Better Sex

Amy noticed that even she was having trouble talking to her own child about sex, and she imagined it would be even more difficult for people without her work background. She discusses the difficulty of discerning the right amount of information to share with kids, especially with the poor cultural examples in the US but reiterates that it’s crucial for parents to push through their discomfort.Amy advises us to look at our own lives, our own sexual decisions and early relationships, and our current relationships to get a good idea of what can happen without quality education about sexuality and relationships. She emphasizes that sex and relationships constitute a lifelong social-psychological health issue and that parents can’t rely on schools to teach these things to their kids.Sexual Health Requires Healthy RelationshipsA lot of sexual health is about relationships, Amy asserts. She explains that many things can go wrong in relationships that will negatively affect the lives and health of people if they don’t know enough about what healthy relationships look like and what isn’t okay. Amy suggests that parents should want their children to grow up with a lot of information so that they can feel good about their decision-making skills and so that they can build safe, healthy relationships and quickly, correctly notice when relationships become unhealthy.What Kids are Learning NowAmy points out that most people are only getting educated about sex in the 5th and 9th grades, and neither of those sessions is comprehensive in any way. She explains that most young people learn the most about sex through pornography, sexualized entertainment media, and their friends. She points out that this gives kids a lot of very adult information about sexuality without providing them any context for that information.Amy advises that parents contextualize pornography for children. She believes it’s important for kids to know that the models are acting, and they aren’t having real, normal sex.The Limits of Sex Ed in SchoolsMs. Lang supports kids getting sex ed, even abstinence-only sex ed because that gives parents an opening to discuss the fact that abstinence-only education doesn’t work. She adds that it even lets parents talk about waiting to have sex until they’re prepared and able to make a mature decision with their partner. But she explains that schools can’t provide a values-based sexual education that aligns with the values of all their students’ families, schools can’t provide enough details about sex, and schools really can’t talk about how sex is pleasurable and not just about making babies.How to Answer QuestionsAmy tells us that a lot of questions kids ask can be answered simply and directly, but sometimes they’ll ask questions that are more sensitive. In those cases, she suggests admitting to your child that you’re not sure how to answer, and you need time to think about what to say. She explains that hot topics and questions about your own history can be dicey; she advises parents not to air their traumas to their children because she believes it’s important to talk about sex in a way that encourages them to have consensual, safe sex in a safe place.Talking About RapeShe says that it’s easier to answer questions about difficult issues like rape and abortion if you already have created an early, strong base with your child about the fact that sex is healthy and fun when it’s consensual. When you have that background and talk about rape with your child, you can emphasize that sex is usually a happy thing adults do, but that sometimes people are bad and force others to have sex. She demonstrates that you can reassure children by saying that even though it’s a sad and scary part of life, it’s something they need to know about, and you’re glad they asked you.Age Appropriate ConversationsShe says that sex...

Amy noticed that even she was having trouble talking to her own child about sex, and she imagined it would be even more difficult for people without her work background. She discusses the difficulty of discerning the right amount of information to share with kids, especially with the poor cultural examples in the US but reiterates that it’s crucial for parents to push through their discomfort.Amy advises us to look at our own lives, our own sexual decisions and early relationships, and our current relationships to get a good idea of what can happen without quality education about sexuality and relationships. She emphasizes that sex and relationships constitute a lifelong social-psychological health issue and that parents can’t rely on schools to teach these things to their kids.Sexual Health Requires Healthy RelationshipsA lot of sexual health is about relationships, Amy asserts. She explains that many things can go wrong in relationships that will negatively affect the lives and health of people if they don’t know enough about what healthy relationships look like and what isn’t okay. Amy suggests that parents should want their children to grow up with a lot of information so that they can feel good about their decision-making skills and so that they can build safe, healthy relationships and quickly, correctly notice when relationships become unhealthy.What Kids are Learning NowAmy points out that most people are only getting educated about sex in the 5th and 9th grades, and neither of those sessions is comprehensive in any way. She explains that most young people learn the most about sex through pornography, sexualized entertainment media, and their friends. She points out that this gives kids a lot of very adult information about sexuality without providing them any context for that information.Amy advises that parents contextualize pornography for children. She believes it’s important for kids to know that the models are acting, and they aren’t having real, normal sex.The Limits of Sex Ed in SchoolsMs. Lang supports kids getting sex ed, even abstinence-only sex ed because that gives parents an opening to discuss the fact that abstinence-only education doesn’t work. She adds that it even lets parents talk about waiting to have sex until they’re prepared and able to make a mature decision with their partner. But she explains that schools can’t provide a values-based sexual education that aligns with the values of all their students’ families, schools can’t provide enough details about sex, and schools really can’t talk about how sex is pleasurable and not just about making babies.How to Answer QuestionsAmy tells us that a lot of questions kids ask can be answered simply and directly, but sometimes they’ll ask questions that are more sensitive. In those cases, she suggests admitting to your child that you’re not sure how to answer, and you need time to think about what to say. She explains that hot topics and questions about your own history can be dicey; she advises parents not to air their traumas to their children because she believes it’s important to talk about sex in a way that encourages them to have consensual, safe sex in a safe place.Talking About RapeShe says that it’s easier to answer questions about difficult issues like rape and abortion if you already have created an early, strong base with your child about the fact that sex is healthy and fun when it’s consensual. When you have that background and talk about rape with your child, you can emphasize that sex is usually a happy thing adults do, but that sometimes people are bad and force others to have sex. She demonstrates that you can reassure children by saying that even though it’s a sad and scary part of life, it’s something they need to know about, and you’re glad they asked you.Age Appropriate ConversationsShe says that sex...

In this episode, guest Camille describes herself as a late bloomer that was always concerned about being romantically involved.She attributes some of her reticence to being raised in a family that didn’t hug, cuddle, or verbally express love often. Later experiences encouraged her to openly express affection with her parents, but as a young person, Camille remembers thinking neither of her parents was suited to intimate talks about sex, love, and romance.When Camille Meets DavidEven when Camille knew boys found her attractive, she felt crippled by extreme shyness. She explains that things changed when she met her future husband, David. Because he was as awkward as she was, she felt they were perfectly matched. Though they were only 14, she claims they saw no reason to avoid sexual activity. She shares the journey of their relationship and experiences with other partners. She tells us about the regrets she gathered through those experiences including being objectified for her looks. After experiencing the world, Camille decided to honor David and their relationship by continually seeking a deeper intimacy with him.AbortionAs a Christian who doesn’t support abortion, Camille is ashamed to admit that as a teen she planned to abort any pregnancies that might occur. While young, Camille believes she was too cavalier about the magnitude of what happens during an abortion, and she expects many people are the same today. She warns that abortion is a traumatic experience for a woman’s body that can even cause post-traumatic stress.Intimacy IssuesTheir relationship hit a hiccup early on as David desired sex more than she did, and she would often reject him. After realizing that she could make herself physically available to her husband with the aim of pleasing him, she found that this form of self-giving allowed true intimacy to flourish because it removes sex from the raw pursuit of physical pleasure and transforms it into a means of communicating and developing love and caring.Teaching Kids About SexCamille explains that her views about intimacy were influenced by a course she took called Moms of Men. She wanted to raise her children to respect and avoid objectifying women. She also learned to teach her sons to avoid relationships that can’t lead to marriage, because when you date or have sex with people, part of you always stays with that person, making it impossible to give your whole self to your future spouse.Camille also learned from Pope John Paul II’s Theology of the Body, which taught her that sex is something that God intended men and women to experience, and that it’s good to talk about it openly. She believes that talking about sex is helpful in rearing children because it encourages kids to communicate with their parents about sex and love and it helps parents guide their children towards wise sexual decisions.Resources for Camille:https://www.messengercourses.com/moms-of-menhttp://www.theologyofthebody.net/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/126-personal-story-playing-with-fire-camille

In this episode, guest Camille describes herself as a late bloomer that was always concerned about being romantically involved.She attributes some of her reticence to being raised in a family that didn’t hug, cuddle, or verbally express love often. Later experiences encouraged her to openly express affection with her parents, but as a young person, Camille remembers thinking neither of her parents was suited to intimate talks about sex, love, and romance.When Camille Meets DavidEven when Camille knew boys found her attractive, she felt crippled by extreme shyness. She explains that things changed when she met her future husband, David. Because he was as awkward as she was, she felt they were perfectly matched. Though they were only 14, she claims they saw no reason to avoid sexual activity. She shares the journey of their relationship and experiences with other partners. She tells us about the regrets she gathered through those experiences including being objectified for her looks. After experiencing the world, Camille decided to honor David and their relationship by continually seeking a deeper intimacy with him.AbortionAs a Christian who doesn’t support abortion, Camille is ashamed to admit that as a teen she planned to abort any pregnancies that might occur. While young, Camille believes she was too cavalier about the magnitude of what happens during an abortion, and she expects many people are the same today. She warns that abortion is a traumatic experience for a woman’s body that can even cause post-traumatic stress.Intimacy IssuesTheir relationship hit a hiccup early on as David desired sex more than she did, and she would often reject him. After realizing that she could make herself physically available to her husband with the aim of pleasing him, she found that this form of self-giving allowed true intimacy to flourish because it removes sex from the raw pursuit of physical pleasure and transforms it into a means of communicating and developing love and caring.Teaching Kids About SexCamille explains that her views about intimacy were influenced by a course she took called Moms of Men. She wanted to raise her children to respect and avoid objectifying women. She also learned to teach her sons to avoid relationships that can’t lead to marriage, because when you date or have sex with people, part of you always stays with that person, making it impossible to give your whole self to your future spouse.Camille also learned from Pope John Paul II’s Theology of the Body, which taught her that sex is something that God intended men and women to experience, and that it’s good to talk about it openly. She believes that talking about sex is helpful in rearing children because it encourages kids to communicate with their parents about sex and love and it helps parents guide their children towards wise sexual decisions.Resources for Camille:https://www.messengercourses.com/moms-of-menhttp://www.theologyofthebody.net/Better Sex with Jessa Zimmermanhttps://businessinnovatorsradio.com/better-sex/Source: https://businessinnovatorsradio.com/126-personal-story-playing-with-fire-camille

Dr. McKenzie explains both sexes produce testosterone however it’s much more prevalent and important in men. Serena informs us that puberty is driven primarily by testosterone. She notes that testosterone production increases exponentially in men during puberty, peaks around age 30, and subsequently declines. From driving growth and facilitating sexual function to retaining bone density and cognitive function, Dr. McKenzie describes testosterone as a hormone with lifelong importance in men’s health.Causes of Low TestosteroneSerena tells us the most direct cause of low testosterone, clinically diagnosed as testicular hypogonadism, occurs when the pituitary gland produces insufficient hormones to trigger adequate testosterone production. But she explains that many cases of low testosterone are caused by obesity, diabetes, insomnia, sleep apnoea, a sedentary lifestyle, smoking, excessive alcohol consumption, and other varieties of poor self-care. She also mentions that many clinicians understand lower testosterone levels as a natural result of aging, and not as a condition requiring treatment.Symptoms of Low TestosteroneDr. McKenzie admits that most of her patients present with sexual dysfunction. She often finds problems such as low libido, trouble gaining or sustaining an erection, fatigue, or depression. One symptom she describes that points directly to hypogonadism are a measurable decrease in testicular size. She mentions the loss of non-sexual erections as indicative of low testosterone. She points out that these symptoms can also be caused by vascular disease or pituitary dysfunction, but she reassures us that true cases of testosterone dysfunction can be diagnosed fairly easily by physicians.How Low is Low?To diagnose hypogonadism, Serena explains that labs look for reproducible testosterone levels below 300 or 350. The doctor explains that testosterone levels vary from day to day and hour to hour, which is why testing a man’s testosterone more than once is necessary for a correct diagnosis. She admits that some practitioners will skip this second test, which can lead to inappropriate diagnoses. She explains that most men should have testosterone levels between 200 and 900 for full sexual health, but the exact levels vary for different individuals.Treating Low TestosteroneDr. McKenzie believes that it’s important to assess lifestyle variables and consider alternative treatments like testosterone stimulation before rushing into testosterone replacement. For many men, correcting poor self-care, addressing relationship problems, and learning to foster romance in their relationships can solve their sexual and energy complaints. She remarks that these treatments are especially useful for younger men because hormone replacement shuts off the body’s natural ability to produce testosterone, which can prevent men from fathering children or require lifelong testosterone supplementation after treatment.But for men with primary testicular failure or pituitary dysfunction, Dr. McKenzie acknowledges that testosterone treatments will be a necessity for the rest of their lives. Men whose testicular tissue has been damaged by chemotherapy or alcohol abuse may also need continual testosterone treatments to maintain sexual function.Treatment TypesSerena describes a market that has produces 15 to 20 different methods of administering testosterone for patients, including injected doses of testosterone, injectable pellets, transdermal gels, sprays, and pills, but she says insurance usually decides the form of treatment.Risks of Different Treatment TypesDr. McKenzie prescribes transdermal gels and lotions most often. For those, she warns that it’s important for men to wash their hands after application and for them to allow the gel or cream to dry after application, otherwise accidental transmission of testosterone to...

Dr. McKenzie explains both sexes produce testosterone however it’s much more prevalent and important in men. Serena informs us that puberty is driven primarily by testosterone. She notes that testosterone production increases exponentially in men during puberty, peaks around age 30, and subsequently declines. From driving growth and facilitating sexual function to retaining bone density and cognitive function, Dr. McKenzie describes testosterone as a hormone with lifelong importance in men’s health.Causes of Low TestosteroneSerena tells us the most direct cause of low testosterone, clinically diagnosed as testicular hypogonadism, occurs when the pituitary gland produces insufficient hormones to trigger adequate testosterone production. But she explains that many cases of low testosterone are caused by obesity, diabetes, insomnia, sleep apnoea, a sedentary lifestyle, smoking, excessive alcohol consumption, and other varieties of poor self-care. She also mentions that many clinicians understand lower testosterone levels as a natural result of aging, and not as a condition requiring treatment.Symptoms of Low TestosteroneDr. McKenzie admits that most of her patients present with sexual dysfunction. She often finds problems such as low libido, trouble gaining or sustaining an erection, fatigue, or depression. One symptom she describes that points directly to hypogonadism are a measurable decrease in testicular size. She mentions the loss of non-sexual erections as indicative of low testosterone. She points out that these symptoms can also be caused by vascular disease or pituitary dysfunction, but she reassures us that true cases of testosterone dysfunction can be diagnosed fairly easily by physicians.How Low is Low?To diagnose hypogonadism, Serena explains that labs look for reproducible testosterone levels below 300 or 350. The doctor explains that testosterone levels vary from day to day and hour to hour, which is why testing a man’s testosterone more than once is necessary for a correct diagnosis. She admits that some practitioners will skip this second test, which can lead to inappropriate diagnoses. She explains that most men should have testosterone levels between 200 and 900 for full sexual health, but the exact levels vary for different individuals.Treating Low TestosteroneDr. McKenzie believes that it’s important to assess lifestyle variables and consider alternative treatments like testosterone stimulation before rushing into testosterone replacement. For many men, correcting poor self-care, addressing relationship problems, and learning to foster romance in their relationships can solve their sexual and energy complaints. She remarks that these treatments are especially useful for younger men because hormone replacement shuts off the body’s natural ability to produce testosterone, which can prevent men from fathering children or require lifelong testosterone supplementation after treatment.But for men with primary testicular failure or pituitary dysfunction, Dr. McKenzie acknowledges that testosterone treatments will be a necessity for the rest of their lives. Men whose testicular tissue has been damaged by chemotherapy or alcohol abuse may also need continual testosterone treatments to maintain sexual function.Treatment TypesSerena describes a market that has produces 15 to 20 different methods of administering testosterone for patients, including injected doses of testosterone, injectable pellets, transdermal gels, sprays, and pills, but she says insurance usually decides the form of treatment.Risks of Different Treatment TypesDr. McKenzie prescribes transdermal gels and lotions most often. For those, she warns that it’s important for men to wash their hands after application and for them to allow the gel or cream to dry after application, otherwise accidental transmission of testosterone to...

Today’s show is going to delve into talking about sex with both your therapist and your physician, potentially, and how that collaboration can benefit your struggles can make a difference. I interview Dr. Pebble Kranz and Dan Rosen. He is a sex therapist, and she is a family practice physician. Both of them have had extensive training in sexual health and sexual treatment, and they started a clinic together. What we talk about applies to you if you have some sexual struggles, because it is essential that your providers be communicating and collaborating and that you are getting the best of both worlds. Dan Rosen became licensed as a Clinical Social Worker after attending NYU’s school of social work. He became a Certified Sex Therapist in 2014 and chaired the AASECT Ethics Advisory Committee from 2016-2018. He has been providing local training for psychotherapists and medical residents since 2008 as well as teaching sex therapy as an instructor at the University of Buffalo 2016-2017. While the European Society of Sexual Medicine does not credential social workers, Mr. Rosen participated in the same training program as Dr. Kranz benefiting from the truly global perspective on sexuality and sexual health. Integrating sex therapy with psychodynamic psychotherapy, treatment of sexual abusers, EMDR, CBT, IFS, and couples counseling has been uniquely rewarding. Now, as a member of the Rochester Center for Sexual Wellness team, Dr. Kranz and Dan are bringing this global perspective on sexual health to Western New York. Dr. Kranz is Board-certified as a family physician and trained at the University of Rochester Family Medicine Residency Program with an area of focus in the psychosocial aspects of primary care. Family medicine appealed to her as a specialty because of its whole-person, whole-family, and whole-community approach to medical care. Family medicine residents at the University of Rochester train alongside marriage and family therapy trainees and are explicitly taught to work systemically and to collaborate with mental health providers. Dr. Kranz’s prior medical training included almost no information on sexual function and dysfunction, nor did it expose me to a range of interventions for treatment. All along, her patients made it clear that this was an important part of their lives. She completed a fellowship through the European Society of Sexual Medicine. Dr. Kranz now participates in both the medical school and residency curricula to improve exposure to sexual medicine. She and Mr. Rosen opened the Rochester Center for Sexual Wellness in 2017, providing comprehensive assessment and treatment for sexual concerns in individuals and couples of all genders. Rochester Center for Sexual Wellness: https://rochestercenterforsexualwellness.com/ The organizations mentioned: ISSWSH: https://www1.statusplus.net/sp/isswsh/find-a-provider/ ISSM: https://www1.statusplus.net/sp/issm/find-a-provider/ SMSNA: https://www1.statusplus.net/sp/smsna/healthcare-provider-search//index.php KinkAware Professionals: https://www.ncsfreedom.org/resources/kink-aware-professionals-directory/search-kap More info:Link to the free guide – Talking About Sex: http://bettersexpodcast.com/talkJoin my email list here:

Today’s show is going to delve into talking about sex with both your therapist and your physician, potentially, and how that collaboration can benefit your struggles can make a difference. I interview Dr. Pebble Kranz and Dan Rosen. He is a sex therapist, and she is a family practice physician. Both of them have had extensive training in sexual health and sexual treatment, and they started a clinic together. What we talk about applies to you if you have some sexual struggles, because it is essential that your providers be communicating and collaborating and that you are getting the best of both worlds. Dan Rosen became licensed as a Clinical Social Worker after attending NYU’s school of social work. He became a Certified Sex Therapist in 2014 and chaired the AASECT Ethics Advisory Committee from 2016-2018. He has been providing local training for psychotherapists and medical residents since 2008 as well as teaching sex therapy as an instructor at the University of Buffalo 2016-2017. While the European Society of Sexual Medicine does not credential social workers, Mr. Rosen participated in the same training program as Dr. Kranz benefiting from the truly global perspective on sexuality and sexual health. Integrating sex therapy with psychodynamic psychotherapy, treatment of sexual abusers, EMDR, CBT, IFS, and couples counseling has been uniquely rewarding. Now, as a member of the Rochester Center for Sexual Wellness team, Dr. Kranz and Dan are bringing this global perspective on sexual health to Western New York. Dr. Kranz is Board-certified as a family physician and trained at the University of Rochester Family Medicine Residency Program with an area of focus in the psychosocial aspects of primary care. Family medicine appealed to her as a specialty because of its whole-person, whole-family, and whole-community approach to medical care. Family medicine residents at the University of Rochester train alongside marriage and family therapy trainees and are explicitly taught to work systemically and to collaborate with mental health providers. Dr. Kranz’s prior medical training included almost no information on sexual function and dysfunction, nor did it expose me to a range of interventions for treatment. All along, her patients made it clear that this was an important part of their lives. She completed a fellowship through the European Society of Sexual Medicine. Dr. Kranz now participates in both the medical school and residency curricula to improve exposure to sexual medicine. She and Mr. Rosen opened the Rochester Center for Sexual Wellness in 2017, providing comprehensive assessment and treatment for sexual concerns in individuals and couples of all genders. Rochester Center for Sexual Wellness: https://rochestercenterforsexualwellness.com/ The organizations mentioned: ISSWSH: https://www1.statusplus.net/sp/isswsh/find-a-provider/ ISSM: https://www1.statusplus.net/sp/issm/find-a-provider/ SMSNA: https://www1.statusplus.net/sp/smsna/healthcare-provider-search//index.php KinkAware Professionals: https://www.ncsfreedom.org/resources/kink-aware-professionals-directory/search-kap More info:Link to the free guide – Talking About Sex: http://bettersexpodcast.com/talkJoin my email list here:

The Genesis of Five Core Conversations for CouplesJulie explains that she met David as an 18-year-old at the University of Maryland, which led to a 33-year marriage. She and David celebrate the fact that their differing work (David is a divorce lawyer, while Julie works as a couple’s therapist) affords them very different perspectives on dating and relationships. They tell us that their experience of marriage in their personal and professional conversations encouraged them to share their insight in a book they named Five Core Conversations for Couples.Julie Bulitt is a licensed clinical social worker with a focus on family, couples and individual therapy, ADHD, and executive functioning coaching. She’s been a Clinical Supervisor and Early Childhood Mental Health Consultant for the Montgomery County (Maryland) Mental Health Association, and an Adoption Therapist for the Center for Support and Education in suburban Washington, D.C. Currently, she is the in-house therapist for The Discovery Channel in Silver Spring, Maryland.David Bulitt is a partner at Joseph, Greenwald & Laake, PA in Washington, D.C. He’s consistently chosen as a top divorce lawyer, was named one of the “Best Lawyers in America” and a “Super Lawyer” in the Washington, D.C. Metro. Due to his personal experiences, David has a strong interest in families with special needs children. He’s written two novels and multiple articles for legal publications.The Five CoresDavid informs us that their book divides the conversations couples need to have in order to build successful relationships into five cores or ‘buckets’. He describes getting to know the other person as the first bucket. The second, third, and fourth are money, kids, and sex, which he says often bring conflict into relationships. Finally, he describes the last bucket as figuring out how to keep the relationship full and growing.‘Listen to Julie so that You Don’t Need David.’Julie explains the reason couples seek therapy differs wildly. She says that some people would never go to couple’s therapy, while others go as a last resort to try to avoid divorce, and others seek out couple’s therapy to proactively improve their relationships. She says that people who would never seek out counseling or who try and can’t get it to work for them often wind up in her husband’s office.In his work, David found four broad reasons that couples get divorced: money, sex, kids, and ‘general malaise not otherwise specified’. He suspects that less than half of the couples who get divorced have tried to improve their relationship with therapy. Despite this, he tells us he encourages couples with history, kids, and other ties between them to try therapy before going through with a divorce.He also discusses that some couples who have been married for twenty or thirty years have had kids dominate their lives for decades. He describes them spending years rushing around and getting the kids to the places they need to be, without ever taking the time to ‘water the garden’ of their relationship. He explains that many people in this situation look at the other person, and fail to find anything they have in common after their kids leave home. He and Julie emphasize that relationships have to be maintained consistently in order to survive.Building and Filling Your RelationshipJulie explains that new partners need to evaluate whether they’re suited for each other. She encourages couples to evaluate whether they have the same values, whether they both want kids, whether they think one or both partners working is ideal, and the like. She also tells us that maintaining that initial connection and those conversations with date nights and time spent together is essential.David interrupts to clarify that their book differs from self-help titles in its personal and detailed nature. For example, he lists chapters about...

The Genesis of Five Core Conversations for CouplesJulie explains that she met David as an 18-year-old at the University of Maryland, which led to a 33-year marriage. She and David celebrate the fact that their differing work (David is a divorce lawyer, while Julie works as a couple’s therapist) affords them very different perspectives on dating and relationships. They tell us that their experience of marriage in their personal and professional conversations encouraged them to share their insight in a book they named Five Core Conversations for Couples.Julie Bulitt is a licensed clinical social worker with a focus on family, couples and individual therapy, ADHD, and executive functioning coaching. She’s been a Clinical Supervisor and Early Childhood Mental Health Consultant for the Montgomery County (Maryland) Mental Health Association, and an Adoption Therapist for the Center for Support and Education in suburban Washington, D.C. Currently, she is the in-house therapist for The Discovery Channel in Silver Spring, Maryland.David Bulitt is a partner at Joseph, Greenwald & Laake, PA in Washington, D.C. He’s consistently chosen as a top divorce lawyer, was named one of the “Best Lawyers in America” and a “Super Lawyer” in the Washington, D.C. Metro. Due to his personal experiences, David has a strong interest in families with special needs children. He’s written two novels and multiple articles for legal publications.The Five CoresDavid informs us that their book divides the conversations couples need to have in order to build successful relationships into five cores or ‘buckets’. He describes getting to know the other person as the first bucket. The second, third, and fourth are money, kids, and sex, which he says often bring conflict into relationships. Finally, he describes the last bucket as figuring out how to keep the relationship full and growing.‘Listen to Julie so that You Don’t Need David.’Julie explains the reason couples seek therapy differs wildly. She says that some people would never go to couple’s therapy, while others go as a last resort to try to avoid divorce, and others seek out couple’s therapy to proactively improve their relationships. She says that people who would never seek out counseling or who try and can’t get it to work for them often wind up in her husband’s office.In his work, David found four broad reasons that couples get divorced: money, sex, kids, and ‘general malaise not otherwise specified’. He suspects that less than half of the couples who get divorced have tried to improve their relationship with therapy. Despite this, he tells us he encourages couples with history, kids, and other ties between them to try therapy before going through with a divorce.He also discusses that some couples who have been married for twenty or thirty years have had kids dominate their lives for decades. He describes them spending years rushing around and getting the kids to the places they need to be, without ever taking the time to ‘water the garden’ of their relationship. He explains that many people in this situation look at the other person, and fail to find anything they have in common after their kids leave home. He and Julie emphasize that relationships have to be maintained consistently in order to survive.Building and Filling Your RelationshipJulie explains that new partners need to evaluate whether they’re suited for each other. She encourages couples to evaluate whether they have the same values, whether they both want kids, whether they think one or both partners working is ideal, and the like. She also tells us that maintaining that initial connection and those conversations with date nights and time spent together is essential.David interrupts to clarify that their book differs from self-help titles in its personal and detailed nature. For example, he lists chapters about...

Amanda Walker is a health lifestyle coach whose focus is on helping women feel better naked. She created the Feel Amazing Naked Program and the Feel Amazing Naked Podcast. She is the creator and blogger at awalkmyway.com. Amanda overcame a life of yo-yo dieting and emotional eating, allowing her to live a life where she controls her food, rather than her food controlling her. Now she uses her experience to help thousands of clients unearth the root causes of their food struggles to transform their bodies and their lives. She encourages her clients to lead fuller, healthier lives in which they can embrace their bodies and lose the self-consciousness and guilt that holds them back. Why ‘Feel Amazing Naked’? Amanda explains that many of her clients will lose a lot of weight, see the transformation, but continue to feel inadequate and lack confidence in daily life and their romantic relationships. She says that’s why it’s so important to feel amazing, in addition to looking amazing. When you feel amazing, she reminds us, confidence, and attractiveness can radiate outward and improve your sex life in ways that just looking amazing never will. She believes that looking and being healthy are important, though she doesn’t deny that some individuals can be very attractive even while carrying extra weight. But Amanda tells us that she’s about holistic self-growth that includes mindset elements along with health and body transformation. In order to set a course for individual clients, Ms. Walker informs us that she likes to ask clients what their goals are before they begin. She says that some clients want to lose weight, some want to work on weight-loss goals, and many want to work on mindset and body transformation goals. The Feminine Ideal and Modern Women Amanda suspects that women struggle with body image issues more than men do because social media and traditional media alike put increasingly perfect, and increasingly impossible feminine body ideals into the world. She explains that women are susceptible to these images of perfection from early adolescence onwards and that she feels her personal background with these influences makes her especially passionate about helping women get past the detrimental thoughts and poor mindset these cultural ideas impart. Ms. Walker also mentions that women are encouraged to serve many roles. She lists female roles like being parents, spouses, employees, and entrepreneurs as a small selection of the roles women are expected to fulfill, and she goes on to mention that the more women serve others or fulfill externalized ideals, the less in touch they are with their own needs and desires. She suggests that when people disconnect from their own, personal ideals, they also disconnect from the confidence that’s derived from having a clear view of one’s own desires, needs, and independent identity. She suggests that it’s necessary to serve yourself first sometimes, and it’s imperative that women stop feeling guilty about prioritizing themselves if they want to effectively interact with their friends and families. Confidence’s Link to Health and Happiness Amanda says that if we’re not clear on who we are and are not confident in who we are, then we can’t fully show up in our other relationships and roles in life. Lacking confidence, she explains, dims our light, and tries to hide who we are, while confidence allows for full investment in and involvement with the world. Especially in our sex lives, she says, lacking confidence can lead to us trying to literally hide the body that makes us insecure, and that inhibits connection. Ms. Walker explains that prioritizing health and making healthier choices also allows women’s confidence to improve because it encourages women to make more intentional actions. She suggests that this link between intentional living and growing confidence can encourage women to...

Amanda Walker is a health lifestyle coach whose focus is on helping women feel better naked. She created the Feel Amazing Naked Program and the Feel Amazing Naked Podcast. She is the creator and blogger at awalkmyway.com. Amanda overcame a life of yo-yo dieting and emotional eating, allowing her to live a life where she controls her food, rather than her food controlling her. Now she uses her experience to help thousands of clients unearth the root causes of their food struggles to transform their bodies and their lives. She encourages her clients to lead fuller, healthier lives in which they can embrace their bodies and lose the self-consciousness and guilt that holds them back. Why ‘Feel Amazing Naked’? Amanda explains that many of her clients will lose a lot of weight, see the transformation, but continue to feel inadequate and lack confidence in daily life and their romantic relationships. She says that’s why it’s so important to feel amazing, in addition to looking amazing. When you feel amazing, she reminds us, confidence, and attractiveness can radiate outward and improve your sex life in ways that just looking amazing never will. She believes that looking and being healthy are important, though she doesn’t deny that some individuals can be very attractive even while carrying extra weight. But Amanda tells us that she’s about holistic self-growth that includes mindset elements along with health and body transformation. In order to set a course for individual clients, Ms. Walker informs us that she likes to ask clients what their goals are before they begin. She says that some clients want to lose weight, some want to work on weight-loss goals, and many want to work on mindset and body transformation goals. The Feminine Ideal and Modern Women Amanda suspects that women struggle with body image issues more than men do because social media and traditional media alike put increasingly perfect, and increasingly impossible feminine body ideals into the world. She explains that women are susceptible to these images of perfection from early adolescence onwards and that she feels her personal background with these influences makes her especially passionate about helping women get past the detrimental thoughts and poor mindset these cultural ideas impart. Ms. Walker also mentions that women are encouraged to serve many roles. She lists female roles like being parents, spouses, employees, and entrepreneurs as a small selection of the roles women are expected to fulfill, and she goes on to mention that the more women serve others or fulfill externalized ideals, the less in touch they are with their own needs and desires. She suggests that when people disconnect from their own, personal ideals, they also disconnect from the confidence that’s derived from having a clear view of one’s own desires, needs, and independent identity. She suggests that it’s necessary to serve yourself first sometimes, and it’s imperative that women stop feeling guilty about prioritizing themselves if they want to effectively interact with their friends and families. Confidence’s Link to Health and Happiness Amanda says that if we’re not clear on who we are and are not confident in who we are, then we can’t fully show up in our other relationships and roles in life. Lacking confidence, she explains, dims our light, and tries to hide who we are, while confidence allows for full investment in and involvement with the world. Especially in our sex lives, she says, lacking confidence can lead to us trying to literally hide the body that makes us insecure, and that inhibits connection. Ms. Walker explains that prioritizing health and making healthier choices also allows women’s confidence to improve because it encourages women to make more intentional actions. She suggests that this link between intentional living and growing confidence can encourage women to...

Harriet joins us in this episode and shares her how her childhood molestation led to compulsive eating, a fear of men, painful sex, and other hallmarks of traumatic experiences before she was taught to conceptualize her trauma as an unfinished tribal initiation. She shares her story in this episode. Accepting Trauma as Real and Valid Harriet tells us she was molested by a neighbor at the age of nine, but her mind quickly blocked the memory. When she remembered the event at the age of fifteen, her first thought was, ‘This happens to loads of people.’ She mentions that this happened thirty years ago, in a time that didn’t discuss topics like child abuse openly, but she knew enough to be aware that others had similar experiences. She talks about minimizing her trauma by comparing her own experiences to those of others, and deciding that her pain wasn’t too bad, because her experience was not especially violent or awful. By reading Peter Levine’s book Healing Trauma, Harriet learned that comparing trauma is misguided because trauma is marked by feeling overwhelmed and unable to escape. She recalls this insight as liberating. Remembering the Trauma Harriet says the memory of the abuse resurfaced when her father, a social worker, was making videos for his job. Harriet describes turning away from the camera while playing the role of an abused teenage girl when the memories came flooding back. She explains that her memories resurfaced in later years too when she was 22 years old and volunteering at a homeless hostel. One day a man who’d been staying at the hostel was arrested for molesting a child, and Harriet says she felt like ‘the curtain was drawn back’ and she saw her difficulties clearly. Harriet reports that this experience made returning to the job intolerable, as it stirred up awful emotions, but it also made her understand that her trauma was a major problem, and not something to be ignored. She explains that this incident led her to seek help, but counseling and medication proved unhelpful. Harriet’s Younger Years As a teenager, Harriet describes intense self-hatred and a desperate longing for a boyfriend despite an instinctual, intense fear of men. She explains that she coped with these emotions by overeating. For her, food was a rare source of pleasure. She explains that her self-image of being an awful person and a desire to be bigger and safer fuelled her overeating. Despite these difficulties, Harriet excelled at school and went to college. After working as a teacher for a few years, Harriet tells us she met her husband, who was the only man she’d ever felt safe around. Her desire to have children encouraged her to push past her struggles, which allowed her to have two children. Harriet explains that she always felt pain with sex, and never found it to be a pleasurable experience. Making Peace with Her Emotions Upon reaching 40, Harriet tells us that she was determined to conquer her food issues. After hypnotherapy, self-hypnosis, journaling, and a lot of reading Harriet discovered a book that she says changed her life, The Language of Emotions by Karla McLaren. By discovering the useful and harmful instances of emotional expression, Harriet says she was able to shed her shame about her emotional dysregulation and better manage her feelings. Understanding Trauma as Tribal Initiation Harriet tells us about a full chapter of McLaren’s book around trauma. In that chapter, she describes tribal initiation as a three-part process. She says the young boy is removed from the support of a tribe, then experiences an ordeal by struggling while away from his support system. The final part is the victorious return to his support system; it is this third step that Harriet and McLaren tells us is missing for trauma victims. Harriet also mentions that people who don’t pass the initiation...

Harriet joins us in this episode and shares her how her childhood molestation led to compulsive eating, a fear of men, painful sex, and other hallmarks of traumatic experiences before she was taught to conceptualize her trauma as an unfinished tribal initiation. She shares her story in this episode. Accepting Trauma as Real and Valid Harriet tells us she was molested by a neighbor at the age of nine, but her mind quickly blocked the memory. When she remembered the event at the age of fifteen, her first thought was, ‘This happens to loads of people.’ She mentions that this happened thirty years ago, in a time that didn’t discuss topics like child abuse openly, but she knew enough to be aware that others had similar experiences. She talks about minimizing her trauma by comparing her own experiences to those of others, and deciding that her pain wasn’t too bad, because her experience was not especially violent or awful. By reading Peter Levine’s book Healing Trauma, Harriet learned that comparing trauma is misguided because trauma is marked by feeling overwhelmed and unable to escape. She recalls this insight as liberating. Remembering the Trauma Harriet says the memory of the abuse resurfaced when her father, a social worker, was making videos for his job. Harriet describes turning away from the camera while playing the role of an abused teenage girl when the memories came flooding back. She explains that her memories resurfaced in later years too when she was 22 years old and volunteering at a homeless hostel. One day a man who’d been staying at the hostel was arrested for molesting a child, and Harriet says she felt like ‘the curtain was drawn back’ and she saw her difficulties clearly. Harriet reports that this experience made returning to the job intolerable, as it stirred up awful emotions, but it also made her understand that her trauma was a major problem, and not something to be ignored. She explains that this incident led her to seek help, but counseling and medication proved unhelpful. Harriet’s Younger Years As a teenager, Harriet describes intense self-hatred and a desperate longing for a boyfriend despite an instinctual, intense fear of men. She explains that she coped with these emotions by overeating. For her, food was a rare source of pleasure. She explains that her self-image of being an awful person and a desire to be bigger and safer fuelled her overeating. Despite these difficulties, Harriet excelled at school and went to college. After working as a teacher for a few years, Harriet tells us she met her husband, who was the only man she’d ever felt safe around. Her desire to have children encouraged her to push past her struggles, which allowed her to have two children. Harriet explains that she always felt pain with sex, and never found it to be a pleasurable experience. Making Peace with Her Emotions Upon reaching 40, Harriet tells us that she was determined to conquer her food issues. After hypnotherapy, self-hypnosis, journaling, and a lot of reading Harriet discovered a book that she says changed her life, The Language of Emotions by Karla McLaren. By discovering the useful and harmful instances of emotional expression, Harriet says she was able to shed her shame about her emotional dysregulation and better manage her feelings. Understanding Trauma as Tribal Initiation Harriet tells us about a full chapter of McLaren’s book around trauma. In that chapter, she describes tribal initiation as a three-part process. She says the young boy is removed from the support of a tribe, then experiences an ordeal by struggling while away from his support system. The final part is the victorious return to his support system; it is this third step that Harriet and McLaren tells us is missing for trauma victims. Harriet also mentions that people who don’t pass the initiation...

The Pressures on Men in the Bedroom Dr. Corey Allan is a Marriage and Family Therapist and Licensed Professional Counselor with a Ph.D. in Family Therapy. He has a private practice in McKinney, TX. With his wife, Pam, he hosts a weekly podcast, Sexy Marriage Radio, to help married couples engage with each other and have the best possible sex. He also established sexymarriage.net, a website that strengthens and deepens married relationships. In all his work, he helps people embrace their choice to live life and be married deliberately while growing spiritually, enhancing passion, and embracing the people and events we encounter with joy and simplicity. The Sex Men Desire Corey points out that men are expected to want sex at all times. He stresses that society generally expects men to initiate sex and pursue sex to the exclusion of other romantic and familial goals. Dr. Allan says that many men balk at the expectation because they also experience relationship goals that are more stereotypically feminine, like the desire for emotional intimacy, romance, affection, and lasting interpersonal bonds. When men deny their desire for the quintessentially feminine aspects of sex, they aren’t bolstering their masculinity but missing out on something ineluctably human. Dr. Allan discusses that men and women do have different biological strengths and weaknesses, and they have desires and abilities that statistically differ. He laments the generation of men raised almost exclusively by women and the specter of ‘toxic masculinity’ that produced. He agrees that acknowledging feminine needs in men is important, but it’s equally important for men to live up to their own forthright and healthy forms of masculinity with integrity and honesty. Ten Women, One Man Corey describes a hypothetical scenario posed by Dr. Glover. In it, he posits that a man can have an orgasm with ten of the hottest women of his choice. In that scenario, Dr. Glover asks how long each man would take to accomplish that goal. Dr. Allan says that a young man might be able to do it in a weekend, but given male refractory periods, age-related fluctuations in desire, and the increased time and effort required to please women, he thinks it might take men in their 30s or 40s two or three weeks. He mentions that a woman in a comparable scenario could have sex many more times in a smaller period of time due to the capacity for multiple orgasms and not needing to maintain erections. Corey believes that because of women’s biological capacity to “go and go” and men’s need to fulfill and satisfy that potentially endless desire, many men are, on some level, afraid of female sexuality—it’s intimidating. Dr. Allan discusses that while male attraction is believed to be fairly straightforward, women’s desire and arousal are more mysterious. He says that reaching beyond the mechanical, physical acts is necessary to facilitate female fulfillment. Instead of following the formula of what worked last time, Corey encourages men to open up a real dialogue with their partners to find out what’s arousing that day without feeling like failures for not intuiting everything. The Role and Meaning of Erections Corey brings up the fact that men often have erectile issues and says that the heavy expectations placed upon men can lead to a cycle of harmful thoughts that perpetuate the situation. He mentions that even women see erections as signs of their own attractiveness; they worry that if a man doesn’t gain an erection, it means he doesn’t desire her. Corey reminds us that sexual encounters are intimate sessions between two people—they may or may not involve disrobing, and don’t need to involve intercourse or erections. He says that focusing on erections or the superficial characteristics that women assume decrease male desire misses the point. In Dr. Allan’s opinion, attraction to the whole, nuanced...