To Improve Intimacy in Your Relationship, Get Off the Sexual Staircase

This article was revised on September 14, 2026.

In their book, Desire - An Inclusive Guide to Navigating Libido Differences in Relationships, Lauren Fogel Mersey, PsyD and Jennifer A. Vencill, PhD., discuss the "Sexual Staircase" to describe the kind of routine, goal-oriented sex that people engage in when they're having sex with their partner (see my article: Understanding Your Sex Script).

What is the Sexual Staircase?

According to Mersey and Vencill, the Sexual Staircase, which is a metaphor, is how most people think sex is "supposed to be."

Improve Intimacy in Your Relationship

The Sexual Staircase is a list of hierarchical steps that usually start at the bottom of the staircase with foreplay and ends with sexual intercourse and orgasm.

Depending upon the couple, the sexual acts between foreplay and intercourse can include kissing, caressing, genital touch, oral sex, and so on.

For many people in long term relationships these steps don't deviate. They engage in the same steps in the same way most or all of the time.  

After a while, people in long term relationships often skip some of the steps as they prioritize a goal-oriented approach that always ends with penetrative sex and strives for orgasm.  

Having sex the same way all the time becomes boring after a while (see my article: What is Sexual Boredom in Long Term Relationships?).

What's the Problem With the Sexual Staircase?

If you and your partner enjoy doing the same thing, the same way all of the time and neither of you have a problem with it, then there's nothing wrong with the Sexual Staircase for you.

But many people find this approach to be too routine and unfulfilling.  The problem is that they think this is the way they're supposed to do it, so they just keep doing it the same way.

People who find the Sexual Staircase boring, sexually unfulfilling or not applicable to them often have the following problems with it:

• It's a heteronormative sex script that focuses on cisgender heterosexual men. For heterosexual men, sexual intercourse is one of the most reliable ways to have an orgasm, but this isn't the case for most women (see below).

• It assumes that most people want penis-in-vagina sex even though there are many people who don't want it or it doesn't work for them because of problems with dyspareunia (persistent or recurrent genital pain that occurs during penetrative sex) or erectile unpredictability (a persistent or recurrent problem with getting and maintaining an erect penis) or because they're not heterosexual (see below).

• Sexual intercourse is the least reliable way for most women to have orgasms because they need direct clitoral stimulation, which they often don't get from sexual intercourse or clitoral stimulation is skipped altogether (see my articles: Closing the Orgasm Gap - Part 1 and Part 2).

• The Sexual Staircase emphasizes goal-oriented, performative sex instead of focusing on sexual pleasure (see my article: What is Performative Sex and Why Is It a Problem?).

• In many long term relationships, the Sexual Staircase gets shorter and shorter over time so that there is little or no foreplay, which has a negative impact of women's sexual pleasure. The focus becomes getting sex over and done with it as quickly as possible because it's unsatisfying.

• In addition to problems with painful sex and erectile unpredictability, penetrative sex isn't always possible for a variety of reasons, including childbirth, certain disabilities, age-related physical limitations, surgery or other types of problems.

• When penetrative sex isn't possible (for whatever reason), many couples skip having sex altogether because penetrative sex is the only way they know how to have sex.  Over time, one or both of them become frustrated and dissatisfied.

• The heteronormativity of this model isn't useful for LGBTQ people, as previously mentioned. Many LGBTQ people assume that since they're not having penis-in-vagina sex, they're not having "real sex," which, of course, is false.  This often leads to feelings of shame, guilt and self consciousness about their sexual orientation.

The Wheel Model

The authors of Desire cite the Wheel Model, which was inspired by Robert T. Francoeur in his book, Becoming a Sexual Person (1991).

Picture a wheel that's divided into different sections with sexual activities represented in a non-hierarchical way.  

Rather than the linear, hierarchical model represented in the Sexual Staircase, in the Wheel Model none of the sexual activities has a higher priority over any of the others.  Other than sexual pleasure, there are no goals, which usually means less pressure for both people and more enjoyment.

In addition, with the Wheel Model, people can engage flexibly pick and choose what they like, in whatever order they like without being constrained to the rigid model of the Sexual Staircase.

The authors provide an example of what sexual activities might be included in the Wheel Model:

• Kissing
• Caressing
• Touching
• Massaging
• Using a sex toy
• Showering together
• Cuddling
• Oral sex
• Orgasm
• Penetrative sex
• Manual stimulation

And more.

The sexual activities included with the Wheel Model are only limited by your imagination.

But this is not to say that you and your partner should engage in the activities they write about or that you should stop having sexual intercourse if it's enjoyable to both of you.  You can do whatever you both enjoy.

The Wheel Model helps to dispel the myth that there's one right way to have sex or that everyone should have the same predetermined sex script.  

Making Changes to Your Sex Script

Once again, I want to reiterate that if you and your partner are happy with your sex script, you can continue using it without a problem.

But if you're stuck in a routine and you're getting tired of doing the same thing over and over again, consider how you can work towards making changes in your sex script (see my article: Changing Your Sex Script).

As Emily Nagoski, PhD., sex educator and author of the book, Come As You Are, says, "Pleasure is the measure."

This means "good sex" is what's pleasurable for both of you.

Getting Help in Sex Therapy

A skilled sex therapist can help you to overcome sexual problems.

Sex therapy is a form of talk therapy where the focus is on sex and relational problems getting in the way of sexual enjoyment (see my article: What is Sex Therapy?).

Individuals and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

There is no nudity, physical exam or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?)

Rather than struggling on your own, seek help in sex therapy so you can lead a more fulfilling life.

Contact & Consultation Information

I see clients online throughout New York State and in person at my private office in Greenwich Village, New York, NY 10011.

I offer a free 15-minute introductory phone call before scheduling your initial appointment.

• Website: Visit Josephine Ferraro, LCSW - NYC Psychotherapist to learn more about my practice.

• Email: Reach out confidentially via email at josephineferraro@iCloud.com.

• Phone: Call me directly at (917) 742-2624 during standard business hours.

 

Many Women Don't Tell Their Male Partners When They Have Pain During Intimacy

Painful intercourse is a common problem for many women of all ages. Unfortunately, instead of telling their partner about the pain, more than 50% of women endure the pain without ever mentioning it (see my article: Getting Help in Sex Therapy For Painful Sex).

Why Women Don't Talk About Painful Intercourse

Why Don't Women Tell Their Partners They're Having Pain During Intercourse?

When researchers asked women why they didn't tell their male partners about painful sex, they received the following responses from women:

• They thought pain was "normal" during sex (it's not).

• They felt pain wasn't worth mentioning because the pain wasn't severe.

• They were concerned that if they told their male partner they had pain during intercourse, it would mean they wouldn't have intercourse at all.

Why Women Don't Talk About Painful Intercourse

• They prioritized their male partner's pleasure over their own discomfort--even if it meant they would keep experiencing painful sex every time.

• They felt too embarrassed to talk about painful sex with their partner, so they would rather endure the pain than talk about it.

• They didn't want to make their partner feel uncomfortable.

• They didn't want any awkwardness between them and their partner.

• They thought they just needed to "power through" intercourse--even though it's painful.

• They didn't know they could engage in other sexual activities that could be just as sexually satisfying for them and their partner and that sex involves more than just intercourse.

What Causes Painful Intercourse For Women?

There can be many reasons why a women experience painful interourse.  

To determine the reason for the pain in their particular case, women need to consult with a knowledgeable sexual health professional (not all primary care doctors or even gynecologists are knowledgeable about painful sex).  

Some potential causes for painful sex include:

• Lack of sufficient lubrication during sexual intercourse, which cause irritation and pain

• Insufficient sexual arousal because women and their male partners rush through sex without taking the time to ensure women are sufficiently aroused for sexual intercourse

• Longstanding resentment due to relationship conflict which gets in the way of sexual pleasure and, in turn, can result in painful intercourse

• Undiagnosed vaginismus, resulting in muscle spasms at the entrance of the vagina which either restrict entrance or clamp shut the vagina

• Pain around the vulva, the outer part of women's genitals, which is called vulvodynia which can result in pain, irritation, a burning sensation, soreness or rawness.

• Vaginal infections, including a yeast infection or bacterial infection (vaginosis)

• Vaginal dryness due to menopause

• Vulvar Vestibulitis, an inflammation of the vestibular glands just outside the vagina

• Birth control pills as a cause of sexual pain due to biochemical changes

• Other medical conditions, such as uterine prolapse, endometriosis, interstitial cystitis, irritable bowel syndrome (IBS) and other gynecological problems can lead to painful sex

• Other medical problems 

What Can Women Do to Deal With Painful Intercourse?

• Talk to your partner (see my article: How to Talk to Your Partner About Sex - Part 1 and Part 2

Talk to Your Partner About Painful Intercourse

• Seek help from a knowledgeable gynecologist or a sexual health professional

• Seek help from a pelvic floor specialist

• Seek help from a sex therapist, especially if the problem involves sexual anxiety, unresolved resentment toward a partner or other unresolved emotional issues, including a history of sexual abuse

Getting Help in Sex Therapy

Sex therapy is a form of talk therapy that focuses on sexual issues for individuals and couples (see my article: What is Sex Therapy?)

Seek Help in Sex Therapy

Individual adults and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

There is no sex, nudity or physical exams during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?).

Rather than struggling on your own, seek help from a licensed mental health professional who is a sex therapist so you can have a more fulfilling sex life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, trauma therapist (including EMDR, AEDP, Somatic Experiencing), Emotionally Focused Therapy Couples Therapist and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

How to Stop People Pleasing So You Can Reduce Your Anxiety and Increase Your Pleasure in the Bedroom

People pleasing, which is also known by the term "fawning," is often a trauma response (see my article: Trauma and the Fawn Response: People Pleasing to Avoid or Diffuse Conflict).

People who focus on pleasing others, to the detriment of their own emotional needs, often don't even realize they're doing it because it's such an ingrained trauma response from early in their life. 

How to Stop People Pleasing to Reduce Your Sexual Anxiety

They learned to focus on other people's needs to ward off conflict in family dynamics and to try to shore up dysfunctional family dynamics (see my article: Adult Children of Dysfunctional Families and People Pleasing).

As children, these people would extend themselves emotionally beyond what they were developmentally capable of doing, but they tried to do it anyway (see my article: Children's Roles in Dysfunctional Families).

A key component of the people pleasing involves feeling unlovable.  

Examples of Children Who Who Were People Pleasers 

The list below includes just a few examples of children who were people pleasers and who over-functioned in their family.

Children who were people pleasers in their family often:

• Became their parents' confidants at a young age (see my article: Role Reversal in Families)

• Believed they had to take on the family problems in order to be liked or loved

• Believed the family wouldn't survive unless they became people pleasers

• Became perfectionists (see my article: Overcoming Perfectionism)

• Were scapegoated in the family, or

• Became overachievers and the family hero in an effort to please depressed, anxious or traumatized parents

• Became pseudo-independent (i.e., they believed, erroneously, that they didn't need help or emotional support because they could take care of themselves--even though they were children

• Sacrificed their own emotional needs for their parents and other family members

• Emotionally numbed themselves to their own needs

• Agreed to do things they didn't want to do and lost touch with what they wanted and needed

• Were physically, emotionally or sexually abused or neglected

• Carried the family burden of shame

And so on.

People Pleasing Children Become People Pleasing Adults

Unfortunately, people pleasing (or fawning) doesn't stop when children become adults, and these behaviors often carry over into sexual activities so that sex becomes solely performative rather than being pleasurable to them.

How to Stop People Pleasing to Reduce Your Sexual Anxiety

Usually people with this problem are so hyper-focused on their partner's pleasure that they don't pay attention to their own sexual pleasure.  

This creates performance anxiety because they're worried about whether they're pleasing their partner.  The result is that they can become cut off from their own emotions and bodily sensations so they don't enjoy sex (see my article: What is Sexual Anxiety?).

Sexual People Pleasing and Performance Anxiety

Sexual people pleasing often occurs when people are willing to do whatever they think their partner might like--even if it's not what they want or it has a detrimental effect for them--so their sexual partner will like or love them.  

This creates performance anxiety for both men and women which can result in:

• Worry or fear before, during or after sex

• Negative thoughts or emotions about sex

• Negative thoughts about their body image

• Spectatoring (self consciously monitoring and critiquing their own behavior in bed)

• Unrealistic expectations related to sex, especially with regard to their own sexual "performance"

• A disconnect between their mind and body (see my article: The Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind)

• A lack of sexual pleasure in a relationship or during sexual hookups

• Faking orgasms
  

• Erectile dysfunction

• Anorgasmia (delayed, infrequent, less intense or absence of sexual orgasms)

• Painful sex

How to Overcome People Pleasing in the Bedroom

Depending upon the specific problems involved, overcoming sexual people pleasing often involves different interventions, including medical treatment to deal with possible physical problems or rule out medical issues, trauma therapy and sex therapy.

• Medical Issues: If there is a physical component to the sexual problem, like painful sex or erectile dysfunction, possible medical problems should be ruled out first.  For instance, many women assume that painful sex is solely the result of anxiety.  However, although anxiety might be an important part of the problem, it's also possible that there might be medical issues that contribute to the problem--like pelvic floor problems, which must be diagnosed by a medical doctor and often requires the assistance of a physical therapist who is a pelvic floor specialist.

Seeking Medical Help to Rule Out Physical Problems

• Trauma Therapy: Since people pleasing is often a longstanding problem that originated in childhood, there is often unresolved trauma that needs to be worked through in trauma therapy. A mind-body oriented therapy, like EMDR therapy, Somatic Experiencing , AEDP and Parts Work/Ego States Therapy is often helpful to bring about increased bodily awareness and work through trauma.  See my articles:

• What is Trauma Therapy?

• What is Complex Trauma?

• Sex Therapy: Sex therapy is a form of talk therapy for individual adults and couples with no physical exam, nudity or sex during therapy sessions. Performance anxiety is a common issue that sex therapists help clients to overcome.  See my articles:

• What is Sex Therapy?
  

• What Are Common Issues Discussed in Sex Therapy?

• What Are Common Misconceptions About Sex Therapy?

How to Overcome Your Fear of Getting Help

If you feel fearful and ashamed to get help for trauma-related sexual problems, recognize that you're not alone.  Many people have similar problems.  In fact, these problems are common.

You can start by finding a licensed mental health professional who addresses both trauma and sex therapy.  Therapists who specialize in both areas can be difficult to find, but you can use a therapist directory to locate someone in your area.

Getting Help From a Sex Therapist Who Specializes in Trauma

If you're already in therapy, you can find an adjunct therapist who specializes in trauma and sex therapy to collaborate with your therapist so you get the help you need.

Make sure the therapist is a licensed mental health professional, which is different from a coach or mentor.

Start by asking for a consultation so you can get a sense of whether you feel comfortable with a therapist (see my article: How to Choose a Psychotherapist).

Be aware that it can take time to develop a therapeutic relationship with a therapist, so be patient.

Once you have worked through your trauma-related sexual problems, you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex positive therapist who works with individual adults and couples.

As a trauma and sex therapist, I have helped many individuals and couples to overcome trauma-related sexual problems.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

    

Getting Help in Sex Therapy For Painful Sex

Painful sex is a lot more common than most people think: Approximately 1 in 5 women experience pain during sex.  

Even though it's a common problem, many general practitioners and gynecologists fail to ask women about it during regularly exams.  This is especially problematic when women feel too ashamed to mention it during medical exams.

Get Help in Sex Therapy For Painful Sex

Experiencing painful sex can be confusing, emotionally traumatic and create problems in intimate relationships, especially when the cause of the pain isn't understood.

Sex therapy can help (see my article: What is Sex Therapy?).  More about this later.

What Are the Different Types of Sexual Pain Experienced By Women?

Women can experience different types of sexual pain, including but not limited to:

• Anxiety during sex which makes it difficult to relax and causes pelvic muscles to tighten

• Sexual abuse history that interferes with sex (see my article: Overcoming the Trauma of Sexual Abuse)

• Lack of lubrication due to insufficient sexual foreplay

• Lack of estrogen

• Vaginal dryness

• Vaginal atrophy

• Pelvic pain due to weak core muscles

• Vulva pain when the vulva is touched  (the vulva is the outer part of female genitals, including labia majora, labia minora and the clitoris)

• Pain during sexual penetration (penis in vagina or PIV sex)

• Painful orgasms

• Vulvodynia (chronic vulvar pain without an identifiable cause)

• Vaginismus (the involuntary contraction of the pelvic floor muscles in response to vaginal penetration, including inserting a tampon, toy or penis)

• Dyspareunia (pain before, during or after sex)

• Chronic yeast infections

• Postpartum

• Deep vaginal pain around the cervix

• Endometriosis

• Interstitial cystitis (chronic bladder condition with recurring pain in the bladder and pelvic area)

• Lack of sex education

• Other pelvic floor problems

• Other medical and/or psychological issues

Medical Treatment

If you are experiencing painful sex, you shouldn't ignore it.  Over time, it can get worse.

The first place to start is getting medical help.

Seek help from a medical doctor who is knowledgeable about painful sex.  You can see a primary care physician, a gynecologist or a urologist.  Just make sure the doctor you choose deals with women's painful sex.

Pelvic Floor Treatment

Many women who experience painful sex benefit from seeking help from a physical therapist who specializes in pelvic floor issues.  

Since not all physical therapists are trained to deal with pelvic floor problems, it's important that you ask beforehand to make sure you get appropriate help.

How Can Sex Therapy Help?

Women who experience anxiety or other psychological issues before, during or after sex can benefit from working with a sex therapist who can help them to overcome emotions that interfere with sex.

Women in sex therapy can also learn to incorporate the exercises they learned in physical therapy into their routine at home (see my article: What Are the Most Common Misconceptions About Sex Therapy?).

A sex therapist can help clients to have better sex by learning to use mindfulness.

Partners of women who have pain during sex often don't understand the problem. A skilled sex therapist can also work with a woman and her partner so that the partner understands the problems involved with painful sex, how to overcome these problems, and how to improve their sex life overall.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and a Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Heterosexual Women Are Often Labeled as Having Low Sexual Desire When The Real Problem is Their Sexual Needs Aren't Being Met During Partnered Sex

There can be many reasons why a heterosexual woman might not be enjoying sex.  All too often these women are misdiagnosed as having low sexual desire when, in fact, the real problem is that their sex partner isn't meeting their sexual needs (see my articles: Closing the Orgasm Gap Between Women and Men - Part 1 and Part 2: How to Close the Orgasm Gap).

A Woman's Sexual Needs Aren't Being Met By Her Partner

The problem in these situations is often that the man either doesn't know what turns her on, she doesn't know how to talk to him about it or he's only focused on his own sexual satisfaction (see my article: Getting to Know Your Own and Your Partner's Sexual Turn-ons).

These problems often occur during casual sexual hookups where either the man's sexual pleasure is given priority or the two people just don't know each other well enough for the woman to have satisfying sex (see my articles: What is Good Sex? Part 1, Part 2: Solace Sex, Part 3: Sealed Off Sex and Part 4: Synchrony Sex).

Generally speaking, the man won't have problems having an orgasm--even during a casual hookup because it's easier for a man to have an orgasm.

Every woman is going to be different, but most women don't orgasm from just PIV (penis in vagina) alone.  Most women need clitoral stimulation to reach an orgasm and this might not occur if the man isn't concerned about the woman's sexual satisfaction.

In many of these cases, when a woman doesn't enjoy PIV, both she and the man often believe there's something wrong with her.  But there's nothing wrong with a woman who doesn't enjoy sex that isn't satisfying for her.

What Are the Signs a Heterosexual Woman's Sexual Needs Aren't Being Met During Partnered Sex?

The following situations usually indicate a heterosexual woman's sexual needs aren't being met during partnered sex with a heterosexual man:

• He expects her to perform oral sex (fellatio) on him, but he's either unwilling or doesn't know how to give her pleasure with oral sex (cunninlingus).  Since most women need clitoral stimulation to have an orgasm, this is a big problem.

• He doesn't know where her clitoris is and he's not interested in finding out because it's not important to him.

• He gets his "sex education" from watching porn and he doesn't realize that women in pornography are actors acting a role and not really being sexually satisfied.  He also believes that all women orgasm from PIV and he doesn't need to make much of an effort because he sees heterosexual women in porn having an orgasm quickly and without much effort from the man.

• He thinks she should always be in the mood for sex without any effort on his part because that's what he's seen portrayed by the actors in porn (the female actors in porn are always ready to have sex because they're actors playing a part).

A Woman's Sexual Needs Aren't Being Met By Her Partner

• He doesn't bother with foreplay because he either doesn't know it's necessary or doesn't care (see my article: Rethinking Foreplay as More Than Just a Preclude to Sexual Intercourse).

• He only cares about his own orgasm during sex.

• He becomes impatient and critical when she doesn't reach an orgasm quickly. He doesn't realize she might be someone who experiences responsive sexual arousal rather than spontaneous arousal and both are normal (see my article: Spontaneous Sexual Arousal and Responsive Sexual Arousal Are Both Normal).

• He believes sex is over after he has an orgasm (even if she hasn't had an orgasm or hasn't even enjoyed sex).

• He insists on having sex without a condom.  This is totally unacceptable because of the potential to get an STI (sexually transmitted infection).

• He doesn't engage in cuddling or any type of affectionate behavior after he has an orgasm.

• He becomes emotionally and/or physically distant after he has an orgasm.

• He doesn't take care of his personal hygiene by showering before sex or "manscaping," but he expects her to take care of her personal hygiene for him.

• He insists on certain sexual acts, kinks or fetishes he enjoys and he gets angry and resentful if she's not turned on by the same things.

• He persists in asking for sexual acts she's made clear she doesn't like.

• He makes negative and condescending remarks about her appearance (e.g., her weight, age, hair, makeup or lack of makeup, etc) and then he doesn't understand why she's not turned on or interested in having sex with him.

• He gets impatient and angry if she has pain during PIV sex (e.g., dyspareunia, vaginismus, vulvodynia, post-menopausal pain) which can be due to many reasons, including but not limited to:

• insufficient lubrication 
• insufficient or no sexual arousal
• medication
• breastfeeding
• urinary tract infection
• other medical causes

• He becomes offended and insecure when she wants to include sex toys during their sexual activities.

• He blames her for his medical and/or psychological problems with erectile dysfunction or unreliable erection, and he refuses to get appropriate medical and/or psychological help to rectify his problem.

• He becomes emotionally abusive by comparing her to other women he's known or threatening to see other women to belittle or pressure her to do what he wants sexually.

Conclusion

Heterosexual women are often labeled as having low sexual desire when the real problem is their sexual needs aren't being met during partnered sex.

Sometimes this occurs because the woman's male partner isn't sexually well informed or he doesn't know what turns on his partner.  

This problem is complicated by the fact that some women either don't know what they like or they feel too ashamed to talk about it (see my articles: Tips For Women on Sexual Self Discovery and How to Talk to Your Partner About Sex - Part 1 and Part 2).

Other times this occurs because the man is selfish and he's only focused on his pleasure.  This frequently occurs during hookups, which are often unsatisfying for heterosexual women.

If the man and the woman are in a relationship and they have been unable to work these issues out on their own, they could benefit from seeking help in sex therapy.

A Couple Attending Sex Therapy

If this problem is occurring during casual sex, the woman could benefit from being assertive about her sexual needs and not continuing to have sex with men who are only focused on their sexual satisfaction.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT and Somatic Experiencing therapist.

I am a sex-positive therapist who helps individual adults and couples.  One of my specialties is sex therapy (see my article: What is Sex Therapy?).

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.