40 min

Talking About Sex: Complicated, Uncomfortable, Necessary The TotalSelf Considered

    • Mental Health

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Why do so many of us find it so difficult to talk about sex? How important is the pleasure aspect in sexual relationships? Who should one go to if they are having issues with sexual intimacy?

In this episode of The Total Self Considered, Jeff Fine interviews Zoya Simakhodskaya, a psychotherapist specializing in couples therapy and sexual relationships. An experienced therapist, instructor, and EFT (Emotionally Focused Therapy) practitioner, Zoya brings her insights from many years of working with couples and educating therapists about the importance of addressing sexual issues in relationships. Jeff and Zoya discuss what goes into a healthy, satisfying sex life and why people avoid talking about sex. Together, they break down common patterns that lead to issues in sexual relationships, and the personal, social and cultural factors that complicate the issues, and share some advice for couples who may be struggling.

Summary of Episode



A lot of partners don’t talk about sex with each other, parents and children don’t talk about it – why? 

Vulnerability and sensitivity about ourselves as sexual beings

Importance of trust

The way parents talk about sex and bodies, and how it can lead to feelings of shame or fear in young people

Therapists could also get better informed about how to talk about sex

Not “the” conversation, but ongoing conversations

Make sex beautiful – talking about pleasure



How one’s negative comments about their own or other people’s appearance can affect children’s view of themselves



Importance of sexual intimacy in romantic relationships

Feeling loved, connected, desired has a big impact on the relationship overall

Definition of a healthy sexual relationship – World Health Organization’s version

Key components of healthy sexual relationships: positive, respectful, pleasurable and safe

A variety of sexual experiences can be healthy as long as they are respectful and pleasurable for both people

A negative sexual cycle in EFT – what is it and how it plays out

Searching/pursuing vs withdrawing

Need for emotional connection for sexual intimacy 

Stereotypes of pursuer and withdrawer and how they don’t apply along gender lines

Cultural shift in couples’ dynamics

Even couples who get along well can have difficulties in their sexual relationship

How a person’s emotions and sense of safety can have a big impact on whether the sexual relationship is satisfying

Who to consult for different kinds of sexual issues

Sexual issues arising from medical problems and sexual issues related to emotional aspects

What defines safe will vary for each couple

Therapists should be mindful of bringing in their own morals or expectations about sexual relationships into their work 

Advice from Zoya to couples who are unsatisfied in their sexual relationship

Committed, happy couples can also have issues in their sexual lives

“Hold Me Tight” workshops for couples



Quotables

“The quality of the emotional relationship will always affect their sexuality.

It’s very hard to feel relaxed, and playful, and have fun if you are stressed out.”- Zoya

“Being intimate implies you have to let some of your armor down. If you don’t feel safe, that armor is really hard to let down.”  – Jeff

“Be brave and courageous to bring it up if you’re struggling.” – Zoya

Resources/links

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Why do so many of us find it so difficult to talk about sex? How important is the pleasure aspect in sexual relationships? Who should one go to if they are having issues with sexual intimacy?

In this episode of The Total Self Considered, Jeff Fine interviews Zoya Simakhodskaya, a psychotherapist specializing in couples therapy and sexual relationships. An experienced therapist, instructor, and EFT (Emotionally Focused Therapy) practitioner, Zoya brings her insights from many years of working with couples and educating therapists about the importance of addressing sexual issues in relationships. Jeff and Zoya discuss what goes into a healthy, satisfying sex life and why people avoid talking about sex. Together, they break down common patterns that lead to issues in sexual relationships, and the personal, social and cultural factors that complicate the issues, and share some advice for couples who may be struggling.

Summary of Episode



A lot of partners don’t talk about sex with each other, parents and children don’t talk about it – why? 

Vulnerability and sensitivity about ourselves as sexual beings

Importance of trust

The way parents talk about sex and bodies, and how it can lead to feelings of shame or fear in young people

Therapists could also get better informed about how to talk about sex

Not “the” conversation, but ongoing conversations

Make sex beautiful – talking about pleasure



How one’s negative comments about their own or other people’s appearance can affect children’s view of themselves



Importance of sexual intimacy in romantic relationships

Feeling loved, connected, desired has a big impact on the relationship overall

Definition of a healthy sexual relationship – World Health Organization’s version

Key components of healthy sexual relationships: positive, respectful, pleasurable and safe

A variety of sexual experiences can be healthy as long as they are respectful and pleasurable for both people

A negative sexual cycle in EFT – what is it and how it plays out

Searching/pursuing vs withdrawing

Need for emotional connection for sexual intimacy 

Stereotypes of pursuer and withdrawer and how they don’t apply along gender lines

Cultural shift in couples’ dynamics

Even couples who get along well can have difficulties in their sexual relationship

How a person’s emotions and sense of safety can have a big impact on whether the sexual relationship is satisfying

Who to consult for different kinds of sexual issues

Sexual issues arising from medical problems and sexual issues related to emotional aspects

What defines safe will vary for each couple

Therapists should be mindful of bringing in their own morals or expectations about sexual relationships into their work 

Advice from Zoya to couples who are unsatisfied in their sexual relationship

Committed, happy couples can also have issues in their sexual lives

“Hold Me Tight” workshops for couples



Quotables

“The quality of the emotional relationship will always affect their sexuality.

It’s very hard to feel relaxed, and playful, and have fun if you are stressed out.”- Zoya

“Being intimate implies you have to let some of your armor down. If you don’t feel safe, that armor is really hard to let down.”  – Jeff

“Be brave and courageous to bring it up if you’re struggling.” – Zoya

Resources/links

40 min