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Therapists for Sexual Issues

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Therapist who specializes in sexual issues

May 2008

I am looking for a marriage/couples therapist for my husband and myself who also specializes in sexual issues. The last time we did therapy together it was very successful, but in the end we both felt that the therapist we had was not a perfect fit for us. Since then, we have had a second child and it is time for therapy again! This time we would ideally like a woman who practices close to Piedmont Ave. in Oakland. Thank You! Everywoman


I'd recommend Elveyn Hoch, who has an office on Piedmont Avenue. We saw her for marriage therapy, rather than specific sex therapy, but I believe she has background in both specialties. (510) 547-3759 Good luck.
I have been extremely happy with Dr. Lisa Lancaster. She has seen me and my husband for about 6 months now and has really helped us be a happier couple and happier people. She is in Berkeley--510-841-2525 anon
A great help to our marriage was a psychologist in Berkeley, Hans Stahlschmidt. We were able to work through some tough sexual issues. He incorporates the approach by David Schnarch (recommended reading ''The Passionate Marriage'')and he has a deep understanding of the dilemma of attraction, desire and commitment in long-term relationships. Highly recommended. His office phone is: 510-8485347. anon

Therapist specializing in sex therapy

Jan 2008

I am looking for a recommendation for a couples counselor specializing in sex therapy, or the sexual relationship as an entry into deeper issues between us. I have read through previous recommendations on the website, but few mention sex therapy specifically. I think this would be the easiest way to enter into a discussion of the ways we relate to one another and it represents much of what I see elsewhere in our personalities. That said, I'm not looking for a counselor who only deals in sexual issues - I am guessing that our intimate relationship is how we manifest our other issues. Also, we are a hetero-couple, with few ''on the fringe'' relationship desires. We also have kids together and this would also be discussed. I am looking for someone in the Berkeley area (within about 10 miles is reasonable). Lastly, if you have more than one recommendation, that would be great since I have to match with our mental health benefit. Thank you!!!!! anon


She is not really a ''therapist'' but Danielle Harel is a sexologist who has helped me greatly. She has a Phd from the IASS in SF (the premier sexological academic instiiute) and she is an incredible person, very loving, very caring and very perceptive. She is a mother of two kids herself and she has an office in Berkeley. She has a master's in psychology. If you google her name you will find her details. ''Was troubled''
I highly recommend Dr. Hans Stahlschmidt in Berkeley. We had developed a very poor sex life in our marriage and he helped us to face some tough and painful issues. He focused on concrete sexual hang-ups as well as on underlying enmeshment problems. For the first time in our lives we found a way to talk about our sexual fears and dreams. Our relationship is now more realistic and loving. I definitely recommend that you check him out. I think his office number is 848 5347. Best of luck. anon

''Sex-Positive'' Therapist?

July 2005

I have never seen a therapist before, but I'm long over-due. I have worked in the sex industry for years and I'm in an open relationship, so I am hoping to find someone who is positive about/open to unconventional life choices. I am afraid that I'll start seeing someone who will secretly be thinking, ''You did WHAT!? Well, there's your problem!'' I understand that good therapists should withhold judgement, but I still can't help feeling that if she believes/assumes that momogamous marriage is the best relationship and that sex work is always bad and harmful, it will impact my therapy experience. Any recommendations for me? Thanks


I have been working with Christy Calame, and can assure you that she has many clients who are sex workers or poly or just sex positive. Her office is off Grand Avenue at Lake a sex-positive mom
I haven't seen this person myself, but she came highly recommended by someone I trust deeply who lives an alternative lifestyle. You might give her a call and see what you think. Kathy Labriola. I went with someone else because some of my issues involved the very friend that made the recommendation and that didn't feel comfortable to me. Good luck!! Anon
My partner and I have what you might say is an ''alternative'' sex lifestyle and worked with Kirsten Beuthin. She was easygoing, and it felt safe to discuss our issues with her. I strongly recommend her. She is in Oakland and SF, and can be reached at 652-0990. I know this a sensitive area, so best of luck. anon
I recommend Charna Cassell. She is actually a somatic therapist, but she is well connected to the feminist, sex positive, abuse recovery and queer therapy communities. Her number is 415.999.2422. You can also try calling the Feminist Therapist Referral Network, 510.843.2949. Good luck! anna
I saw your posting and the first therapist that came to mind is my colleague, Lor Fjerkenstad. Given the concerns listed in your posting, I believe that Lor will be a very good fit for you. She has experience working with the issues that you've discussed - the sex-trade industry and open relationships. I find her to be a very compassionate, non-judgmental therapist. Michael
I highly recommend Isadora Alman in SF as a non-judgemental, very sex positive therapist. www.askisadora.com ANON
I'm a nurse and volunteer at St James Infirmary in SF, the only clinic in the USA dedicated to caring for sex workers. I'm also a SF Sex Information trained sex educator. I suggest you contact St James http://stjamesinfirmary.org/ 415-554-8494) and SFSI (www.sfsi.org) for referrals. They can give you referral to sliding scale community services, and possible private practitioners if you have the income/ insurance for that. Being SF, there are many sex positive therapists here who won't blink an eye at your sexual history. Many of them taught the SFSI classes, and they're wonderful. You didn't post your email address; if you need further assistance please email me and I'll do what I can for you.
I have a recommendation for you. Joanne Long Howell, . I know Joanne would be positive and accepting toward your life choices, and she has a lot of experience working with people in a similar situation as yours. Ann

Therapist for husband's sexual addiction

Sept 2004

My huband of five years has a sexual addiction problem. I finally threatened to divorce him unless he seeks counseling specifically for this issue. (Bascially, I have caught him 3-4 times using phone sex services, online porn, and online sex personals, which really upsets me. He admitted when confronted with specific evidence that last week, while we were in a fight, he saw a ''massage therapist'' who performed ''extras.'' I strongly suspect he is having an affair in addition to all this, because he lied to me about his whereabouts last weekend and he just ordered some Viagra sent to his office (definitely not to use with me)! Any recommendations? I checked the site but there was nothing in this particular area. I think my husband would respond better to a male when discussing this kind of thing.

How do I deal with the cheating issue if my husband vehemently denies he is cheating? He only responds to hard evidence and I only have circumstantial (but I have a LOT of it; I am convinced, but he knows I can't nail him so he just denies everything). Do I have to hire a private investigator to catch him in the act? We have two young children and I work; I can't be following him around....

Finally, for those of you who have asked your spouse to attend therapy by themselves, how will I know that he has actually gone to the appointments? How will I know if he is making progress? He is in complete denial that this is a problem. Thanks for your help. - Anguished Wife


My husband saw Dr. Charles King in Berkeley for therapy after I discovered his sex addiction problem. My husband was very willing to go to therapy. (He also tried going to an SAA (Sex Addicts Annonymous) meeting, and liked it, but found one on one therapy more appealing.) Our schedule at first was for him to go every week, but I accompanied him on alternate weeks so that we could do couples work to facilitate his recovery. After a year and a half or so we were able to taper off to two appointments a month, one with me, and one without. After a year of that my husband was recovered enough that we decided to just do couples work. And now after a year of that we are ''fixed''. But as a caution... therapy only works if the people involved are willing to change. Give therapy a try, but also be prepared to make some hard choices.

I found the following website helpful when I was investigating the topic: http://www.sexaddicthelp.com/Therapists/

I also highly recommend any book by Philip Carnes. His stuff is really good. It is hard to find books about the topic that aren't heavy handed in a religious way. Good luck. a surviving spouse


Hi. My heart goes out to you. Four years into our marriage, my husband admitted his sexual addiction to me. Like yours, it took the form of online porn, phone sex, and massage parlors. I felt like such an idiot, I had no idea he did it. I had sensed withdrawal, anger, and depression on his part, but to learn what form it took, and the shock of my ignorance of it, made me physically ill.

We initially sought out couples counseling. I balked at the idea of couples counseling at first, because I thought that, clearly, this wasn't a ''relationship'' problem, but a problem my husband had. I was right, but, equally, of course, however he and we addressed his problem -- and divorce was very much on the table -- it was something that we would probably need couples counseling on, so that's where we started, really for lack of a better place to start. The thing is, in making his admission to me, my husband had ''hit bottom'' in his addiction, and was at a place where he was ready to admit that he had a problem. He started going to Sex and Love Addicts Anonymous Meetings, and worked the program. It's now been four years since he has acted out on his addiction, we're still married, have a loving (and sexual) relationship, and he's a different man -- or, he's himself again, the man I fell in love with in the first place.

But, what's the catch about SLAA? Yeah, the first step. He has to be ready to admit he has a problem, and from your message, it doesn't sound like he is. You might want to start with couples counseling. At least then you'll know he's there, and he will hear you talk about the pain it's causing you. You can also call SLAA yourself for more information --- (415) 979-4715. I'm sorry I don't have a couples counselor to recommend; I wasn't that impressed with ours, although he got us pointed in the right direction, which is something.

I wish you all the best in this. It will be a long journey. Still on the journey, but starting to enjoy it again


Your question asked for both recommendations and advice. I'm responding with advice even though this is the ''recommendations'' newsletter.

Your questions and your anguish point to a deep loss of trust in your marriage. Sure, you could obtain ''hard evidence'' with a private investigator or by devoting yourself to the task -- but you already know that he has deceived you. If the problem is his unwillingness to 'fess up, then hard evidence solves that problem -- for that moment in time. But it seems to me that the real problem is his untrustworthiness, and I don't think any trustworthy person deserves an untrustworthy spouse.

I'd like to suggest, gently, that you step back and think about what kind of atmosphere you want to raise your children in. An atmosphere of spousal deceit and distrust?

Think about whether counselling can change his untrustworthiness (regardless of its cause, sex-addiction or who knows what). Can any person overcome a problem that they are unwilling to acknowledge?

Then think about whether you deserve this life, and whether your kids deserve it.

Best wishes and good luck to you. Many of us have been in your shoes, but a lot of us have stepped out of those shoes and have found a better life. Happily Remarried


Marriage therapist good at sexual issues

April 2004

I married a man I love but for whom I have always felt little sexual desire. Ten years and two children later, I've had a purely sexual affair and realize that our situation is untenable. Could anyone recommend a marriage therapist who is very good with sexual issues? Thank you.

Recommended:

  • Penny Schuchman Montclair

    Sex issues therapist - Walnut Creek

    Feb 2004

    I am looking for recommendations for a therapist in Walnut Creek (Concord, Pleasant Hill, Lafayette okay too). I need someone to help me deal with current issues regarding lack of sex drive, as well as old issues of molestation that have been rearing their ugly head lately. I want someone who is sensitive to my ''stuff'' but will help me work through these issues and get to the core in a no-nonsense approach. Any suggestions would be appreciated. Thanks. need to get back on the couch

    Recommendations received:

  • Stephanie Baer-Spoden
  • Ellen Walters

    Specialist for sexual problems in heterosexual relationships

    November 2003

    My husband and I are also looking for a sex therapist. We saw the recommendation for Heidi Berrin-Shankoff but would like to know if there is anyone else who might actually specialize in sexual problems in heterosexual relationships. Of course, we also need the therapist to be able to deal with the emotional part of the relationship. Has anyone had experience with Romika Raquel Weber who advertises in the Open Exchange? Thanks. anonymnous


    Looking for the sex therapist.
    First - I think it is great that you are looking for support around this issue.
    Second - I have never heard of either of the Therapists you mentioned.
    Third -If you could be more clear as to the nature of the issues, It would help you find the right referral. Is the issue low sexual drive? sexual addiction? Exploration? Sexual dysfunction? Is you or your partner a survivor of abuse or sexual trauma and is this impacting your intimate life?

    Drive or dysfunction issues need first to be ruled out by a medical doctor. Sexual addiction has it own specialists. The other issues could be understood as relational issues and for that there are a number of good therapists in the the Bay Area. Call one in your Area. All are bound to confidentiality and should be able to focus you in the right direction. Good Luck -Anon Berkeley therapist


    Therapist with a focus on sexual issues

    October 2003

    Can anyone recommend a good sex therapist in the East Bay? I am in regular therapy and have also done couples' therapy with my husband. I would like to augment this by seeing someone to just focus on my sexual issues. I understand that obviously the larger issues overlap but I really want someone with a focus on sexual dysfunction. Anon


    Recommended:
  • Body Electric School
  • Heidi Berrin Shonkoff Berkeley

    Therapist for painful intercourse

    August 2003

    For nearly five years I have been dealing with a vaginal pain disorder called vulvardynia. I have been seeing a highly regarded and competent specialist. Still, I have not experienced much relief from my mostly constant pain. I have begun to think that there may be a large psychological component to my pain. For example, it might be partly caused by tensing up emotionally during sex. I have been seeing a therapist who specializes in pain management whom I had hoped would be able to help me with this. Yet, my therapist has just recommended that I see a sex therapist instead. I would greatly appreciate any recommendations to sex therapists whom I could trust and who might have experience in working with women who have vulvar pain issues. I would also appreciate any advise on having pleasurable sex with my loving and supportive partner while dealing with a pain disorder. As a side note, most of my pain during sex is caused by friction and pressure no matter how lubricated I am and I find oral sex to be the most painful. no more pain please

    Recommendations received:

  • Toni Ayres San Francisco
  • Karen McClellan or Jeremy Gordon Berkeley Therapy Institute
  • Jerome Weiss (2 recs.) Pacific Center for Pelvic Pain & Dysfunction

    Other advice:

    I don't know about sex therapists, but I have had years of experience with uncomfortable sex. No gynecologists helped, but I had an exam from an N.P or P.A or something like that who gave me advice that is finally making a difference. She noticed how dry my vagina was and recommended a product called REPLENS, which is a vaginal moisturizer that works over 2-3 days. It is not and does not replace lubricants used during sex. It seems to make the tissues around the opening of the vagina less irritated and more comfortable. She also said that many detergents and especially panty liners use baking soda, which can also cause problems to the tissue where it touches. She suggested I stop using the panty liners. I didn't believe either of these pieces of advice, having sufferred for many years with vulvar problems, but I tried them anyway for the last several months. Sex hasn't hurt lately, so I'm going to continue doing this. Maybe it will help you? anon


    For temporary relief during intercourse, I would suggest getting a prescription of 2-5% Xylocaine (from any physician/NP) to apply to the vulva before sex. It only takes a tiny bit to be effective (and may burn a little when you first put it on). It wears off after about 20 minutes. For oral sex, however, be warned: this ''caine'' will numb your partner's mouth! Also, a really good lubricant is Astroglide. I was able to find this at Safeway. There are many women with this problem but the causes and cures are difficult to find. These are the best I have come up with so far. Also, know that for many women this problem ''goes away'' after giving birth--more evidence for the possibility of a muscular disorder. Although I am not cured, I have found relief in these temporary solutions--and with a very understanding partner. I hope this is helpful and you can find some relief, too. Empathetic
    I'm sorry that you've had to go through so much. Would it help to see an M.D. who specializes in chronic pain, as opposed to a therapist? I think U.C.S.F. has a chronic pain center; there may be others. Could your pain possibly be muscle tension? In which case Kegel exercises, along with a muscle relaxant, such as Flexerill, or a short course of Valium, might be helpful. I've also heard that cognitive behavioral therapy can be useful in dealing with chronic pain; there's a center for Cog Beh therapy in Oakland, and a therapist there specializes in chronic pain. Hope this is helpful. Don't give up. anon

    Self-help book to improve our sex life

    Sept 2003

    After seven years together and a less frequent love-making schedule after the arrival of our child, I am considering getting a sex guide to help my partner and I get some new ideas. Does anyone have suggestions for good books that are instructive without being too pedagogical and straightforwardly sexy without being smutty? Is Joy of Sex trite (on-line reviews make later editions sound a bit clinical)? Also, I automatically assume books will contain the information I seek, but maybe there are other options out there that are less ''intellectual?''


    Good Vibrations in Berkeley has all sorts of books, from technical to smutty, also videos, tapes, and toys, and the place is very friendly and, well, wholesome. I would recommend going there with your husband as a place to explore and see what tickles your fancy. They also do mail-order. I've bought x-rated comic books and tapes there, and mailed them at odd intervals to my husband at his office.

    >From the self-help section of the regular bookstore, Passionate Marriage, by a man named Snarch, has a lot of insight in to how to get out of your own way (and out of your partner's way) when you're a bit stuck. It's by no means smutty, but it's very direct, and when my husband and I read it out loud to each other, we often ended up making love.

    Scheduling sex, ghastly as it sounds, can help a lot, and leads to more spontaneity later. anonymous!


    Good Vibrations puts out a great book called _Good Vibrations Guide to Sex, The Most Complete Sex Manual Ever Written_. It is great! Nice drawings, nice anecdotes from normal people, and some of it is downright erotic without being smutty at all. I would recommend you take a trip down to the store (San Pablo and Dwight) and check it out. Good luck and have fun! Anon
    Check out The Guide To Getting It On. It is a great book, it may have more information than your after but it is very good, written with a sense of humor and covers sexuality from A to Z. anon
    You should look into the books 101 Nights of Grrreat Romance and 101 Nights of Grrreat Sex, both are on AMazon.com or at Barnes and Nobel. They are not so much sex manuals. They give ideas on how to spice up the relationship. The format is that there are 50 envelopes for her and 50 envelopes for him. One night you open up an envelope and do what it tells you (He can't peek at it first) then the next time he opens up an envelope. Then there is one extra envelope that you open together. Fun!Fun! anon
    I recommend 101 Nights of Grrreat Sex: Secret Sealed Seductions for Fun-Loving Couples by Laura Corn

    My husband and I have been having a good time with them. Together you choose sealed pages, one labelled his and one labelled hers (by the titles and icons indicating about how much money you'll have to spend, if you'll have to go somewhere, etc.) then you promise each other that you'll make that scenario happen. She has you drop hints or leave messages about what is going to happen later to create anticipation. Each one has a small technique or guidelines on how to make it work. Mostly it gets you thinking about each other and planning on having a good time together anonymous


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