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Sex Therapy—What Is It and Who Needs It? – Part 2

(Look for Part 1 of this series HERE!)

Of course, there are plenty of individuals—and couples—who haven’t waited until the last minute to seek help. These people want to be proactive about their concerns. Some people simply need some clear, unambiguous information about human sexuality. A surprising number of people are trying to piece together their sexual lives, but are hampered by misconceptions and misinformation.

Sometimes a momentous event motivates a person to address arising sexual or intimacy issues. The birth of a child, a disease process, a death in the family, or an accident can fundamentally alter the power dynamic of a relationship, which will require a rethinking of the entire relationship.

Or perhaps someone comes to a new realization about him or herself: Perhaps they are finally able to acknowledge their bisexuality, or that he’s gay, or she’s a lesbian. Maybe they are finally able to acknowledge a fetish—he’s a crossdresser, or she’s into another kink. Things like this obviously impact the individual, but if that person is in a relationship, the relationship is also affected. People in these self-revelatory situations are often unsure how to talk about their discoveries with a partner, which is another reason they seek counseling.

Some couples don’t fret when the sex vanishes from the relationship; other couples are devastated. What does one do when one partner still has sexual needs, but the other doesn’t? Often, there are unexplored options that can hold the relationship together, but will address the disparity in sexual interest and desire.

In this case, I can help the couple make compromises without losing their moral compass. Some couples navigate this with ease; others not so much. It can be extremely challenging, but there are ways to preserve what’s sacred about a primary relationship, while contemplating opening the relationship to include others. I can help a couple establish guidelines and ground rules for making the necessary adjustments.

Sometimes the relationship is really wonderful and fun. The couple really loves each other, but they’ve noticed their sex life together is pretty boring and stale. I’m often approached to simply help a couple spice things up. In this instance, my work is sheer joy. Mostly, I just give them permission to experiment and have fun.

You’ve probably noticed that a good portion of the work that I do as a sex therapist is merely giving permission. That may not sound like therapy at all, but when you consider that our sex-negative culture is so full of prohibitions; permission giving is often the front line of sexual rehabilitation. Most of the permissions I give are for an individual to educate him or herself about his or her body and his or her sexual response cycle. Personal exploration, such as masturbation, is the very best means to that education. I’m a huge proponent of partners masturbating together.

Happily, our need to reacquaint and reeducate ourselves about our bodies and our sexual response cycle is a life-long process. There is always something new to explore. As we age, our bodies change, and if we don’t keep up with those changes, we can become frustrated and disoriented. Older people, menopausal women and andropausal men, take longer to build up “a head of sexual steam,” so to speak. If they’re not attuned to the changes they’re going through, they can easily miss the important cues their body is sending to slow down and enjoy the sensuality.

Of course, I could go on and on, but now I want to leave you with what is the distillation of years my thinking about the role sexuality plays in our life:

I believe that sex is like food. We can enjoy it alone, or with others. We can be abstemious, or gluttonous. We can nosh or nibble; dine or devour. And we can be certain there will be both times of feast and famine.

Sex is like food. It can nourish and sustain us, or it can make us sick. We can consume all the available bounty, or restrict our diet. It can completely satisfy, or leave us devastatingly empty. We can employ it to express our highest aspirations, or allow it to rob us of our soul. We can give it as a gift, or use it as a weapon. It can be both bacchanal and sacrament.

One thing is for sure, whether purely physical or transcendentally spiritual, no one can live without food…or sex.

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Oh sweet mystery of life at last I found you

In lieu of Product Review Friday, we have some interesting Q&A about sex toys.

Name: Tadd
Gender: Male
Age: 31
Location: Arizona
In one of your podcasts you told some guy about a strap on kit he could buy for his GF. Could you repeat that? I’ve been trying to find one.

I responded to an inquiry from Karol from Poland a while back. He asked about a strap-on kit. I told him: “As to your question about a strap-on and what a guy should know about buying one for his female partner. I suspect the overriding concern for the amateur butt pirate is to get his gal a comfortable harness that can accommodate a couple different sized dildos. I suggested that he turn his attention to the Dr Dick’s Stockroom banner in the sidebar. I told him to click through there and search for the Bend Over Beginner Harness Kit (B664).  The good people at Dr Dick’s Stockroom have painstakingly put together everything you need for your first pegging!”

  • Is there someone in your life who is curious about strapping it on, but doesn’t know quite where to begin? Well, we have the perfect starter kit! Everything a beginning sensuous player would need to strap it on is included in this package (except their favorite water-soluble lubricant – sold separately).
  • This strap-on harness is low-riding with a fuzzy, deep purple velvet front and highly adjustable nylon straps. The kit has 2 color coordinated, shimmery purple dildos. These hypoallergenic silicone dildos are shaped and sized appropriately for those just beginning anal play adventures. The smaller is approximately 4″ long and 3⁄4″ wide, while the larger one is 5″ long and 11⁄4″ wide.
  • A powerful variable-speed mini-vibe sits in a secret pocket behind the dildo to give the wearer an extra jolt of fun. The straps are adjustable, fitting up to 50″ hips. The 1.5″ O-ring can be exchanged for play with other sized dildos (sold separately). Washable, smart, and sexy. Bottom line – this is one hot strap-on package!

Name: Gary
Age: 58
Location: Tampa
I’m a widower; my wife of 29 years died a little over a year ago. I’m just now getting back into the swing of thing. The sex I had with my wife was very conventional now I want to try something different. I want to go to a dominatrix. I’ve always had a fantasy about a woman owning and punishing my privates. It’s a big turn on. Is there anything I should know about this?

I love it, another kinkster in the making. Coming out as a perv, in my opinion, is better done late than never. My first suggestion is that you find a better term for your privates than “privates”. You sound like your mommy. I suggest cock and balls, it pretty much says it all very succinctly.

Have you done your homework in terms of finding the right dominatrix? I suppose you have at least a couple in mind, right? Might I suggest that when you make contact with one or another of these professional women that you be very specific about what you want and how you want it. You can ask for some hot CBT (cock and ball torture). Ya see, knowing the right vocabulary will often expedite your getting precisely what you are looking for.

Here’s a tip…a good submissive, or sub — that’s you, Gary, will want to bring his dominatrix, or dom a little gift to start things off on the right foot. May I suggest this little number: A Male Chastity Kit (B702). Look for it in the Dr Dick’s Stockroom.

  • The CB-3000 represents the latest design in modern male chastity devices from the same designers who invented the best-selling CB-2000 and The Curve. Some customers wanted a size mid-way between the CB-2000 and The Curve. The manufacturers listened to our customers’ requests and have allowed us to bring you this exciting new male chastity device.
  • The natural flow of lines in this model represents the cock and conforms to the body. The slim, smooth lines permit the CB-3000 to be worn easily under clothing. It is slightly vented with curving lines and custom openings for comfort and hygiene. The material, a highly durable transparent polycarbonate, is functional and appealing, and its strength exceeds that of acrylic and many other plastic blends.
  • Some men find it possible to use the urinals while wearing the CB-3000, though most find it more practical to sit. When locked with a plastic lock, the device will not set off metal detectors in airports or at other security checkpoints. So it is possible to wear the device 24/7 without interfering with travel or business routines. (Just make sure to use the plastic lock and not the brass lock under these circumstances.) This compact design involves no uncomfortable belts, straps or chains.
  • The CB-3000 consists of two main parts, the cage portion (inside length 3″ – inside diameter 1 3/8″) and the cuff ring. They easily slide together by means of two guide pins and a locking pin. The guide pins extend from the cage portion. Different-sized spacing rings are provided to allow a personalized fit.
  • The five rings included in the kit have inside diameters of 1_”, 1 5/8″, 1_”, 1 7/8″, and 2″. Once you find the right spacing, simply use a pair of side cutter pliers to snip the ends of the guide pins and then smooth the edges with an emery board or file. The locking pin is slightly recessed into the body cuff.
  • The Body Cuff comes in five different sizes, and swivels open at the bottom so that it can be closed easily around the cock and balls. Align the locking pin holes with the locking pins on the main part of the cage, add the proper amount of spacers, and then install the cage portion. The balls will then be trapped between the cuff and the cage. The smooth, rounded design minimizes pinching and chafing while being worn.
  • Finding the right-sized Body Cuff is extremely important for reasons of comfort and security. It should be as tight as possible without cutting off any circulation. If you are wearing a cuff that is too tight, it will cause some swelling and discoloration of the ball sac. If you see any discoloration, or experience numbness or aching discomfort, you definitely need to go to the next larger size. If you have a particularly high (short/tight) ball sac, you may find that you will need to stretch the ball sac slightly before the CB-3000 becomes comfortable and suitable for longer-term wear. For the most comfortable fit, the balls should hang below the cage and cuff ring. to prevent pinching.
  • I highly recommend applying baby oil/gel (or a similar product) to your cock with a cotton swab after showering. This practice allows your willie to move naturally up and down in the cage portion. Then you should be able to wear it 24/7 for indefinite periods of time. Some people have kept it on for months.
  • The CB-3000 kit includes the following: One brass padlock with 2 keys, 5 individually numbered, tamper-proof plastic locks, 3 different lengths of locking pins and 5 differently-sized spacers.

Good luck

More of the Indomitable Human Spirit

Name: Bert
Age: 54
Location: Amsterdam, The Netherlands
Dear Sir,
7 years ago I lost my lover who I had lived for 14 years by AIDS. 6 months later I met my present lover. His lover just died of lung cancer. We met each other at a time we needed someone in our life. I am not a person who steps inside easily into a relationship. For the first 3 years we had a review every 3 months and every 3 months we extended our relationship for another 3 months. I needed time to get over my loss. My problem is that I cannot ejaculate when I have sex with my present lover and my appetite for sex has vanished. Before my lover died I had the greatest appetite for sex and I had no inhibitions about sex. I feel shy and uncomfortable when he approaches me and I do have an erected penis. In the first years I thought the reason was my lost of my lover. But after seven years it must be over. Can you give me advice?

Grief has a profound effect on our sexual response. In my practice I have found that grief is one of the leading causes of sexual dissatisfaction and dysfunction. You, Bert, present the classic symptoms of grief induced sexual dysfunction and dysphoria.

As you probably know, some animals mate for life. When the mate dies, that animal will not mate again. Are you such an animal? Is seven years of grieving enough? I can’t say. Grieving is such an individual thing. What I can tell you is it’s time for you to bring this concern to a professional for help. I suggest that you seek the help of a qualified sex-positive therapist, someone who is well versed in both sexuality and grief counseling. It’s imperative that you address this issue as soon as you can. Don’t let this go unattended any longer. It will fester and destroy any sexual relationship you will try to establish in the future.

If you can’t find anyone to help you where you live, perhaps you and I can work together. Thanks to the internet my practice is no longer geographically bound. I am able to see clients all over the world. If you’d like to learn more about me, my philosophy and the services I offer; look to the tab in the header that reads: About DR DICK.  The tab in the header that reads: Therapy Available will explain how you can contact me to set up an appointment.

Name: Lenore
Age: 27
Location: IL
Whenever I have sex with ANYONE (it could be the hottest guy on the planet) I have to ALWAYS imagine I am with someone else from my past. The guy in question was the first guy I ever had sex with. We only did it once and I never saw him again after that. I was 17 in high school and he was 23 in the navy. Now if I don’t imagine this guy I can’t achieve orgasm, no matter how GOOD the partner I have is making me feel. I’m having a good time, I lubricate like crazy, but when it gets right down to it, I HAVE to think of this guy or no orgasm.
Can you give me some advice on this?

Are you suggesting that what you describe here is a problem? Or are you just making a point and asking me for my thoughts on the matter? I hope it’s the later, because I don’t see that your fantasy life is getting in the way of you enjoying your sexuality. On the contrary, your fantasies are enriching your sexuality. You’re able to fully enjoy sex, even to orgasm…with the help of your recollections of the guy who popped your cherry.

As to what goes on in your head during sex, well that’s no body’s business but yours, unless you want to tell your partner what’s on our mind. Everyone enjoys sexual fantasies as an integral part of their sexual expression. And rarely do those fantasies include the person right there bumpin’ parts with us. There’s nothing wrong with that, don’t ‘cha know! I mean, why would you want to leave your largest sexual organ, your brain, unstimulated when your pussy is having such a good time?

Why not just enjoy what works for you?

Good luck ya’ll

LORDY, LORDY, LORDY!

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

Dear WH,

Your life reads like a cheap porn movie script. Lordy, the good doctor nearly got the vapors simply reading through your very explicit missive. (As you can see, I had to edit out some of the more gory details so I could protect your identity in this public forum.) Of course, as you suggest, it never hurts to advertise. You’re so bad!

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

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

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

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

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

Good Luck

More Sex Wisdom with Mikaya Heart — Podcast #298 — 09/14/11

Hey sex fans, welcome back!

So glad you’re back for another big dose of SEX WISDOM with my amazing guest Mikaya Heart. As you recall from last week’s show, Mikaya is the author of The Ultimate Guide To Orgasm For Women; How to Become Orgasmic For A Lifetime.

You’ll also remember that in introducing last week’s show I said that Mikaya’s book is by far the best book about women’s sexuality that I have read in the past decade, if not longer. And apparently ya’ll agree, at least those of you who contacted me with your comments. Mikaya is so passionate and compassionate about women’s sexuality that if her name weren’t already Heart, the consensus is, we’d have to rechristen her that.

But wait, you didn’t miss Part 1 of our chat, did you? Well not to worry if ya did, because you can find it and all my podcasts in the Podcast Archive right here on my site. All ya gotta do is use the search function in the header; type in Podcast #297 and PRESTO! But don’t forget the #sign when you do your search.

Mikaya and I discuss:

  • The necessity of talking about sex;
  • The power of fantasy in sex;
  • The problem with disengaging our rational brain in sex;
  • The spiritual dimension of orgasm;
  • The shamanic sensibility of sex;
  • Different kinds of orgasms;
  • Sex as a metaphor for life;
  • Sex and aging;
  • The disappearing orgasm;
  • The role of relationships;
  • Love and sex.

Mikaya invites you to visit her on her site HERE! And look for her on Facebook HERE!

(Click on the book cover below for more information and to buy Mikaya’s book)

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 my podcasts on iTunes. You’ll find me in the podcast section, obviously, or 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: Hot Plus Size Lingerie.
Plus Size Lingerie

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