Sexual Problems

A sexual problem, sometimes called a sexual dysfunction, is a problem during any phase of the sexual sexual act (such as desire, arousal or orgasm). Although many people experience trouble with sex at some point, it is a topic that many people are hesitant to discuss. There are a number of specific sexual disorders, including sexual desire disorders (low libido), sexual arousal disorders (inability to become aroused – erectile dysfunction or vaginal dryness, for example), orgasm disorders (delay or non-appearance of orgasms) and sexual pain disorders (painful intercourse, most commonly affecting women). A sexual problem can occur suddenly or develop slowly, over an extended period of time. The reasons for sexual problems can widely vary but may include factors such as fluctuating hormones, aging, stress, anxiety, depression, fatigue, diet, medications, illness or past sexual trauma. If you are dealing with sexual problems, a qualified professional therapist can help you identify the cause and help you develop ways to cope. Reach out to one of TherapyDen’s sexual problems experts today.

Meet the specialists

Sexuality and Sexual Health and Functioning Personal spiritual growth within the realms of BDSM and sexuality Self-Esteem around Sex and Communicating Needs Issues around Sexual Abuse & Sexual Trauma Male sexuality and intimacy issues Poly, Non Monogamy, and Open Relationship Issues Kink, BDSM, and LGBTQAI ally Work with Sexual Narcissism and Sexual Power Dynamics

— Adrian Scharfetter, Associate Marriage & Family Therapist in Berkeley, CA

"Sex is not a thing you do, it is a place you go." Esther Perel stated this and I could not agree more. Unfortunately many of us have not been given clear directions on how to arrive to this place of sexuality, sensuality, and pleasure. I feel confident in supporting you and your partner(s) in exploring, expanding, and healing your sexual relationship with each other and yourself. We’ll work together to create forward-thinking tools to help you speak clearly and sincerely around what you need to enjoy the intimate life you want.

— Madeline Fox, Associate Marriage & Family Therapist in Portland, OR

SEX THERAPY SEX is the hottest topic around. Our lives are inundated daily with sexuality because without it we no longer survive as humans. Sexuality a major part of being human. With so much shame surrounding sex, misinformation, drama and trauma concerning sex, it is a wonder we are not worse off than we are. Sometimes someone needs is a little education, mature, balanced information and they’re good to go. Other times some need counsel, a little advice, and safe conversation to get healthy. At other times people need therapy, deeper, skilled treatment for sexual issues. All levels are found at the Aspen Center, in Dr. Raymond Jones. SEXUAL DEVELOPMENT, SEXUAL IDENTITY, SEXUAL COMPANIONSHIP, SEXUAL FANTASY, DESIRES AND HEALTHY SEXUALITY are all given equal space at the Aspen Center. Dr. Jones knows how to grow a healthy, sexual being who feels comfortable in their skin, who overcomes the shame and grows into the most healthy, spiritual, intimate sex ever.

— Raymond Jones, Sex Therapist in Covina, CA

Concerns about sexual functioning take a nuanced and specialized approach. I have specific training in treating concerns about sexual functioning including erectile dysfunction, sex addiction, low desire, and differing libidos. I bring sensitivity, compassion, and practical solutions that produce lasting results.

— Megan McDavid, Licensed Clinical Social Worker in Portland, OR

Clients who report sexual problems, report varying libidos, lack of sexual desire, lack of pleasure during sex, infidelity, pornography watching/addiction, difficulty getting or maintaining an erection, lack if intimate connection, triggers during sex related to previous trauma.

— Marissa Talarico, Counselor in Vancovuer, WA

I want to help people find pleasure, joy, and confidence in their sexuality and relationships no matter what barriers they face. I do this by providing therapy grounded in feminist ideals and collaboration, a focus on strengths, trauma-informed care, and science-backed interventions. I provide a space for you to feel seen where you are.

— Casey Tanner, Counselor in Chicago, IL

As an author and specialist in sexual health, I work on the deeper causes and issues associated with many common sexual dysfunctions. I also work on relationship issues related to sexual challenges. My approach is especially ideal for complex sexual concerns, where other therapies or medical approaches have been insufficient.

— Dr. Edward Santana, Licensed Marriage & Family Therapist in San Francisco, CA

I have specialized training in sex therapy and have extensive experience with paraphilia-related disorders, sexual health concerns, desire discrepancy issues, erectile/ ejaculation issues and sexual pain.

— Alana Ogilvie, Licensed Marriage & Family Therapist in Portland, OR

Low sexual desire Infidelity Mismatched desires and needs within a couple Physical sexual pain Emotional sexual pain Erectile dysfunction Delayed or impaired orgasm or ejaculation concerns Lesbian, gay, bisexual, transgender, gender queer, intersex, and asexual health or curiosity Sexual trauma Embarrassment and anxiety in regards to sexual situations Concerns over what is “normal”

— Kelifern Pomeranz, Licensed Marriage & Family Therapist in Menlo Park, CA

We help couples work through sexual challenges. We help couples with desire discrepancies, communication around sex, sexual trauma history, reconnecting after becoming parents or medical illness, and wanting more enjoyment and fun in sex.

— Thrive Couple & Family Counseling Services, Counselor in Greenwood Village, CO

Sex therapy includes addressing a wide array of concerns, such as difficulty with orgasm, sexual or pelvic pain, and problems achieving or maintaining an erection. Couples often meet with a Sex Therapist to work out tension or conflicts about how often and in what ways they want to have sex. I take a practical approach to work with individual clients and with couples who want to make improvements in their sex lives. The foundation of Sex Therapy includes giving people basic educational information and access to resources as a first step. If that doesn't result in the changes you want to make, then we consider more specific suggestions that are tailored to your particular problem. As you try the suggestions and recommendations of the therapist, hopefully you see improvement. If not, then we know more reflective or intensive therapy is indicated.

— Kate McNulty, Clinical Social Worker in Portland, OR

We are all entitled to a healthy, safe, and creative relationship with our own bodies and our own sexuality, however we choose to express this. Many, if not most, of us live with unhealthy and unhelpful messages about sex and sexuality that we have downloaded from a toxic and shame-based culture. Others of us have the additional burden of surviving real trauma around sex, whether physical or emotional or both. I've made it a personal mission to help people overcome shame and sexual disconnection. I use both practical sex-education (most of us never got!) as well as gentle exploration of the emotional and symbolic sides of sex and sexuality to lead people to more healing, fulfillment, and joy in their sexual and intimate lives.

— jonathan burstein, Licensed Marriage & Family Therapist in Berkeley, CA