Many individuals deal with problems regarding their sexuality and/or sexual relationships. Since these are rarely talked about, people feel isolated and do not realize how common some of these problems are. These include such issues as: low/no sexual desire, orgasmic problems in women and men (delayed, early or no orgasm for men), sexual inhibitions, negative feelings regarding sexuality, erectile dysfunction, vaginismus/ painful intercourse, body image problems, hormone deficiencies sexual side effects of medications, etc. Along with Eric Jacoby, M.D., an obstetrician/gynecologist in Plano, I co-founded The Center for Sexual Enrichment to help people who are dealing with the above. Both of us firmly believe that there is no reason that people cannot enjoy some level of sexual functioning for the duration of their lives.
Women are complex creatures, as most men will agree! Women undergo many changes during their lives, beginning with puberty and continuing through menopause and its aftermath. They may experience losses such as infertility, miscarriage, stillbirth, hysterectomy, post-partum depression, as well as invasive treatments such as in vitro fertilization (IVF). Some other gynecological problems include Pre-menstrual Syndrome (PMS), Pre-menstrual Dysphoric Disorder (PMDD), and peri- and post-menopausal mood swings. The inevitable hormonal and physiological changes of menopause and pre-menopause may also create additional challenges for many women.
All of these experiences affect their emotional well-being, and if they are in a relationship, will affect that, as well. We face our own special challenges in our roles as individuals, wives, mothers, daughters, professionals, etc. Finding a balance in life, with all its stresses, can provide quite a challenge. I have had some personal, as well as professional experience in these areas, and have worked effectively with helping women and their partners resolve these problems.
Understanding men and their emotional states, has long been an area of interest for me. Men are less likely to identify depression in themselves and also less likely to seek help, although, fortunately, this is changing. I work well with men, both individually and in couples. I very much enjoy this aspect of my practice. They have taught me a great deal that I, as a woman, might not otherwise have had the opportunity to learn. This has engendered increasing respect and greater understanding of some of the special challenges for men in today's world.
Cancer and Grief Work
Throughout our lives, we all experience loss in a variety of ways. Working through grief, whatever its source, enables people to unblock their ability to grow and move past the cause of their sorrow. As a breast cancer survivor, I also have an in-depth understanding of the special experiences and needs of the cancer patient/survivor and their caregivers. I offer help with grief, moving forward to accept the "new normal" or dealing with end of life issues, if that is the prognosis. Working through grief, whatever its source, enables people to unblock their ability to grow and move past the cause of their grief.
I have worked with many gays and lesbians around issues such as coming out, becoming comfortable with their own sexual orientation and identity, as well as the usual life issues which occur in individuals and couples. I understand that safety is particularly important, and I provide an accepting, non-judgmental environment in which to work on issues.
With the divorce rate hovering above fifty percent, more and more families are blending in second and subsequent marriages. It is sad, but not surprising, that the divorce rate is even higher for this group. These families face some unique challenges and often need assistance in making it work to benefit the family as a whole. I have worked with this population for many years and bring extensive experience to the work.
Most therapists are able to address problems such as depression and anxiety, which are extremely common. I work closely with several psychiatrists who prescribe for these conditions, as indicated. I am aware that some people do not want to take medication, and I will respect a client's preferences, as long as their safety or the safety of others is not compromised. During my years of practice, almost everything has come up on at least one occasion, so I am probably impossible to surprise or shock. That is a relief for many people to hear. My job is not to judge, but instead to help. That is both my mission and my commitment.