What Happens in Couples Therapy for Sexual Problems?

A question I often get from potential clients is, what happens in couples therapy for sexual problems?  They usually want to know if we will work on the entire relationship, or just focus on the couple's sex life.  The answer is, it depends!  If...

Erectile Dysfunction: Medical or Psychological?

Oops, it happened again.  A man in his early sixties came into my office with longstanding problems with erections.  He had many factors working against him:  He had a high-pressured career, he was overweight, and as the nest was emptying, he had...

Sexual Pain? How A Psychologist Can Help A Woman with Vulvodynia

Last week I was part of a panel of experts on vulvodynia who spoke about the treatment of this confounding syndrome at Mission Hospital.  Vulvodynia–literally, pain in the vulva area–can be distressing for both a woman and her partner. ...

Can’t Consummate Your Marriage? Maybe It’s Vaginismus

Vaginismus might be one of the most puzzling, frustrating sexual conditions that psychologists treat.  Since The Buehler Institute specializes in sex therapy, about 10-20% of our clients at any one time are women and partners affected by this condition, which...