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The World of Gender Fluidity

Understanding Gender-Variant Clients

Margaret Nichols, Margaret Nichols

By Margaret Nichols - As cultural attitudes about gender variance have undergone a profound shift, much of what therapists believed about what it means to be transgender is now hopelessly outdated. But how do people know that they’re the wrong gender? And what does that kind of knowing mean for our assumptions about males and females as “opposite sexes”?

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VIDEO: What Therapists Need to Know About Working with LGBTQ+ Clients

How We Think About Gender and Sexuality is Changing at "Warp Speed"

Margie Nichols, Margaret Nichols

Today’s LGBTQ+ community has exploded in size, and therapists working in progressive, urban communities will likely see clients whose approach to sex, gender, and relationships diverges from the mainstream. In this short video clip, sex therapist and author Margie Nichols explains what this means for your work.

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VIDEO: Breaking Rigid Thinking Around Intimacy

A Three-Part Solution for Couples Therapy

Suzanne Iasenza, Suzanne Iasenza

Sex therapist Suzanne Iasenza talks about a three-part process that helps couples free themselves from the rigid narratives about sex that keep them from exploring what really brings them pleasure.

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Fully Present Sex

How Mindfulness Can Heighten Desire, Arousal, and Satisfaction

Lauren Dockett, Lauren Dockett

By Lauren Dockett - When sex becomes fraught or painful, fear and worries can overtake this important source of pleasure. But clinicians and clients are embracing a nonmedical solution: mindfulness practices that cultivate sexual self-understanding, desire, and pleasure in the bedroom—and the effects are mind-blowing.

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Esther Perel's Guide to Creating Erotic Experiences

Good Intimacy Doesn't Always Mean Good Lovemaking

Esther Perel, Esther Perel

By Esther Perel - It’s long been the conventional wisdom among couples therapists that if couples fix the emotional issues in their relationship, their sexual lives will improve. But good intimacy doesn’t guarantee good sex.

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Healing After Betrayal

It Takes These Two Therapeutic Approaches

Steven Stosny, Steven Stosny

By Steven Stosny - Intimate betrayal strikes at the core of our capacity to trust and love, violating the fundamental expectation that gives us the courage to connect deeply—the belief that the person we love won’t intentionally hurt us. This requires therapists to reach a balance between validating their clients’ pain and empowering them to improve their lives.

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Growing Up Transgender

Parents and Their Transgender Children Find a Healing, Validating Community

Marian Sandmaier, Marian Sandmaier

By Marian Sandmaier - Until very recently, most families with transgender children had never met another family like theirs. Now, parents and children from the trailblazing Ackerman Institute’s Family & Gender Project talk about their experience of joining a healing community that offers acceptance and a validating mirror of their own experience.

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So Your Client Is Having an Affair...

Should You Be a Secret-Keeper or is Honesty the Best Policy?

Michele Scheinkman, Michele Scheinkman

By Michele Scheinkman - Underlying the perceived magnitude of an affair is an idealized view of marriage as the "shelter" in our lives, with a primary function of providing emotional security and attunement. I've found it perplexing that, although we live in an ostensibly liberal and sexually permissive society, therapists typically have one-track minds regarding how to approach infidelity.

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VIDEO: What Infidelity Looks Like

All Types of Cheating Have This in Common

Tammy Nelson, Tammy Nelson

Of course, sexual affairs are red flags for infidelity, but there are common elements that make any outside relationship an infidelity. Sex therapist Tammy Nelson explains what they are and how to spot them.

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Handling Unexpected Intimacy Issues

Not a Sex Therapist? No Problem

Stephen Snyder, Stephen Snyder

By Stephen Snyder - It’s a shame that so many therapists shy away from talking about sex in the consulting room, believing that they don’t have sufficient expertise. The reality is that any well-trained therapist can help clients understand, and in many cases even resolve, sexual problems—simply by using their natural curiosity, some common sense, and a few key tools.

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