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Embracing Sexual Well-Being: A Guide to Sexual Mental Health

Embracing Sexual Well-Being: A Guide to Sexual Mental Health

Sexual health is an integral part of overall well-being, encompassing physical, emotional, mental, and social dimensions. Yet, discussions around sexual and mental health often remain taboo, leaving many individuals without the knowledge and support they need. This blog aims to shed light on the importance of sexual mental health, offering insights and tips for cultivating a healthy and fulfilling sexual life.

Understanding Sexual Mental Health

Sexual mental health refers to a state of well-being in which an individual experiences positive and respectful relationships, has the ability to enjoy and express their sexuality, and feels free from discrimination, coercion, and violence. It involves:

  • Self-Esteem and Body Image: Feeling confident and comfortable in your own body.

  • Communication and Consent: Being able to communicate your needs and boundaries and respecting those of others.

  • Emotional Connection: Building and maintaining healthy emotional connections with partners.

  • Healthy Sexual Function: Experiencing sexual activities that are pleasurable and free from dysfunction or pain.

Common Sexual Mental Health Concerns

1. Performance Anxiety

  • Causes: Fear of not meeting expectations, past negative experiences, and societal pressures.

  • Impact: Can lead to erectile dysfunction, premature ejaculation, or difficulty achieving orgasm.

2. Body Image Issues

  • Causes: Media portrayals of “ideal” bodies, societal standards, and personal insecurities.

  • Impact: Can reduce sexual desire, confidence, and satisfaction.

3. Lack of Desire or Libido

  • Causes: Stress, hormonal imbalances, relationship issues, mental health disorders.

  • Impact: Can affect personal well-being and relationship dynamics.

4. Trauma and PTSD

  • Causes: Past experiences of sexual abuse or assault.

  • Impact: This can lead to anxiety, avoidance of sexual activity, and emotional distress.

5. Relationship Issues

  • Causes: Poor communication, unresolved conflicts, lack of intimacy.

  • Impact: This can create emotional distance and reduce sexual satisfaction.

Tips for Improving Sexual Mental Health

1. Open Communication

  • Practice Honest Conversations: Discuss your desires, boundaries, and concerns with your partner.

  • Seek Understanding: Be willing to listen and empathize with your partner’s perspective.

2. Focus on Self-Esteem and Body Positivity

  • Self-Acceptance: Embrace your body as it is and recognize your unique beauty.

  • Positive Affirmations: Use positive affirmations to boost your self-esteem and body image.

3. Manage Stress and Anxiety

  • Mindfulness and Meditation: Practice mindfulness to stay present and reduce anxiety.

  • Relaxation Techniques: Incorporate relaxation techniques such as deep breathing or yoga into your routine.

4. Seek Professional Help

  • Therapists and Counselors: Consult with a mental health professional specializing in sexual health.

  • Support Groups: Join support groups to connect with others facing similar issues.

5. Educate Yourself

  • Read and Learn: Educate yourself about sexual health and well-being through books, articles, and reputable online resources.

  • Stay Informed: Keep up to date with the latest research and findings in sexual health.

6. Create a Healthy Lifestyle

  • Exercise Regularly: Physical activity can boost mood and improve body image.

  • Balanced Diet: Maintain a healthy diet to support overall well-being.

  • Adequate Sleep: Ensure you get enough rest to manage stress and maintain energy levels.

Resources for Sexual Mental Health

  • Books: “Come as You Are” by Emily Nagoski and “The Guide to Getting It On!” by Paul Joannides are excellent resources for understanding sexual health.

  • Websites: Planned Parenthood and the American Sexual Health Association (ASHA) offer valuable information and resources.

  • Apps: Apps like “MJoy” and “Rosy” provide educational content and tools for enhancing sexual well-being.

Conclusion

Sexual mental health is a vital component of overall health and happiness. By addressing concerns such as performance anxiety, body image issues, and lack of desire, and by fostering open communication, self-esteem, and professional support, you can enhance your sexual well-being. Remember, everyone deserves a healthy and fulfilling sexual life. Embrace your sexuality, educate yourself, and seek the support you need to thrive.

By prioritizing your sexual and mental health, you can build stronger relationships, boost your confidence, and experience greater satisfaction in all areas of your life.

Written by Jennifer Freel, Registered Mental Health Intern IMH26129

Emotional Affairs and Personality Disorders in Marriage and Family Therapy

Navigating the Complex Terrain of Emotional Affairs and Personality Disorders in Marriage and Family Therapy
In the intricate landscape of marriage and family therapy, the challenges posed by emotional affairs can be even more profound when compounded by personality disorders. Whether you’re a therapist working with couples or someone navigating these issues personally, understanding the interplay between emotional connections and mental health is essential.

Understanding Emotional Affairs
Emotional affairs often begin as a friendship that deepens into a connection characterized by intimacy and secrecy. Unlike physical infidelity, emotional affairs involve a significant emotional investment in someone outside the marriage, which can lead to feelings of betrayal and profound hurt.

For couples, these affairs can signal deeper issues within the relationship, such as unmet emotional needs, communication breakdowns, or a desire for validation. In therapy, it’s crucial to explore the underlying factors that led to the emotional affair while addressing the couple’s dynamics.

Written by Danielle Fous, Marriage and Family Graduate Student

3 Habits Impacting Your Mental Health

Oftentimes, when we think about what could harm our mental health, our minds go to major life events—the loss of a job, the end of a relationship, or the death of a loved one. But small habits that often go unnoticed can also play a major role. Below are three common habits that could be negatively affecting your mental health:

1. Not Getting Enough Sleep
Sleep impacts your mental health in numerous ways—it can affect your cognitive skills, mood, and behavior. As such, failing to get enough sleep can increase your risk of anxiety and depression and make it more difficult for you to focus, solve problems, make decisions, remember things, and control your emotions and impulses. Try sticking to the same sleep schedule, keeping your bedroom cool and dark, and performing a relaxing activity before bed (e.g., taking a warm bath or reading).

2. Being Inactive
In today’s busy world, it can be difficult to find time to exercise, but it’s important to stay active. Not only can exercise improve your physical health, but it can also boost your mental health. In fact, studies have shown that regularly exercising could reduce your risk of depression.

3. Scrolling Through Social Media
Social media can be beneficial—it can help you stay connected to long-distance family and friends and keep up with current events—but research suggests that spending too much time on it can lead to anxiety and depression. To reduce your screen time, try setting a timer, turning off notifications, or deleting apps from your phone.

Start Improving Your Mental Health
In addition to breaking the negative habits described above, one of the best things you can do to boost your mental health is speak to a therapist. Fortunately, you can entrust your care to the skilled team at our practice. Once we’ve learned more about you and any issues you may be experiencing, we’ll be able to provide you with customized advice for how to eliminate negative habits from your life and start implementing more positive ones. Contact us today to schedule your first appointment.

Written by Sherline Herard, Licensed Mental Health Counselor

My PhD Journey

Recently I embarked on a new journey in my PhD program. My qualitative course is one of the first three and the most challenging. This course has led to a lot of soul searching on the best way to present my research question. I decided that it may be best if I research a specific
group. I have chosen to narrow my research down to black married men. My question is currently still under construction. I want it to be a meaningful statement that articulates how the overarching theme of the study. I also do not want to lead participants to the conclusion that I am trying to make. Therefore, a vaguer description might be beneficial. My thought was “What are the communication barriers that black males face in marriage?”. I have been gauging the interest of men that I know, who are married and find communication in their relationship difficult.

So far, I have received a lot of inquiry on this topic and the idea of diving deeper into a man’s vulnerability with his wife. Specifically black men, who in my experience must consistently portray a strength. This is a very taxing façade to project at all times. An assumption of marriage is that both individuals are comfortable to show their true and authentic self. If this statement was an absolute, my assumption is that men would express more than just anger in their relationship. I tend to believe that men test the boundaries of how open they can be with their spouse. When their vulnerability is rejected through a critical reaction, disappointment, or lack of comfortability by their spouse; men tend to shut down.

As a boy growing up, I was taught that my emotions were not acceptable. This resulted in behaviors that caused more damage for my mental health. Because I did not feel safe expressing myself, I found it hard to be vulnerable with others. I also found myself in unhealthy coping mechanisms and hiding behaviors that were not seen as “good”. I longed for people that I could unpack the turmoil that I felt inside. I thought that in marriage I would find this safe space. What I found was my hiding of my true emotions gave my wife an unrealistic expectation of me as a man. I was always “strong and stoic” in our dating phase of the relationship. For 5 years before marriage my wife thought that nothing phased me. She later realized I was a ball of emotions. In the beginning of or marriage she did not know how to react to what I was saying. This led to me feeling alone and misunderstood within my own house, almost as if I was a teenager all over again. Though this sounds dramatic, it is natural for us as humans to relate our current reality to past situations. These trips back to spaces of emotional scarcity can limit our ability to be present in the moment, and while this sounds like a riveting crisis. It would be highly unproductive for
your mental health if I just left you with a problem and no way to work towards a different result.

If you find yourself in a place where you do not feel like you have the permission to be vulnerable in relationships; I believe it starts by creating a space for yourself. We have all heard the saying that you cannot give others what you do not give yourself. It is also very true that you cannot ask from others what you first ask from for yourself. If I do not think my voice matters, someone else saying it does will not validate the insecurity inside of me. As men, we must give our inner child the freedom to feel every emotion, no matter how uncomfortable. As we begin to accept, we are more than anger and excitement, we will be able to ask others accept that as well.

Written by Tim Nelson, Registered Mental Health Intern #25977

The Silent Struggle: Unraveling the Mental Health Consequences of Infidelity

Infidelity is a complex and emotionally charged issue that can have profound effects on individuals involved in a relationship. While the impact on trust and the relationship itself is widely acknowledged, the mental health consequences of infidelity are often underestimated and overlooked. In this blog, we will delve into the silent struggle that many individuals face when grappling with the aftermath of infidelity and explore the psychological toll it can take.

  1. Betrayal Trauma: One of the most significant mental health consequences of infidelity is the experience of betrayal trauma. The discovery or revelation of a partner’s infidelity can shatter a person’s sense of security and trust. Betrayal trauma often leads to symptoms similar to post-traumatic stress disorder (PTSD), including intrusive thoughts, hypervigilance, and emotional numbness. The betrayed individual may find it challenging to rebuild a sense of safety and security, impacting their overall mental well-being.
  2. Emotional Rollercoaster: The emotional rollercoaster triggered by infidelity can be intense and prolonged. Feelings of anger, sadness, confusion, and despair may cycle through an individual’s mind, making it difficult to find stability and emotional balance. The constant oscillation between different emotions can lead to heightened stress levels, anxiety, and even depression.
  3. Self-Esteem and Identity Crisis: Infidelity can inflict a severe blow to one’s self-esteem and identity. The betrayed individual may question their worth and desirability, leading to a profound sense of inadequacy. This crisis of identity can trigger feelings of shame and guilt, further contributing to mental health challenges. Rebuilding self-esteem after infidelity requires a delicate and intentional process of self-reflection and self-compassion.
  4. Trust Issues and Fear of Intimacy: The breach of trust caused by infidelity can result in long-lasting trust issues. Individuals who have experienced infidelity may struggle to trust others, even in new relationships. The fear of intimacy and vulnerability can hinder the ability to form deep connections, perpetuating a cycle of isolation and emotional distancing.
  5. Coping Mechanisms and Unhealthy Behaviors: To cope with the emotional pain, some individuals may turn to unhealthy coping mechanisms such as substance abuse, overeating, or excessive work. These behaviors, while providing temporary relief, can exacerbate mental health issues and contribute to a cycle of self-destructive patterns.

Infidelity is not just a breach of trust within a relationship; it leaves a lasting imprint on the mental health of those involved. Acknowledging and addressing the psychological consequences of infidelity is crucial for individuals to navigate the path toward healing. Seeking professional help, fostering open communication, and practicing self-care are essential steps in rebuilding mental well-being after the tumultuous experience of infidelity.

Written by Catherina Rosen

Breaking Free: 3 Tools to Transform Your Relationship Dynamics

Walking on eggshells in your relationship? Here are 3 tools to change everything.

We all want to feel free to trust and love our other half, but sometimes find it difficult if they’re controlling, scrolling on their phones during “quality time” or making us work hard for the scraps of love and attention we crave.

Sometimes we get to a place in our lives where we wonder how much longer we can be living this way. Most of us have lived enough life to know that yesterday might be starting to look permanent, causing us to wonder, “How do we change our tomorrow?”.

These simple tools, when used correctly, can help improve your relationship and point you on a
path to a greater sense of self:

Transform your habit of thinking:

We all have an inner critic that lives inside of us, made up of fearful thoughts that keep us feeling stuck. These thoughts are not who we are, but have been wired into our subconscious to keep us safe. Who we really are knows we deserve more than what we are getting, but somehow we keep moving back into our old habits. To get the relationship we want, we need to get curious about how our inner critic thinks it’s helping us through presenting the negative, fearful thoughts, and retrain our minds to replace them with faith in ourselves. You are not
your thoughts. You are the one who is aware of your thoughts and has the power to change them to create the life and relationship you know you deserve.

Change where you put your energy:

One of the most terrifying feelings we can experience is the feeling of helplessness. This is especially true in our relationships. To avoid this feeling, our human nature is to try to control external factors outside of our control. We sometimes put a lot of energy into trying to change (or control) our partner, leaving us feeling burnt out and resentful. The fastest way to reclaim our inner peace is by gaining clarity on what we do have control over, and what we do not. Once we realize we only have control over our own actions and choices, the magic begins to happen. Redirecting all of the energy that was once used to try and change our partner, we can focus on building the life we want, and if our partner is willing to come along for the ride, they
will rise to our level.

Train people how to treat you:

We all know the true saying “Actions speak louder than words”, but sometimes this idea gets lost when it comes to our relationships. We may tell our partner that we won’t put up with something anymore or we are going to leave… but then we don’t follow through. We may say, “That’s not okay”, but continue to give them what they want. To get the changes we require, we need to reward our partner with their love language when they show behaviors we want or desire. When unwanted behaviors show up, we limit any reinforcement of that behavior. With the help of a therapist to navigate the intricacies of relationships, we can make a healthy plan to limit our presence and/or attention in a specific way. Over time, if they truly are our person, their behaviors will shift into what we have been asking for but haven’t been following up with our actions until now.

Written by Kellie Hatch – Mental Health Graduate Student

CBT and The Cognitive Triangle

Cognitive behavior therapy is a widely utilized and popular form of therapy based on the cognitive model of psychopathology. CBT states that our emotions, body responses, and behaviors are influenced by our perception of events that we are currently experiencing or have experienced in the past. According to the CBT model, situations do not initially determine what people feel or how they behave. However, it reflects how our perception of these events determines the emotions we feel, resulting in patterns of behavior. In contrast, it is the interpretation of the event or situation that contributes to our feelings of distress which is referred to as the cognitive model triangle. According to this model, the cognitive triangle illustrates how thoughts, emotions, and behaviors affect one another. This idea forms the basis of cognitive behavior therapy (CBT). In addition, an important aspect of CBT is centered around “automatic thoughts” which shape our perception of an event that is taking place. This implies that when we change our thoughts, we will also change our emotions and behaviors. By focusing on irrational or maladaptive thoughts, mood, and behavior can be improved, therefore shifting our understanding or perception of the events that have or are currently taking place. Educating a client on the importance of their automatic thoughts can lead them to understand how past traumas and significant experiences have shaped their current worldview. This realization can lead to the healing required to overcome past traumas and assist in the treatment of PTSD. CBT is known to be quite effective for depression, anxiety, stress, and trauma. In conclusion, the cognitive triangle shows how thoughts, emotions, and behaviors affect one another. This means changing your thoughts will change how you feel and behave.

Written by Dr. Jason-Anthony Prendergast – Doctorate in Pastoral Psychology and Registered Mental Health Intern

Therapy Goals

We have all experienced moments in which we felt we were at a loss for handling a situation or a feeling. It is during these times we seek outside assistance, be it from friends, loved ones or with a therapist. Because these are difficult and stressful times, problem solving, positive thinking, or solution finding can seem impossible. However, in therapy this is exactly what we strive for in the midst of these chaotic moments.

This first requires an individual’s awareness they have exhausted their mental and emotional resources and acknowledge the need for professional guidance through this process. Finding a therapist with whom you can share this space continues this process through the sharing of these experiences, feelings, and struggles. It is through this exchange of honest and often difficult information the therapeutic alliance is formed. This alliance between therapist and client is the foundation on which therapy goals are created and refined.

Many individuals do not have clear therapeutic goals at the outset of this journey. Taking the time and making space to sort through uncomfortable situations and emotions brings clarity to one’s thoughts, feelings, behaviors, and therefore, their goals. Therapeutic goals can and will change throughout the process but having a goal on which to focus allows us to see solutions, successes, and areas of improvement. Therapy goals could be considered the mile markers on the journey to wellness.

Working with a therapist to achieve these goals requires individuals, couples, and families to join together, taking the information and insight acquired in sessions into their everyday lives. This day-to-day application solidifies new skills, new ways to view or assess problems, and ultimately achieve goals. Once the goals for therapy are achieved, the skills and benefits of these changes can be applied to future issues and concerns resulting in lifelong improvements in one’s well-being.

Written by April Daniel MS, NCC, LMHC – National Certified Counselor (NCC) and a Licensed Mental Health Counselor

 

Walk + Talk Therapy by the Bay

Walk + talk therapy by the bay is one of my favorite approaches to mental health therapy. As a trauma-informed therapist, I utilize many different therapeutic techniques to best accommodate each client’s needs. I know that sitting on a therapist’s sofa doesn’t feel safe or comfortable for many people. That’s why I offer walk + talk. It’s just like going for a walk with a friend (if your friend was a highly trained mental health professional who knew therapeutic techniques that are clinically proven to improve your mood). ♡

For people who have experienced trauma, the idea of meeting an unknown person in a small office in a new building can feel paralyzing. With walk and talk, we are able to meet in a public park where we are surrounded with other people and beautiful views. While the name implies that we will walk the entire time, there are many seating areas along the route to enjoy the shade and the warm breeze from the bay.

Walk + talk therapy offers an opportunity to reduce stress, relieve body tension, improve circulation, breathe deep and clear the body-mind of intrusive, negative, and ruminative thoughts. These sessions can help you decrease anxiety, regulate mood, enjoy more restful sleep, and more. Additionally, you can receive the feel-good brain chemical benefits of exercise, mindfulness practice and eco-psychology. In session, you can enhance insight, release body trauma, and alter behavior patterns while verbally processing your authentic truth.

In urban planning, there is a concept of integrating waterscapes into cities called “blue spaces.

👫Studies have found that short, frequent walks along waterscapes (blue spaces) are good for your mental health.

👫There is a significant improvement in well-being and mood immediately after a person goes for a walk in a blue space, compared with walking in an urban environment or resting.

👫Waterscapes have healing effects that enhance psychological resilience to promote mental health.

👫Walk + talk therapy by the bay gives clients an opportunity to enjoy some blue spaces while boosting their mental health.

Similarly, when urban architects add nature elements to cities such as trees, plants, and grass, these are called “green spaces.

👫 Green spaces provide fresh, healing air to the body

👫 Some mental health benefits of green spaces include: lowered stress levels, reduced rates of depression & anxiety, reduced cortisol levels, and improved general well-being

👫 Enhance your cognitive functioning, improve your sleep, and increase your levels of physical activity.

👫Walk + talk therapy by the bay gives you an opportunity to spend some time outside connecting to nature while working on your mental health.

If you’re joining me for walk + talk therapy, here are a couple things to keep in mind:

👫We don’t have to walk the whole time!

👫There is plenty of seating along the route should we choose to sit by the water and/or stop to talk in the shade.

👫Walking shoes or comfy sandals are recommended.

👫Please bring a water bottle—we’ve got to stay hydrated!

Written by Kalli Portillo, IMH24576 – Registered Mental Health Counselor Intern, EDMRIA-Approved EMDR Therapist, Certified Prepare/Enrich Couple Counselor

To learn more, review the following open access research studies or google “blue and green spaces mental health benefits.”

Benefits of walking psychotherapy:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8892051/

Waterscapes for mental health:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8618438/

Importance of greenspace: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5663018/

Restore Your Relationship

“The first step to problem solving in a relationship is to simply take the rope and set it down.”
When working with couple’s in conflict resolution. The first question I ask them is: “what is one step you can take to work towards a solution?” Being able to work towards healing and restoration in a relationship means creating a mental shift from focusing on all the areas the other partner is lacking, and begin to focus on what steps are needed to take to make your partner comfortable in working together as a team. It is easy to fall into a “tug of war” battle where each partner refuses to let go of their own personal perceptions, opinions, and truths. While it is important to acknowledge your own thoughts and feelings, it is also important to show empathy and understanding towards the other partner. Taking accountability of your own actions and coming together to fight against the problem versus each other creates a sense of “partnership”. Partnership means you are no longer on opposite sides of the playing field but working together as a team.
Written by Jessica Sagastume, MH# 16756 – Licensed Mental Health Counselor and Bilingual and Immigration Counselor