The Blog

Most of what you've been told about sex in long-term relationships is incomplete. Here's what I actually see in my practice. No fluff. Just honest, insights to help you get unstuck.

Clinical perspectives on sex, desire, and long-term relationships.

Sex Medicine

Mismatched Desire

Relationship & Intimacy Skills

Somatics

The Feedback Wheel: How to Talk about Sex Better

Couple doing a feedback wheel

Use the “Time Out” and Never Fight About Sex Again. Period.

Person making a time out sign to stop a fight

Five Winning Strategies That Will Transform Your Sex Life

Happy couple practicing the winning strategies

Five Losing Strategies That Are Hurting Your Sex Life

Couple engaged in RLT losing strategies

The Sex Clock: Are You Having Sex or Just Keeping Time?

Woman with low desire in a mismatched desire relationship monitoring the Sex Clock

Responsive Desire: Why You Don’t Want Sex Anymore

A woman wondering, "Why don't I want sex anymore?"

Sex REALLY IS Kind of Disgusting (And That’s Totally Normal)

A woman feeling that sex is disgusting

My Partner Never Wants Sex: Understanding Responsive Desire

Pensive man looking out window thinking about how his partner does not want to have sex

When Sex Feels Like a Chore: Reclaiming Pleasure as Self-Care

Woman considering sex as self care rather than sex is a chore

Why I Banned the Word “Sex” from My Sex Counseling Office

A couple after i banned the word sex

Why Sex Is Painful: The Pelvic Floor Problem Doctors Miss

Pointing to Cause of Sexual Pain