Treatment Model for Out-of-Control Sexual Behavior

Rhiannon C. Beauregard Licensed Marriage and Family Therapist & Supervisor AASECT Certified Sex Therapist & Supervisor ‪(512)-765-4579‬

Treatment Model for Out-of-Control Sexual Behavior

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No matter what you call out-of-control sexual behavior, whether it is sex addiction, porn addiction, hypersexuality, compulsive sexual behavior, problematic sexual behavior, unhealthy sexual behavior, or any other term, people struggle with their sexual behavior and often seek me out to help them with their issues and concerns.

Recently I had a group consultation with Douglas Braun-Harvey, co-author of a new book Treating Out of Control Sexual Behavior: Rethinking Sex Addiction and many of my fellow colleagues in Austin, TX who work with people who struggle with their sexual behavior.  Doug is a sexual health author, trainer and psychotherapist based out of San Diego, CA and focuses on sexual health as the primary principles in treating people who identify as having out-of-control sexual behavior.

While the book is new, the work is something that I have been using in my practice for years and it is so nice and refreshing to see authors and therapists publish very important and valuable work in the treatment of out-of-control sexual behavior.

While I would recommend reading the book, in short, Braun-Harvey and Vigorito’s works defines out of control sexual behavior as a “sexual health problem in which an individual’s consensual sexual urges, thoughts, and behaviors feel out of control (to them)” as opposed to a mental illness”.  The treatment for out of control sexual behavior focuses on creating goals in treatment that align with the following 6 principles of sexual health: consensual; non-exploitive; free from STI’s, HIV, and unwanted pregnancy; honesty (secrecy vs. privacy); shared values; and mutual pleasure.

If this definition and treatment model feel right for you, give me a call and we can get started in getting you on the path of sexual health and wellness and more in control over your sexual behavior.

STD Testing and Screening Available in Austin, TX

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What a better way to start off the year than to commit to regular STD Testing and Screening!

Recently, I recorded a podcast episode (www.lovesexatx.com) on sexually transmitted diseases and infections.  When the topic was posed by my team, I initially thought “Who is going to want to listen to an hour long podcast about STDs?”  I mean, I could talk about sexual health and STDs all day long (and many days, I talk about them a lot!) but who wants to tune in and listen to us talk about the risks and dangers of sex?

That’s when my producer stopped me and said something along the lines of “I’m not proud of it, but there were many times I abandoned any concern about my sexual safety for pleasure.  If we can just help 10 people practice safer sex, than it would be a success.”

I was speechless: he was SO right.  I guess working in the field of sex sometimes disconnects me to the average persons experience of sex, and safer sex is one of my most FAVORITE topics to talk about, so I probably take for granted how much I talk about it, and maybe how little people talk about it in their regular lives.

Since the podcast is based in Austin, TX, I wanted to make sure that listeners were provided with helpful resources of where they can get STD testing.  Some of these resources can be generalized to all of the areas I work (and beyond), but many are local and aim to provide services to people in the Austin, TX area.

The FIRST thing I will say about getting STD tested is knowing what you are getting tested for.  People will often say “I’ve been tested. I’m clean” (imposing the inherent shame that we feel about our sexual health, as if having a sexually transmitted disease means you are DIRTY).  Fun fact: More than half of all people will have STD/STI at some point in their life (American Sexual Health Association, 2016).  That means having an STD/STI is really common, so common that it seems unnecessary how much secrecy and shame we have out there about having had or currently having a sexually transmitted disease or sexually transmitted infection.  But that’s sex in this country right- riddled with secrecy and shame, often disguised as “privacy” and “modesty”, but let’s be honest- sex in many families is seen as something you don’t talk about and you don’t feel good about- hence the secrecy and shame part.

So back to WHAT you are getting tesedt for- when someone say “I’ve been tested”, they are usually referring to ONLY four diseases they have been screened for:

  1. HIV (shows up as HIV AB/AG Combo or HIV 1 + 2 AB + AG or some variation): Desired result Non-reactive or Negative
  2. Syphilis (shows up as RPR on your lab tests): Desired result: non-reactive or negative
  3. Gonorrhea and Chlamydia, Desired Result: negative

What that doesn’t include is HPV (genital warts and can cause cervical cancer and oral cancer), Herpes, Hepatitis B & C, Trichomoniasis, or any other skin diseases that can be transmitted through blood, semen, saliva, vaginal fluids, or skin to skin contact.

The other thing, is you actually have to ASK to be tested.  And you need to be specific on what you want to have tested.  According to the American Sexual Health Association (2016), in a national survey of US physicians, fewer than one-third routinely screened patients for STDs/STIs.  That means that this is something YOU need to make a priority.  I know, it isn’t right, for something that carries so much weight, shame, and heartache, why don’t our physicians take a more proactive approach in helping us navigate sexually transmitted infections and diseases?  THAT is a great question, and a WHOLE other topic for another blog!

So know that you know what I recommend you getting tested for, here are some places in Austin, TX that will do it for a low-cost or free.

  1.  First, if you have health insurance, MOST, if not all, of the above mentioned tests will be covered.  But you have to ask and you HAVE to be insistent.  In all the years I’ve been a sex therapist and have been getting regularly screened 1-2 times per year, I STILL have to insist to “regular” doctors why I need the tests I need.  Even if some years I am “low risk”, I have to explain to the doctor that my sexual health is a priority and the sexual health of my partner is also a priority.  Because of that, I need to have tests for the following:
    1. HIV
    2. Syphilis
    3. Gonorrhea
    4. Chlamydia
    5. Trichomoniasis
    6. Herpes I and II
    7. Hepatitis B and C
    8. HPV
    9. If symptomatic, yeast culture as well – CHERRY ON TOP!
      Most of these are blood tests (HIV can be a finger prick, which I don’t like).  A couple are a culture from my vagina or in men, their urethra.  I usually get fought by the practitioner (insane, I know) on 1 or 2, generally hepatitis and HPV.  HPV is a REALLY dangerous and common virus, and it isn’t always uniform on testing for it.  Women usually have it done through a pap test- for men, there isn’t an “approved” way of testing/screening unless there is a wart or lesion present.  An anal Pap test is available for those who frequently have anal sex.
  2. Go to a low-cost or free clinic. Generally, my experience has been that these places are WAY more receptive at testing you for whatever you want and many accept your insurance and if you have crummy insurance or none at all, they are often very reasonably priced or FREE!  It’s often easy to get free HIV testing, whereas other tests usually aren’t free.  World Aids Day in December 1 every year is often a pretty easy day to get a free HIV test too, so you could make it an annual thing.  If you go to college or university, you can also take advantages of some of their free and low-cost STD/STI screening programs because each year, one in four teens contracts an STD/STI, one in two sexually active persons will contract an STD/STI by age 25 and about half of all new STDs/STIs in 2000 occurred among youth ages 15 to 24 (ASHA,2016).Here is where I would go (taken from the Austintx.gov website):

Austin/Travis County Health and Human Services Department

HIV Prevention & Outreach Program

15 Waller Street (and various other locations)
Austin, TX 78702
512.972.5580
FREE HIV testing
See the Mobile Outreach Van testing schedule.

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RBJ Sexually Transmitted Disease (STD) Clinic

Austin/Travis County Health and Human Services Department
15 Waller Street
Austin, TX 78702
512.972.5430
Low-cost STD/HIV Testing

Other Testing Locations

AIDS Services of Austin

7215 Cameron Rd # A
Austin, TX 78752
512.458.2437
Call for dates & times

MHMR CARE Program (Community AIDS Resources & Education)

5015 S. IH35, Suite 200-D
Austin, TX 78744
512.804.3650
FREE, confidential HIV and Hepatitis C testing
Monday and Wednesday mornings, 8:30 a.m. – 12:00 p.m.
First-come, First-served basis
Rapid test results

Planned Parenthood Downtown Clinic

1823 E 7th Street
512.477.5846
Austin, TX 78702
Rapid testing is available.
$0 – $60

Planned Parenthood North Austin Clinic

9041 Research #250
512.331.1288
Rapid testing is available.
$0 – $60

Kind Clinic

1101 W 40th St. #102
Austin, TX 78756

Any Lab Test Now

Offer a variety of tests at several Austin area locations
1.800.384.4567

LabCorp

Call 1.800.809.9252 for testing locations and cost.

STDcheck.com

Fast, private, and affordable STD testing at 10 locations in and around Austin

STD Labs

A professional STD testing service offering fast, private, and affordable STD testing.

And if you are in the Austin area, or Texas, or Maine, Massachusetts, New York or New Hampshire and are looking for some help in dealing with sexually transmitted infections, please fill out the information below and I will be happy to contact you to set up an appointment.

Sex isn’t scary, it just needs to be enjoyed responsibly!

 

Common Barriers to Good Sex

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Being nearly 10 years in practice, over the last decade, I have been able to identify some common barriers to good sex within relationships.  Here is a brief blog on some common barriers I have found.  If you have some of these barriers, it’s important to do the work to remove them or help limit the effects that these barriers have on your sex life.

Trauma
Unresolved and/or complex trauma is a huge barrier to good sex.  It’s also a barrier to general happiness and satisfaction in life and can be one of the main sources of anxiety, depression, and other mental health concerns.  And any type of trauma (even if it is not sexual) can impact your sex life.

Grief and Loss
I see grief and loss as one of the main causes of sexual functioning concerns and sexual disatisfaction in a persons life.  Whether active or unresolved, grief and loss appears to directly affect the sexual functioning system and it would be worth the time to resolve and do work around this.

Fear
Fear of anything, nothing, and/or everything can create a barriers to good sex.  We live in a fear based society and fear is instilled inside of us from a very early age.  Fear greatly affects our ability to feel safe with ourselves and partners and in the world and can be huge barriers to good sex.

 

 

Lack of Knowledge
Most people don’t feel super knowledgeable about sex and a lack of knowledge about sex can be a barrier of good sex.  I encourage my clients to be “students of sex”, lifelong learners, recognizing that there is no ceiling on how much one can learn about sex.  I will never stop learning about sex, and I sometimes feel like there is so much to learn about sex I will never learn it all, and this is MY profession!  Sex is an never-ending journey- an EXCITING never-ending journey.  Buckle up and enjoy the ride!

Lack of Experience
Experience doesn’t mean competence, but our culture often values more experience as being more competent.  Lack of experience can often create a barrier to good sex, but it doesn’t have to.  As mentioned above, we are lifelong students of sex.  Since we have our whole lives to learn about sex, experience is all relative and quantity is not more important than quality.

Low Sexual Self Confidence
Self-esteem and self-confidence is a huge contributor to whether sex is good or not, and if you have low sexual self confidence and low sexual self-esteem, it can be a great barrier to good sex.

Body Image Issues
I generally believe that you have to feel pretty good about your body in order to want to share it with someone else.  If someone doesn’t feel good about their body, they often don’t feel like sharing it with others.  Body image issues can be huge barriers to good sex.

Closed Mindedness
The most common way I see closed mindness coming up is when people think that they know what sex is supposed to be like, or what their partner is supposed to be like or like.  It’s this closed mindedness to the individuality and nuances of sexuality that prevents good sex from happening.

Perfectionism
Human beings and SEX is imperfect.  Having a perfectionistic attitude toward life and sex is a HUGE barrier to good sex.

 

 

Marijuana and Sex: Therapeutic Cannabis for Sexual Functioning

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Marijuana and Sex: My General Thoughts on Therapeutic Cannabis for Sexual Functioning

This November, Maine and Massachusetts, two of the states that I provide online sex therapy to their residents, pass laws legalizing recreational marijuana for consumers over the age of 21 (making the laws similar to alcohol consumption).

I have long had many thoughts about the therapeutic use of marijuana/cannabis/THC for certain sexual functions in certain people but haven’t really had the science or empirical proof to back up anecdotal reports.  But as we start to move into a new era around the use of marijuana, I just want to make a general statement that marijuana is worth researching on its negative and POSITIVE effects for some sexual functioning concerns.  That’s right, positive.

marijuana photo

That isn’t a general statement that I want everyone to think to just use marijuana for sex.  That isn’t what I am saying at all, because some usage can actually harm sexual functioning.  But for certain sexual functions, it has been reported that therapeutic cannabis actually do a lot of good.  But there are a lot of factors, like type of marijuana, dosage, routes of transmission, etc. and sometimes the costs are not worth the benefits.

I particularly like some of the sex specific products that are being developed, such as lube with THC infused in it, so the route of transmission is vaginally or anally.  And for certain issues (like desire, performance anxiety, and pre-orgasmia in women) it has been reported that marijuana has really helped in improving the negative symptoms of these issues.

But like with anything that could be harmful or helpful, or a little bit of both, I like to talk to my clients about staying within the boundaries and balance of what is legal, moral, and ethical and when the benefits outweigh the risks.  We discuss manageable use, just as we would discuss if we were to use any substance for sexual functioning.

Want to talk about this more?  Email me at the contact information below and we can set up an appointment.

The Risks and Benefits of Sexting

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Sexting didn’t exist when I was an adolescent and young adult, but I am glad it exists now!   Back in the day, sexting for me was as elaborate as a note that asked if someone would go out with me and hlove note photoad a yes and no check box.  Or maybe someone drew a penis on a desk.  That was pretty much it.  But with the increase in texting (starting mid/late 1990’s, actually the FIRST text was sent in 1992 but texting didn’t become popular until a little later), it was only a matter of time before we sexified texting and made it an amazing tool (as well as a tool to use with caution) to accentuate our sexual communication.   In fact “sexting” became an official word in the dictionary not that long ago (2012) so don’t feel bad if you don’t really know what I’m talking about

First off, for consenting adults, in general, I fully support sexting.  Now what is sexting technically?  Sexting is defined by Miriam Webster as “the sending of sexually explicit messages or images by cell phone”, but

sexting has also included emailing, chatting, and other media that is text or image based.

BENEFITS

I think there are a lot of benefits to sexting between consenting adults.  I think sexting builds desire, creates excitement, keeps the fire stoked at times when you are away from each other, is a safe way to explore yourself sexually, is a safe and fun way to explore fantasy and sexually explicit content, and in generally can be super erotic.  For partners who are apart from each other during the day or for long periods of time, sexting can keep that fire warm and hot even when they aren’t in the same location.  And sexting doesn’t have to be nude pics, dick pics, or sexually explicit words.  It can be as simple as just texting an eggplant emoji with a question mark to your partner with a kiss (don’t know what I am talking about- check out these links:

A Beginners Guide to Sexting with Emoji

69 Emoji Combinations That Symbolize Sexual Acts

Definitive Emoji-Sexting Glossary

Other benefits- no one ever got an STD/STI or got pregnant from a sext.  (Not to my knowledge… not yet at least). Sexting is a safe way to explore different fantasies, fetishes, and sexual enactments that can be stopped at any time (turn off the phone) and can be creative and artistic and help people develop their authentic sexual selves or try things that they might not in real life that can enhance and improve their sexual lives.

Sexting can often resolve or help reduce the negative symptoms of a sexual functioning concern and be a good tool in sex therapy.  Sometimes people are a lot more comfortable being sexual via images and texts than they are in person, which is a good start in the right direction.

Sexting is a creative and artistic way to express and develop yourself sexually. This is why I think sexting is popular amongst teens and adolescents:  as teens and adolescents develop themselves sexually, sexting is a safe way to explore some themes that might not be super safe in real life (IRL).

RISKS

The risks are important to mention but I don’t want to nay say what I feel like is a really good tool and resource for consenting adults.  Some of the risks include the fact that you can’t control the information or images that you are sending once you press that send button- so its important that you trust your sexting partner and establish that these thoughts and images are for their eyes only.  Even creating a verbal agreement with that partner won’t protect you from them misusing the content if they want to, so just press send at your own risk.

We often don’t think about this, but be careful sexting on a phone that your company/business pays for or on an account that you share.  Information isn’t TRULY private at all, I think we all know that confidentiality and privacy is an illusion in this day and age.  Don’t send something that you really don’t want anyone ever to see ever.  Know that when you put information, text, or an image out there, it likely won’t disappear…it’s out there.  And many companies have policies against using electronic devices for anything sexual and you could get in deep trouble, fired, and sometimes prosecuted for sending/receiving sexually explicit media on company devices.

Make sure you know who you are talking to and sexting.  It’s super important that you NEVER EVER EVER send a sext to someone that you don’t know for sure who is on the receiving end.  And you really don’t know who is receiving the sext right?  So be very careful.  Sending a sext to someone who is underaged is illegal…even if you didn’t intend to send it to them.  Make sure you keep passwords and locks on your phone, and even set up a setting where the text messages and images don’t come through on the home screen where anyone underaged can see a sext.

As with any and all type of communication, you can’t always really tell the inflection and tone and meaning in a text or image.  So sometimes misunderstandings can occur.  And what is difficult with sexting is that consent gets a little hazy.  It’s important that you have someones consent before being sexual with them, but consent and sexting isn’t always present (we don’t have language in our culture just yet on “is it okay if I send you a dick pic?”) but we need to…

 

Overall, sexting mindfully and safely can be a very beneficial and creative way of expressing yourself sexually, but use carefully and appropriately with consenting adults.  And HAVE FUN!

 

Online Sex Therapy in New Hampshire

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SexTherapy-Online, a private sex therapy practice that predominantly provides sex therapy and sex addiction therapy services online, got its inspiration by providing online sex therapy in New Hampshire about five years ago.

It all began when I returned to my home state, after some health concerns, to be closer to family.  I left my home of seven years in New York and moved myself, my animals, and my practice back to New Hampshire, where I was raised (interestingly enough, while I had lived in New Hampshire for the majority of my life, I was actually born in Vermont since my family originally was from the Keene, NH area, which is right near the border of New Hampshire, Vermont, and Massachusetts.

When I left New York, I opened my practice in a beautiful history building in the heart of downtown rural, sleepy Newmarket.

I loved that office and had a successful practice until my move to Austin, TX in 2014. I served clients in the Seacoast Area and since I am licensed in Maine and Massachusetts, I served clients on the North Shore of Massachusetts and Southern Maine.  The exposed brick created an impressive and healing ambience and was beloved by clients.

Six months after I moved from New York to my office in New Hampshire, I did a follow up call with my clients in New York that I had referred to my colleagues when I moved away.  I still had my license in New York and called them to see if everything was okay.  They clients wanted to continue seeing me and asked if we could start meeting online.  I had never worked online and it was 2011 and a online therapy, tele-therapy, and distanced based therapy was just a developing field so I took a leap to provide services to my previous clients and started seeing a couple clients over Skype and over the phone.

And that is how SexTherapy-Online was born!

But let’s go back to the beginning, after being born in Vermont, I lived in my first house in Winchester, NH with my Mom, Dad, and brother.  Shortly after, my parents bought the house my great-great grandfather built in the mid-1800’s and we moved into that home in Keene, NH.  Here is a photo of the home in the late 1800’s with my ancestors on the little front lawn.   My family still owns the home and it has been converted into a quaint apartment building with several units.

We moved to another home in Keene and most of my family lived in the Keene, Marlborough, Dublin, and Swanzey area.  My grandparents and an Aunt also lived in the Concord and Bow area.  When I was in second grade, I moved to Walpole, NH and went to Walpole School and then Fall Mountain Regional High School.  I graduated from Exeter High School in Exeter, NH and lived in Exeter for my final year before leaving the state for college (see my previous posts on online sex therapy in Massachusetts).

I was an active member of my local 4-H and showed in Dairy and Horse 4-H at the Cheshire County Fair and New Hampshire State 4-H Horse Shows.  My main hobby as a kid and teenager was my horse, Yomen, who I still show and own today.

While I have lived and loved other places and most family members have long left the state, New Hampshire still is considered where I grew up and I hold it dear in my heart.  I periodically return to visit with the remaining family and to have an annual canoe trip with friends.

If you live in New Hampshire and are seeking online sex therapy, feel free to give me a call or contact me on the form below.

Online Sex Therapy in Massachusetts

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SexTherapy-Online provides online sex therapy in Massachusetts!  So we’ve covered Maine, New York, and Texas which brings me now to Part IV of the series around the states I work in and to the home of my alma mater, the great and beautiful state of Massachusetts!

The Bay State

I love Massachusetts and have had a long history living and learning in this wonderful state!  My early experiences with Massachusetts generally included spending weeks over the Summer at horse shows in Western Massachusetts in Northampton, MA at the Tri-County Fairgrounds and Springfield, MA at the Big E and other horse shows.  I showed my horse at the Big E when I was 12 and remember feeling like I hit the big time!

My Junior year in high school was spent in Greenfield, Massachusetts at Stoneleigh-Burnham School, as small all-girls private equestrian school.  Obviously my favorite time of year in Western Massachusetts was Fall, and I remember out-of-this-world picturesque experiences with my horse during foliage season.

Every since I was a young teenager, I knew I wanted to go to college in Boston and when it was time to apply to colleges, I just picked several Boston-area, sight-unseen, and applied to them.  I am incredibly grateful to have landed at Boston University and lived all four years in downtown Boston in Kenmore Square, wholly inconvenienced at the same time enamored by Red Sox games (this was when the “curse of the goat” was still alive and well)!

 

curse-sized

My Junior Year I lived pretty much under the Citgo Sign and my dorm room would light up white, red and blue until 9/10 pm when they shut it off.  I always used to say that no matter how wild a late night college night was (and many were late as I worked for the nightclub Avalon and the Lyons Group for all four years), I could always find every BU Student’s North Star: The Citgo Sign, to get home.

Senior year, I upgraded to a Brownstone over looking the Charles River, which later years after I graduated, I would row in a double in the Head of the Charles Regatta.  I also loved being in a capitol city, and was part of the movement when Massachusetts legalized same-sex marriage a day before I graduated in 2004.  Despite having a few unwelcome rodent pets, living in Downtown Boston was one of the greatest times of my life.

It was sad to graduate and leave one of my most favorite cities.  I’ve done a lot of traveling (41 countries), and people always ask me what my favorite city is.  It’s hard to determine, but I always say Boston is one of my favorites, if not my favorite!  I love the spirit and heart of Bostonians.

Since moving on from Boston, I’ve spent quite a bit of vacation time on Martha’s Vineyard and the Cape and on the shore of Massachusetts.  With many wild nights, and beauty days,

Provincetown is one of my favorite places in Massachusetts and I never say no to a chance to have a good time at one of the amazing festivals in P-Town.   I usually visit Boston at least once a year, and am enjoying experiencing the city in a new and more mature way than I did in college.  I am a huge local history buff and love walking the Freedom Trail and revisiting all the sights significant to the birth of our nation.  I still get quite a thrill throwing a dirty ol’ box of tea in the harbor.

 

Online Sex Therapy in Massachusetts

Unlike many of the states I work in, Massachusetts is very saturated with therapists and because so many of the clients are served through some of the outstanding sexual health professionals that live and work in the state, Massachusetts is the state I see the least clients in.   With larger cities like Boston, Worcester, and Springfield having a lot of therapists present, most clients are able to find therapists locally to help them with their sexual concerns.

SexTherapy-Online, however, provides a different service to some of the more underserved communities in Massachusetts, such as Cape Cod and the Islands, the South Shore, and Western Massachusetts.  Many of my clients in Massachusetts either live too far from a sex therapist, are looking for online sex therapy, or travel too much to be able to consistently meet with a therapist locally.

Additionally, since Massachusetts is home to many colleges and universities, I see a lot of college students studying in Massachusetts and dealing with relationship, intimacy, and sex issues.

If you live in Massachusetts and are looking for a qualified sex therapist and specialist in problematic sexual behavior, feel free to contact SexTherapy-Online at the below contact information.

 

What is it like talking to a Sex Therapist online?

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Here in Central Texas, we get pretty bad thunderstorms… and sometimes the power goes out during session.  I always tell my clients I will try to reconnect because so far (knock on wood) the only power that I have lost was because an electrician was working on the house and brief interruptions due to lightening and severe weather.  We always have the phone for back up as well.

This photo was taken by a client the moment the power got knocked out and before we got kicked off.  I was frozen on her computer screen in this eerily lit image.  We both thought it was cool and she sent it to me.  So, because it is a cool image and shows what I look like on the system I use, I thought I’d share it with my readers.

Online Sex Therapy and Your Sexual Recovery Plan

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Take a listen at my latest online appearance on Carol the Coach, an online podcast available on iTunes that is dedicated to helping those with compulsive sexual behavior and sex addiction and the clinicians who work within the field.

Like what you hear?  Want to hear more?

 

Online Sex Therapy in New York

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For Part III of my five part blog series on the locations that SexTherapy-Online serves, I want to discuss online sex therapy in New York.

I Love New York
New York has a special place in my heart.  My mother was born in Glen Cove and my grandfather worked in lower Manhattan for 20+ years in the shipping industry.  My grandparents lived in Elmhurst for many years until they moved out to Glen Cove, like the exodus of many New York City families, my family moved East onto Long Island.

It wasn’t until the late 1960’s did my family move to New Hampshire where my grandmother was originally from.  My family stayed in New Hampshire and didn’t connect back with New York until I went to Hofstra University for graduate school.  I lived in Hempstead, NY in Nassau County for three years then moved to the North Shore of Long Island in Huntington for four more years before returning to New England.  Originally licensed as a Marriage and Family Therapist in New York, I opened my private practice with two locations: one in Huntington, NY and one in Huntington Station, NY.   I also saw clients in Islandia, NY at Pal-O-Mine Equestrian, Inc. using horses as a tool of therapy.

I have a lot of friends that still call New York home, and most live in Manhattan, Brooklyn, and out on Long Island.  I visit often and still feel like New York is home to me.

Many of my clients hail from New York.  I find that most are attracted to the online model because they are often from Nassau County, Suffolk County, or Westchester County and they commute into the city daily so they don’t have a lot of time for therapy and often spend many hours commuting.  Online therapy works well for them because they can see me on their lunch hour at work or since the latest appointment that SexTherapy-Online has is 8 pm CT, 9 pm ET.

Sex Therapy Challenges in New York
New York is a BIG state, and while a lot of the population is concentrated in metro New York, and there are a lot of therapists and sex therapists concentrated in that area.  The five boroughs, Nassau County and Westchester County have a lot of sex therapists accessible, but the rest of the state is generally underserved for online sex therapy and sex addiction therapy.

And even if you are located in one of the five boroughs, you may spend so much of your time just getting around, home-based, online therapy might be a relief to the hustle and bustle that is your daily life as a New Yorker.

Upstate New York is also home to Fort Drum, a large US Army Military Reservation located in Jefferson County near the Canadian border.  This area is massively underserved with therapists, especially therapists who specialize in sex therapy and therapy for individuals with problematic and compulsive sexual behavior.  Larger cities like Buffalo, Niagara, Rochester, and capital city Albany also see a shortage of qualified sex therapists in the Upstate New York area.

So if you aren’t located in the Metropolitan area of New York, you might not have access to a lot of services.  SexTherapy-Online can help, providing services to all New Yorkers, whether Upstate,  in the city, out on Long Island, in the Finger Lakes or Western New York!

New Yorkers and Sex Therapy
The Metropolitan are of New York has a LOT of therapists, and a lot of sex therapists.  But what New Yorkers DON’T have is a lot of TIME.  Online sex therapy is super convenient for those without the time to consistently make therapy sessions or those that travel a lot and keep odd hours.  Parents with younger children often find it very difficult to make time for therapy and many of my clients see me online because of the ease and convenience of staying at home and seeing me online after the children are in bed.  This increases the compliance and accessibility of therapy (parents are often over taxed and overextended and don’t have time for consistent therapy).  SexTherapy-Online allows New Yorkers with children to easily access me from their home or office.  Additionally, since all my appointment times are scheduled in Central Time, my last appointment for Eastern Time zone is 9 pm ET/8 pm CT, which often appeals to commuters who work long days and don’t get home until later and want to spend their early hours with their family.

As mentioned above, some of the areas of New York that are not close to metro areas, such as the Adirondacks, the Finger Lakes, Western New York, Hudson Valley, the Catskills, and Northern New York, make the distance that the clients need to travel to see a specialist in sex therapy and problematic sexual behavior/sex addiction very time prohibitive, sometimes taking two or more hours to the closest therapist.  Sextherapy-Online makes therapy accessible to even the most remote and rural areas of New York.

Another niche area that SexTherapy-Online works with are high-profile cases around sexual compulsivity, sex addiction, problematic and inappropriate sexual behavior, and sexual functioning.  New York is home to a lot of celebrities, famous families, and high-profile individuals and going to the sex therapists office may not be something that people always want to do when they are in the public eye.  SexTherapy-Online allows for individuals wanting to maintain their privacy to access a qualified and licensed therapist without having to be at risk for being recognized and can keep their privacy intact.

If you live in New York and are looking for a sex therapist, please contact me at the information below.