How Does Shame Develop at an Early Age?

Shame often begins during early childhood due to parenting styles and early experiences (see my article: Shame is at the Root of Most Emotional Problems).

How Does Shame Develop at an Early Age?

There are a number of factors that influence the development of shame at an early age including:

• Parental demands for perfection

• Lack of parental warmth

• Harsh criticism

Harsh Criticism and Shame

• Physical, emotional and sexual abuse

• Emotional neglect
  

• Witnessing domestic violence

• Emotionally unstable parent(s)

• Unpredictable or unstable parenting

• Parents who abuse substances or engage in other impulsive or compulsive behavior

How Does Childhood Shame Show Up in Adulthood?

Children who grow up being shamed will grow up to be adults who experience shame, which can affect all their adult interactions, including romantic relationships, familial relationships and relationships with work colleagues.

Shame during childhood often leads to repeating unhealthy patterns in adulthood (see my article: Why Are Childhood Trauma and Shame Affecting You Now?).

Here are some of the ways that childhood shame show up in adulthood:

Self Sabotaging Behavior: 

• Aiming too low

• Settling for less

• Self abandonment including neglecting your own needs to please others (see my article: Fawning as a Trauma Response)

Shame and Self Abandonment

• Avoiding commitment which can include fear of rejection and feeling inadequate (see my article: An Emotional Dilemma: Wanting and Dreading Love)

• Pushing away or distancing yourself from a romantic partner because you believe you're not good enough

• Perfectionism including striving for unrealistic and unattainable goals which adds to your feelings of inadequacy

• Decreased self care including neglecting your own needs which can have a negative impact on your mental and physical health

Sabotaging Relationships:

• Ignoring red flags in a relationship including dismissing early warning signs of an unhealthy relationship (see my article: Letting Go of Unhealthy Relationships)

• Shaming, controlling or domineering behavior to manipulate your partner and take the focus away from your own insecurities

Shaming, Controlling and Domineering Behavior

• Creating negative narratives including interpreting your partner's actions as a form of  rejection or disapproval--even when these actions are not

• Withholding feelings including avoiding vulnerability and conflict by withholding by emotions

Impact on Emotional Connection and Intimacy

• Problems relating to others because shame makes it difficult to develop and maintain healthy relationships (see my article: Overcoming Sexual Shame and Guilt Due to Cultural Issues)

Shame in Relationships

• Difficulty with vulnerability including fear of rejection or criticism which can make it difficult to open up to be emotionally vulnerable

• Fear of rejection due to shame which can lead to self sabotaging behavior and emotional distancing

• Difficulty with forgiveness due to shame can make it difficult to forgive yourself or your partner, which is an obstacle to feeling good about yourself and problems with relationship repair (see my articles: Learning to Forgive Yourself and The Psychological Stages of Forgiveness)

Getting Help in Therapy

Shame is a complex emotion which can be very challenging to overcome on your own (see my article: Overcoming Shame in Therapy).

Getting Help in Therapy to Overcome Shame

If you can relate to the signs mentioned in this article, you owe it to yourself to get help in trauma therapy.

A skilled trauma therapist can help you to overcome the debilitating effect of shame so you can lead a more fulfilling life.

Also See My Other Articles About Shame:

How to Overcome Shame Spiraling

Clients Struggling With Shame Can Leave Therapy Prematurely

What is the Difference Between Toxic Shame and Healthy Shame?

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping individual adults and couples (see my article: What is a Trauma Therapist?).

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.

 

Helpful Tips on How to Make the Most Out of Your Couples Therapy

Couples therapy can be a transformative experience (see my article: What is EFT Couples Therapy?).

A skilled couples therapist can help you and your partner to overcome challenges in your relationship.

How to Make the Most Out of Couples Therapy

To get the most out of couples therapy, it's important to understand that it's common to feel a certain amount of anxiety and ambivalence, especially if you don't know what to expect (see my article: It's Not Unusual to Feel Anxious and Ambivalent at the Start of Therapy).

To help reduce your anxiety, it's helpful to know how to approach couples therapy so you can get the most out of it. 

What Do Couples Talk About in Couples Therapy?

Couples can talk about a variety of issues (see my article: What Do Couples Talk About in Couples Therapy?).

Here are just a few of the issues that couples talk about in couples therapy:

• Communication problems

• Fear of intimacy
  

• Moving in together or getting married

• Sharing the mental load

• Infertility issues

• Grief and loss related to miscarriages

• Grief and loss due to the loss of a child

• Parenting issues

• Blended family issues

• Different perspectives about managing money

• Sexual issues

• Opening up your relationship to see other people (see my article: What is Consensual Nonmonogamy?)

• Aging

• Infidelity
  

• Problems with in-laws

• Retirement issues

• Divorce and co-parenting

• Taking care of aging parents

• Other major issues 

What Are the Do's and Don'ts in Couples Therapy

Do's in Couples Therapy:

• Approach Couples Therapy With Curiosity and Openness: It's important to state your feelings openly and honestly to your partner and to the couples therapist in session.

• Talk About What You Want: Being able to tell your couples therapist and your partner what you want to get out of couples therapy will help to define your goals. You might even be surprised that your partner might have different goals and these differences might need to be negotiated.

How to Make the Most Out of Couples Therapy

• Set Realistic Goals: Once you and your partner have agreed to what you want to get out of therapy, set realistic goals for the couples therapy. When you have goals, the couples therapy has direction and you can assess your progress. However, it's also important to know that progress in therapy isn't linear. This means that setbacks (where you take two steps forward and one step back) are a normal part of the process, so don't get discouraged (See my article: Progress in Therapy Isn't Learner).

• Practice Active Listening in Your Sessions: Learning to actively listen to what your partner and your couples therapist say is an important part of couples therapy (see my article: The Importance of Active Listening in Your Relationship).

• Practice the Skills You Learn in Couples Therapy Between Sessions: Use the skills you learn in couples therapy between sessions so you can continue to hone your skills in your daily life with your partner.  If you run into obstacles, talk about it at your next couples therapy session so you can continue to develop these skills.  There might also be some topics that you and your partner will only discuss in couples therapy sessions until you both develop the necessary skills to talk about these issues between sessions.

Don'ts in Couples Therapy:

• Don't Wait Too Long to Start Couples Therapy: Many couples wait until they're ready to end the relationship to get help. Getting into couples therapy becomes their "last ditch effort". By then, it's often too late. The sooner you get help the better.

• Don't Focus on "Fixing" Your Partner: Focus on what you want to change about yourself in the relationship instead of having the attitude that you're there to "fix" your partner.

How to Make the Most Out of Couples Therapy

• Avoid Critical, Contemptuous or Defensive Behavior: You and your partner need to learn to approach your problems as a team rather than pointing fingers or blaming one another (see my article: Improve Communication in Your Relationship By Avoiding the "Four Horsemen of the Apocalypse").

• Avoid Trying to "Fix" Your Partner: You and your partner need to approach your problems like a team, as previously mentioned. Instead, focus on the areas where you can grow.  Couples usually have negative patterns that each partner contributes to in their dynamic. So, part of the work in couples therapy is for you and your partner to learn work together as a team to change the negative patterns.

• Avoid Contacting the Therapist Privately Without Your Partner's Knowledge: Most couples therapists do individual sessions to get family and relationship history. However, other than those individual sessions, avoid speaking, texting or emailing the therapist without your partner's knowledge because this can undermine the therapy.  The couple is the client in couples therapy--not the individuals in relationship. Contacting the therapist privately without the other partner's knowledge often occurs when one person is trying to get the couples therapist to align with them against the partner, which a skilled couples therapist will not do.

• Avoid Keeping Secrets From Your partner and Your Therapist: Most couples therapists will not keep an individual's secrets in couples therapy. Keeping secrets from the therapist or your partner will become an obstacle to progress in therapy. For instance, if you're having a secret affair, most couples therapist will not work with you and your partner because the affair would be undermining your relationship.

Conclusion

Couples therapy can be beneficial for couples who are experiencing problems in their relationship.

You and your partner can learn to come together as a team in couples therapy to overcome the obstacles in your relationship.

If you and your partner decide that it would be best to end the relationship, a couples therapist can help you both to end the relationship as amicably as possible and come to an agreement about how to talk to your children about the end of the relationship and how to co-parent if these issues are applicable.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: What is Sex Therapy?).

I have over 20 years of experience working 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 Deal With Resentment in Your Relationship

Resentment can fester and grow until it destroys a relationship. 

Rather than allowing resentment to grow and harden, it's better to find ways to overcome resentment as problems come up.

Dealing With Resentment in Your Relationship

What is Resentment?

Resentment can include the following:

• Anger
• Disappointment
• Discontentment
• Frustration
• Feeling mistreated
• Indignation
• Irritation
• Disgust
• Holding onto a grudge/an inability to let go of anger

Dealing With Resentment in Your Relationship

• Difficulty accepting apologies
• A chip on one's shoulder
• Animosity
• Hostility
• Hatred
• Bitterness
• Antipathy
• Antagonism
• Ambivalence about the relationship
• Ruminating about feeling mistreated
• Avoiding topics that can lead to arguments and more resentment
• Experiencing tension in the relationship
• Feeling emotionally disconnected from a partner
• Reacting in a passive aggressive way rather than confronting problems directly
• Feeling invisible
• Feeling unlovable

What Are Common Triggers of Resentment in Relationships?

Some of the most common triggers of resentment include:

• Feeling unseen and unheard by a partner
• Feeling put down/criticized
• Having unrealistic expectations of a partner
• Dealing with a partner who insists on always being right
• Dealing with a partner who is frequently forgetful or late
• Feeling taken advantage of by a partner
• Feeling burnt-out by ongoing unresolved problems in the relationship

How Does Resentment Affect a Relationship?

Resentment can affect a relationship in many different ways depending upon who feels the resentment and how long the resentment has been going on, including:

• Harboring anger and bitterness towards a partner that leads to expressing pent up anger unexpectedly and harshly
• Feeling less empathy for your partner
• Withdrawing emotionally from your partner
• Withdrawing sexually from your partner

Dealing with Resentment in Your Relationship

• Feeling disgust and/or disappointment for your partner
• Complaining a lot about your partner to others
• Feeling anxious about the relationship
• Feeling physical tension and stress-related health problems as a result of the relationship
• Feeling like you want to get away from your partner
• Feeling like your opinions don't matter to your partner
• Feeling ignored
• Feeling confusion and/or ambivalence about the relationship
• "Walking on eggshells" with your partner
• Wanting to end the relationship

How Can You and Your Partner Prevent Resentment From Building Up?

It's a lot easier to address issues as they come up instead of allowing resentment to grow and harden:

• Address problems as soon as they arise 
• Learn to communicate and express your feelings in a healthy way
• Keep your expectations realistic. Don't expect your partner to meet every single expectation that you have. Instead, focus on what's most important to you.

Tips on How to Overcome Existing Resentment

If you and your partner have avoided dealing with the resentment in your relationship, you're going to find it challenging. 

Here are some tips that can help:

• Acknowledge the Resentment: If you want your relationship to improve, you both need to be able to acknowledge your own and your partner's resentment--even if you both spent years avoiding it.

• Work on One Issue at a Time: Rather than "kitchen sinking" each other with a whole litany of complaints, focus on one issue at a time. Listen to your partner instead of getting defensive or responding by barraging your partner with your complaints.

• Be Aware of Your Part in the Resentment: You might be aware of your resentment towards your partner, but are you aware of the role you might be playing?

• Remember Your Partner's Good Qualities: In order to put your feelings into perspective and to help you reduce resentment, try to remember your partner's good qualities.

• Learn to Compromise: If you and your partner can find a compromise that you each can live with, this can go a long way to reducing resentment. By talking over the problems in your relationship, you and your partner might be able to come up with reasonable compromises so you can each feel heard and taken care of in the relationship.

Get Help in Couples Therapy

If you and your partner have been unable to work out your problems on your own, you could benefit from seeking help in couples therapy.

Getting Help in Couples Therapy

A skilled couples therapist can help you to identify the areas where you're stuck and help you to make decisions about your relationship--including whether you want to remain together or you want to end the relationship in an amicable way.

Rather than struggling on your own, seek help from a licensed mental health professional who works with couples.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing 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 Josephine Ferraro, LCSW - NYC Psychotherapist.

Relationships: How Is Getting Pressure From Your Partner Different From Consensual Sex?

Sexual pressure is also known by the term "sexual coercion" and I'll use these terms interchangeably in this article.

Sexual Pressure vs Consensual Sex

Before delving into sexual pressure vs consensual sex, it's important to define sex as I'm referring to it in this article.

What is Sex?

If you've read some of my other articles about sex, you probably know that I usually have a broad definition of sex that goes beyond heteronormative penis-in-vagina sex.

So when I discuss sex and sexual activity, I'm referring to:

• kissing
• intimate touching/petting/stroking
• erotic massage
• sucking
• fingering
• cunnilingus (performing oral sex on a woman)
• fellatio (performing oral sex on a man)
• anal sex
• penetrative sex/intercourse

And so on.

What is Sexual Coercion and How is It Different From Consensual Sex?

Sexual coercion occurs when someone manipulates, threatens or uses other pressure tactics to try to get you to have sex that you don't want.  

Sexual Pressure vs Consensual Sex

In many situations involving sexual coercion your partner continues to pressure you into having sex even after you have been clear that you don't want to have sex.  

In other words, the other person just won't take "no" for an answer and keeps trying to get you to change your mind.  This refusal is the opposite of accepting that sex should be consensual (see my articles: What Are the Basics of Sexual Consent? and What is Enthusiastic Sexual Consent?).

In this article, I'm focusing on people who are in committed relationships as opposed to people who are casually dating or hooking up (for those situations see my articles: Sex Research: Heterosexual Women Often Find Hookups Less Sexually Satisfying Than Men and Can Hookups Be Safer and More Sexually Satisfying For Heterosexual Women?).

I'm also focusing on sexual coercion that doesn't include physical violence, which would be domestic violence, which is a separate topic.  

Sexual coercion can, however, include emotional abuse and gaslighting.

What Are Common Sexual Coercion Tactics?

If you have turned down sex, your refusal should be respected by your partner and that should be the end of it.  

Sexual Pressure vs Consensual Sex

Unfortunately, some people have poor sexual boundaries and they don't respect your right to turn down sex or they interpret your refusal to have sex as a sign that you don't care about them (more about that later on in this article).

Some common sexual coercion tactics include:

• Guilt Tripping
• Making Threats
• Emotional Blackmail
• Other Forms of Manipulation

The following short fictionalized scenarios describe common situations in which a partner uses sexual coercion:

• Guilt Tripping: Joe got angry after Lisa responded to his sexual overtures by saying she wasn't in the mood for sex.  He told her that if she didn't have sex with him, she wasn't fulfilling sexual her responsibilities as a wife, which included making sure that he's sexually satisfied.

• Making Threats: After Jean told her wife, Rita, that she wasn't in the mood for sex, Rita responded by threatening to withhold money she had already promised to lend Jean.

• Emotional Blackmail: When Bill's husband, Tom, refused to have sex with him, Bill got angry and, in the heat of the moment, he threatened to tell Tom's parents about his alcohol problem.

• Other Forms of Manipulation: Dave felt impatient when his wife, Tina, told him that she wasn't in the mood for sex, so he badgered her relentlessly to have drinks with him. He told her that she just needed to "relax" to get in the mood for sex.

There can be many other ways that someone can pressure or coerce a partner into having sex.

Being in a Relationship or Marriage Doesn't Mean Automatic Sexual Consent

Many people believe that if they're married or in a committed relationship that their partner "owes" them sex.  But in a healthy, autonomous relationship where each partner is differentiated, their relationship doesn't mean automatic sexual consent.

Sexual Pressure vs Consensual Sex

Anyone who has ever been in a long term relationship knows that, over time, sexual passion usually isn't the same as it was during the initial phase of the relationship.  

Although there can be differences, for most people the passion begins to dissipate within the first two years of the relationship.  This is a separate issue which I have discussed in prior articles (see my articles: Overcoming Sexual Boredom in a Long Term Relationship and Reviving Your Sex Life).

It's also true that it's common for two people in a relationship to have discrepant sexual desire, which means that they each experience sexual desire in a different way.  This is normal, but it becomes a problem when the two people in the relationship don't know how to negotiate these differences. This is also a common topic that couples discuss in sex therapy.

Similarly, one person might experience spontaneous sexual desire while the other person might need more time to get sexually turned on because they experience responsive sexual desire.  Even though both types of sexual desire are normal, when this difference creates problems in the relationship, it needs to be discussed and negotiated.  This is another common topic for couples in sex therapy.

What You Can Do If Your Partner is Trying to Pressure You Into Having Sex

There is no one-size-fits-all answer to this problem because each situation can be very different, so you need to do what you think is best in your situation.

As long as you feel safe, it's often helpful to reiterate to your partner that you don't want to have sex and tell your partner that you don't want to be pressured.  In addition, tell your partner that pressuring you won't change your mind (see my article: How to Talk to Your Partner About Sex).

You could also suggest other things that you would be willing to do with your partner--like cuddling on the couch (if you're up to it) or going for a walk.  

Understanding Sexual Pressure vs Consensual Sex

If you think your partner is interpreting your refusal to mean that you don't care about them anymore, you could also reassure your partner that you still love them, but you're just not in the mood for sex.  In addition, you can both read my article, Coping With a Sexual Rejection From Your Partner, to be able to talk about this openly.

What If Your Refusal to Have Sex is Part of a Bigger Problem?

No one should ever have sex when they don't want to do it. Sex should always be consensual.

However, there's a difference between refusing sex occasionally because you're not in the mood versus you don't want to have sex with your partner most of the time.  This can be indicative of bigger sexual problems (see my article: Have You and Your Partner Stopped Having Sex?).

One blog article can't possibly cover all the possible reasons why someone in a relationship doesn't want to have sex, but some common reasons include:

• Shame
  
• Guilt
• Lack of sleep
• Depression
• Anxiety
• Poor body image
  
• Hormonal fluctuations
• Low testosterone
• Erectile problems
• Lack of sexual experience
• Sexual performance anxiety
  
• Fear of pregnancy
• A history of sexual abuse/unresolved trauma
• Painful sex
  
• Problems with the way one or both partners initiate sex
• Sexual boredom or lack of sexual satisfaction with your partner
• Problems with orgasm or an orgasm gap 
• Anger and resentment
• Loss of trust due to a history of infidelity
• Other problems in the relationship

Getting Help in Sex Therapy

It can be difficult to resolve sexual problems in a relationship without professional help.

Sexual Pressure vs Consensual Sex

Sex therapy, which is a form of talk therapy, is often helpful in resolving sexual problems (see my article: What is Sex Therapy?).

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

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, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I am a sex positive therapist who works 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.

What Are the Most Common Misconceptions About Sex Therapy?

This is the first article in a series of articles about sex therapy where I'll begin addressing the most common fears and misconceptions that people have about sex therapy and some of the most common issues addressed by sex therapists (see my article: What is Sex Therapy?)

Sex Therapy For People in Relationships

There are many misconceptions about sex therapy which, as a sex therapist, I would like to address in this article.  These misconceptions and their related fears often keep people from seeking much-needed help in sex therapy.

Common Problems and Misconceptions That Keep People From Seeking Help in Sex Therapy

Some of the most common problems and misconceptions include (but are not limited to):

• Shame: Shame is a big reason why people, who could benefit from sex therapy, don't go.  Many individuals and couples who are having sexual problems don't know that their sexual problems are common, so they feel too ashamed to see a sex therapist. However, whether the problem is lack of sexual experience, low libido, problems with sexual desire discrepancy in a relationship, premature ejaculation, erectile unpredictability, painful intercourse, a desire to explore consensual non-monogamy or BDSM or kink, or a variety of other issues, these issues and other sexually related issues are common in sex therapy.  

Sex Therapy For Individual Adults

• Fear of Being Asked to Do Things They Don't Want to Do: Many people who have misconceptions about sex therapy fear that the sex therapist will ask them to engage in sexual acts they would be uncomfortable doing (group sex, threesomes, and so on).  But sex therapists focus on what the clients want.  They don't have their own agendas.  

• Fear of Being Judged or Criticized: Many people fear the sex therapist will judge them for their problems or their desire to explore certain areas of sexuality, like kink or BDSM (Bondage, Discipline, Dominance, Submission and Sadism and Masochism) as one example.  The reality is that most sex therapists are trained to discuss these issues in a sex positive and nonjudgmental way. 

Sex Therapy For All Genders and Sexual Orientations

• Fear of What Will Happen in the Sex Therapist's Office: There are people who fear they will have to take off their clothes or engage in sex in front of the sex therapist. However, there are no physical exams in sex therapy, no nudity and no touching.  In fact, a sex therapist's office is just like any other therapist's office.  Sex therapy is a form of psychotherapy which is also known as talk therapy.

Sex Therapy Online

• Fear of Sexual Boundary Violations: As mentioned above, there is no nudity or sexual acts in a sex therapist's office.  You and the sex therapist talk about your problems and there might be assignments for you and your partner(s) to try at home and come back to discuss the following week, depending upon the issue and how the sex therapist works.  Sex therapists don't have sex with their clients.  That would be a serious ethical and legal breach.  Also, a sex therapist doesn't talk about her own sexual experiences.  In other words, sex therapists are licensed therapists who must maintain legal and ethical boundaries with their clients.  

What Are Some of the Most Common Issues Addressed in Sex Therapy?

Most sex therapy begins with the clients discussing what they want to work on in sex therapy.  As previously mentioned, these issues include but are not limited to:

• Lack of Sexual Experience (for all genders/sexual orientations)

• Sexual Anxiety

• Sexual Shame

• Lack of Sexual Confidence or Sexual Self Esteem

• Problems Talking About Sex With Partner(s)

• Low Sexual Desire or Problems With Sexual Arousal

• Sexual Desire Discrepancy or Sexual Frequency Disagreements in a Relationship

• Problems With Body Image That Interferes With Sex

• Problems with Having an Orgasm For Both Men and Women

• Painful Sex

• Erectile Dysfunction

• Premature Ejaculation

• Sexual Compulsivity Including Compulsive Use of Pornography

• Sexual Boredom or Lack of Sexual Pleasure

• Understanding the Conscious and Unconscious Meaning of Sexual Fantasies

• Understanding the Difference Between Sexual Fantasies and Sexual Acts

• Understanding Your Erotic Blueprint

• A Desire to Explore Kink, BDSM (Bondage Discipline, Dominance, Submission and Sadism) or Fetishes

• A History of Sexual Abuse That Negatively Impacts Current Sexual Pleasure

• A Wish to Explore Polyamory or Opening Up a Relationship to Include Other Partners (also known as Consensual Non-Monogamy)

• Problems With Sexual Intimacy After an Affair

• Problems With Sexual Intimacy After Having Children

• Problems Understanding Sexual Orientation or Erotic Orientation or Sexual Fluidity

• Other Emotional or Mental Issues Interfering With Sex

What Happens in Sex Therapy?

Now that I've addressed some of the most common fears and misconceptions people have about sex therapy and some of the most common issues addressed, let's begin a discussion about what actually happens in sex therapy.  I'll go into further detail about this in my next article.

What Happens in Sex Therapy?

Both individual adults and people in relationships, including monogamous and non-monogamous relationships, attend sex therapy.  

As previously mentioned, sex therapy is a form of psychotherapy, which is also known as talk therapy.

Sessions can be in person or online.

The initial session is for clients to discuss why they are seeking help in sex therapy.  

For a variety of reasons, many people feel ashamed to talk about sex, so part of the sex therapist's role is to help clients get more comfortable talking about sex without experiencing shame.  

Sex Therapy Online

It's also common for clients to want to get comfortable with a sex therapist before they really open up to talk about their sexual problems in detail, and skilled sex therapists know how to facilitate this.

Other clients might feel more open and comfortable talking about sex right away.  So, the sex therapist can begin getting a sexual history from the client(s).

Getting a comprehensive sexual history taking is an important part of the initial stage of sex therapy.

When Should You See a Sex Therapist?

If you have tried on your own to resolve sexually related problems without success, you're not alone.  

Many people seek help in sex therapy, and you could also benefit from seeing a sex therapist.

A sex therapist can help you with practical steps to resolve the underlying issues related to your sexual problems.

Rather than struggling on your own, if you're having sexual problems, seek help with a licensed psychotherapist who is a sex therapist.

You deserve to have a fulfilling sexual life.

About Me

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

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

I provide in-person and online therapy.

To find out more about me, visit my website where I have many articles about sex therapy as well as other topics: Josephine Ferraro, LCSW - NYC Psychotherapist.

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