Individuals interested in seeking treatment for sexual difficulties may wonder what the process involves. Dr. Caruso addressed some of the common concerns and questions when she was interviewed by a contributing writer of Belle, a Richmond, Virginia based magazine. In the following segment, Dr. Caruso shares her responses which were first was first published in February, 2011.
Belle: As a sex therapist, what are some common concerns that you hear from clients?
Caruso: Women frequently come in concerned about lack of sexual desire or difficulty achieving orgasm. Men commonly seek sex therapy for problems with premature ejaculation and erectile dysfunction. Often times, couples ask for help to deal with differences in their levels of sexual desire.
What should people expect from sex therapy?
I work to understand the problem in the first session and gather more history and define goals with the client in later sessions. I may give individuals or couples assignments to complete at home between therapy sessions to help them accomplish their goals. In subsequent meetings, I have the clients discuss their success or difficulty in carrying out the exercises, as well as other obstacles impeding their progress.
What are some misconceptions about women and sex?
Common misconceptions include views of women as passive, disinterested or less capable sexually than men. Women’s sexual responses are actually varied and complex. Each woman needs to identify and enjoy her patterns and preferences.
What myth would you like to debunk once and for all?
People tend to believe that only women and elderly experience loss of sexual desire. In fact, it occurs in all age groups and in males, as well as females. A loss of sexual desire can be difficult to acknowledge and can put a tremendous strain on a relationship, especially because our culture tells us that everyone should enjoy sex.
Why do you think our culture continues to reinforce such a misleading notion? How can cultural beliefs affect people?
Cultural beliefs around sex are deeply ingrained in us and therefore very difficult to change. Unfortunately, they can limit our potential, create unrealistic expectations, and put pressure on males and females.
What wisdom do you hope clients will come away with from sex therapy?
I want people to know that sexuality is complex. It can be affected by upbringing, experiences, attitudes, cultural values, lifestyle, psychological well-being, and overall health. Understanding these dimensions and building a solid sense of self enhances a person’s ability to fully express their sexuality.
How would someone go about selecting a sexuality therapist?
You might start by discussing your problem with your health care practitioner and asking them for recommendations. The American Association of Sexuality Educators, Counselors and Therapists (aasect.org) also provides names of certified therapists in your area.