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Therapy Available

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 Andrew Epstein — Podcast #197 – 03/31/10


Hey sex fans,

We’re back with more SEX WISDOM from photographer, artist, illustrator, art director and cultural raconteur, Andrew Epstein. This is Part 2 of what we can safely call Andrew’s Dr Dick Kiss And Tell Tour. This amazing man totally knocks my socks off. He’s lived several lifetimes in the span of his sixty years and we have another half hour of him regaling us with his wacky exploits coming right up. Andrew picks up precisely where he left off last week. It’s as if he hadn’t taken a breath between then and now.

And here’s news! Part 1 of my chat with Andrew, which appeared last week at this time, is officially the most popular interview podcast to date. It broke all download records for a podcast in a single week. So yaay for that! But wait, you didn’t miss last week’s show, 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 site’s search function to your right; type in Podcast #195 and Voilà! But don’t forget the #sign when you do your search.

Andrew and I discuss:

Andrew invites you to visit him on his main site HERE! Or on his blog HERE!

Click on the thumbnail images below to see a slideshow of some of Andrew’s work.

[nggallery id=67]

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.

 

Sex Wisdom with Andrew Epstein — Podcast #195 – 03/24/10

Hey sex fans,

This here is a SEX WISDOM podcast, don’t cha know. The series where we chat with researchers, educators, clinicians, pundits and philosophers who are making news and reshaping how we look at our sexual selves. And today I have something astonishing for you. What if I told you I could introduce you to someone who, through his photography, chronicled our cultural history for the better part of last half-century and is still doing so today? And since a huge part of our cultural history is our sex history, he is the ideal guest for this series.

My guest is none other than Andrew Epstein, photographer, artist, illustrator, art director and cultural raconteur. He is here to chat with us about his life’s work; the people he’s known (and loved) who have changed the course of our society. Among them; Richard Schmiechen, Edmond White, Teri Garr, Roger Ebert, Ann Landers Bette Midler, Arnold Schwarzenegger, Robert Mapplethorpe, Mary Kay Place, Ann Bannon, Grace Jones, Margo St. James, Jeff Bridges, Fred Halstead, Tom of Finland, Leonard Matlovich and Peter Allen. This conversation is not to be missed!

Andrew and I discuss:

Andrew invites you to visit him on his main site HERE! Or on his blog HERE!

Click on the thumbnail images below to see a slideshow of some of Andrew’s work.

[nggallery id=65]

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.

Rob Rosen Returns — Podcast #182 — 01/25/10

Hey sex fans,

I’m happy to report that Rob Rosen is back with us again this week with Part 2 of our conversation about his life and his work.  And what a pleasure it is to have him, so to speak, back with us.  Because we get to savor even more of The Erotic Mind of this enormously prolific author.

If you somehow missed Part 1 of this delightful chat with Rob, you don’t have to worry.  Because it, like all my podcasts, is archived right here on my site.  Use the search function to your right, type in podcast #180 and VOILÀ!  But be sure to use the #sign when you search.

Rob will also read again from his published work; you’re gonna so love this.

Rob and I discuss:

  • His women fans.
  • Gay erotica — read, reviewed and published by straight women.
  • His output — 2/3 gay fiction; 1/3 speculative fiction for straight audiences.
  • Writing for Men and Freshmen magazines.
  • Getting into character.
  • Dealing with the occasional writer’s block.
  • What the future hold for him and his work.
  • Advice for the novice writer.

For more of Rob, be sure to visit him on his website HERE! or his Facebook page HERE!

Click on the cover art below to purchase books.


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:  SO HARD Online.

728-x-90_2

What’s Gotten Into You?

Name: Janet
Gender: Female
Age: 32
Location: Sacramento
Recently I accidentally discovered that my husband is downloading porn onto his computer from the internet. There’s a lot of it and it all features teenage girls. I feel sick at the discovery. Why in the world would he hide something like this? I don’t get it, and I don’t know what to do about it.

Let’s see, why would your husband hide his sexual fantasies from you? Ahhh, maybe it’s because he knows that if he ever did share this private little part of his life with you, you’d pitch a fit just like you are doing now.

So your husband has a harmless fantasy life. Big deal! Get over it, darling. You want honesty in your marriage, Janet? Then stop being such a prig.

sp-porn-gallery-player-screenshot-large.jpg

Fact is, most straight men groove on young female flesh. (Gay men on young male flesh.) Where’s the surprise in that? The male brain is hot-wired to find youth attractive and alluring. It has something to do with the original purpose of sex — procreation. Youthfulness equals fertility; it’s as simple and genetically programmed as that. Your husband is just bein’ a guy. Why would you berate him for that? You sound like a real charmer.

Even though most mature straight males want to gawk at teenage titties, they are rarely stupid enough to think they can compete with hot and hunky younger men for theporn_cartoon.jpg affections of these nubile vixens. Despite their rich fantasy life, they are more likely to stick with the adult females they’ve married. The guys who are to dense to figure this out, are likely to be absolutely miserable in the pursuit of what will constantly elude them. So give your old man a break, and let him enjoy a little virtual thrill.

Oh and Janet, and all you other people out there who are snooping around in other people’s private affairs — stop it! Do you honestly think that I fell for that “oh, I accidentally discovered downloaded porn on my husband’s computer” bullshit? Shame on you for prying into his private life without his permission. You have no right to do that. Even in a marriage an individual has a right to privacy and you, my dear, violated that trust. If anyone ought to be upset at this discovery it should be him.

Name: Richard
Gender: male
Age: 26
Location: Duluth MN
I’ve been practicing periods of celibacy and the way that I practice celibacy is by not ejaculating. I’ll still have fornication with my girlfriend and things like that but without ejaculation. My question is that I notice that when I end a period of celibacy by finally ejaculating that my energy level is extraordinarily low afterwards. Are there supplements I can take to counteract the sleepy feeling I have after I ejaculate? Basically I would like to have the same focus day to day as when I am practicing celibacy but while I have a sexually active life. Any thoughts or answers would be great.

Before I get to your question. Richard, let’s work on some of your vocabulary, shall we? The sexual practice you describe is not a type of celibacy. Celibacy has a very specific meaning. It is the state of being unmarried. You actually happen to be celibate, not because you’re cock_art.jpgpracticing ejaculation control, but because you’re not married (i.e. the GF). For the sake of clarity, the only thing we ought to be able to say for sure when someone identifies him/herself as celibate is that he/she is not married. Period!

You’re not really being sexually abstinent either, which is a concept that is often confused with celibacy. I’m gonna go way out on a limb here and guess that you’re a Catholic, or you were raised as one. Who else would use the term “fornicate” when talking about having sex with his GF?

While technically you are correct, in “church-speak” unmarried partners fucking is fornicating. This is opposed to adultery, which refers to a married person fucking someone other than his or her husband or wife. The term fornicate has a very pejorative connotation. It’s a word religious people use to describe sinful behavior. Is fucking your girlfriend sinful in your mind, Richard? If it is, stop fucking her right away! If it isn’t, then don’t refer to your sexual relations with her as fornication. If you can’t bring yourself to use the term “fuck” to talk about what you two do together, there are plenty of other less negative euphemisms. For example, intercourse, or even coitus works. Just jettison the fornication, why don’t cha!

Now, on to the very interesting sexual practice you describe in your message. If it isn’t a “type” of celibacy, what is it? I think you maybe talking about a tantric sex practice. You have sex — solo as well as partnered sex — but you avoid ejaculating, right? You don’t really say why you do this other than you seem to believe you conserve energy this way. Tantric practitioners talk about this practice in similar terms — preserving one’s energy or chi. And that’s what leads me to think what you’re doing is a form of tantra.

Tantric sex is very interesting, if for no other reason it distinguishes between orgasm and ejaculation. Although they often happen at the same time for us men, we are capable of having orgasms without ejaculating and ejaculating without an orgasm. Perhaps, you’ve already discovered this.

Ejaculatory control, which is what I think you are doing, is what makes it possible for Tantric lovers to harness and extend the energy of orgasm. By refraining from, or holding off on an ejaculation, men can become multi-orgasmic. Some men achieve this by a practice known as edging or controlling the wave of orgasmic energy without ejaculating.

Further, you ask if there are any drugs that can help you regain your strength, or chi after you finally ejaculate. Rather than seek a chemical solution, why not delve deeper into tantra for the answers you seek. You are already more than half way there. You might want to look into chi power training too. Because, if I’m not mistaken, that’s what you’re actually talking about.

Name: Leila
Gender: Female
Age: 38
Location: Trenton, NJ
My husband and I have been married for 15 years. He wants sex way more often than I do. It’s not because I don’t love him, it’s because he’s ballooned to over 85 pounds more than he weighed when we were married and he was a big guy back then. About a month ago, I told him why my libido was low. This hurt his feelings and I got the silent treatment for a week. I’ve been trying to convince him that it’s in his best interest that he slim down. He’d feel better and live longer. I cook healthy food at home, but I have control over how he eats when he’s on his own. I’ve tried getting him interested in exercising, but none of this is working. The best I get from him is an occasional guilty feeling that makes him order a diet soda to go with his giant sized fast food meal. I love the big lug, but he’s grossing me out.

Holy cow, your fat slob of a husband is about to lose the best thing he’s got goin for him, huh Leila?742_funny_fat_men.jpg

Listen up folks; a marriage license does not authorize you to go to seed. People marry each other because they’re attracted to their partners emotionally and physically. When a husband or wife, lets him or herself go to the point of radically changing his or her physical appearance, that person can’t complain when his/her spouse’s libido drops off to nothing, or he or she starts to wander.

Level with your obese husband, darlin’! He’s got to know that he has a choice to make — you or the junk food. You have a right to demand that he not eat himself out of a sex life, or worse eat himself to death.

Here’s the thing; many people, myself included, believe that obesity is the moral equivalent of drunkenness. That’s right, you heard me. Out of control eating is just as bad as out of control drinking. Health risks alone make obesity a national crisis, surpassing even alcoholism.

jabba-the-computer-nerd-1.jpgWould you stand helplessly by and watch your husband get hammered every day? Would anyone be surprised to learn that your libido slipped away because your husband drank himself into a stupor every night? I don’t think so. So why do we tolerate self-destructive food consumption? It’s as damaging to one’s body and one’s sex life as too much booze.

Listen Leila, you need to tell your spousal unit that his current size and shape is a turn-off to you, and that’s why you’re not putting out for him any more. Take my advice and don’t mince your words just to spare his feelings.

And for all you out there who think I’m being heartless bastard. Just imagine how cruel it would be if Leila did or said nothing and her old man suddenly keeled over leaving her not only without sex, but a widow to boot.

Name: Cap
Gender: male
Age: 27
Location: Georgia
I’m an Iraq vet, two tours of duty. I’ve been home now for nearly 6 months and I can’t pull it together. I’m depressed and angry all the time. I even find myself crying for no reason. I love my wife, but I can’t get it up. I get frustrated and embarrassed and the whole thing falls apart. My wife tries to be supportive, but I know she’s not happy. What should I do?

The first thing we all need to recognize is that the young men we send off to war are never the same men who return from war. The experiences you had in Iraq have fundamentally altered you, Cap. You are now realizing that the hell that is war doesn’t stop when one is discharged.
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It’s painfully clear to me that you are suffering from post-traumatic stress syndrome. You report all the classic symptoms. Are you not getting any professional therapy to help you readjust to civilian life? If not; why not? You shouldn’t be trying to handle this on your own. Reach out for the help you need. You fellow citizens owe you this much…at least.

Not surprisingly, I’ve been hearing from a number of vets lately, the Puget Sound area is a big military hub. Many vets report difficulty connecting with a spouse upon returning home. Like you, Cap, they continue to have affection for their partner, but for some of these men and women the eroticism has gone out of the relationship. Is this just what happens when one of the partners has been gone for such a long time? Or is there more to it than that? I know some vets are so consumed by their unresolved depression and anger that it is interfering with their sexual response, making it impossible for them to perform. Some vets are turning to drugs and alcohol to numb their psychological torment. Some are simply shutting down emotionally, because their internal turmoil is just too great and there’s no room for anything else. Is this what’s happening to you, Cap?

You can’t expect your long-suffering wife to hang in there indefinitely, especially if you are not actively involved with a therapist to resolve your war-induced nightmare.

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The good news is that many men who have preceded you to war in previous generations have come home as broken and abused as you. But they have, with the help of others, pulled their lives together once again. I encourage you to move in that direction. The longer you wait, the more pronounced the symptoms will become. Left unattended they will destroy your life as sure as if you had been an actual causality of an IED. Don’t let this awful war claim even one more victim.

Good luck ya’ll

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