Love, Happiness, and Success For Therapists
After 25 years as a psychologist, I still catch myself doing it. A client edges toward something sexual, I reflect, I validate, and I quietly move us somewhere safer. If you have done the same thing in a session, you are not a bad clinician. You were just never taught how to stay in that moment, and almost none of us were. In this episode, I sit down with Dr. Nicole McNichols, the University of Washington professor who teaches the largest human sexuality course in the country, more than four thousand students a year. Nicole is not a sex therapist. She is the person who teaches the next generation of clinicians, and I wanted her read on the gap most of us walked out of grad school with: what to actually do when sex shows up in the room. Her new book, You Could Be Having Better Sex, just landed, and it turns out to be a genuinely useful tool for our clients too. In This Episode: * Why generalist training programs skip sex almost entirely, and what that absence quietly costs your clients * The assumption that fixing a couple's communication will fix their sex life, and why the research often runs the other way * How to open a conversation about sex without feeling like you are prying for salacious details * What more than two thousand couples revealed over four years about which kind of satisfaction comes first * How a caregiving role can quietly erode desire, and the parenting complaint that is often really about sex * The moment a presenting sexual concern is not a sex problem at all, and what scope of competence asks of you then * How to handle attraction, transference, and your own discomfort when sexual material enters the room * Where your scope as a relationally trained generalist ends and an AASECT-certified sex therapist's begins This episode is for any clinician who has sat across from a client, felt the conversation drift toward sex, and chosen, almost without deciding to, to steer somewhere else. Maybe you told yourself it was outside your scope, or that the client was not ready, or that it simply was not the focus of the work. I have told myself all three. This conversation is about what becomes possible when we stop avoiding the one topic we were never trained to hold, and start treating it as part of the work we are already good at. Episode Breakdown 00:00:00 The Conversation We Quietly Steer Around 00:03:51 Why Sexual Health Is Clinical, Not Peripheral 00:04:43 Fix the Relationship, Fix the Sex? Not Quite 00:08:33 How to Open the Door Without Feeling Intrusive 00:12:30 Sex as the Skill Set That Builds the Whole Relationship 00:15:27 What the Research Actually Shows 00:17:23 Using a Book as a Clinical Tool 00:25:22 When It's Not a Sex Problem 00:34:04 The Transference Nobody Prepped You For 00:40:14 Where Your Scope Ends and a Sex Therapist's Begins Resources * Full episode and show notes [www.growingself.com/talking-about-sex-in-therapy/] * The Therapist Growth Collective [www.growingself.com/therapist-growth-collective%E2%81%A0] If this episode put words to something you have been quietly carrying, share it with one colleague who would feel the same way. That is the whole game with a show like this. And if you want an ongoing place to keep growing into the parts of the work grad school skipped, come find us. xoxo, Dr. Lisa Marie Bobby Growing Self [https://www.growingself.com/]
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