SexTherapyOnline PLLC Rhiannon Beauregard MA Licensed Marriage and Family Therapist and Supervisor Certified Sex Therapist SpecialistProblematic Sexual Behavior 1 About the Therapist Rhiannon Beauregard MA LMFTS CST is a Licensed Marriage and Family Therapist AASECT Certified Sex The ID: 914480
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Introduction to Sex Therapy
SexTherapy-Online, PLLCRhiannon Beauregard, MALicensed Marriage and Family Therapist and SupervisorCertified Sex TherapistSpecialist-Problematic Sexual Behavior
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Slide2About the Therapist
Rhiannon Beauregard, MA, LMFT-S, CST is a Licensed Marriage and Family Therapist, AASECT Certified Sex Therapist, and Specialist- Problematic Sexual BehaviorLicensed in five states: Maine, Massachusetts, New Hampshire, New York, and TexasSpecializing in Sex Therapy with individuals and relationships and problematic sexual behavior
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Slide3What is Sex TherapySex Therapy is the treatment of sexual issues through empirically proven therapeutic techniques.
Sex Therapy is a specialty of traditional therapy and works directly with sex and intimacy issues within a relationship or with an individual. Sex Therapy should be conducted by a Certified Sex Therapist who is licensed as a mental health therapist and has specific training in the field of sexual health.
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Slide4What Issues Does Sex Therapy Treat?Sexual Desire Issues
Sexual Desire IssuesLow DesireNo DesireDecreased LibidoNo LibidoNo Sexual FantasiesNot wanting to be sexual (with oneself and/or others)
Hypoactive Sexual Desire DisorderLack of interest or desire for sexual activitySexual Anorexia
Sexual Arousal Issues
Sexual Arousal Disorders
Difficulty obtaining an erection
Erectile Dysfunction
Difficulty feeling aroused
Dryness issues (in females)
Hyper-Arousal
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Slide5What Issues Does Sex Therapy Treat?Orgasm Issues
Haven’t achieved an orgasmAren’t able to orgasmAnorgasmiaPre-orgasmicOrgasmic DisorderPremature EjaculationDelayed Ejaculation
Early EjaculationNo feeling
Sexual Pain Issues
Sexual Pain Disorders
Pain during sex
Vaginismus
Dyspareunia
Chronic Sexual Pain
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Slide6What Issues Does Sex Therapy Treat?
AsexualitySexual Aversion DisorderPost Traumatic Stress DisorderSexual AnorexiaSexual TraumaAnhedoniaTherapy to clients who identify as kink or interested/active in the BDSM communityCounseling to clients who identify as non-monogamous
Couples who participate in swinging activitiesGender Identity Issues
Questioning Sexual Orientation or Gender Identity
Fertility Issues and Sexuality
Sexual Issues related to parenthood
Sexual issues related to disease, illness, cancer, etc.
Relationship Issues Related to Sex
Lack of Confidence
RELATIONSHIP ISSUES
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Slide7What is Sex Therapy NOT
Sex therapy is not phone sex or erotic conversations.Sex therapy is not surrogate partner therapy, somatic body work, or other hands on sexual healing practicesSex therapy is not eroticized or sexual in nature. Sex therapy is not done by a counselor with little sex therapy experience.Sex therapy is not hands-on or active coaching during actual sexual experiences
Sex therapy is not usually just isolated to sex, it usually is LIFE therapy in a sexual context
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Slide9Compulsive Sexual Behavior
This behavior can present itself in a variety of ways. Known by many names and frameworks: Problematic Sexual BehaviorOut-of-Control Sexual BehaviorSex Addiction/Porn AddictionHypersexualityAs of June, 2018, the WHO has added compulsive sexual behavior disorder as an impulse control disorder to the International Classification of Diseases, Eleventh Revision
.
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Slide10Compulsive Sexual Behavior
This is a real issue for a lot of people, spouses, partners, families, and needs careful diagnosis and treatment. Not all “unhealthy” sexual behavior is compulsive or problematic and it can be very subjective when working with these people. Problematic sexual behavior can look like chronic infidelity, inappropriate behavior on the internet, obsessions and compulsions around pornography, and a myriad of other very secretive and shame-based behaviors. Many therapists are not qualified to work with this population and can actually create a lot of turmoil in the relationship and within the individual, including increased shame, due to not handling the treatment appropriately.
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Slide11Services SexTherapy-Online Offers
For ClientsSex TherapySex EducationSex CounselingSex CoachingIndividual CounselingRelationship
CounselingSexual Assessment for Relationships
For Professionals
Professional Consultation and Collaboration
Supervision
Case Consultation
Mentoring for Online Therapy Work
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Slide12Sexual Health and Medical Professionals
Clients often seek out medical help for sexual issues before they seek any other consultation. Clients often don’t know what is wrong and have been guided to talk to their physicians when they have a perceived sexual dysfunction or issue. Medical professionals are an essential member of the team in treating sexual issues but are more times than not, just a piece of the puzzle towards solution.
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Slide13Ideal Sexual Health Team
Sex Therapist and Mental Health TherapistOften serves as care coordinatorMedical Professional Trained in Sexual Health and Medical Sex Counseling (can be GP, OB/GYN, URO, NP, etc.)Sexual Health Product SpecialistPhysical Therapist Specializing in Sexual Health and Pelvic Floor Other allied professionalsSometimes a separate individual/couple/family therapist
AttorneyFinancial Counselor
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Slide14Medical Professional Role
Assess for sexual concernsAssess for domestic violence, coercion, and relationship issuesAssess for mental health concerns (often comorbid with sexual issues)Go over medication (including medication history) and discuss sexual side effects of medications***Provide valid recommendations for medical treatment for sexual issues Provide appropriate referrals to client
Use gender neutral pronouns- use partner, not husband/wife… Does your partner...?
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Slide15Assessing for Female Sexual Issues
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Slide16Assessing for Male Sexual Issues
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Slide17When to Refer to a Sex Therapist
When patient has a sexual issue that seems to be relationally, anxiety, attachment, depression, self-esteem, or other mental health area relatedWhen you feel limited by treatment options or treatment options in the past have not worked or worked for a little bit but haven’t maintained effectivenessIf you aren’t sure what is happening, you can refer them for an assessment then coordinate care with the sex therapistIf your instinct says there is something more going on (anxiety, emotional issues, relationship issues) and you’d like a qualified mental health professional to evaluate and weigh in
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Slide18Common Patient Presentations(and what the sex therapist has to say about it)
Patient comes for an appointment and shares that lack of desire for sexAssess medications- is this a common side effects? Assess anxiety and depression or other mental health issues?Assess relationship satisfaction (how are things with you and your partner or partners)?
Other sexual issues (pre-orgasmic, pain, erectile issues, etc.)- what is arousal like?Offer maybe medical intervention, but referral to a sex therapist could also dive into this further.
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Slide19Common Patient Presentations(and what the sex therapist has to say about it)
Patient has been on avanafil (Stendra), sildenafil (Viagra),
tadalafil (Cialis),
vardenafil
(
Levitra
, Staxyn) and is still having trouble.
Assess other medications- is this a common side effects?
Assess anxiety and depression or other mental health issues? Lots of time this is a head thing, not a thing that can be resolved through medication
Assess relationship satisfaction (how are things with you and your partner or partners, is your partner supportive, does your partner perceive failure if you don’t get an erection?)
Other sexual issues (pain, ejaculatory issues, etc.)
These patients are an excellent referral to pelvic physical therapist and sex therapist
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Slide20Common Patient Presentations(and what the sex therapist has to say about it)
Female patient is feeling a lot of pain during sexAssess hormonal concerns (perimenopause, menopause, other hormonal stuff)Internal exam to assess for any structural issuesRecent traumas? Birth, Hysterectomy, Chronic UTI, psychological trauma
Assess relationship satisfaction (how are things with you and your partner or partners, is your partner supportive, does your partner take adequate time for your arousal?)Educate on stimulation and arousal
Other sexual issues
These patients are an excellent referral to pelvic physical therapist and sex therapist
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Slide21Any Questions?
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Slide22Contactwww.SexTherapy-Online.com
Phone: 603-770-5099Email: Rhiannon@SexTherapy-Online.comFax: 888.288.8495Twitter: SexTherapyOnlnePlease feel free to contact for questions and materials!
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