How To Talk To Your Kids About Porn

If you are near a BDSM organization like TES in New York, there may be meetings and demonstrations for beginners to teach some BDSM basics. The point here is that BDSM involves techniques, and many BDSM practices are dangerous if not done properly. As a therapist, you cannot teach these techniques yourself, but you can refer your clients to good sources of education. Attraction happens–even if you’re happily married—and you don’t have to feel guilty about feeling it.

A New York state native, Poole earned a BA in psychology from the University of Massachusetts at Amherst and an MBA in International Business & Marketing from Babson College. Connect with Jim -LinkedIn -NuCalm by Solace Lifesciences See omnystudio.com/listener for privacy information. Even a lot of popular music talks about love and relationships in a possessive way — and this is especially confusing when most people don’t learn the skills they need what percentage of thc is in delta 10 to guide them through the complicated feelings. I asked Jennah DuBois, a certified sex educator, about her experience navigating codependency in her almost 10-year relationship with her partner. “I feel like I have been many different versions of myself over the 10 years, and one of those versions, back in my early twenties, was very codependent,” she says. It’s all about body positivity and helping students shed feelings of inadequacy and shame.

There isn’t a single reason why sex changes after you’ve fully committed to another person, but here are some of the top experts who have heard. Closeness created and felt during monogamous sex strengthens emotional connection, bond, and commitment. It maintains a healthy level of intimacy, love, and belongingness, all of which humans require naturally, according to Maslow’s Hierarchy of Needs. Sex can help to strengthen a relationship by keeping the “spark” alive.

I like to journal, so Talkspace is more comfortable for me to express myself. 🗣I’ve engaged in therapy/counseling on-and-off for 20 years and never has it been easier or better than with @talkspace in the past few months. This is 20 minutes jam packed with the most juicy breakup content you could ever need. Mark gets straight into the heart of it — because this time effing hurts. It doesn’t matter whether you wanted the ending or not, you are hurting and we have all been there. Mark Brand is a pioneering entrepreneur and chef in the field of Social Impact and Community Development.

Next, we dive further into the subject of emotional unavailability. We explore the deeper levels of “friends with benefits”, as well as the fear of asking about our relationship status. And finally, we chat about inconsistent texting and what a lack of someone replying can mean. My dear friend Jules Webber is back this week for a deep dive into the concepts of codependence, over-functioning and under-functioning. Jules walks us through what it means to be an over-functioner, and gives concrete examples from her own journey through life to help us understand this complex topic.

The CBD oil is combined with the carrier oil for better absorption within the body, keeping the experience consistent each time. Users can purchase targeted formulas that promote better wellness, calmness, and sleep, though many of these effects are achieved by including CBG and CBN. Just CBD has been seen online since 2017 with its various CBD oils, and they are easily one of the most cost-effective brands at just $10 for each one. Broad-spectrum products are rich in cannabinoids, terpenes, and flavonoids. Despite not having any THC, consumers can still maximize the entourage effect it provides.

I think it’s absolutely fascinating that a lot of the things we might be healing today… are not actually ours. You may have heard the words generational trauma, intergenerational trauma and collective trauma before – but what do they mean? How does this impact a person’s relational patterns, expansion, intimacy or growth?

So Cameron developed a bold new project A Place Called Earth. Cameron loves helping good people thrive, because when good people thrive, they do more good, and that’s what can truly change the world. On his quest for deep truth, Bryan explores the elements that create massive change.

Black Relationship Experts To Follow On Instagram

While cannabinoids might be able to help bloodflow and physiological functioning, a lot of ED, especially in younger men, is a result of anxiety around sexual performance, so let’s talk about anxiety around sex. We know that everyone’s body is made differently, therefore, why would anyone think that one particular mode of stimulation is going to work for everyone? Just because playing the piano with that button works for some ladies doesn’t mean it’s going to work for you !

Get CBT, DBT, REBT, Psychodynamic, Family & Group therapy strategies and more! Treat substance use, abuse, dependence, disordered eating, tech, sex, gambling addiction and comorbidities – anxiety, trauma, depression, mood disorders & more. Earn up to 25 CE hours for LPC, LMFT, Psychologists, LCSW & more. Get lifetime access to the complete 2021 Virtual Psychotherapy Networker Symposium recordings. Join the field’s leading innovators for exclusive online keynotes and workshops that were designed to help you offer healing in these anxious times. Coaches the LifeWorks leadership team on cultivating equitable business practices and has facilitated Equity meetings with the entire Lifeworks team.

This week I’ve been thinking a lot about the practice of being present, sitting in stillness and really uncovering your true self. When we don’t blanket our emotions, we can try to learn and grow from our sadness. We have been so dominated by a culture that praises the highs, but what would happen if we began to rejoice our setbacks and embrace the opportunity to learn from them. In this episode Lacy introduces us to Neural Manifestation – a concept backed by neuroscience, psychology, epigenetics and energetics, based on raising your self worth and stepping into your true authentic self. You’ll learn how manifestation works, what blocks us, and how we can debunk superstitions or other childhood beliefs. Find more about Lacy and To Be Magnetic at or on Instagram.To get 20% off the Love Bundle head to /mark-groves and use code MARKGROVES20.

A relationship without labels can be exclusive or not exclusive, and it can fall anywhere between very casual and strictly sexual to totally emotionally invested and committed. For me personally, it really is too little romantic appeal, files Rachel. Be sure to share your daily habits with Connor on our social media channels. James Swanwick is an Australian-American investor, entrepreneur, speaker, former SportsCenter anchor on ESPN and host of The James Swanwick Show podcast.

Inside Mental Health: A Psych Central Podcast

Selina grew up with that feeling of being “not enough” due to both her mother’s criticism as well as not feeling “wealthy”. Becoming a hustler early on meant Selina achieved huge financial success but found herself trapped within the mask of having it all. She found herself surrounded by money, labels and “success” but felt no meaning or connection. This week we discuss how Selina dropped the mask, how her body finally said no, and how she stepped into her truth to create Money Boss. Follow Selina on Instagram Join the Richness Revolution Facebook here!

“My husband and I made it one week in the same bed,” says Jennifer Adams, author of Sleeping Apart Not Falling Apart. When the two moved in together, they realized their sleep habits were different and that his snoring was keeping Adams from getting the rest she needed. However, since the subject was taboo at the time, Adams was worried she was doing something wrong. “I would have loved to share a bed, and there was definitely a sense of failure. But I just can’t function on so little sleep.” And, while Zoom calls and text messages don’t replace the feeling of a hug, maintaining your relationships virtually will keep you feeling connected to your loved ones when you can’t be with them in person. You can also check out the Identiversity glossary to learn more about common and lesser-known sexual and gender identity terms.

Your partner may feel that something is wrong, and grasp at clues, to try to figure out what it is. The lack of communication between the two of you may push them into behaviors such as spying, going through your wallet, or looking for information, any way that they can find it. Lying, especially long-term, about any behavior or action is very wrong, and unfair to your partner, who probably abhors who they have become in the relationship, as a result, Dr. Feuerman says.

Polyamory Weekly

Can you be open to the possibility that what you think right now isn’t true? This week I wanted to share thoughts on something that I feel very passionate about right now – worth. Our worth should live in who we are, not in other people’s opinions or validations.

Spend The Majority Of Your Time In Bed, Even On Weekends

Most people are looking for a simple, yet effective tool to grow themselves on a consistent basis. After doing a lot of research, trying out different methods, and using myself as a guinea pig, this tool is one of the most effective things i’ve found for producing powerful results and moving through worries and doubts. In this episode, I breakdown how you can take action and let go of the things that don’t serve you, the things which hold you back and get in the way of greatness. This week I’m going to dive into what it means when your partner says they aren’t good enough for you. It might sound like a basic question but there’s more to it.

At times we may not know how to cope with or manage all that life brings. My approach to therapy involves warmth, compassion, and unconditional acceptance. Providing a safe space for personal and relational exploration to help clients understand, honor, and respect their deepest needs.

Find Tami on Instagram @tamisasson_ or on her website at See omnystudio.com/listener for privacy information. This week, one of my favourite people and dear friends Sheleana Aiyana joins us for a super juicy conversation on all things relationships. Through a traumatic childhood, addiction and abuse, Shay found her way to the inner-work and Rising Woman was born.

Whether in her office, on television, or at a community event, all of Shadeen’s work is inspired by her commitment to helping people live lives full of peace and pleasure. Hiitide is the amazing personal growth platform that hosts my bookclub. Evan and I recognize how life and work are not separate but deeply intertwined and for that reason we are not just colleagues but also friends. Join us as we delve into relationships, authenticity and fulfilment through the lens of business.

Born in the urban jungles of Mexico City, raised mostly in Israel, and having lived in 7 different countries, Adam naturally embodies interculturalism. I recorded this while outside, so you’ll get some wind and nature sounds alongside. I take a look at the incredible poem “If” by Rudyard Kipling, facing your relationship to paradox, and some ideas on how to effectively recap and learn from this past year. Write it down, or better yet, let me know on Insta @mantalks.

Two weeks ago, I personally started working with a Talkspace therapist for the 1st time. Working with a goodtrauma-informed therapistwill also help on the road to healing, by teaching you how to feel grounded and safe—and notice that you are not in danger—as you embark upon healthy, trusting relationships. Safety and secure attachment in a relationship enables healing, and allows you to enjoy good sex with your partner! When you are in a committed, loving relationship and your partner is aware of your history of trauma you can learn how to communicate what you need to feel safe.

There are many things that can cause this medical condition, including anxiety, medication, and pregnancy. Colitis is a digestive disorder that occurs when the colon becomes inflamed. As opposed to traditional cannabis, our products rely on our own farmed hemp plants.

Errol is Director atBluestone Edge, supporting organizations through cultural transformation and beyond ‘cultural crisis’ through focusing on leadership development and the creation of a high-performance cultures. Errol is currently writing a book on issues and approaches to integrating equity and anti-oppression into organizational culture. If it weren’t for my therapist seeing some early signs of codependency in my relationships, I would have never ended up at that CoDA meeting. Check in to make sure your actions are for the betterment of your relationship and not for you to feel validated. There’s nothing wrong with wanting to feel validated, but your partner needs to be aware that they are helping you work through these emotions instead of being victims of them .

According to Gillibrand, if your partner really thoroughly enjoys a child-free life, it could indicate that their goals and priorities are elsewhere. It’s not necessarily that they don’t like kids, it’s just that they don’t want them for themselves. Although people mature at different speeds, a partner who has always been relatively immature may never reach the maturity required to raise a child. Woodhull’s Sexual Freedom Summit is the event where everything comes together in spectacular conversations about sexual rights. As some of you might know, I became a dad just over two weeks ago….

It’s that jittery, tingly and heart-racing sensation that spreads across your body when you’re faced with a problem, uncertainty or a major life event. The feeling is not quite that of fear or stress, though they do have quite a bit in common. In general, there’s no set amount of masturbation that’s considered “too much” across the board. Some people CBD Gummies masturbate several times a day without any negative consequences. If a person is satisfied with how often they masturbate and doesn’t feel like it negatively affects other parts of their life, then that’s the right amount of masturbation for them. Your masturbation is interfering with your ability to have a satisfying sex life with partners.

46 mins – The chemical imbalance theory of mental health and the shift away from it. How to turn off the alarm bells that activate the flight, fight, freeze. 1.05 mins – Dr Brogan’s model for self healing, the common types of illness and the model for healing these. She completed her psychiatric training and fellowship at NYU Medical Center after graduating from Cornell University Medical College and has a B.S. She is board-certified in psychiatry, psychosomatic medicine, and integrative holistic medicine and is specialized in a root-cause resolution approach to psychiatric syndromes and symptoms.

But most of us don’t take our nighttime routines anywhere near as seriously, says Judette Louis, M.D., M.P.H. of the Women’s Health Research Network on Sleep and co-author of the guide Women & Sleep. You come home from work, make dinner, hang out with loved ones, check out the internet… And before you know it, it’s super late and you haven’t even started to take on any of the tasks you wanted to accomplish. So you end up working on that craft project or putting time into your business idea right before bed. But just sitting still and clearing your mind is very hard for some people, so guided meditation can really help.

Dr. Chris Fariello is the Founder and Director of the Philadelphia Institute for Individual, Relational & Sex Therapy . He has 30 years of experience as an educator, trainer, public speaker, writer, and therapist. He holds a Master’s degree in Marriage and Family Therapy from Drexel University, a Master’s degree in Human Sexuality Education from NYU and a doctorate in Human Sexuality from the University of Pennsylvania. He is a Licensed Marriage and Family Therapist and an AAMFT approved Supervisor.

“Going down on a woman allows you to get a real sense of the stimulation she likes at every stage of arousal, especially the final one,” says Kerner. This is especially true if, like the average man, you took between 5 and 7 seven minutes to finish. According to 2019 research published in the Journal of Sexual Medicine, it takes the average woman around double that time—13.41 minutes—to orgasm during P-in-V intercourse. Master Maison was created by two longtime cooks seeking affordable, high-quality cutlery. Remember when your kid was little and never left your side? Now she has a mind and personality all of her own and isn’t afraid to show it (cue the cries of “I hate you!” or running away…

What People Think About Erection

Some people choose not to masturbate for personal, spiritual, or religious reasons. “Some feel controlling their desire to masturbate helps their mental focus and other aspects of their life,” Brahmbhatt explains. Arron Muller is a licensed therapist with a focus on destigmatizing therapy for Black men. While his posts might not be similar to many of the other, more feminine affirmation-type text posts on this list, he’s still worth a follow.

So, ladies—experiment with yourself, let go of the movies, books, or conditioning that has told you there is a certain way for you to receive pleasure. You may be a part of that 30% of people who aren’t stimulated by the “button,” or you may be part of the 70% who are! Either way, leave your inhibitions at the door and discover your body for yourself; later, if you want to tell someone else about it, I am sure they will be very happy to hear. Our bodies may be responding, however not in ways that make us feel interested in sex or able to perform. Good communication is the key to any successful relationship – and definitely the foundation of a happy marriage. However, once the honeymoon phase is over, most of us notice that our communication skills need improvement.

Therapist Uncensored Podcast

Anxiety about work, health, politics, and the overall future for us, our loved ones and the world can feel overwhelming. In the midst of worrying about how we’re going to manage our lives, sexual anxiety might not seem like such a big deal – but it might be more important than you think. This is a computer-generated rough transcript, so please excuse any typos. This podcast is an informational conversation and is not a substitute for medical, health or other professional advice, diagnosis or treatment.

Life is similar to how the more you get to know someone, the more humanized they become. There’s still that sense of newness when you first start living together or get married. However, life eventually settles down and you both fall into a routine with one another.

An individual who is physically, romantically and/​or emotionally attracted to men and women. Bisexuals need not have had sexual experience with both men and women; in fact, they need not have had nuleaf naturals cbd oil where to buy any sexual experience at all to identify as bisexual. Term for a butch lesbian or; term for male submissive in BDSM play. Gender-​ affirming genital surgery, e.g., vaginoplasty, phalloplasty.

This particular formulation is created in small batches using alcohol extraction to ensure that every drop of the hemp’s beneficial compounds ends up in the bottle. Each 50-milligram dose contains naturally occurring phytocannabinoids, flavonoids, and terpenes for maximum effectiveness. Additionally, some individuals are extremely sensitive to THC or are strongly opposed to its use. Studies have shown that cannabis has provided relief to individuals with Crohn’s disease or ulcerative colitis.

Vienna Pharaon is the founder of Mindful Marriage and Family Therapy and is one of the most sought after Licensed Therapists in New York City. She is the relationship expert for Motherly, and has been featured in The Economist, Fatherly, The New York Post, and Vogue to name a few. With nearly 160k followers on Instagram, Vienna is recognized as one of the great relationship influencers of our time. He faced little by little his own shadows, and began a long-term therapeutic and integrative work. He passed through a period of ten years of doubts, uncertainties, personal upheavals, professional reconversion, divorce.

That requires letting go and showing your partner who you were as well as who you are. Remember that withholding the truth can impact upon a relationship in exactly the same huile de cbd 30 avis way that lying or micro-cheating does. “Things you should never lie about include why your last relationship ended,” says Kimberly Hershenson, LMSW, a licensed therapist.

“There’s something very powerful about coming into a space and saying, ‘I’m going to allow myself to be vulnerable,'” she says. “I get to decide what I think about my body. I get to decide how I expect others to treat me. I get to decide the way I’m going to treat myself.” When worry finds its way into cbd oil broad spectrum vs full spectrum your relationship, it can make it difficult to develop or maintain a strong bond with your partner. When you are experiencing fear or anxiety, your tendency may be to push others away, shut down, put up emotional walls, or isolate yourself. It can be a challenge to develop ways to turn to your partner.

Tal, whose friends were all girls, would have to go to an all-​boys program. His parents were sure it would be a disaster, and they didn’t know what to do. I spent a little time with Tal, who was quite verbal for a child his age. Although he clearly stated his wish to ‘grow up and be a girl like Mommy,’ he was just as clear that he was a boy. As I will write about later, pre-​pubescent gender-​diverse children may grow up to be transgender, but they are also likely to grow up to be gay. Young children who say ‘I want to be’ a girl/​ boy are less likely to be transgender than children who say ‘I am’ a girl/​boy.

What your partner doesn’t say can sometimes be just as important as what they do. Marriage and family therapist Shadeen Francis tells Romper that adults who have some neurotic tendencies may never be quite ready for kids. “Folks with high levels of anxiety may feel a degree of panic about parenting that prevents them from ever being ready, as they would find themselves in a perpetual state of preparation,” she says. Of course, not all people who don’t want to have children are this way with them, but if your partner wants nothing to do with them, they probably don’t see them in their own future.

The penetrating partner can use a hand or toy to stimulate the pregnant person’s clitoris, as they have fantastic access in this position.This position doesn’t require any penetration, cbd fruchtgummis raucherentwöhnung if that’s not the vibe. Grinding, vibration, hand-sex—it’s all good as long as everyone is having a good time. It’s low-effort for everyone and sometimes you just really need that.

You can do hard things, even if those hard things involve setting boundaries with someone you care for. Sure, your ex might actually be really attached to that gray sweatshirt they loaned you one time, but if they’re asking for things you know they don’t really need , they might just be trying to find an excuse to see you. If your ex genuinely didn’t want to see you, they wouldn’t reach out to try to get back items they no longer have an attachment to, says Cantor. The aftermath of a relationship that ends can bring up a lot of complex emotions.

Sex not only helps us feel connected to our partner, but it also produces “feel good” hormones like Oxytocin, which allow us to stay vibrant, energetic, and happy. Going from “single” or “complicated” to “in a relationship” is a significant change that affects more than just a social media status. It affects all aspects of your life, including what happens or does not happen in the bedroom.

If you’re white, here’s how to listen when your Black partner talks about racism, because your SO should know they have your support. I am a licensed professional counselor and a nationally certified counselor, who has had the pleasure of providing therapy in Indiana since 2009. I look forward to continuing to help people improve their wellness and overcome obstacles by offering empathy, compassion, and unconditional positive regard. I strive to create a warm, comfortable, safe environment for people to discuss difficulties and be free of judgment. I utilize a client centered, humanistic, and solution focused approach that encourages building strong therapeutic relationships.

During sex, the brain also releases endorphins or feel-good chemicals. These improve one’s mood and alleviate feelings of loneliness and irritability. With additional sexual stimulation, another chemical is released.

Men can struggle with their performance or their ability to ejaculate. “Sex anxiety,” like Auteri experienced, isn’t an official medical diagnosis. It’s a colloquial term used to describe fear or apprehension related to sex. But it is real — and it affects more people than is commonly known. Licensed psychologist Jessica B. McClintock is great for following if you need some light anti-anxiety tips and regular reminders of how important it is to put yourself and your mental health first. Rafaella Fiallo is a relationship, sex, and trauma therapist as well as the cocreator of @AfroSexology_.

Often there is a written contract, specifying the rules and obligations of each partner. Ironically, Lois felt Lila was getting too dependent upon her. Over time, Lila was losing the ability to make any decisions at all.

Your needs are things you may need in a relationship to feel secure — just like love languages! Communicating your love languages and needs to your partner is so helpful for better cbd gummies 50mg understanding what the other person needs to feel loved and validated in the relationship. When a relationship has turned codependent, you may feel as though you’ve lost yourself.

And more discontent with her female gender identity, and with her female body. They were quite loving toward each other, respectful, and communicated openly. We worked on some minor issues about their managing outside relationships and dividing household chores before tackling the elephant in the room. Teresa insisted that her concerns about Billie were purely related to her fears about the side-​effects of medication and the difficulties of the surgeries Billie was contemplating. Billie, on the other hand, was sure that something more personal was at stake for Teresa.

There’s a scene in Gilmore Girls in which Lorelai’s new beau, Digger, dumps her off in the guest room on their first night together, explaining that he just can’t share a bed. At first, Lorelai feels rejected, but as she stretches out in her own bed in a room decked out with a big screen TV and an extensive video library, she realizes the whole sleeping solo thing isn’t so bad after all. So in the real world of real mattresses, the new mattresses in a box can be a great option. There just aren’t reliable studies about whether this material is bad for you (except for one that seems to find poor cardiovascular effects in mice, but… mouse studies aren’t exactly reflective of human experience).

If you have a tendency to distance yourself from others when you’re anxious, make sure they know that the distancing is due to the anxiety and not them. It’s exactly the opposite — in fact, fighting done right can even improve your relationship. A February 2012 clinical trial assessed the relationship between the endocannabinoid system and diabetes, discovering that oxidative stress plays an extremely important role in the development of diabetes. In the trial, individuals that were treated with CBD demonstrated as significantly lower occurrence rate of anxiety attacks and psychological stress and were overall more calm than individuals in the control group. The trial concluded that just a single dose of CBD is able to deliver rapid onset therapeutic action for individuals with anxiety disorders without unwanted side effects . The study concluded that CBG might show promise in treating other neurodegenerative conditions.

Like most things in life, this is not all or nothing, black and white, or yes or no — codependency exists on a spectrum. Whoa, what a great and fantastic book, this book is very useful. I encourage you to read this book because you will thank the author of this book and thank me later as well. You’ve been watching yourself all week and still, your weight is exactly the same as it was a week ago-or worse, even inched up a pound or two. It’s hard to remember that weight loss is a long-term process, you’ve got to stay patient.

Most of us learn how to be in a relationship by watching the adults who raised us or through the TV and media — and nearly none of those are displays of healthy relationships. If you aren’t having sex on a regular basis, consider why. Seeing a sex therapist may be the most effective way to work through relationship and personal issues. “Love-making becomes even juicier for a sex-positive couple who views their partnership as an ever-evolving entity,” said the founder of Badass Empath Academy. “I’ve had the privilege of working with couples who wished to take this aspect of their lives to the next level.” That’s what we call sacred sex. This is where two people drop their masks and the minutiae of their lives to become physically, mentally, emotionally, spiritually, and sexually entwined.

Design experience on modern ecommerce platforms is pretty similar to that. Instead of starting with a blank canvas, you rely on awebsite theme — your set of pointers, pre-mapping the final store look. Hyped products often have a short shelf life, but Inferring from above, the interest in CBD is here to stay. Compound the above with the fact that, among those who are familiar with CBD, 80% support its usage and it becomes clear that CBD is a very promising niche for starting an online business. 2018, specifically, was named as the “breakout year” for CBD by EAZE, a San Francisco-based cannabis delivery platform. Numerous scientific studies have successfully demonstrated the way in which the ECS reacts when a dose of cannabinoids like CBD is administered.

Just image yourself in the blackjack table; haunting eyes from your rivals stare you down, looking to intimidate and drive fear into your soul. Intrigued onlookers peep over your shoulder, adding tremendous pressure to increased. Online gambling eliminates all of men and women scenarios. You are able to relax comfortably that you really need home. This convenient benefit has swayed many into pursuing their gambling ventures online. At a young age, he quickly learned the value of hard work.

In this week’s mini episode, I debunk some of the myths—some of them hilarious—and give you some straight facts about masturbation (want fewer headaches? You know what to do). If you happen know where the “hairy palm” myth started, DM me @mantalks on Instagram. Clint Emerson is a retired Navy SEAL and the author of 100 Deadly Skills. In his book, Clint shares how you can be an overall badass and detect threats from people who are armed. You will learn how to escape a locked trunk, evade a kidnapping, and so much more in Clint’s book.

“Sex with exes right after a difficult break up can be emotionally confusing and dredge up pain unnecessarily,” says sex and relationship therapist Shadeen Francis, LMFT. Abstaining from masturbation can be part of semen retention, a spiritual sexual practice wherein people avoid ejaculation because they believe semen is a source of “life force energy.” Masturbation is a common and very low-risk habit, and in fact, masturbation comes with many health benefits. In general, people should masturbate as often as it feels good for them. “You should masturbate whenever you want to and have the time and privacy to do so,” Francis says. You may have heard rumors that you’ll have to show, rather than tell, your problem in sex therapy.