Full Course Description

Integrative Sex & Couples Therapy: Innovative Clinical Interventions to Treat Relationship & Desire Issues in the New Era of Sexuality in Psychotherapy

Program Information


  1. Perform a clinical assessment to determine the cause of pleasure denial to inform the clinician’s choice of treatment interventions.
  2. Analyze the effects of separation, betrayal, trust and identity issues on eroticism in clients’ sexual partnerships as it relates to clinical practice.
  3. Utilize clinical interventions, such as pleasure mapping and desire awareness, to treat desire issues such as pleasure resistance, pleasure avoidance and pleasure rejection.
  4. Appraise the phases of treatment for erotic recovery and develop a treatment plan for women, both individually and in couple’s treatment, for sexless marriage and desire issues.
  5. Create an attachment versus individualization plan as a treatment intervention to aid clients in developing relational skills and strengthening sexual intimacy and wellness.
  6. Distinguish the clinical implications of the stages of integration and the four areas of sexuality that have meaning for women around the narrative of eroticism.


Sexuality: The New Model of What’s Normal

  • Challenges of sex therapy & couples therapy
  • How the treatment of women has changed
  • What are you afraid clients will bring up?
  • Target multiple levels of sexuality
  • Cultural definitions of sexual pathology & wellness
  • Model of sexual wellness

Address Sexual & Relational Needs

  • Why we choose partners with different needs
  • Clusters of needs & their treatment implications
  • The different types of erotic needs
  • How relationship phases affect erotic needs
  • Strategies to address countertransference

Desire Discrepancies: Interventions for the Most Common Issue Couples Face

  • The cycle of arousal & its clinical impact
  • The prerequisite of arousal
  • Address relational avoidance
  • How to renew & rekindle desire

Pleasure Disorders & Their Treatment

  • Pleasure vs. performance
  • Types of pleasure denial
  • Empower women to have pleasure
  • Interventions for pleasure denial

Integration: A Treatment Model

The Relationship Trauma Triangle

  • Why the current therapy model isn’t working
  • How to avoid being drawn into conflicts
  • Separation, betrayal, trust & identity
  • The integration model

Interventions for Each Phase of Treatment

  • Elicit sexual narratives
  • Teach a focus on appreciation
  • Integrate the four areas of sexual meaning
  • Build upon pleasure & connection

The Crisis Phase of Treatment

  • Assess for relationship & individual risk
  • Delay the “stay or go” decision
  • Teach relationship skills
  • Tools for clients to deal with intense affect
  • Focus on decreasing fatigue & pressure

Strategies for the Insight Phase

  • Explore the “how did we get here?”
  • Address attachment issues
  • Create an attachment vs. individuation plan
  • Exercises for couples
  • Appreciate & expand on what’s working

The Vision Phase of Treatment

  • Erotic recovery
  • Focus on fantasy & pleasure
  • 6 weeks of sex dates protocol
  • Create a new monogamy agreement
  • Limitations of the research & potential risks

Target Audience

  • Psychologists
  • Social Workers
  • Counselors
  • Marriage and Family Therapists
  • Sex Educators and Therapists
  • Addiction Professionals
  • Nurses

Copyright : 02/25/2020

Sex, Desire & Attachment with Emily Nagoski, Ph.D.: New Science & Strategies to Transform Couples’ Sex Lives

Program Information


  1. Evaluate the dual control model of sexual response.
  2. Determine the differences between spontaneous and responsive desire among couples. 
  3. Analyze arousal non-concordance as it relates to sexual satisfaction.
  4. Assess the relationship between mindfulness practices and enhanced physical sensation. 
  5. Investigate sexual myths to resolve the internal struggles of “am I normal?”
  6. Determine ways to address and resolve difficult feelings to strengthen couples’ relationships and rekindle desire.


Desire & the Brain

  • Spontaneous vs. responsive desire
  • What to do when there’s a mismatch
  • Wanting vs. liking vs. learning
  • Limitations of the research & potential risks
The Model of Sexual Response
  • The brain’s sexual accelerator
  • What hits the brakes?
  • How the dual model influences sexual styles
  • Context sensitivity of pleasure perceptions
  • Help clients identify what influences their pleasure
Address Arousal Discrepancies
  • Address the myth of body response
  • The relationship between body & desire
  • Consent in the age of #metoo & #timesup
  • What actually predicts sexual satisfaction
Attachment & Trauma
  • The dark side of attachment
  • Attachment style & sex-life satisfaction
  • Self-compassion for sexual trauma survivors
  • Skills for sexual trauma survivors to release blame
Strategies to Enhance Sexual Desire
  • Help clients identify their most pleasure-positive context
  • Leverage the structure of sensations in the nervous system
  • Expand client understanding of pleasure
  • Mindfulness practices to enhance sensation
  • Pain’s role in sexual desire & relationship satisfaction
Enhance Couples’ Sexual Well-Being
  • Desire, frequency & what a “good sex life” looks like
  • Delve into the precise nature & role of trust in an erotic connection
  • Explore initiation style & communication skills
  • Excavate myths about gender roles & sexual “shoulds”
  • Address other sexual myths
Sexual Desire in Long-Term Relationships
  • Predictors of a strong, lasting sexual connection
  • “Show up to the party” metaphor
  • The foundation of a strong sexual connection
  • Address difficult feelings & space between partners

Target Audience

  • Psychologists
  • Social Workers
  • Counselors
  • Marriage & Family Therapists
  • Sex Educators and Therapists
  • Addiction Professionals
  • Nurses

Copyright : 03/24/2020