Sexual Problems

Many women and men experience trouble with sexual function at some point. Sexual problems can involve trouble during any phase of the sexual act (such as desire, arousal and orgasm). A sexual problem can occur suddenly or develop gradually over an extended period of time. There are a number of specific sexual disorders, which are generally organized into the following four categories: sexual desire disorders, sexual arousal disorders, orgasm disorders and sexual pain disorders. Sexual desire disorders are characterized by a low libido or a lack of desire for sex. Sexual arousal disorders are characterized by the inability to respond normally physically during sexual arousal. In men, this may be erectile dysfunction, and women may experience vaginal dryness. Orgasm disorders are defined by the continuing delay or complete nonappearance of orgasm following a normal sexual encounter. Sexual pain disorders, which generally only affect women, are characterized by painful intercourse. The causes of sexual disorders can vary considerably but some influencing factors may include fluctuating hormones, aging, emotional strain, stress, anxiety, depression, fatigue, lifestyle, certain medicines (some antidepressants for example), chronic disease or past sexual trauma. A mental health professional can help a person or couple experiencing a sexual problem to identify the cause, learn ways of coping, and often, resolve it completely.

Local experts in Sexual Problems

Alana R. Ogilvie (she/her)

Licensed Marriage Family Therapist

LMFT, CST

I have specialized training in sex therapy and have experience with paraphilias/ kink, sexual health concerns, desire discrepancy issues, erectile/ ejaculation issues and sexual pain.

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Kelly Rees (she/her)

Clinical Sexologist

Certified, ACS, QMHA

Sexual types of problems might be the most difficult to talk about due to rampant shame and guilt in which we are immersed as a culture. Sexual problems are almost always related to relationship issues, which give glimpses into our deepest selves. I have extensive experience guiding people through their sexual problems and into ease.

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Matthew Geraths

Marriage and Family Therapist

I work with couples and individuals experiencing a wide range of sexual issues such as mismatched libidos, porn addiction or interest in exploring new sexual communities such as kink/BDSM.

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Tori Morrison (she/they)

Marriage and Family Therapist Associate

M.A., Marriage & Family Therapist Associate

In my graduate program, I completed a specialty tract in sex therapy and appreciate the complex relations humans have with our sexualities. Whether you're struggling with desire issues, sexual trauma recovery, sexual anxiety, mismatched libidos, curiosity & expansion, or any of the countless other ways sexual problems can show up, I hope to create a non-judgemental and informed space for you to heal.

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Heather Rensmith (she, her, hers)

Licensed Clinical Social Worker

LCSW, CST

Treats common sexual problems including desire discrepenices, low desire, sexual functioning and pain for all genders. Post Masters sexual health certificate in Sex Therapy and Education. AASECT Certified Sex Therapist

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Nicole Kammerlocher (she/her/hers)

Professional Counselor Associate

I am currently working towards certification by the American Association of Sexuality Educators, Counselors, and Therapists. This is one of the most thorough and rigorous certifications for professionals seeking to specialize in sex therapy, and through this process I have and continue to receive training on helping people with specific sexual concerns.

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Diana Groener

Licensed Professional Counselor

Sexual issues are often the least talked about, yet the source of many complications, misunderstandings, and hurt feelings. I believe everyone has the right to a healthy and fulfilling sex life. Together we can work through the issues that keep you from a satisfying sex life. I am BDSM/kink friendly and comfortable working with the polyamory/ENM community.

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Maegan Megginson (she/her)

Licensed Marriage Family Therapist

MA, LMFT, LPC, AASECT CST

I am an AASECT Certified Sex Therapist and hold a post-graduate certificate in Sex Therapy from the University of Michigan Sexual Health Certification Program. I treat specific sexual health concerns, such as desire discrepancy within your relationship, sexual pain (dyspareunia, vaginismus, vulvodynia, vestibulitis, etc), inability to orgasm, low sexual desire, and erectile/ejaculation issues.

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Patrick Bluett (he/him)

Professional Counselor Associate

Over the course of therapy, we will map out the experiences and beliefs that shape your expectations about sex and challenge the notions that no longer serve you and your relationship(s). We will seek out and weed out any shame that has been rooted in you by parents/caretakers, media/cultural messaging, past relationships and other experiences so you may once again share the joy of intimate connection.

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Taylor Kravitz (She/Her/Hers)

Marriage and Family Therapist Associate

As a sex therapist, most of my professional work has been centered around helping folks navigate sexual issues. I use a sex-positive lens in working with sexual concerns. I will help you develop awareness of emotional and sociocultural factors that impact your sexuality, while also giving you practical tools that can create shifts in your sex life.

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Jane Ward, PhD

Clinical Psychologist

I provide treatment for people who are experiencing distress about their sexual identity or sexual attraction. I have never provided 'conversion therapy' and never will, just to be clear.

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Tina Lilly, MS LPC

Licensed Professional Counselor

Sexual expression is a fundamental human need. Intimately connected to our sense of self, sex is an opportunity to ask for what we want for our growth as individuals and partners, to play, to feel alive and creative, and to transcend, if only momentarily, the experience of our mortality. For more information, visit www.areyoucoming.net.

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Connective Therapy Collective

Licensed Professional Counselor

LMFT, LCSW, LMFTI, CSWA, QMHA

I can treat the most common challenges including the desire gap (differences in libido) and the orgasm gap (differences in achieving climax). In addition, I'm a resource for those living an alternative lifestyle or sexual expression (ie: fetish, BDSM, other lifestyle), or struggling with ED, PE, genital pain, gender dysphoria, or concerns about sexual behavior or porn use.

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Liz Powell (they/them)

Clinical Psychologist

CA PSY 27871; OR PSY 3068

With specialized training in sex therapy from the University of Guelph as well as AASECT approved classes and presentations, I enjoy helping people explore their concerns related to sexual health, functioning, and exploration. I understand that issues related to sex are rarely as simple as technique or biology and enjoy helping people identify and examine their own narratives about sexuality.

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Katherine Friedman

Licensed Professional Counselor

Sexuality is a core component of our experience in the world. Finding a clinician who is capable of speaking comfortably and non judgmentally about sexuality can be difficult. I practice holistic, embodied sex therapy with a wide array of clients seeking assistance with sexual function, relationship, intimacy, and identity.

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Andrea Mize (she/her)

Licensed Clinical Social Worker

I am currently receiving additional training in sex therapy with a focus on holistic and integrative approaches. I am a proponent of, and have have received prior training in, the benefits of kink-oriented practices in personal growth and healing. A particular area of specialty is in transitions from type of sexual identity and/or practice to another. Personal identity vs. personal practice is an area of interest.

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Marisol G. Westberg, Ph.D.

Licensed Marriage Family Therapist

I am a sex therapist and couple’s counselor in Portland, OR. I am a board-certified sexologist (ACS), certified sex educator (AASECT), and a licensed couple’s counselor (LMFT).

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Madeline Fox

Licensed Marriage Family Therapist

'Sex is not a thing you do, it is a place you go.' Esther Perel stated this and I could not agree more. Unfortunately many of us have not been given clear directions on how to arrive to this place of sexuality, sensuality, and pleasure. I feel confident in supporting you and your partner(s) in exploring, expanding, and healing your sexual relationship with each other and yourself.

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Sarah Blaszczak, M.A, LMFT (She, her, hers)

Licensed Marriage Family Therapist

LMFT T1554

I have experience working with sexual problems including avoidance and compulsions. I also enjoy supporting communities that can experience stigma and oppression around sexuality, including those in open relationship, involved in kink and identifying as Transgender and GNC.

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Kate McNulty

Licensed Clinical Social Worker

I am certified as a Sex Therapist by AASECT, the preeminent organization credentialing specialists in this field. I help with a wide range of concerns such as lack of desire, difficulties with orgasm and sexual pain, and sexual conflict or confusion. See www.sexpositivetherapist.com

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Elizabeth Price (she/her)

Professional Counselor

M.A. Clinical psychology

Are you sexually frustrated, numbed out, ashamed, guilty, dis-interested, in denial, vulnerable, lost, or naive? Come find what has been holding you back. Learn how to get your needs met with integrity, courage, and the skills to care for yourself and your partners along the way.

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Megan McDavid, LCSW, MEd

Licensed Clinical Social Worker

I have specialized training is addressing sexual concerns such as low desire, difficulty with arousal, compulsive sexual behaviors, and unwanted desires.

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Janean VeDova

Marriage and Family Therapist Associate

I am sex-positive and specialize in sex therapy that is inclusive and non judgmental. Areas of focus are intimate relationships, pleasure, infidelity, sexual desire discrepancies, difficulties with orgasm, difficulties with erections and orgasm, lack of desire, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence.

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