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Many people don't know psychosexual therapy exists until they need it. And by the time they arrive at a first session, they're usually carrying a mixture of relief that they've finally done something and dread about what that something might involve. The gap between what people expect and what actually happens is significant, but closing that gap is part of what makes the work effective. What Happens In The Room Psychosexual therapy is practical, curious, and grounded. It loo

Intimacy and sex get used as if they mean the same thing so often that most people have stopped noticing. In healthcare settings, intimacy tends to be the word everyone reaches for when they can't quite bring themselves to say sex. It's softer, safer, easier to write in a notes field. However, the blurring of those two things causes real problems, particularly for people navigating chronic illness, pelvic pain, or a body that no longer feels like it used to. The Dwindle Nobod

Here's something that comes up again and again in this episode: sexual dysfunction and chronic illness travel together constantly. Through cancer diagnoses, pelvic conditions, hormonal changes, prostate treatment, recurrent infections and more. And yet in most clinical settings, the subject never comes up at all. Not once. Not even as a footnote. The Silence That Does Its Own Damage Lorraine Grover, nurse and psychosexual therapist with over 20 years of experience, knows this

Most of us became adults carrying a full set of assumptions about sex and almost none of the knowledge to support them. Nobody sat us down. Nobody explained what was normal, what varied, what changed. And yet somehow, we were all supposed to just know. That gap between expectation and reality is where so much unnecessary shame quietly takes root. Marinated in Messages We Never Chose Long before we have any sexual experiences of our own, we absorb a dense set of beliefs about