Services

Physical limitations that are causing you distress or dissatisfaction with sexual activity including decreased strength, endurance, range of motion, coordination, sensory difficulties, pain, fatigue, spasticity or impaired sense of touch and pressure. We may be able to adapt and suggest techniques, tools and strategies to make sexual activities easier, as well as pain management techniques, strategies to calm down the nervous system, information on pacing and energy conservation.

Changes in sexual interest or desire such as dissatisfaction with desire levels, desire discrepancy between partners, pain interfering with desire, changes in roles that may be affecting interest-these are all common concerns that we rarely talk about. We will explore what some of the root causes might be and often I will provide exercises to go through to help you understand the many facets of desire and what you can do to address these very common issues. It can be a powerful tool to gain an understanding of the complexities of desire, as well as an opportunity to discover effective ways to communicate these concerns with your partner.

Difficulty in expressing yourself as a sexual being, perhaps difficulty talking about sexuality, or not being seen as a sexual being. We can learn how to explore and become confident in communicating our needs and desires and breakdown harmful societal messages about sexuality.

Changes in sexual self view, such as feeling less confident in your sexuality, feeling less feminine/masculine/other happens for so many different reasons and can greatly affect your sense of self. Experiencing these feelings alone can feel overwhelming and isolating; I can offer support and resources to help you navigate this process.

Maintaining intimacy within relationships, concerns about not having an intimate partner, body changes or role changes affecting intimate dynamics within a relationship are complex issues that are often not given enough attention. We can discuss practical strategies and effective ways to communicate these concerns.

Physiological changes in sexual response and arousal including decreased response, increase time to respond, difficulty relaxing. Understanding the physiological aspects of sexual response and the biological factors as well as psychological factors that can affect sexual response can be hugely helpful in managing these changes. We can go over causes and treatment options as well as help you feel better prepared to discuss with other members of your medical team. 

Sometimes you just need some more information! General sexual health questions or concerns including topics such as understanding menopause, managing menstrual health, safe sex practices, general sex education are all topics I am happy to discuss and provide further resources as needed. Having accurate medical information and understanding your options gives you the tools to take control of your own sexuality.

Family planning, managing topics that come up around pregnancy and parenthood.