DIANE GLEIM Marriage and Family Therapist - Sex and Relationship Therapy
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My observations on all things sex.

Valentine's Day

2/14/2018

 
The common belief is that Valentine’s Day is the day to celebrate love, especially romantic love.  In reaction many people get anxious, or feel insecure or angry, or become critical of the day.  “Singles appreciation day”, “a Hallmark holiday”, and “It’s just about obligation” are things we have all heard.  I want to offer you a different perspective on how to observe this day that has nothing to do with your romantic relationship status and everything to do with yourself.

Think of all the traditional gifts we give those we love on Valentine’s Day: beautiful flowers, sweet treats, a delicious meal, a soft teddy bear.  All of these gifts involve the senses.  The tokens exchanged on Valentine’s Day are not about love but are instead about sensuality.

Valentine’s Day can be a day to celebrate indulgence and sensuality - two things us Americans don’t seem to do well.  You may be thinking “You’re right we have a problem with overindulgences!  We overeat, drink to excess, over spend, and binge watch.”  But I would actually argue that those activities aren’t about overindulging, at least not the way many of my clients tell me they do them; they’re examples of consuming a luxury without mindfulness.

I’ll paraphrase a French philosopher: the excess of pleasure without savoring is debauchery.  Unfortunately this is what many of us do: we don’t savor a sensual experience.  To savor something means we slow down, notice all the many facets and nuances of it, experience it fully, and appreciate it.  If you’ve ever been to Italy, you understand what I’m talking about.  Italians know how to savor - a glass of wine, a carefully-prepared meal, a beautiful piece of art, music, or fashion.  We could learn something from them in this regard.  Americans deprive ourselves of sensual pleasures over and over which creates a sense of scarcity about the very thing we are denying ourselves.  So we end up devouring it because we think it’s scarce…only to then feel guilt and shame about devouring it.  When given the opportunity to indulge our senses after a period of self-denial, we can easily go overboard.

Old habits die hard and our culture’s history of denying the self for virtuous reasons that lead to attaining one’s moral and spiritual goals is still there under the surface.  I know: I often bump up against these hidden beliefs with my clients.  To fully enjoy a sensual experience is a scary prospect to some because of the intensity of their self-denial behaviors and their anxiety about pleasure.  Some folks swing back and forth between self-denial and overindulging, creating an emotional seesaw.  I believe it’s this seesaw, not the pleasurable sensations themselves, that cause an individual’s pain and suffering.  No wonder we have such mixed messages about the pleasures of Valentine’s Day and end up making the day about love instead.  Love, even in all its enormity and complexity, seems more manageable than individually savoring sensual pleasures.

When I talk to my clients about the need to build a better appreciation for sensuality in their daily lives, I can tell they don’t really understand what I mean.  Many people confuse sensuality with sexuality so let me explain.  Sensuality is the use of one’s senses to notice and experience pleasure whereas sexuality involves sexual feelings.  For example, receiving a massage is a sensual experience — the dimmed lighting, the warm hands on our body, the smell of the massage oil — without it necessarily involving sexual feelings.

Today is a day you have permission to slow down and savor sensuality so I hope you will go home tonight and enjoy the fuck out of those flowers, that chocolate, or your dinner.  Notice everything you can about it.  You might find that you not only experience a deep sense of pleasure and relaxation but that you also feel really fulfilled doing so.  You might even learn a thing or two about yourself.  And none of this has anything to do with your romantic relationship status.

What Goes Up Must Come Down

2/7/2018

 
One of the sex therapy sub-specialties I treat is erectile disorder (previously called erectile dysfunction for you psych and sex nerds) which is defined as difficulty getting or maintaining an erection and/or decrease in erectile rigidity the majority of the times during a sexual encounter.  Helping men with this issue is always a good portion of my practice - it’s a very common problem and the TV and magazine commercials sure know it.

Most of these adult men say it’s not a new occurrence, they have had this issue for a long time, and they each have their own valid reasons for seeking help now: a new romantic/sexual partner is on the horizon or their long-term sexual partner is getting fed up or they themselves have simply gotten fed up.  Generally speaking, men who struggle with their body’s sexual functioning and come to see me have a similar experience: they’ve tried various ways to “fix it” (including medications prescribed by their doctor) but have only had intermittent relief from the problem.  Some haven’t had any relief from medication.  They also have emotional pain, fears, and anxieties — about past failed sexual encounters, about future encounters, and about the process of seeing a sex therapist just to name a few.  My office is usually their last stop, at least in their minds, and they’re feeling desperate, ashamed, embarrassed, and afraid…while also feeling a sense of immense urgency to get it “fixed” NOW.  Welcome to session #1.

Helping a man better understand his body and getting it to do what he wants it to do when he wants it do it is my goal for him as well.  But it’s so unfortunate how many men become engrained to believe that their manliness, their ability to be a great lover, is completely dependent on one body part performing on demand.  So much hangs in the balance for them.  I can’t help but feel for their plight.

So I do an assessment as there can be many contributing factors to ED.  We identify what could be causing his erectile issues and then we get to work.  He may go see his doctor and get a blood test.  He may begin to make lifestyle changes and then we see how that affects his sexual functioning.  Sometimes there’s a simple solution: “Have just one beer, but not two, if I want to have penetrative sex that night.”  Or “Turns out I had borderline high cholesterol that may have been the cause so I’ll work on my diet.”

Often times, however, the solution is more complex.  Things like learning anxiety reduction and self- and body-awareness techniques.  Changing his (and possibly his partner’s) definition of sex and “being a man”.  Figuring out how his partner can not blame herself, her appearance, or his pornography viewing as the reason for his unpredictable erections.  Identifying things his partner can say that will help, not hurt, his sexual confidence should he have another episode of ED in her presence.  And he may have to learn how to speak kinder to himself and what it means to be sexually resilient.

So that’s the actual work we do in sex therapy.  But inevitably what also happens is we touch upon much larger themes of what it means to be a human being in the 21st century.  It’s fascinating how sex does that.

In particular, what I find so curious about sexual functioning issues is how some people hold tightly onto culturally-determined (and, unfortunately, often porn-informed) ideas about sex when real life sex is showing up differently.  Those tightly-held ideas can be about what “sex” is, how to “have sex” with someone without actually engaging in a conversation about how that person likes to “have sex”, what you “need” to “have sex”, and what it uniquely means to each person if these shortsighted ideas and goals are not met.  There ends up being a difference between what is and what should be and it can create conflict both within the individual and in their relationship.  Folks can go to dark emotional and relational places if they or their partner misses the mark sexually and they experience that conflict.  I’ve seen people end relationships, buy sketchy products online from unknown origins to “fix” themselves or their partners, harm their partners emotionally, and sacrifice their integrity — all when their idea of sex simply wasn’t showing up in their actual lives.  It doesn’t have to be this way and the turmoil is optional.

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    I am a licensed Marriage and Family Therapist and AASECT Certified Sex Therapist located in Sonoma county, California.

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DIANE GLEIM  
LICENSED MARRIAGE AND FAMILY THERAPIST
​LIC #44429 / AASECT CERTIFIED SEX THERAPIST
SONOMA COUNTY, CA
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