What issues does Dr. Paz address in her office?

In a non-judgmental and confidential environment, I work with people to address issues that pertain to sexuality/intimacy/relationships and the individual, couple or family—

Desire Disorders

Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder (HSDD) is minimal or absent sexual fantasies and desire for sexual activity. This is considered dysfunctional if it causes distress for the individual or problems in their relationships. Sexuality, like most things in life, has its ups and its downs. Careers, stress, family, finances, etc. can all take a toll on a person’s ability to focus on sex or their desire for it. Maybe it is a bump in the road but if you feel like the problem is becoming unmanageable and affecting other parts of your relationship it may be more than that. Sometimes a person needs to restructure and reorganize their sexual self in order to feel desire again

You can make an appointment to explore how to get your libido back on track.

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Marital Conflict

Maintaining a healthy union is a challenge. Life stressors often get in the way and disagreements about how to handle these troubles often take over a marriage. When it gets to the point where there seem to be ore bad days than good ones, or when communication has simply broken down, then therapy might be a good option.

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Communication Training

Poor communication between partners can take many shapes. For instance, perhaps the husband may feel his wife nags too much or doesn’t understand his stress; she never compliments or appreciates him and only criticizes. Or perhaps the wife feels her husband is not present enough and doesn’t seem to care about her interests or feelings. For some couples every discussion seems to be a catalyst for a fight. Ineffective communication between partners leads to a decline in the functioning of the relationship. Sometimes re-learning how to simply have a disagreement and negotiate each point of view is all it takes. Couples benefit from communication training because they get the chance to adopt a new set of “rules” and strategies for addressing “hot topics.”

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Infidelity

Infidelity is one of the most destructive events that can take place in a relationship. Recovering from infidelity involves intense feelings of pain and loss. Trust has been broken, self esteem has been shattered – guilt, grief, and despair often take center stage. The good news, however, is that the majority of marriages not only overcome the horrific event, but therapists have noticed that many marriages actually get stronger and more intimate after couples therapy. Couples therapy is a very important component of surviving infidelity and rebuilding a marriage. It involves many stages of healing and rebuilding.

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Fertility Issues

Conceiving a baby is a very joyous event for many couples. However when people struggle with infertility it can be extremely taxing on the relationship and the individual. People experience blame, pressure, sadness, frustration and much more. Dr. Paz can help a couple or an individual through this very taxing process. She has a lot of experience helping people navigate this challenging time.

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Arousal Disorders

Female Sexual Arousal Disorder

Female Sexual Arousal Disorder is described as the inability of a woman to have sustained sexual activity with adequate lubrication. Often, these women experience pain with intercourse and avoid sexual contact with their partner. Sometimes women have a desire for sex, however actually “completing” the interaction is difficult due to pain or lubrication problems. There are techniques and alternative strategies to address this issue.

Erectile Dysfunction

Erectile dysfunction (ED) is the inability of a man to maintain a firm erection long enough to have sex. Erectile dysfunction is more common in older men. However the truth is it is a common problem that can occur at any age. If the problem is ongoing, it can cause stress and relationship problems and affect self-esteem. Often the problem worsens due to embarrassment and pressure before it will improve. It is always a good idea to expand your sexual repertoire and open up communication to better deal with a problem of this sort.

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Orgasmic Disorders

Anorgasmic (Can’t have an orgasm) – FEMALE

A disorder which may result from a traumatic experience, but can also be acquired through problems within relationships. Female Orgasmic Disorder occurs when there is a marked delay or absence of orgasm associated with the sexual activity. If this is causing a problem in the relationship, or causing personal distress for the female then it is considered dysfunctional. Often women are educated incorrectly about how the body works and they have false knowledge and expectations for orgasm. In a frank and informative therapy session, this can be altered.

An orgasmic (Can’t have an orgasm) – MALE

The delay or absence of orgasm following what is typically a normal sexual excitation phase is not abnormal. After a normal phase of sexual excitement, the man’s orgasm is persistently or repeatedly delayed or absent. If this is causing relational or personal distress then it is worth addressing in a non-judgmental and confidential environment.

Premature Ejaculation

Is the persistent or recurrent experience of ejaculation with minimal sexual stimulation before or shortly after penetration. Thus, it occurs before the man (and his partner) wants it to occur. This can be embarrassing and unsatisfying for the man. It may also lead to him avoiding sexual interaction so as not to get himself in this seemingly shameful situation. By learning specific start-stop strategies, changing the sexual routine and communication, an elongated duration of intimacy can often be achieved.

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Sexual Orientation Issues

Many of us come into the world knowing we are heterosexual, that is we are attracted to the opposite sex. However, when orientation is in question a person experiences nervousness, confusion, and inner turmoil. “Am I Gay? Lesbian? Bi-sexual? _ What does this mean? What do I do?” This is some of the internal dialogue that surrounds orientation issues.
Also some people need help going through the “coming-out” process; this can be scary. Therapy offers a neutral and supportive environment to assist an individual in identifying their position and needs as far as orientation is concerned.

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Fetishes

When a person has become so fixated on an inanimate object for sexual pleasure, that they cannot seem to enjoy sexual interactions unless this object (fabric, shoes, videos etc.) is present we may consider this a time to go seek counseling. The key feature here is that it needs to be causing personal or relational distress. If you feel like your sex life is imbalanced or over-focused in one specific direction and you need help re-centering yourself, therapy might be a healthy option.

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Impulse Control Problems / Compulsive Sexual Behavior

Some people have difficulty controlling their sexual urges and their temper. This lack of control can interrupt healthy personal and relational functioning. As an adult, you are responsible for maintaining control over your actions and feelings. Counseling may help you if you feel you are no longer able to effectively manage yourself. Sometimes people use sex and masturbation as coping strategies to escape from problems or stressors. They become so reliant on sexual interactions that they begin to feel they NEED this to get through the day. For some people it is excessive use of prostitutes or strip clubs, for others it is abnormal amounts of masturbation, some people spend their whole paycheck on phone sex – the list goes one. However if you notice that you seem to be over-dependant on sexual interactions or you feel out of control than you might want to seek therapeutic consolation.

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Family, Children, & Topics of Sex and Relationships

Are you a parent and you don’t know how to talk to your kids about sex? Do you notice something bothersome or sexualized about some of your child’s behaviors? Are you going through a divorce and notice it is negatively affecting your child? Sometimes it is hard to address such personal issues with your own children. Parents don’t want to say the wrong thing or give the wrong impression. What is the best way to discuss sexually transmitted diseases (STDs) and pregnancy? When is the right time?

In this situation therapy facilitates healthy discussions and guidance to help a parent work with their children on particularly challenging topics.

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Sexual Abuse / Trauma

Sexual trauma is one of the most horrid experiences a person can have. It affects nearly every part of their psychological functioning. People experience flashbacks, fear, trust issues, sexual avoidance, relational avoidance, and much more. Recovering from abuse or trauma is a long process. It is painful and scary to try and make sense of what happened and why it happened. In many cases, a person feels like they will never be “normal” again. Even if the abuse took place 10 or 20 years ago, it may still haunt the individual – especially if they never sought help to fully heal. It is never too late (or early) to start the recovery process.

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