Let’s Talk About Sex (With Your Provider)

doctor talking to her male patient at office

“Hell no, absolutely not” is a common reaction when people are asked how they feel about talking about sex with their healthcare providers. Whether it is your therapist or primary care provider, many people feel awkward and find the idea intimidating before the conversation even starts.

Sexual health and sexuality are important parts of our overall well-being. Sex can affect our relationships, our self-image, and the way we connect with others. It can also bring up a wide range of emotions related to sexuality, intimacy, and desire. It is also important to note that there is a strong connection between sexual health and mental health.

Spend any amount of time on the mental health side of TikTok or Instagram, and you will likely come across someone talking about how their new medication “took their orgasm”, how SSRIs decreased their libido, or how they no longer feel as confident or desirable. You may even find people who feel they have to choose between their mental health and their sexuality. Many people accept this as simply “it is what it is,” but what if it is not? What if having these conversations with your provider could help you find the best of both worlds? What if you could feel better emotionally and “keep your orgasm”?

There are many reasons to talk about sex and intimacy with your provider. It may be about finding a medication that is a better fit, addressing unwanted side effects, or getting a referral to someone who specializes in sexual health concerns. You might also want help communicating your wants and desires to a partner, increasing arousal or desire, exploring questions about sexuality or sexual orientation, or processing the impact of past trauma on your sex life and relationships.

So we can see why it is beneficial, but how do we actually start the conversation?

The first step is determining whether your therapist or provider feels comfortable discussing these topics. You are well within your rights to ask. You might say something like, “Hey, I am having concerns about ___ . Is that something we can talk about here, or is there someone you can refer me to?” If they feel the issue is outside their area of expertise, they will often have referral options available.

Another option is to write it down beforehand. Prior to your appointment/session, take some time to write out your concerns and what you would like to say. You can even read directly from your notes during the appointment. Writing things down can help you organize your thoughts, and clarify what you want to communicate. Another benefit is you can change it as many times as needed prior to the visit.

You can also do some research online. While I rarely recommend relying on Dr. Google, the internet can be a useful tool if you feel your current provider may not be the right fit for these conversations. If you are looking for a therapist, consider searching for someone who specifically states they work with sexuality, intimacy, or sexual health concerns, or someone who identifies as a sex therapist.

Talking about sex, intimacy, and sexuality can feel uncomfortable, but discomfort should not stop you from getting the support you deserve. Yes it is intimidating, and yes it can feel daunting, but you do not have to choose between your emotional health, relationships or sexual wellbeing. Talking about it may be what helps to heal all three. 

Jenny Morales is a Licensed Mental Health Counselor and Certified Clinical Hypnotherapist practicing at Clear Mind Group in Florida. Call 407-494-5280 for a consultation. Follow Clear Mind Group on X, BlueSky, and Facebook.

Have a Happy Relationship in 7 Steps

Valentine Couple. Portrait of Smiling Beauty Girl and her Handso
Valentine Couple. Portrait of Smiling Beauty Girl and her Handsome Boyfriend making shape of Heart by their Hands. Happy Joyful Family. Love Concept. Heart Sign. Laughing Happy Lovers. Valentines Day

A long-time friend recently told me “you’re the only person I know that’s happily married.” While I took the compliment, I thought it awfully sad for her friends. I asked “what about other relationships?” She said it was the same all over, married, living together, seriously dating, everyone she knew, including herself, was unhappy in their relationship.

It got me to thinking: What makes my relationship a happy one? Is it simply a matter of perception, that she assumes I’m happy and assumes others are not? She’s not delusional and seems to have a pretty good handle on how others truly are, so that seemed unlikely. I don’t present a false front to her, so that seemed an unlikely reason. Is my relationship happy? Yes, I feel happy in it. Her statements must be true, to the best of her opinion. So why am I happy and so many people, at least by this sample, seem to be less so?

I do the following things, that may be a benefit to you in your relationship:

  1. Say thank you. The little things add up. If you spouse did something around the house, notice and say thank you for having done that thing, even if it’s so mundane as preparing a meal or bringing in the trash cans. After all, without them doing it, it’s all on you. Once in awhile, say thank you for the bigger things “thank you for going to work every day and making sure we have enough money to pay our bills,” or “thank you for always being available to listen when I need to vent about the kids.”
  2. Let it go. We have a rule that may or may not work for you: whatever is bothering you, you have to say it right away. This involves no stewing, no ruminating, no grudges. We never have an argument (we rarely argue anyhow) that involves “and remember last month when…” because we dealt with that thing last month. Sometimes these things are stupid, like “you said you’d move my laundry to the dryer and it’s still in the washer.” Stupid, right? I know. But isn’t that the kind of thing that, if you ruminate on it, will lead you to say things about a person’s character like “he never follows through.” Is that true? No, but there seemed to be a lack of follow through in that instance. So deal with the issue, not the characteristic. You are with someone because you believe their traits are good, overall.
  3. Keep it to yourself. Don’t talk smack to your friends or family or coworkers. They will hear you in a bad mood and make generalizations, especially if mostly what they hear is your bad-mood stuff. They’ll then give you advice like “you don’t need someone like that,” which may be far from true, but when several people say the same things, you may doubt yourself. Be slow to talk negatively about others (your spouse, your kids, your friends, your family) to anyone. Be quick to talk positively, though. This is not akin to wearing blinders and pretending things are as they aren’t, but evaluating on your own scale, not an outsider’s. Journaling is a better outlet.
  4. Compromise. You shouldn’t get your way all the time. Weigh the importance of the issue with the importance of your continued relationship. The old saying is “You can either be right or happy.”
  5. Communicate. Oh, so cliche! I know, I know. It’s a skill; it’s an art. Talk, face to face, at least a few minutes every day. Know what an expression means, a gesture, a lack of talking about something. My best friend said of me, “I can tell by the tone of your silence when something’s bothering you.” That’s an art developed over decades.
  6. Do the little things. I’m always thinking of people I love. When I’m at a store or watching TV or reading, I may see a passage or article or item that reminds me of them. I snap a photo, send an email or a text, pick up an inexpensive thing, right then. I don’t wait, don’t hold things for special occasions. I say “I saw this and thought of you.” Most of my circle has said I’m incredibly considerate because of that. How much effort does that take? Almost none. Almost no money – if I can’t afford a thing, I photograph it and send a text “doesn’t this remind you of that time we were talking about…” My one friend has a pair of scissors I got her in the shape of a woodpecker that makes her laugh every time she’s in her kitchen because we were once at a party and a man told us a terrible joke involving a woodpecker with no punchline. We still laugh about it. It takes no money and almost no effort to connect with others. I made a bad-day-bag of gift wrapped item of less than $10 each that my husband can pull from when he’s had a bad day at work, after a rather long run of such bad days. You know when he sees these little things, he thinks of me and that I was thinking of him.
  7. Take nothing for granted. I believe that divorce is possible for me, that people change, that this marriage may not last forever. I spend some time each day devoting time and energy to my marriage and my spouse. While that amount of time and energy varies, I don’t think I ever miss a day.

If you find this useful in some way, please share the information.

Autumn Hahn is a Licensed Mental Health Counselor and Certified Clinical Hypnotherapist practicing at Clear Mind Group in Weston, Florida. Call 954-612-9553 for a consultation. Follow Autumn on Twitter Facebook. Sign up for the e-newsletter HERE.

Always Communicate

Yellow tulips on a dark background
Bouquet of yellow tulips on a dark background

It’s cliche because it’s true; communication is key in any relationship. My relationship is no exception. Here’s an excerpt from my real life:

Some friends were coming into town on Friday night for our mutual friend’s birthday party the next day. I suggested to my husband that they might want to get together for a late dinner. I couldn’t attend because I was getting over being sick and needed the extra rest. He said that sounded good. I told him “It’ll take an effort on your part,” meaning he needed to call them to arrange plans.

Husband said “I feel guilty tripped, now. Like I have to call them and go out.”

I said “That’s not how I meant to come across. I wanted to make you aware of an opportunity, in case you choose to make plans. Help me; how would you have liked to have heard that so it didn’t sound like guilt or obligation?”

Husband replied “Maybe if you’d have explained it as an option, or not used the phrase ‘an effort’, because you’ve said that I need to ‘make an effort’ before when I wasn’t seeing our friends.”

I responded “That makes sense to me. Sorry that I made you feel guilty. They’re your friends, too. I’m stuck home, but call them if you want, or you’ll see them tomorrow.”

He did call and they went out. And we all hung out the next day. But there was no animosity, no hurt feelings, no lingering guilt or anger because we discussed it in the moment like rational adults.

What is an example of a time you communicated your feelings and were heard in a positive way? Or is this a skill you’re just learning?

Autumn Hahn is a Licensed Mental Health Counselor and Certified Clinical Hypnotherapist practicing at Clear Mind Group in Weston, Florida. Call 954-612-9553 for a consultation. Follow Autumn on Twitter, and Facebook. Sign up for the e-newsletter HERE.

Communicating with Infants

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My Mom always treated children like tiny people, because they are. With your infant, when in doubt, do the following, according to my Mom.

My Mom loves babies, both my parents do. Mom always said, babies can’t talk, but they want to, so they cry. And when they cry, do the following, in this order: Continue reading “Communicating with Infants”

Your formal living room

Two living rooms
Growing up in Los Angeles, I only saw homes with a common living room. When I moved to South Florida, I started seeing two living rooms, something which is apparently common. You have your formal living room, a space for adults to entertain colleagues, acquaintance, and those they want to impress. A little further in is your family room, what I had known as a living room, where the TV, video games, and books are kept, where the family and close friends gather to converse and spend time together.

Privacy
There are boundaries you can set in your life, such as who has certain information about you. Continue reading “Your formal living room”

User Manual – Guest Blog by Julie Davis, LMFT

0julieA friend called me the other day raving about the new gadget that she had saved for, shopped for, invested in, and finally owned. Two weeks later I asked her about it:

“It’s too complicated. I can’t figure out how to make it work.”

“What about the User Manual?” I suggested.

“I don’t have the time. I’m just going to get rid of it.”

Unfortunately, I find this to be a similar way of thinking in many relationships:

Continue reading “User Manual – Guest Blog by Julie Davis, LMFT”