Therapeutic Issues in Couples Therapy with Emotional/Verbal (Psychological) AbuseMoshe Rozdzial, PhD, LPC*
Intimate partner (domestic) abuse is a pattern of intentional physical, emotional, verbal (psychological), and sexual mistreatment to gain and maintain differential power and control within an intimate relationship. Verbal and emotional abuse in relationship are part of a range of coercive behaviors and tactics that include domestic violence, but, without direct physical harm, are often dismissed, as there are no legal ramifications, yet, have deep psychological harms to the victim, including depression, isolation, fear, and guilt, and vulnerability to various health issues.
The most common sexual disorder in women is low sexual desire or hypoactive desire. Aversion to sex is also an issue for some women (often as a result of early sexual trauma) as well as inhibited orgasm. There are two sexual pain disorders that occur in women: Dyspareunia, or painful intercourse, and Vaginismus, the involuntary spasmodic vaginal muscle contractions that occur during attempted intercourse.
Sexual disorders in Men:
The most common sexual disorder in men is premature ejaculation. Low libido also occurs in men, as does ejaculatory incompetence (lack of male orgasm), and erectile dysfunction (ED), the inability of...
Erectile Dysfunction (Male Impotence): Pharmacology vs. Mental Health
Moshe Rozdzial, PhD
Urologists estimate that about 30 million American men suffer from some form of erectile dysfunction, and many clinicians believe that number is rising. Viagra, the pharmacological treatment for impotence, went on the market in April of 1998. Pfizer, Inc., its manufacturer, rates its success as high as 80 percent. Men are expected to find the drug far more desirable than the penile implants, vacuum pumps, and injections and other standard medical treatments for impotence. While talk therapy was once regarded as the first line of treatment, impotence now appears to be...
Infidelity by powerful men is not far from the headlines. Yet, regardless of age or race, both men and women cheat. The statistics of infidelity in monogamous relationships range widely from reports that about 28-60 percent of married men and 14-40 percent of married women being unfaithful. The higher rates or recent infidelity statistics probably represent more current data as a result of internet and proximity applications that make infidelity more anonymous, accessible, and affordable. So why is it that infidelity is more skewed towards males?
Most common indicators of infidelity seem to focus on men’s emotional dissatisfaction. Dr. Gary...
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...
Is sex addiction or compulsive sexual behavior impacting your life?
Do you find yourself spending hours looking at internet porn, unable to stop?
Are you worried that your spending on porn and sex is out-of-control?
Is your internet porn addiction hurting your personal relationships and work?
Are you are spending more time on the computer than with your loved-ones?
Pornography and Cybersex (Porn) Addiction Recovery in my Denver Psychotherapy and Addiction Intervention Practice.
With the invention of the Internet individuals no longer have to leave their home to get their "fix". Men, especially, are attracted to internet pornography for sexual release because of what I call...
Gay and Lesbian relationship and couples counseling:
Are you coming out later in life and wondering how to proceed?Are you dealing with a Gay relationship of disparate age, race, religion, or culture?Are you suffering through a breakup, relationship loss, or infidelity?Are you in a mixed-orientation marriage or going through a divorce?Are you seeking emotional and sexual intimacy in your Gay relationship?
Gay and Lesbian couples have the same vision of a mutually supportive, romantic, and emotionally intimate relationship as straight couples. However, because of external or internalized homophobia, GLBT persons may struggle with additional hurdles in forming healthy relationships:
Sense of self or relationship as worthless or...
Are you avoiding sex because of physical or emotional pain or
Do you want to be sexual but are afraid or don’t feel the desire?
Are you pressured or blamed for low sexual function?
Are you experiencing anxiety while engaging in sex?
Is sex addiction or porn and cybersex addiction impacting your life?
Women's sexual desire and relationship therapy in my Denver
Although every women is different, and may have a different relationship with their
sexuality, low sexual desire is a common issue, especially for perimenopausal
women. What is uncommon is for people to do something about those problems
before they irreparably damage their self-esteem and relationships.
Do you spend hours on the internet or seeking sex, unable to stop?Do you find yourself having anonymous sex, frequenting prostitutes, bookstores, strip clubs, or unsafe cruising spots?Have you had unsafe sex even after you promised yourself: "never again?"Are you worried that your spending on sex or internet porn is out-of-control?Are your sexual compulsions hurting your personal relationships and work?Are you using sex to try to manage your anxiety, stress, or anger?Is pornography and cybersex addiction impacting your life?
Sex addiction recovery in my Denver, Colorado, psychotherapy and addiction intervention practice:If you answered yes to one or more of these questions, you may...
Women's Counseling and Empowerment Issues:
Women and AnxietyWomen struggle with anxiety disorders significantly more often than men. Anxiety disorders are treatable, yet many women may not realize that they are struggling with anxiety and stress, invalidating their experience as PMS or moodiness.
Generalized Anxiety Disorder (GAD) is an anxiety disorder that often starts in childhood and is more common among women. Constant worrying and associated physiological symptoms of sleeplessness, fatigue, and generalized shakiness are the hallmarks of GAD.
Other anxiety disorders include Obsessive-Compulsive Disorder ( OCD), Panic Disorder, and Phobias. Women are more likely to have Panic Disorder. Intense feelings of fear and associated physiological symptoms that resemble a...