra and Cialis?  Why risk that if ya don’t have to.

I’m really concerned with the alarming rise in recreational use of these drugs by younger men, men in their 20’s and 30’s.  And like I said, this is even more troubling when they combine these drugs with ecstasy, cocaine, or crystal meth.  If your young body is having difficulty producing an erection at this tender age, then you need medical attention ASAP.

Besides the risk of blindness, there are several other reasons why you ought not abuse Viagra or a similar drug just so you can have wood that lasts for hours.  Your body will habituate itself to the substance and, in time, you won’t be able to get it up at all without ever increasing doses of these drugs.  This will surely fuck up your cardiovascular system big time.  In fact, you may very well be inducing the very sexual dysfunction the drug is supposed to help.

Consider the person who overuses eye drops or lip balm or any other otherwise innocuous over the counter health and beauty products.  Their bodies stop making the natural substances that these products are intended to assist.  It’s counterproductive and it’s ill advised.  And if this is a problem with relatively harmless over the counter products, you know you are playing with fire when you abuse powerful prescription meds.

Name: Yuri
Gender: male
Age: 20
Location: Russia
I want to make love kisses on my girlfriend’s vagina.  But I never did this.  What can I do?

Love kisses on her vagina, huh? You Russians are so romantique!

I think you are talkin about some good old fashioned cunnilingus, right?  Or as we say here in the US or A — eatin’ out at the Y, munchin’ carpet, muff divin’, pussy lappin’ and what have you.

If your girlfriend is as unfamiliar with gettin’ love kisses on her vagina as you are at givin’ them, you might want to give her a head’s up on what you plan to do.  Ya see some of our women folk are none too keen on the idea.  They have it in their head that their pussy is icky and not for oral consumption.  This is very unfortunate, but it is what it is.  If you think you’re gonna get a lot of resistance from your lady friend, you might start kissing her on the face and neck, then to the tops of her tits, her nipples, and her belly.  This will give her an idea where you’re headin’.  If you’re doin’ this right, hopefully she’ll be so busy enjoying herself she’ll not protest your trip south.

Proceed slowly. Make sure you’re you’re both comfortable. If you’re lying down, you best be on your stomach between her legs so that your string of kisses is as effortless as possible. Have a pillow ready to shove under her hips to raise her a bit if she’s willing to proceed.  If, by the time you get to her pussy, she doesn’t try to stop you, you’re home free.  Basically she is giving you tacit permission to proceed.  Of course you could check in with her and ask if you can continue.  But sometimes, in delicate situations like this, you may be better off keeping the conversation to a minimum.  She might be fine with it if she doesn’t actually have to agree to it.  Women are like that sometimes.

Try scooting her butt to the side of the bed while you kneel on the floor between her legs. This will give you all the access you’ll need.  And hey, don’t go divin’ right in there, for heaven’s sakes.  Take a moment to two to admire the beautiful spectacle before you.  Lordy, lordy ain’t that a sight for sore eyes.

Gently nuzzle, kiss, and lick her inner thighs and the area around her vulva.  With a little luck your gal-pal will be so aroused she’ll begin to guide your head into her snatch.  Lick her outer lips. Run your tongue up and down them. Nibble them gently with your lips. Next, work your tongue in between the outer lips to caress her smaller, thinner inner lips.  Circle her vaginal opening and perhaps dart your tongue inside her cunt.

I hope you know your way around a woman’s genitals, because If you don’t you’ll be bumbling around down there to no great effect.  And, while you may get an “A” for effort, you might very well wreck the moment by being too aggressive on her more sensitive parts.  Her clit is her magic button.  If you don’t know a clit from a hole in your head, do some research before you head south.

Approach her clit very slowly and gently.  Some women enjoy a tongue lashing directly on her clit. Others find direct contact too intense, even uncomfortable. Now is a good time to check in with her.  Ask for direction on how she wants you to proceed.  She may prefer you to circle her clit with your tongue, avoiding direct contact.

If your gal is unfamiliar with this kind of pleasure, she may not  kow to direct you.  If that’s the case, you’re gonna have to ask direct questions like:  Do you want it lighter? Or would you like more pressure? More of this?  Not so much of that?  Soon you will be able to tell on your own by observing her pelvic movements and listening to her moan if you’re doing a good job.  Sometimes the best communication is non-verbal.

While you’re down there, why not employ a couple fingers to spread things apart?  Add a little massage.  Use the tip of your tongue, then the flat of your tongue, then your lips as you move around her vulva.  All three feel a little different and each provide subtly different sensations.  Some chicks love pussy raspberries, you know…

Come up for air from time to time.  Look into here eyes, caress and massage her boobs.  Try slipping a finger or two into her mouth so she can suck them while you’re licking her. Or move into a 69 position and enjoy a little blowjob with you’re eating her out.

You may want to incorporate some ass play too.  Insert a lubed finger into her butt hole.  Just make sure that whatever goes in her ass doesn’t then come in contact with her cunt.  You definitely don’t want to introduce bacteria that can cause a urinary infection.

Good luck ya’ll

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