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

Amber Liechty (she/her)

Licensed Professional Counselor

LPC

Body confidence goes hand in hand with sexual confidence. I lean in an Esther Perel direction (Google her, she's amazing) and have enjoyed her trainings. I've found that many of my clients benefit from having both body image and sexual empowerment folded into their treatment.

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Liz Denny (She/Her)

Marriage and Family Therapist Associate

Masters in Marriage Family Therapy

I completed the Sex Therapy track at Lewis and Clark College while completing my graduate degree in Marriage Family Therapy.

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Alana 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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Congruent Therapy: Italia Hensley (She/Her/Hers)

Licensed Marriage Family Therapist

MS, LMFT, CNM-Certified

I'm enrolled at The Modern Sex Therapy Institutes working on my PhD in Sexology to become a sex therapist. My goal is to expand my knowledge to help clients address sexual issues by addressing sexual desire discrepancies with their partner(s), sexual pain, challenge patriarchal views of sex, exploration of sexual identity, processing sexual trauma, find pleasure, and challenge shame narratives around sexuality. *Disclaimer, I am not a certified sex therapist, but I am being supervised for this.

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Jessica Butler (She/her)

Marriage and Family Therapist Associate

M.A MFT

Sex can be confusing and society hasn't given us the tools to talk about it. You deserve to have a sex life that feels fulfilling and empowering. You may need support in asking for what you need or guidance in finding pleasure again.

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Grace Cantor (She, Her)

Licensed Professional Counselor

MA, LPC, LMHC

I have completed coursework and clinical supervision in a comprehensive sex therapy training program through The Institute for Sexuality Education and Enlightenment (ISEE). Coursework includes topics like: Pornography, out-of-control sexual behavior, Infidelity, Sex and Aging, Sex and Pregnancy, Kink, BDSM, Diverse sexualities, Arousal, Desire, Gender and Orientation, Pleasure and Communication.

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Amanda Best (she/her/hers)

Marriage and Family Therapist Associate

LMFT-A

I am well-versed in addressing issues related to sexuality, helping you explore and enhance your sexual well-being, and fostering healthy, fulfilling connections. Whether you're dealing with sexual discrepancies, sexual abuse trauma, ED, or orgasm inequity, we will work together to get to the root of the sexual issue. Exploring sexual health and well being is my top priority in all sexually fluid, asexual, or kink contexts. I use a non-judgemental and affirming stance with all sexual concerns.

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Sarah Sumner (She/They)

Clinical Social Work Associate

MSW, C-YT

I don’t know about you, but I didn’t grow up in a sex-positive household, nor did my family of origin equip me with the tools I needed to build a relationship with myself that was expansive enough to outweigh the messages of shame I inherited from society about my sexual identity. . As a Pleasure Activist, I love to help people move from shame-based to a pleasure-centered relationship to their sexuality and see this work as integral to collective liberation.

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Ashley Adler (she/her/hers)

Marriage and Family Therapist Associate

Master of Arts in Marriage, Couples, and Family Therapy

Just talking about sex can be hard, let alone exploring our deepest sexual fears, desires, insecurities and hopes. Maybe you're wanting something different, but are unsure how to approach the conversation. Maybe you feel guilty for wanting sex less than your partner(s), or for wanting it more. Maybe you'd like to explore and discover new ways of experiencing pleasure. Or, maybe you'd like a safe and compassionate place to process and heal from past sexual experiences.

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Kelly Rees (she/her)

Clinical Sexologist

Certified, ACS

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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Caitlin Beckwith-Ferguson (she/her)

Licensed Marriage Family Therapist

MA, LMFT, CCTP

As your therapist, my top priority is to create a safe space for you to openly talk about sex: your sexual fears, insecurities, hopes and dreams. We will look at how past experiences have impacted your sexuality and how societal norms shape your sexual expectations. We will find ways to ignite your desire, deepen your sexual connection with yourself and/or partner(s), and feel empowered in your sexuality. I have experience working with mismatched desire, sexual anxiety, sexual trauma, and more.

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Gary Conachan III (he/him)

Professional Counselor Associate

MS, NCC

From working through sexual dysfunctions to exploring your sexuality, sexual concerns can take a toll on us individually and relationally. When our concerns impact those around us, they can become especially distressing. One of my top specialties is sex therapy, which means I am regularly researching, consulting, and seeking further training in these areas.

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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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Matthew Geraths (They/Him)

Licensed Marriage Family Therapist

LMFT

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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Terra Anderson (they/them)

Somatic Practitioner

MA, R-DMT

Eh, I don't love the phrasing "sexual problems" but I do specialize in helping you navigate obstacles and pathways to the sex life you crave. I am certified in the Erotic Blueprints™ and have been working in the sexuality field for over a decade. If its about sex, pleasure, or intimacy, I'm into it.

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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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Diana Groener (she/her)

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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Liz Ward (they/them)

Marriage and Family Therapist Associate

Marriage and Family Therapist Associate

Sexuality can be challenging to navigate, especially considering the things we have learned (or that we didn't) about what sexuality means for us as individuals. Our sexuality is linked to so many aspects of our experience. I can help you gently sort through all these layers and understand how the things you learned have impacted you today so that you can engage in your sexuality in a way that feels best for you.

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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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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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Patrick Bluett (he/him)

Licensed Professional Counselor

LPC, CST

When men get caught in the idea of 'performance', they lose touch with the sensations that create pleasure and deepen intimate connection. When we are absent from pleasurable experience there can be devastating consequences for our relationship(s) and our personal wellbeing. I work with my clients to challenge the old paradigms and bring the focus back to connection and pleasure.

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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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Andrea Mize (she/her)

Licensed Clinical Social Worker

I am a kink-aware AASECT-certified sex therapist with a focus on holistic and integrative approaches. I have extensive experience with, 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 one type of sexual identity to another as well as fluidity in sexual identity.

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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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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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Tori Morrison (she/they)

Licensed Marriage Family Therapist

MA, LMFT

I have special training in sex therapy and appreciate the complex relationships 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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Griffin Smith (She/Her)

Professional Counselor Associate

MS., NCC

Let's talk about the spicy stuff! I don't just focus on issues like communication and depression. I also help couples and individuals navigate the tricky terrain of libido differences and maintaining sexual and intimate connections with one another. Before starting my private practice, I worked for a sex and couple specific group practice where I got specific training in sexual issues. In the words of Salt N' Peppa: "Lets talk about sex baby, Lets talk about you and Me, Lets talk abouuut Sex".

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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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Melissa Ellsworth

Clinical Psychologist

Ph.D.

I treat sexual problems with a compassionate, evidence-based and holistic approach. My expertise covers sexual pain and dysfunctions, shame and anxiety, religion and sexuality, intimacy issues and relationship dynamics. I provide a supportive, non-judgmental space for clients to explore and improve their sexual health and satisfaction, tailoring therapy to each individual's unique needs. I am also kink and non-traditional (poly/ENM) affirming.

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Renee Fitzpatrick (she/her)

Licensed Professional Counselor

LMHC, LPC, CST

I work with clients to help them learn about their sexuality and understand it in context to their life. I help clients with concerns: Sexual shame, sexual anxiety, sexual dysfunction, sex and disability, discrepancy of sexual desire, kink/BDSM exploration, infidelity, and sex-positive parenting.

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Taylor Kravitz (She/Her/Hers)

Licensed Marriage Family Therapist

MA, LMFT

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 (she/her)

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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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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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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