sex therapy

The Case for Pre-Marital Sex: Pt. 1

The tumultuous relationship that the U.S. has with pre-marital sex is largely tied to religious ideology, rise in abortions and fear of teen pregnancies. These fears are not only irrational and are not supported by data, but they are also inherently unfair. They contribute to inaccurate, fearful and chastising models of sex education that has been long overdue for reform.

In the book, Sex Without Guilt in the 21st Century, Dr. Albert Ellis outlines a rather thorough argument for why pre-marital sex is advantageous. Over the next few weeks, we’ll be going over these points in more detail, citing peer reviewed articles and studies, as well as highlighting the logic and fairness behind these arguments.

Sex positivity and acceptance of how varied sex can be is an integral process of sex therapy. We work to empower people to live their best, ethical, sexual lives. Learning how to be a sexual being within the framework of what YOU want and not what sex life you are expected to have.

Next post, we’ll be addressing the following points:

Premarital sex can:

  1. Provide sexual release

  2. Provides psychological release

  3. Help one practice sexual competence

Let’s see what we uncover!

Do you practice elaborate masturbation? Why not?!

Do you practice elaborate masturbation? Why not?!

Elaborate masturbation is not a casual low key thing. It’s a high key thing, and that’s the point! You know all that self imposed anxiety you store because of societal pressure against being “too much”? Throw that away right now! Your elaborate masturbation date with yourself is a high key event, and you should prepare accordingly! Setting aside time and being intentional are two ways to prepare your mind, but take it a step further and start using your imagination.

The Relationship Between a Women's Sex Life and Age

Check out this great article about why some women’s sex drive decreases with age- the findings suggest it is more than just hormones. Many different life circumstances play a role, like a partner with health issues, loss of interest and even addiction. Sex therapy can help you find a satisfying sex life taking into account various life factors. It can also help with adjusting expectations and learning to cope with a new sexual reality.

The Benefits of Masturbation

Cultivating a healthy masturbation practice helps you learn more about your body and what feels good. It’s a precursor for a satisfying sex life with a partner(s) by empowering you to communicate about what you like. W

Sex therapy can help you develop a healthy sense of sexuality and learn more about yourself, your body and how to live your best sexual life.

Check out this great article outlining reasons why everyone should masturbate (it’s specifically geared towards women, but all genders can benefit from this!)

Control Fallacies in the Bedroom

Control. It is what gives us reassurance, safety, agency. But it can also dictate unhealthy behavior, reinforcing the irrational belief that we can control others or the situations around us. A control fallacy relates to how one views the locus of control in his/her/their life. Some people have an internal locus of control, which means that they attribute things that are happening to their own hard work or lack there of. Conversely, they also assume full responsibility for other’s feelings and behave in ways that preserve this belief. Other people have an external locus of control, attributing much of what they experience to fate or luck (and also seeing others as victims of such forces). This leads to a lack of taking responsibility and feelings of helplessness. We all live with and ascribe to both versions of these fallacies, but we tend to lean towards one over the other.

These fallacies often get played out in intimate sexual situations. For example, the person who fears losing control, so he rather pleasure his partner without fully receiving pleasure back. Or the partner who avoids vulnerability during sex and doesn’t advocate for what she really likes. Internal locus of control causes us to be mindful lovers, but can also take us down a rabbit hole of assuming too much responsibility over the other person’s pleasure. An external locus of control can lead us to be more experimental (since we are victims of fate either way) but also complacent. Before we know it, we avoid feeling vulnerable at all costs and feel helpless when it comes to our intimate lives.

Sex therapy and couple’s counseling can help unpack these fallacies and address how to cultivate a healthy balance of taking and ceding control. Intimacy is a delicate balance of feeling safe and also playful at the same time. Learning to embrace both of those concepts, which is tough, can go a long way in developing healthy sexual relationships.

Have Some Anxieties About Sex? Here's How You Can Cope

Anxiety around sex can be debilitating and prevent you from having a fun, pleasurable time. If anxiety is inhibiting you from enjoying intimacy and sex, consider sex therapy. It can really help you develop coping skills and learn more about how to embrace your sexuality. According to Maslow’s hierarchy of needs, sex is a basic human need and is just as important as food or shelter! Here is a great article that suggests some ways to cope.

You CAN Orgasm!

The orgasm gap is real! After analyzing more than 52,000 adults, it’s clear that heterosexual men orgasm more than any other gender group. In sex therapy, we work on deconstructing what sexuality and intimacy mean, promote sex positivity and helping you identify what works best for you. Check out this great article on some of the common reasons why people can’t orgasm and some suggestions to help resolve this.

How To Talk to Your Kids About Sex

The societal message about sex and intimacy is still very negative and many children don’t learn that sex is fun, pleasurable and normal. Sex education in the United States is sub-par, with no standardized curriculum, so we can’t rely on our education system to do this for us. It’s up to parents and caretakers to step up and give an accurate, real life explanation of sex.

But first, we all need to re-examine what we’ve been told about sex and the gender norms that play into it. In individual and couple’s therapy, we explore the role sex and intimacy play in one’s life. We foster unconditional self-acceptance. Your sexuality and sexual desires are part of you! Accepting yourself for being a living, breathing human who seeks pleasure, while also learning to identify your thought patterns and beliefs. What we internalize about sex throughout our lives shapes our perceptions about what healthy intimacy looks like. Exploring those perceptions can help you talk about intimacy in a more positive, self-affirming way to your kids.

The tricky part is explaining what happened in an age appropriate way. Let’s assume your child is old enough to understand what sex and partnerships are. Sex is part of being in a relationship and it’s one way to show love, be intimate, get pleasure and have fun together. The technicalities of sex and how it happens aren’t the only important parts to talk about. Don’t forget to talk about consent, emphasizing that when adults have sex, it should be because both of them want to. When people want to have sex, they must make sure they are happy and comfortable with each other.

Be mindful- your child will internalize your discomfort through non-verbal body language and expressions, so practicing before hand with your partner or in front of a mirror is not a bad idea. Remind your child that he/she can come to you with any questions and stay positive- you want your child to come to you for support when they are ready to have sex in the future. Talking about sex doesn’t have to be scary , weird or awkward. You control how this goes! Stay honest, open and affirming- you’ll be fine.

MyTherapist New York | CounselorsNYC Sex Therapy: Behind the scenes

MyTherapist New York | CounselorsNYC Sex Therapy: Behind the scenes

MyTherapist New York | CounselorsNYC has offered sex therapy in New York since 2003, and started training and supervising sex therapists in training since 2006.

Hey Perv - What do people fantasize about? Do men fantasize about...? How about women?

Hey Perv - What do people fantasize about? Do men fantasize about...? How about women?

Hey Perv- Are my sexual fantasies abnormal? Do men and women have different sexual fantasies?

Virginity, or, Much ado About F*cking

Virginity comes from the Latin “virgo” which means sexually inexperienced woman.  You can see already there’s a problem.  Notice how this did not mean sexually inexperienced person.  Today it generally means the same thing, although we try to have it mean someone who has never had “sex”.  You see the next problem, yes?  How the hell do you define sex?


Someone once said that sex was invented in 1963, which always cracks me up.  Another adage is sex is hereditary, and if your parents never had it, chances are you won’t either.  The thing is, the deed we call “doing IT”, or “the deed”, getting down, gettin’ freaky, or what the old folks used to call “doing the marital act” is damned difficult to define.  Truth is, it all depends on who you ask.  There are folks who will tell you that sex is when the penis goes into the vagina, which should never be attempted until you are married and in love.  So teens (and adults who want to cheat on their partners) figure out all sorts of things to do that don’t involve a penis entering a vagina which keeps them from actually having “sex”.  This makes it difficult to even understand statistics like one study I found stating that around  half of teens between 15 and 19 have had “sex” at least once.

Personally I define sex as intention, and the intention is to do something with someone that you wouldn’t want your parents to see, then you’re probably having sex.  Gettin a beej?  Yup.  Rubbin one out?  Uh huh. Humpin someone with your clothes on?  Maybe.  Making out with someone?  Okay, not quite.

So why is this such a sticky situation?  (Pun intended).  There are all sorts of cultural and historical factors that go into the answer.  Suffice it to say, a woman knows the potential baby is hers.  A man does not.  If you lay down all sorts of rules to try and make sure a woman stays “pure” until she’s married to a man, and then make it a punishable by a fate worse than death if she has sex with anyone outside of her marriage, then men ridiculously think that they are safe from raising someone else’s kid.

How do they ensure this?  Let’s say “Hi” to the hymen.  The hymen is a little piece of membrane that covers part or all of the opening of the canal in a woman called the vagina.  (The vagina is not ALL of the stuff, it’s just the canal).  This little piece of skin has caused women much grief throughout history.  Though rarely completely covering the vaginal opening, an intact hymen was considered, and is still considered in some cultures, to be THE deciding factor in deciding if a woman was a virgin (ie pure) or was a dirty slut (ie she had sex).  You should note- there’s no equivalent skin for men.  You should also note that the hymen can become perforated naturally, or by tampons, or by bike riding, or by horseback riding, etc.

The hymen is also what we talk about when we think sex for the first time may be painful or cause bleeding.  Big note here- I found a Swedish study recently that showed that fewer than 30% of women who have gone through puberty and have consensual intercourse bleed the first time they have sex.  This is an outdated and ridiculous measure of perceived purity, and people have argued that it has no place in modern views on sexuality. And again, there’s no equivalent measure for men except their word- I’m looking at you Bill, and John and Elliott and Tiger, etc, etc.

Something that may shed some light on the subject is what’s called the sexual response cycle.  This is the series of events your body goes through from start to finish (and sometimes to start again).  Analogies are fun- let’s use a bathtub.  You feel like taking a bath.  That’s called desire.  You let the tub run until it gets to the point where it feels good and you want to get into it.  This is called excitement.  You’re in there feeling good until the bathtub runs over.  We’ll call that orgasm.  You could get out and dry off, or let a little water out of the tub and stay in- we’ll call that resolution or rest.

Now take you out of the picture and let’s take apart this analogy.  We have a tub, a faucet and a drain.  When you feel like taking the bath, you run the water, and if your head is in the game, you make sure the stoppers not letting all the water leak out.  This is what we can call total body stimulation.  The water is coming in until you get to the point where it feels so good that the water overflows.  If your body and mind are working together, that’s what is going to happen.  Somewhere between feeling horny and having an orgasm, you become sexually excited.  If all goes well, a guy will get an erect penis (boner) and a girl will become lubricated (wet) and may have some swelling of her clitoris and vulva (the outside genitals- remember, vagina is a canal, not the stuff on the outside).  So what happens if you’re all hot and bothered, and your mom bangs on your door to tell you to come down for supper?  Wah wahhhhh.  Out the drain, and you’re below what it takes for your body and mind to be sexually excited.  If all continues to go as planned, and you’ve still got everything turned on, you’ll reach the next level which is orgasm, and your bathtub overfloweth (and hopefully you have a towel to clean up).  This cycle is the same whether we’re talking about rubbing one out, having oral sex, anal sex, using a vibrator on your clitoris or humping someone with your clothes on. The cycle is the same if you’re having sex with a guy or a girl.  If you reach one level, you’ll become aroused.  If you reach the next level, you’ll have an orgasm.

How long should this whole scary and painful process take?  Well, the good news is that with the right information, it won’t be scary or painful.  This info’s probably not going to come from your locker room or your priest.  Some of it comes from researching and some of it comes from learning enough about your body on your own to know what gets you going and what doesn’t.  Statistics show that the average length of “sex”, whatever that is, is around 10 minutes.  So all those stories of going at it for hours and hours are probably not so accurate.  People can go through the sexual response cycle several times, but we’re talking pretty much a ten minute “bath” on average here, not an all-nighter.  Once you can explore and experiment on your own, you can figure out what keeps you sexually excited (ie hard/wet) and you can take some of the pressure off of having to perform for hours on end.

Anxiety is probably the main reason why the first time, for some people, is not exactly the best sexual memory.  Anxiety causes adrenaline to flow, and the point of adrenaline is to fight off danger or run away from it- not to have sex with it.  So all the blood is going to your extremities and not to the bits involved in having great sex.  A little nerves is natural, but feeling anxious is going to lead to having difficulty becoming sexually excited.  For men it can lead to having trouble getting or keeping an erection or to having an orgasm too quickly, called premature ejaculation.  For women it can lead to not being wet enough, called vaginal dryness, which can be painful. How can you keep away the anxiety?  Be a pro on your own.  Feel around.  Explore your body.  Explore what feels good.  Practice using condoms during masturbation- putting them on and taking them off.  Practice using condom safe silicon or water-based lube if you notice your vagina not being very wet.  The problem is often that sometimes we are playing one way when we’re alone and then we play entirely differently when we’re not, expecting all the players to know the rules of our own bodies when we barely know them ourselves. The biggest part to realize is the anxiety just comes from wrong information.  For example, men think that things going into the vagina is sexually exciting for a woman.  I’m sure any woman that uses a tampon would disagree.  The sexual stimulation comes from the clitoris, which isn’t in the vagina- it’s part of the vulva on the outside.

The best place to lose one’s virginity?  Wherever you’re not going to feel anxious.  Sex is meant to be enjoyable and safe, not this anxiety and guilt-causing shamefest.  Bring a sheet.  Bring some condoms and lube.  Don’t plan on having the best experience in a car.  Don’t expect to have your best experience with your parents in the next room.  Don’t expect to have your best experience by someone who wants to stick something in a hole without figuring out if that feels good for any party involved.

Safe is another one that is defined differently depending on who you ask.  Safer sex is not about babies.  It’s not about disease. It’s all of that and more. It’s about having information to know the possible consequences of going through the sexual response cycle with someone other than yourself.  Birth control comes in pill, shot, vaginal ring, implant and condom form.  There are many types of condoms, some of them for men, and some of them for women.  Birth control protects you from becoming pregnant – ie the control of having to go through birthing a baby.  Male and female condoms go over your genitals to protect you from many forms of disease as well as becoming pregnant, and when used correctly are between 94 and 97 % effective.  If women use a female condom correctly, only 5 out of 100 will become pregnant each year.  If used incorrectly, 21 out of 100 will become pregnant each year.  And remember, it’s not just about getting pregnant, but protecting yourself from exposure to STI’s (sexually transmitted infections) and HIV, which currently has no cure.

It’s all pretty overwhelming to take in all of this information at once, especially when your body is jacked up on hormones.  But you don’t have to figure it all out right this second.  You’re not going to explode.  Once you’re in a comfortable situation, with all the information, it somehow seems to work out.  If someone is pressuring you to have sex if you really love them, or to not have sex if you really love them, or you feel unsure of yourself or your partner.  Just take some time.  Studies show that one out of three boys feel pressure to have sex- and let me tell you, it’s usually pressure to have sex with a girl.  Because if you don’t prove your heterosexual manhood, be prepared for the shitstorm that’s gonna come from that.  About 23% of girls in the same study reported feeling pressured to have sex.  Regardless of statistics, if you’re feeling pressure to do it or not to do it, then whoever you’re getting pressured by probably has an agenda, and that agenda isn’t necessarily in your best interest.  You are the keeper of your body.  It’s yours.  Know it.  Love it.  As far as I know, it’s the only one you’re going to get.

Dr. Michael DeMarco is a licensed psychotherapist, ABS Board Certified Clinical Sexologist, and AASECT Certified Sex Therapist in New York.

Reasons to go to sex therapy part 4 (of about 8 billion reasons): Intensive Therapy

Reasons to go to sex therapy part 4 (of about 8 billion reasons): Intensive Therapy

Sometimes people seeking sex therapy need intensive therapy as part of their work. Sex therapists follow a model called PLISSIT, which stands for Permission, Limited Information, Specific Suggestions and Intensive Therapy.

Reasons to go to sex therapy part 3: Specific Suggestions

Reasons to go to sex therapy part 3: Specific Suggestions

Where the first two issues are about "Sometimes you don't know what you don't know", Specific Suggestions is about- okay, how can I use this information and try something with it.

Reasons to go to sex therapy part 2: Limited Information

Reasons to go to sex therapy part 2: Limited Information

With adequate information about sexual anatomy and physiology as well as how the sexual response cycle works, the psychology of human sexuality and the social contexts of sex - you can go on and design the sex life you want to have with the people you want to have it with.

Reasons to go to sex therapy part 1: Permission

Reasons to go to sex therapy part 1: Permission

 Feeling desire and feeling compelled to act on that is not an addiction or a sin - it is a basic human drive. How you relate to others sexually, and what emotions may or may not be tied to sex are higher up in the hierarchy and are considered "higher order" needs/drives.

Erectile problems in otherwise healthy men

Erectile problems in otherwise healthy men

As a sex therapist, this is one of the most common complaints that people present with in my office: I'm having problems getting it up (or it's variation: I'm having problems keeping it up- especially to penetrate my partner/s). Gay, straight, bi, single, coupled or poly - a LOT of people are obsessed with having a rock-hard boner on demand.