Sunday, May 18, 2008

Everything (and MORE) You Always Wanted to Know About Sexology, and Are Afraid to Ask!

askdrarlene.com
sexology, sexologist, licensed sex therapy in Florida

Do we need to see a therapist?
I think we have sexual problems?
How do we find the right type of therapist?
A sex therapist, what the heck is a sex therapist?

It never fails to amaze me, that the mere mention of sex and human sexuality continue to titillate and cause a state of unrest for most, when thrown into the mix of everyday conversation.

I'm standing inside the sushi restaurant last week, waiting for my take-out tempura salmon roll. A very charming and handsome man also waiting outside the front door beckons for me to join him while waiting for our lunch orders. He casually asks if I live in the neighborhood and what I do for a living.

Before I answer him, I notice a woman sitting not 3 feet from us, observing the conversation. She seems somewhat amused by the charming man and his social tactics (pick-up lines).I open my mouth to respond and my mind is already whirling with thoughts of the response I will most likely get from my answer."I'm a Board Certified Clinical Sexologist, a Marriage and Family Therapist with a PhD in Clinical Sexology..." I pause, watching the expression on his face.

The woman at the table nearby, also has looked up from her lunch, I have their absolute attentions at this point.You do what, he exclaims? I again define my profession, and add, "you know, like Dr. Ruth, America's favorite sexologist...only a bit younger."The woman at the table is still watching us. She smiles and says, "this should be interesting."

This is the response I receive 99.9% of the time from persons, once they've asked what my profession is. Even upon explanation, there still seems to be that stunned look on their faces.So then, why the shock effect from stating that one works in the field of Human Sexuality?

First off, `I'm not sure that people fully understand hat it means to be a sex therapist, sexologist or clinical sexologist. It often can mean different things to different people, since the field of sex therapy is very specific to its requirements and regulations.

What then does it actually mean to be a sex therapist? Florida is the only state to license sex therapists. Other licensed professionals in the mental health field may obtain the additional specialty license by completing 120 hours of training and 20 hours of supervised clinical practice. Or, they may attain their PhD in Clinical Sexology by completing a State certified doctoral program in clinical sexology.

Currently, The American Academy of Clinical Sexologists offers such programming in Orlando, Florida. Dr. William Granzig is the founder and Dean of the program, with whose guidance and training I was honored to have studied.Dr. Granzig states in a past interview with the Washington Post, that sexual matters cannot be addressed by just any therapist, so it is beneficial to train people to deal with them specifically.

He also maintains that the model for sex therapy, created more than 30 years ago by William Masters and Virginia Johnson calls for therapists to refer patients to sex therapists when sexual issues arise.Outside Florida, sex therapists are generally licensed in such fields as counseling, social work or psychology. Some receive additional training and certification from organizations such as the American Association of Sex Educators, Counselors, and Therapists (AASECT) and the American Board of Sexologists (ABS). There are conflicting views about this very specific profession however.

In a recent passing conversation with a colleague in the mental health field, he claimed that sex counseling is simply an aspect of an everyday psychology practice, and though the subject may not come up often, he was surely capable of dealing with such issues, simply based on "personal experience."

WHAT?? No No No No! In the State of Florida there are very specific and absolute statutes defining the specifics of who can practice sex therapy and who can call themselves a sex therapist. These statutes are clearly stated along with the specific training and course work that one must have in order to practice sex therapy in the State of Florida.Just because my colleague was once a playboy and has endured 4 marriages, doesn't give him the qualifications to shoot from the hip so to speak, and practice "sex therapy" in his office!That said, hopefully I've answered some questions about, what is a sex therapist and how do I find a sex therapist that is qualified?

Why a Sex Therapist instead of any other type of therapist?

Now, I'd like to address exactly when you may need a sex therapist and what to expect in sex therapy, and what sex therapists can really do for you. First of all, it is important to understand that we as human beings don't exist in a unilateral world. We are almost always in relationship with one or another persons. Whether it be work or personal life, there is a systemic flow to who you are and how you interact in the world around you. In your relationship the issues of sex, intimacy, love, career, health and life in general all add up contextually to who you and your partner are.

As sex therapists, it is often important to break down these individual issues and isolate the actual sexual issues from the relationship factors. Although if is often difficult to separate the two, that's exactly what your sex therapist tries to do. In better understanding sequences of behavior and patterns of interaction in your relationship, therapy helps you to gain clarity on who you are and what you expect from your partner. Your relationship and sex life are not independent of one another.

However, it is important to point out that fixing your relationship doesn't necessarily mean a quick fix for your sex life.There is a method behind the madness of therapy and sex therapy. We don't simply sit in our chairs and pull questions out of thin air like rabbits out of a hat. The original therapeutic models for sex therapy go back some thirty years to the pioneering sexologists. Sex therapists have devoted much time and research in order to gain an understanding of human sexuality and human behaviors. The training and coursework is very specific to sexuality issues. In choosing a therapist of your choice, make sure that the clinician you choose, has received both a proper education, as well as clinical supervision from a University that offers a State qualified graduate program in Human Sexuality.

Some of the more common problems that sex therapists deal with include: premature ejaculation, erectile disorder, performance anxiety, orgasmic dysfunctions, low libidio and lack of desire. Often couples report that they have simply "fallen out of love." Many sex therapists also handle gender identity issues, gay and lesbian issues, trans-gender counseling, as well as fetish and paraphilia related issues and sexual trauma to name a few. Also of critical import are the interpersonal/ relationship dynamics including both sexual issues and the communication or lack thereof between individuals and couples regarding their sexuality and relationship.

Therefore, they are much more likely to have a comprehensive understanding of your sexuality and relationship issues than a typical psychologist. Sex therapists don't fix your problem. They help you help yourself. As Sex therapists, we foster a safe place where you can communicate understand, and focus on defining and healing the specifics of your sexual and relationship issues, under the guidance and direction of a trained professional.

Sexual dissatisfaction is the no. 2 reason for divorce in this country. If you are seeking help, you can locate a licensed and qualified sex therapist by contacting the American board of Sexology, or go to your Internet which provides numerous therapist locater programs, such as psychologytoday.com or 4 therapy.com etc. You may also want to ask your medical doctor for a referral in your local area.

Post a Comment

9 comments:

Anonymous said...

I am a divorced woman in my late 40's in South Beach, CA. I am attractive. I tend to get whistles and looks from younger men. Some of the pickup lines are outrageous and such a turnoff, sometimes makes me frightened to go outside. Didn't these "kids" mothers teach them any manners? It truly makes me nauseous sometimes, even the great looking guys. Forget it.

Anonymous said...

This is a most interesting article. My ex had ED for a long time and we did not know what had transpired; it was too late, when I left him. I now realize what it was.

Anonymous said...

Dear Doctor Arlene,

My wife and I get along. We work together. We work hard and play hard, usually together. But she has always been frigid, and admits it. Has a hard time with orgasms. She directs my foreplay and I follow what she wants. Still frigid. Is this a psychological problem? She has gone to internists who can find nothing wrong?

A.B. in Manitoba, Canada

Anonymous said...

Dr Krieger,

Love your blog. Only wish I'd known about it years ago. My problem may be for a urologist, not you, but I will give it a try. My wife and I have been married 8 years. Sex is good. We are still both turned on by each other by never going to bed angry. We fight, sometimes, but not over petty things like a lot of our friends. We make a conscious effort, and do, make up at the end of the day. We have a sex issue though. I am average size (penis); her vagina is loose generally; and we do not get a lot of friction. So
at my request, she either masturbates me (while I do her) or oral sex, as I can get friction that way, and then I enter her. I can come (usually that way), but not always. Is there any way for my penis to enlarge or for her to strengthen her vagina muscles? It seems to bother her (a bit) that we have to do it this way; otherwise it is difficult for me to keep an erection, much less have an orgasm, and that doesn't help her any either. We are too much in love to break up over something like this, and, my guess is, it is something that can be fixed. I just don't know how. Would appreciate any ideas. Thanks. Ben in Bonn, Germany

Anonymous said...

Dear Ask Arlene,

I don't think I am made for love or romance. I am just a good hard working man, decent, kind, but am not rich. Where I live, you gotta be rich to make the grade by the time you reach my age which is 38. Women do like me, but only want to be my friend (at best) when discovering my monetary value. This is so shallow and stupid. My rich married friends are not very happy, and tend to always argue about money. What happened to love? Is it all about money? I give up, really.

Jason in Texas

Anonymous said...

I like your blog Doctor. I am 36 year old man. Nice looking. I make a good living, but I work hard (my wife says too hard). When I get home, have no interest in sex. She does. I am too tired. I dont have interest in other women. Had physical. Insides okay the physicians say. Just can't get it going (you know what I mean). Tried Viagra, etc. Doesn't help.
Is this the end of my sex life? Wife wants out, and honestly, I don't blame her, unless there is something that can be fixed here.

Sincerely,

JSC in Kansas

Anonymous said...

Hello A.B. in Canada,

It sounds as though you and your wife may be able to get some answers by seeking out a Licensed Sex therapist in your local area. If your internist has ruled out any biological or physiological problems, then it may well be an experience from your wife's past that is keeping her from enjoying all the benefits of a fully realized adult sex life. Since I don't know any of the specifics of why you consider her intimate behavior to be "frigid" it is hard for me to answer your question.You may be speaking of many things including, fear based inhibition, low self-esteem, or concerns with her body image. Please take the time to speak openly with your wife , and find out what her real concerns are. Again, I do think that the help of an expert in the field, such as a Sex therapist, could help you to gain some clarity with your situation. Also, the term "frigid" is an antiquated and old-school term of art. I am sure that your wife is not frigid, as Freud might have deemed her to be. Please utilize the services of a 21st century therapist...wishing you both well.

Anonymous said...

Hello JSC in Kansas,

I read your comment and do have some thoughts on the subject. First let me normalize your situation for you. You are among thousands and thousands that find themselves too tired for sex. Yes, even in your young age group. The problem seems to be stress, a drain on the adrenals, high cortisol levels and ultimately ...too tired for anything, including sex!
I would suggest that you work out a schedule with taking time for yourself and your wife as a priority! Also, eating well, less stress, proper exercise, and most importantly, at least 8 hours of sleep a night will work wonders for your libido! If your doctor has ruled out any biological or physiological problems, a change in life style may be just what the doctor should have ordered. Exercise promotes endorphines which in turn will pump up your energy and vitality! Please give it a try, hopefully your wife will join you in attempting to set these goals for a better lifestyle and ultimately, improved love life!
There is no magic pill, viagra only works if the desire is there, too tired, no desire equals no sex life. Don't become a victim to your job...its not worth losing the other important parts of your life. Good luck to you.

Anonymous said...

To Ben in Germany,

It doesn't sound to me like your problem is biological or physiological, hence the need to be checked out by a urologist. What you are describing is the loss of friction upon penetration, due to a lack of strength in the vaginal walls of your partner. There are several options for this problem. First, there are pelvic floor exercises which can help to strengthen and tighten the vaginal walls of the vagina. These exercises are called Kegel exercises. Also, your wife may want to speak with her gynocologist about the specific physiological causes that may be of concern here. There are also new surgeries in place nowadays that are specific to the tightning of the vaginal walls. Please do your research, I suggest with your doctors and as an educated consumer on the internet. If there is love between you as you say, this problem can be resolved and worked out. Good luck to you both.