5 Reasons Couples Seek Sex Therapy

At GetLusty for Couples, we understand the importance of therapy. Whether you're using it individually or as a couple, therapy (including sex therapy) can improve your relationship by leaps and bounds. We know--we've used therapy. Why might you use sex therapy? Our favorite LA Sex Therapist, Moushumi Ghose, is here to answer just that.

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Sex therapy is a specialized form of psychotherapy and often times a very core and central part of couples therapy. Sex is intrinsically woven into our relationships so it only makes sense that it couples, or individuals within intimate relationships are highly likely to seek out sex therapy to address their relationship, love and intimacy concerns. Sex therapy is a great arena for couples to develop an intimate language that works for them that also allows for growth.

Unfortunately, too often couples seek out sex therapy once there is already a big problem. The reason the couple is seeking therapy is generally because there is some unbalance, a discrepancy in what either partner wants and the two individuals are having a hard time coming to and agreeing on a middle ground. Since differences are a normal occurrence in relationships, acceptance, understanding and communication are other common threads, which are addressed in couples therapy to help bridge the gap.

There is also quite often blame in this imbalance, a tendency to point the finger and make one person the “bad guy” or the fault holder of the relationship. There are a few common things I see in my office, why couples seek out sex therapy.

One of the goals of sex therapy is to undo the finger pointing, recognize there is no “normal” or “expected” outcome for the way either partner “should” or “should not” be when it comes to sexuality.

Here are 5 common issues I see and how sex therapy may be beneficial in treating these issues.

#1 My wife, husband, boyfriend, girlfriend, partner wants sex more (or less) than I do.

The disparaging sexual desire levels is probably the single most biggest reason couples come in for sex therapy. Sex therapy can help the couple to remember or recognize there is no “normal” amount couples are supposed to have sex. Couples can also become aware of, comfortable with their sexuality, what turns them off, what turns them off, developing a language in which to communicate sexually with each other. Another important facet sex therapy can help with is to uncover any issues, which may be preventing either partner from being sexually open with their partner, or breaking down the relationship resulting in lack of sex, such as lack of trust, anger, depression, body image, stress, and so forth. Communication on how to negotiate a common ground is also a big focus.

#2 I just don't get turned on by my partner anymore. I can no longer orgasm. I just don't feel very sexual.

The theme here is the loss of desire towards a long-term partner. Sex therapy can help couples to recognize their own sexuality levels, that arousal ebbs and flows, particularly in long-term relationships. Sex therapy can help couples connect in new ways, when old ways have lost their excitement.

#3 My partner is a swinger, is polyamorous, wants an open relationship, or a three some and I don't know how I feel about this.

Dissonance between lifestyle choices, needs and desires is a very common reason for people to enter into my office. Sex therapy can help couples address misconceptions or ideas they have about lifestyles. Couples can begin to understand what is comfortable from them and learn to negotiate a common ground.

#4 I fantasize about [insert personal fetish here: men, women, being raped, large cocks] and cannot share this with my partner.

Shame is a big part of what couples can work through in sex therapy. Sex therapy is a great place to get a corrective emotional experience towards our fetishes, our fantasies, desires, and develop a language to express our sexual desires. Sex therapy can help with learning to accept often more taboo subjects such as masturbation as well.

#5 My partner spends too much time watching porn.

This is becoming more and more common in sex therapy. Sex therapy can help couples understand if a certain behavior is within normal practice, as much of porn watching can be or if it is something that might be more compulsive or obsessive in the case of a porn addiction. Addiction is highly subjective as well, so helping the couples decide what is acceptable and what is not acceptable are key points they can address in sex therapy.

All in all, there are a gamut of reasons couples may want to enter into sex therapy. I highly encourage couples to enter into sex therapy as a form of premarital counseling as well. One doesn’t need to have a specific issue in order to develop effective ways of discussing the more intimate aspects of your relationship. After all, sex and relationships is not something that necessarily comes with a handbook, so why not get the tools ahead of time, before it’s too late?

This is a guest post from the well acclaimed Moushumi Ghose.

Moushumi Ghose is a Sex Therapist, Educator and Coach, Radio Host, Musician, and Filmmaker. She is licensed by the California Board of Behavioral  Science. She is a member of AASECT (American Association of Sex Educators, Counselors and Therapists). Moushumi also has extensive experience working with a variety of populations and diverse lifestyles.

Moushumi recently completed an eBook on, "Marriage, Money and Porn." and writes extensively for numerous other sites ranging from Men's Fitness Magazine to GoodTherapy.org. Find her on Twitter @MoushumiAmour, Facebook and her website LASexTherapist.com.

Don't forget to comment below! Questions for Moushumi or another professional across our network? Send them over to reply@getlusty.com and we'll get them answered!

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Couples Negotiation 101

You'd be surprised, but arguing can be the difference between a good and great relationship. Don't fight occasionally? Be scared. Good communication is about negotiation. And many times these will get heated. Being a couple involves conversations that sometimes get heated. It's part of human nature. But these arguments can turn negative--quick. Luckily, Chuck and JoAnn Bird are here to talk about how to get positive things out of relationship disputes.

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Saying that communication is the key to a healthy relationship is like saying that an engine is a relatively important part of your car. It really shouldn’t need to be said, anymore.

Yet, knowing that and acting on it are two different experiences. If communicating well was such an easy thing for couples, then why do so many couples have trouble doing it?

The truth is that speaking from the heart is one of the most difficult things we do. When we have disagreements with the ones we love, it can lead to very emotional conversations and arguments. Of course, we are only upset because we care and it matters to us how our loved ones feel. Nonetheless, it is easy to get caught up in strong emotions and actually fail to communicate our needs in a way that will generate a positive response from our partners.

That’s why we recommend to our patients learning an important skill: negotiation.

To negotiate means to discuss something in order to reach an agreement, confer. Whether you knew it or not, you probably use negotiation skills on a daily basis. However, these skills become especially important when you are in a relationship that you want to thrive. Here are some basic negotiation skills that you can start using today:

First, go into the discussion with the mind set of making it a “win/win”, instead of trying to convince your partner to give in to what you want. Remember, you’re a team. Thus, when one person loses, the whole team loses.

• Be clear and state what you want.
• Focus your request on behavior changes.
• Try not to immediately say “No.” Instead, make a counter offer.
• Be willing and open to compromise. This means both of you must be willing to surrender something you want.
• Continue until you reach an agreement with which you both feel comfortable.
• Honor the agreement.

Here’s how it sounds when we do it poorly and when we do it right:

Not using negotiation:

Husband: “I want to go out with my friends on Friday nights.”

Wife: “FINE! You ALWAYS want to spend more time with them anyway!”

Using basic negotiation:

Husband: ”I want to go out with my friends on Friday nights.”

Wife: “I want to spend time with you on Friday nights. Instead of every Friday, how about you go out with your friends one Friday night a month?”

Husband: “I want to spend time with you too, but I also like to spend time with my friends. How about I go out with them every other Friday night?"

Wife: “Okay, just as long as we spend quality time together on our Friday nights.”

The difference in those two examples is the tone and the manner in which the disagreement was addressed. The first example showed someone who wanted to communicate a disagreement with her partner’s plan to go out, but it was all emotion with no path to a solution. The second example showed she could still communicate the same disagreement, but in a way that promoted a compromise that ended with a positive outcome. He is able to spend some time with his friends, while she secured the quality time that she wanted with her husband.

All this skill requires is the ability to step back and think for a moment before you respond. It’s perfectly natural to feel strong emotions with regard to your partner. However, by communicating your viewpoint the right way, you can actually convey how you feel in a way that can lead to solving the dispute instead of it escalating into a bigger one.

Drs. Chuck and Jo-Ann Bird and are Board Certified Clinical Sexologists and Relationship Counselors. They co-counsel couples together which offers a unique and balanced male/female perspective and a combined therapy/coaching approach to helping their clients with a variety of relationship and sexual issues/concerns. Due to our last name and work they do, they've become known as “The Love Birds”.

They have 16 + years of personal experience in a healthy, loving and successful relationship. We know how to solve problems and work through difficulties that couples may face on a daily basis. We know ways to keep relationships strong and healthy. We offer you tools and strategies that can make positive changes in your relationship. Find out more about Chuck. Alternatively, find out more about Jo-Ann. Also, follow them on Twitter and 'Like' them on Facebook.

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Genital Bear Trap? How-to Overcome Sexual Rejection

Rejection in the bedroom is so common that it has become an archetype for humor everywhere. But, all humor aside, rejection in the bedroom sucks. Especially when it comes from someone you love and care about deeply. It may seem as simple as your partner not being in the mood, but rejection might be symptomatic of deeper issues. Even though rejection can freak couples out, Dr. Jenn has a few explanations for what causes frustration and some very helpful advice on how to overcome.

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Read the cartoon. “I’m guessing you are not in the mood…” Cue laughter. Why does this evoke laughter? Even I laughed initially when I read it before I considered other perspectives. I was curious whether women in general would find it amusing due to familiarity with that situation, or if they would be upset by it. And what about men?

In my private practice, I frequently witness this dynamic with couples of mismatched desire levels, albeit not to the extent of barbed wire. In bed at night, here’s the monologue that seems to go through the woman’s head:

He will probably want sex tonight. It’s been a little while so maybe I should. But I’m exhausted and don’t feel like it. If I yawn loudly, he’ll see the subtle clue that I’m too tired and not ask, and then I won’t feel guilty about saying no.

This cartoon cuts through the mental game playing as the woman blatantly presents her opinion about sex that night. The man scratches his head, and with a bit of uncertainty, states the obvious.

I have mixed feelings about this cartoon. This is a stereotype, and such stereotypes are problematic because they can enforce already restrictive gender roles. On the other hand, this is how many couples operate, and humor is a known path to opening dialogue around uncomfortable topics.

So I posted the cartoon on Facebook and asked for people’s initial reactions, and why they had that reaction (both publicly and in private message). The responses were incredibly varied from the extremes of “this is depressing” and “this isn’t funny,” to recognition that “as a mother of three children, I laughed,” to “lighten up people, it’s a joke” (which incidentally, was from a man). The most poignant responses were those indicating opposing gender perspectives on who was responsible for the couple reaching this point. As one friend posted: we need to ask why this is happening. I quite agree. What differences are women and men learning about sex and experiencing around sex that makes this a often repeated joke? Clearly we’re missing the mark. And each other.

From a woman’s perspective, why would she get to a point of desiring physical barriers between her and her partner? She may be exhausted and overwhelmed from juggling so much, doesn’t feel much of a physical sex drive, she’s bored with the same old in the bedroom, or she’s built up a wall of resentments that make opening up sexually difficult. These are all common explanations I hear from clients and are quite valid. The Facebook crowd added that a discomfort can exist if the man has cheated or if the woman gets tired of saying no. This was exemplified by the comment, “another clueless horny man,” from a woman who thought the cartoon was funny because it's true. There were also some women who felt that the depicted couple was sad and distressing, because clearly her other modes of communication had been ignored.

The sad theme was also mentioned by several men, who considered it frustrating to a man. I perceived these responses to mean that to encounter such roadblocks when desiring sexual intimacy with your partner is upsetting. Continual rejection can take quite a toll on a man’s self-esteem and confidence. On the other hand, several men found humor in the cartoon with the “it’s funny because it’s true” response for a few reasons: because women don’t communicate directly enough for men to understand, so the blatancy of the cartoon is appreciated; it “blames” the woman for her lack of interest in sex; and that the use of a bear trap and fencing in bed is just funny. One explanation for this scenario I have found in my practice is that men are more likely to continue to have physical sexual desire throughout a long-term relationship, while their female partners don’t experience the same type of physical urges. It can be difficult for men to understand and accept this shift.

That being said, I would be remiss to not share the perspectives of the women and men who expressed the opposite view. A couple women were in the shoes of the “man” of wanting more sex. One man responded, after a chuckle, that sometimes guys don’t want sex either. There were also some people who recognized that it takes two to tango, and that both partners play a role in creating this situation. I certainly see all of this in my practice as well.

What is the lesson here? In relationships as depicted in the cartoon, it’s vital to realize that the woman is not trying to be a gatekeeper. Additionally, the man is not trying to be an ass. Despite the difficulty in each partner accepting this, it is actually quite hurtful and guilt-inducing on both sides. It helps to avoid defensiveness, be honest and accepting of the truth, and allow space for your partner to do the same. Get to the heart of your needs, desires, and motivations, and open to a teamwork approach. Otherwise that electrical fence will get more charged and divisive.

And the funniest response on Facebook? One of the class clowns from my high school did not disappoint. He wrote: “I’m wondering what book she’s reading? Maybe it’s 50 Shades of Grey, in which case the guy should hang in there as she might change her mind shortly.” Thank you, Doug.

Jennifer Gunsaullus, PhD, is a sociologist, sexuality speaker, and sex therapist, with a passion for challenging people to sexually think outside the box.

Dr. Jenn is a public speaker on topics including healthy relationships, love, gender, mindfulness, erotic play, and happiness. She counsels individuals and couples, in person and over Skype, to assist in creating and maintaining open communication and fulfilling intimacy. Dr. Jenn is a contributing writer for Pacific San Diego Magazine and is a sex and relationship expert on Fox 5 news and San Diego Living. Follow her on Twitter @DrJennsDen and Facebook.

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Is There a Quick Fix for Sexless Marriage?

We love Dr. Jenn Gunsaullus, PhD. She has helped us take ownership of our sexuality, give better anal, and taught us what to do if sex gets painful. Today, she's back again for a big problem that over 20 million Americans have.

Sexless relationships and marriage. We'll have more on sexless couples, but for now, we wanted to address this issue!

Dr. Jenn has wonderful advice to give and wants to improve everyone's love life. Do you notice that sex in your relationship is becoming less frequent and want that quick fix? Dr. Jenn is here to let you know why quick fixes are not always the answer to your problems.

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If you've experienced how verbose I am about any sexual or relationship topic, you won't be surprised to hear me respond NO to the above query. However, there are two basic questions you can ask yourself in order to start digging at the foundation of a lackluster sex life.

Question yourself and your partner. Ask these two basic questions:

1. What does having sex mean to you?
2. What does not having sex mean to you?

When I write "mean," I'm referring to the compelling emotions surrounding these questions. For example, one woman I presented the first question to exploded, "What does it mean? It means I'm just taking care of my husband like I have to take care of the house, the kids, and my clients at work." Yikes. Lots of underlying resentments. Generally, resentments represent needs that aren't being met. In this case, she was not feeling nurtured and cared for, and feeling overwhelmed with emotionally managing so many others.

In another case, I asked a male client in a "sexless" marriage what not having sex meant to him. He sadly replied that he was unable to have a level of closeness and intimacy he craved, intimacy that made him feel good about himself and connected to his wife. Having sex with his wife validated his self worth as a man and a loving husband.

What's the quick fix?

When sex is "missing" in a relationship, just trying to spice up the excitement level rarely addresses the depth of the hurt, resentments, and walls that have built up. Gently pulling back the layers of hurt and disconnect and replacing them with appreciation and vulnerability (with a kick of creativity) is the best "quick fix" I can recommend.

Jennifer Gunsaullus, PhD, is a sociologist, sexuality speaker, and sex therapist, with a passion for challenging people to sexually think outside the box.

Dr. Jenn is a public speaker on topics including healthy relationships, love, gender, mindfulness, erotic play, and happiness. She counsels individuals and couples, in person and over Skype, to assist in creating and maintaining open communication and fulfilling intimacy. Dr. Jenn is a contributing writer for Pacific San Diego Magazine and is a sex and relationship expert on Fox 5 news and San Diego Living. Follow her on Twitter @DrJennsDen and Facebook.

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