Delayed Ejaculation Treatment in my Denver Sex Therapy Practice
Delayed ejaculation or “lasting too long”, is the difficulty or inability to achieve climax or ejaculation during sexual intercourse, despite normal sexual desire, arousal, and stimulation.
A number of factors, singly or in combination, may contribute to delayed ejaculation. These include physiological factors that affect the ability of the penis to experience sensation, including trauma, stroke, or damage to the penis or nerves leading to the penis, or as a result of chronic disease such as diabetes, high blood pressure, or alcohol or substance abuse. Certain medications can also impact the sensory capacity...
GLOW (Gays and Lesbians Out and Well) is psychotherapy and counseling with a gay-affirming focus for the Denver, Colorado, LGBT community.
Domestic abuse and violence is blind to sexual orientation or social status. On a Daily basis, Issues of dominance, power, and control in relationships are rooted in the fabric of the oppressive systems we live in. Although there is overlap between the issues faced by survivors of domestic violence and partner abuse in straight and gay relationships, GLBT persons struggle with some unique challenges and vulnerabilities that may be exploited in same-sex intimate partner abuse. These include:
Fear...
Somewhere between 6 million and 12 million children have been blessed with gay parents. Yet, gay and lesbian parents continue to struggle on a daily basis with the challenges of a homophobic society and institutionalized oppression. Gays and lesbians are the only population facing restrictions on the rights and privileges of parenthood.
When it comes to parenting, as well as other civil rights, gays and lesbians are de facto second class citizens:
Many states still bar adoptions and foster parenting by gay men and lesbians. Family courts have taken children away from gay parents and awarded custody...
Premature Ejaculation Treatment in my Denver Sex Therapy Practice
Premature ejaculation (PE) is a condition in which a man ejaculates sooner than he or his partner would like, leading to emotional or relational distress. Most men will experience premature ejaculation at least once in their lives and is the most common sexual dysfunction, affecting 25%-40% of men in the United States.
In many cases, premature ejaculation can simply be caused by extreme arousal or lack of ejaculatory control. If both partners are accepting of variations in sexual function, occasional premature ejaculation may not be a problem in the relationship. However, if premature ejaculation leads to performance anxiety, this can...
A healthy relationship requires the ability to tolerate and deal with conflict in a respectful way that maintains personal dignity and avoids hurt and wounding. Conflict is normal and teaches us about our differences. The skills of friendly conflict require a couple to agree to rules of engagement that allow them to work out differences without triggering their deepest fears of criticism or rejection. It means engaging without hurting or blaming one another. Here are some tips to ensure that conflicts will strengthen your relationship instead of harming it. In my Denver couples counseling practice, I offer counseling that recommends these seven rules of health relationship engagement:
Seven rules...
Erectile Dysfunction Treatment in my Denver Sex Therapy Practice
Erectile dysfunction, or impotence, is the inability of a man to develop or maintain an erection sufficient for his sexual satisfaction or that of his partner. The most common physiological causes of erectile dysfunction are related to aging and include cardiovascular disease, diabetes, low serum testosterone, or side affects of medication such as anti-depressants.
Most men experience erectile dysfunction at some point in their lives, due to situational stressors or fatigue, and will be psychologically unaffected by it. However, due to expectations about male sexual function, especially if self-worth and self-image of masculinity are deeply connected to sexual...
Communication is an important aspect of all relationships. Couples that have healthy relationships communicate love and respect to each other. Effective communication requires not only listening and empathy skills but also the ability to express thoughts and feelings without criticism or attack of the partner. Feeling safe to express emotions and thought are therefore primary to good communication. If you are afraid of being hurt or rejected for your emotions or thoughts you will be reluctant to communicate. Good communication doesn't mean that you won’t have any conflict, it involves how honestly you express your thoughts, ideas, and feelings to others, especially in what you say and how you...
Are you dissatisfied, questioning, feeling stuck or anxious about your relationship or career choice?
Are you struggling with the meaning of your life as an empty-nester?
Are you worried there’s little time left to materialize your dreams?
Are you being confronted by your own mortality?
Are physical, sexual, and health changes diminishing your confidence?
Are you depressed, irritable, and indecisive, as life seems to pass you by?
If you are between your late Thirties and late Fifties, you are probably undergoing a natural life cycle change or transition often labeled as the “midlife crisis”. This developmental transition is marked both by physical changes, as the body ages, and by...
Are you challenged by gender roles and expectations in your relationship?
Are you wanting equality in your relationship but don't know how to manifest it?
Do you suffer with competition and one-upmanship in your relationship?
Do you struggle with differential power, racial, or religious dynamics?
Are you burdened by with issues of homophobia or bi-phobia?
Is one of you considered to be better looking by the culture?
Do you deal with unequal resources or finances in your relationship?
Do you have painful discussions about money?
Some power differentials in relationships include financial, educational, and ethnic or religious affiliation. Position differences include social support differences, beauty, sexual availability, emotional wherewithal, resiliency,...
GLOW (Gays and Lesbians Out and Well) is psychotherapy and counseling with a gay-affirming focus for the Denver, Colorado, LGBT community.Depression & mental health counseling for the Gay and Lesbian community in Denver, Colorado:
By definition, depression is anger directed at one's self. I see individuals and couples struggling with internal anger and stuckness. Research has shown that Gay men and Lesbians may have higher rates of depression when compared with the general population. Homophobia may be part of the reason. GLBT folk struggle with both internalized homophobia (directed against oneself) as well as the homophobia many gay people encounter at school, work, home, and in society...
