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Is it Erectile Dysfunction or Erectile Disappointment?

I recently came across an article by Dr. Chris Donaghue PhD, LCSW, CST.  Dr. Chris, as he is known, talks about how performance pressures on men to get and maintain hard erections actually lead to erectile difficulties.  These difficulties can lead men to seek out performance enhancing drugs in order to “have good sex”.  Dr. Chris shares 8 tips for overcoming erectile disappointment.

  • 1- Have realistic expectations for how a penis functions.
  • 2- Develop a more expansive view of sex.
  • 3- Communicate!
  • 4- Diversify your sexual skills.
  • 5- Work on your “erotic esteem”.
  • 6- Stay in the moment.
  • 7- Allow each partner to be responsible for their own orgasm.
  • 8- Be a sex and body positive activist.  

If you or a partner have ever experienced erectile disappointment, check out the full article here then schedule a session with Alice at 801-944-4555 to help guide you through these steps.  

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Kids, Pornography, and Shame

Scary title huh? We don’t want to think about kids and pornography in the same vein regardless of context. Unfortunately, the reality is that first pornography exposure happens often during early adolescence or even childhood. You read correctly, childhood. I’m talking about playground and recess aged kids here. As parents in the digital age, I think most of us are aware that our teenagers have access to inappropriate content at their fingertips; however, we are less aware of the proliferation of it targeting younger children. As a result, we are often caught off guard about how to talk about pornography with young children. Sadly, being unprepared can often lead to some instinctual reactions, that while quite normal, can have unintended consequences in the messaging that kids receive. Mainly, that they did something wrong and that makes them “bad”; shame is not productive nor helpful for healthy sexual development.

            Shame, as a parenting strategy, is not effective at creating healthy change in behaviors (notice the bolded…healthy). In fact, it is just the opposite. While shame may enact change in behaviors, it does so by undermining self-worth and value. Often with the universal emotion, shame, we feel like we are fundamentally flawed as human beings and irrevocably broken. Now with the parents I’ve worked, this isn’t the message that they are trying to instill in their children; assuredly, they are trying to empower and support their children. This is the reason why I think it’s imperative that parents be prepared with the messaging and a script, of sorts, for these conversations. Here are some of the most common questions that I get asked about dealing with pornography exposure and young children aged 6-12 years old:

When should I talk to my child about pornography?

            If your child is using the internet then you need to start having age and developmentally appropriate conversations about pornography. Yes, if your 5 year old is watching videos or playing games then they can come across it, even with filters and other safeguards.

Example: Sometimes adults put stuff on the internet that looks like it’s for kids, like cartoons that show body parts that we’ve talked about being private like a penis or breasts. It isn’t appropriate for kids and it can be really confusing. We want to you show us if you see something that feels confusing, like it might be for adults, but you aren’t sure. We won’t be angry or mad, we love you and want to be able to play your games safely.

How did my child start looking at pornography?

            Typically, a child’s first exposure to pornography happens in one of two ways: they either accidentally click on a link that takes them to a porn site or a friend shows them. Kids are curious and they tend to share their curiosity with their peers. Sadly, kids can be labeled as “bad” or being a “bad influence” when a child reports that their friend Timmy showed them a picture, video, or link that includes pornographic images. This sends the same messaging that was discussed above, that being curious about sexual imagery, sexual acts, or sexuality in general is “bad” or “off limits”. If we want our children to learn about sex from us, their parents, then we need to take ownership of having the conversations.

            Thus, talk to your child about their curiosity. Work to normalize their curiosity about sex and the feelings that they experienced. Create an environment that is safe, even if you or they are uncomfortable, to discuss sex and pornography and your beliefs and values regarding them. They will get their sexual education from other sources regardless if we abdicate this role in our children’s development.

Example: Joey, thank you for telling us when you clicked on that link; you did exactly what we’d talked about you doing. We’ve talked about how sex and sexual feelings are normal and healthy, I wonder if you’re curious about any of the images that you saw? What did you feel when you looked at the images? Sometimes it feels really exciting to see things that we don’t know a lot about, like naked body parts or sexual acts, these feelings are normal and nothing to feel ashamed about. We value sexuality and feel that explicit sexual images are harmful to that development because they can portray sex in a way that isn’t realistic or healthy.

How do I teach my child that porn isn’t realistic?

            For very young children, framing it as the actors are playing pretend puts the concept into a form that they understand as they often engage in pretending. Keep it simple, short and provide an opportunity to ask questions if they remain curious.

Example: Joey, you and your friends love to play superheroes right? Sometimes you even dress up as your favorites superheroes and pretend to save the world. The movie that you saw, the people are actors and are playing and pretending too. They were playing,  sex is a way that adults play, but they were playing pretend in that movie.

            Older children typically can conceptualize the difference between real and pretend without the fantastical examples; however, as pornography depicts real acts it can sometimes be difficult for them to understand how it isn’t real. I like to use an example of something that is also real but exaggerate like driving in the Fast and Furious movies. Go on YouTube and find a driving scene and watch it together and discuss how, while some of the basic concepts are real, the actual movie isn’t. For example, it was filmed on a sound stage or movie lot with a professional driver doing the stunt maneuvers. Adult films are also filmed as a movie production with actors, the maneuvers are scripted and practiced, the vocalizations and facials are exaggerated, etc. So, while the act itself is real, the depiction of the act isn’t.

While I just skimmed the surface, I hope this gives parents some ideas to start the conversation. This subject is scary and can be very intimidating for parents to explore with children, especially young children. However, parents have the opportunity to influence the narrative that children are exposed to in a way that creates a safe environment for healthy sexual development without shame.

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It’s Not a Vagina!

As a clinician who frequently works with sexual problems, I talk about genitals a lot! A lot! As I embark on these conversations with my clients, I have noticed how many people either don’t use the correct words for their genitals, or don’t even say the words at all. One of the most common errors I see is that people commonly say men have a penis and women have a vagina. While this is true, they are not the equivalent of one another.

I see this error in common culture verbiage also, people referring to the female genitalia only as her vagina. The vagina however is one part of the female genitals. It is the canal that leads from the vaginal opening to the cervix. This is an internal part of the female anatomy. I hear many people use the word “vagina” to refer to a woman’s external genitalia. This would be somewhat equivalent to calling the male external genitals a vas deferens (male internal tube) instead of a penis.

What people mean to say is that men have a penis and women have a vulva. Vulva is the correct term to refer to the external female genitals. It is made up of the 2 sets of lips called the labia majora and minora. It protects the internal components of the female reproductive system.

So, next time you say the word vagina, make sure you are referring to the correct anatomy. If you have never even said the word vulva, I encourage you to start using it as the appropriate term for female external genitalia.

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Is Masturbation a Problem?

Sexuality is a charged topic for both adults and some children. Messages about what behaviors are appropriate and inappropriate are woven into the fabric of our cultural traditions, moral codes of conduct, and family systems. Negative messages cause a great deal of harm, mainly when the message contains sexual shaming. Masturbation is one of these topics.

Masturbation is extremely common, yet because it is private, we don’t talk about it with our children or a spouse. According to research, self-stimulation is a normal activity experienced by nearly all people starting at very young ages and can be observed in utero (Yang et al., 2005). Masturbation (like any behavior) can be both healthy and problematic; it is also experienced differently based on age. It well understood that nearly all males and most females will, at some point in their lifetime, masturbate.

When is it Healthy?

Nearly all professionals agree age-appropriate stages of self-stimulation is healthy. For example, exploring one’s body and how it responds sexually is a beneficial aspect of maturation. Men and women can learn what an orgasm is, so they are better equipped to educate their spouse on what types of sexual touch they enjoy. Also, individuals can use masturbation to self-sooth as a coping mechanism for mood regulation. For many people who (for whatever reason) are not in an intimate relationship, masturbation can be a healthy outlet to release sexual tension. Many relationships do not have an equal balance of libido. For some “higher libido” partners, masturbation can offer a method to balance sexual needs.

When is it Not Healthy?

Behaviors become problematic when they negatively impact, work, school, or one’s social life. Like all sexual behaviors, masturbation may conflict with religious values. In a recent study from students at Brigham Young University, researchers reported the perception of pornography (a common corollary with masturbation) is the primary predictor of negative outcomes, not the pornography use itself (Leonhardt, Willoughby, Young-Peterse, 2018). It is important to inventory what our values are and why we have them. It can be helpful to challenge what we believe, while still honoring our values and the values of others. In many situations, individuals with strict religious tenets regarding masturbation find themselves in harmful shame cycles leading to increased rates of depression, compulsivity, or suicidal ideation (Beagan & Hattie, 2015). Researchers don’t diminish the value of traditional moral values. However, they do suggest creating a healthy relationship with our values within the normal range of human experiences.

Myths about Masturbation

We tell stories and create myths to justify attitudes about sexuality. Some common myths include masturbation causes homosexuality, is an addiction, leads to infidelity, will lower sexual desire, create hypersexuality, may cause you to go blind, and causes cancer in men. These things are not true. However, there are things that do occur. For example, a partner may feel betrayed when they learn their spouse masturbates.  Couples can contract what cheating is, and what betrayal is. Feelings of betrayal are especially common when erotic material is involved. People engage in negatively impacting habit-forming behaviors with all sorts of things, including masturbation. Also, some coping mechanisms prevent healthy attachment in relationships.

Talking about Masturbation to our Children

It’s helpful for parents to have discussions with their children about masturbation in age-appropriate ways. For example, 5-year-old children don’t typically need to learn about orgasm mechanics, but talking about what “feels good” is more appropriate. Also, shaming a child by saying, “don’t touch that,” could be replaced with useful comments such as “that feels good, maybe you should do that in private.”. Children without parental guidance will learn about masturbation from friends or erotic material. Pornography doesn’t typically represent healthy sexual education. It is also beneficial to create safety for children, so as they begin to explore their sexuality (in person or with others), they feel safe to engage a parent about their experiences. Normalizing sexual desire, response, and anxieties create wellbeing for developing children. Lastly, it’s helpful to remember that not all children have the same sexual interests, levels of desire, or attractions at the same age as other children. It’s important to meet our children where they are at.

Talking about Masturbation to a Partner

An important aspect of contracting between couples includes the topic of masturbation. As a part of healthy sexual practices, discussing what is acceptable (or not) is essential. While there are many options, some couples will incorporate self-pleasuring behaviors into their relationship as a method to balance sex-drive differences. Often one partner may feel betrayal if they learn their spouse masturbates. When couples talk openly with each other about their feelings and attitudes regarding sexuality, it usually removes the stress in these situations. A good place to start is becoming aware of your own sexual biases and perspectives. Some couples find it helpful to discuss these feelings with a competent therapist. It’s important to remember masturbation doesn’t constitute cheating. Marriage isn’t the antidote for fulfilling all sexual needs. Many married people masturbate. Much of the time, masturbation creates better sexual experiences for couples.

Talking about Masturbation to Church Leaders

In many faith traditions, ecclesiastical leaders counsel parishioners regarding sexual behavior. Not all religions have sex-positive perspectives. In many cases, such leaders have no training regarding sexuality, trauma, or psychological situations. A lack of training can be problematic. This doesn’t suggest the support of an ecclesiastical leader cannot be helpful. Individuals seeking counsel from their church leader should remember boundaries are essential. It’s okay to tell a church leader what questions or statements are inappropriate or feel uncomfortable. This is especially true for parents whose children may be questioned regarding their sexual behavior, to communicate what forms of communication are acceptable and what is not.

References

Leonhardt, N. D., Willoughby, B. J., & Young-Petersen, B. (2018). Damaged goods: Perception of pornography addiction as a mediator between religiosity and relationship anxiety surrounding pornography use. The Journal of Sex Research55(3), 357-368.

Beagan, B. L., & Hattie, B. (2015). Religion, spirituality, and LGBTQ identity integration. Journal of LGBT Issues in Counseling9(2), 92-117.Yang, M. L., Fullwood, E., Goldstein, J., & Mink, J. W. (2005). Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases and a review of the literature. Pediatrics116(6), 1427-1432.

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What Broccoli and Sweat Stains Have To Do with Your Mental Health

Most people are aware that eating healthy and exercising will result in a smaller waistline. I am not sure, however, that people understand the impact eating healthy and exercising have on your mental health. Think about it: your brain is a body part, right? If poor eating can make your heart suffer and not function properly, why wouldn’t poor eating make your brain suffer as well?

There is a lot of scientific research supporting the fact that eating a whole foods, plant-based diet can improve mood and decrease the occurrence of mental disorders such as anxiety and depression. In a study published in the 2012 Nutritional Journal, participants who decreased consumption of meat, fish, and poultry improved several mood scores in just a few weeks. In 2009 Arch Intern Med, Dr. Grant Brinkworth and colleagues found that a high carbohydrate, low fat, and low protein diet (plant-based) resulted in significantly lower rates of depression and anxiety. These are just a few of the many studies showing the mental health benefits of eating a plant-based diet.

Part of the benefit of eating plants is that there are thousands and thousands of chemicals and nutrients that our body uses on a cellular level to rebuild and repair itself. Scientists haven’t even identified all the advantages to these chemicals and nutrients there are so many. We need to trust our body to use nature to be in optimal health. The evidence is clear: our brain needs natural plant food to function the most optimally. Sadly, we are often misinformed on nutrition-related topics because there are a lot of people who make a lot of money if you eat poorly (there isn’t necessarily a lot of money for marketers to make off of you if you follow a plant-based diet).

When it comes to exercise, most people think of endorphins and all that jazz. This is all good and well, but I love exercise for my clients more for its ability to increase distress tolerance. Physical exercise is ALWAYS a mental exercise also. If I can push my body to a point of discomfort for my overall benefit, what else can I do that is hard? If you talk to avid exercisers, none of them say, “Yeah, I have been doing this long enough that it doesn’t hurt anymore. I feel only pleasure in mile 13.” Seasoned athletes still experience discomfort and pain (if not more) but have learned to tolerate it.

Your increased distress tolerance works as a shield against debilitating hardship. I have seen so many clients begin to exercise and all of a sudden, they have increased confidence and  start to believe they can do hard things! While going to the gym may not seem like a big deal, it is a huge deal for your brain. The important key to implement this is to find an activity YOU love. If it isn’t running on a treadmill, then don’t do that. Walk your dogs or play frisbee or do something else entirely.

Some clients I have are weary of taking mood-altering pharmaceuticals, but are they bothered enough to get really uncomfortable and change their eating and movement patterns? I am not suggesting that research shows these changes to be a direct cure for mental health problems. Research can’t entirely do that. However, I am suggesting that it is certainly worth adding to the tool box and trying in order to have an overall better mood and mental health.

For more tips and support changing your lifestyle to improve your mental health, schedule an appointment today!

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Wasatch Family Therapy Tween Group

Parents, starting next week we have a Tween group for kids ages 11 – 13. This group will promote healthy relationships and communication between adults and peers as they prepare to enter Jr. High and Middle School. The group will use expressive arts and group activities that help the children to engaged in skills that they will use for the rest of their life.

Nathan Watkins, AMFT

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How to Stay Attracted to Your Partner’s Changing Body

How to Stay Attracted to Your Partner’s Changing Body

Yes, we are going there. Though people come to therapy to talk about hard things, or things that take a lot of courage to say, the topic of changing physical attraction seems to be on the forbidden list. Try as I may to create a comfortable and safe environment for couple to discuss this very normal challenge, people won’t talk about it.

The truth is, ALL bodies change! Not one person is going to bed next to the same body that they initially married. We wrinkle, give birth, gain weight, lose weight, lose hair, lose body parts, get cancer, change skin tone and hair color, find stretch marks, get shorter, become less mobile, lose teeth, struggle becoming erect or lubricating, etc. I could go on and on. We are living organisms, and this earth breaks down living organisms over time. In fact, some estimates say that on average a person’s body is growing or developing only until around age 21, after which it is declining, breaking down, aging, and dying. The moral of the story; it is normal and it happens to all of us!

So, then the next question is, how does this impact your sexuality? For most of us, we need to re-evaluate what is physically attractive about our partner, or how much we value what our partner’s body looks like. Sadly, the solution I hear most people using to cope with these changes is to just turn the lights off. I don’t think turning a blind eye is the healthiest of solutions.

Might I suggest instead, changing your insides in tandem with those changing outsides.

  1. Don’t have 1 dimensional sex. If you are hyper focused on your body or your partner’s body, you may be stuck in just the physical dimension of sex. Sex has the potential to be much more than that. According to Dr. Gina Ogden, sex should include body, mind, spirit and heart. Do you fixate on parts of your partner’s body during sex or have you ever thought about how much you love their kindness or nature or humility during sex? What parts of your partner are you currently neglecting to make love with, that may bring more satisfaction?
  2. Within that physical dimension of sex, don’t focus on the parts of your own or your partner’s body that you are dissatisfied with. Rather, focus on the parts of their body you do enjoy. For instance, you could obsess about a fat roll, or you could admire their strong shoulders or beautiful eyes, or the sound of their voice.
  3. Lastly, stop consuming large volumes of media that communicates inaccurate and unrealistic expectations of what bodies “should” look like. Research shows that our inaccurate interpretations of reality are directly related to how much media we consume. If you are going to bed expecting your spouse to look like the media version of a 21-year-old, 34-year-old, or 59-year-old, you will likely be disappointed. Comparing your partner’s body or your own body to anyone else’s body, is not going to serve your sexual relationship.

Work with your spouse to create new sexual expectations. I would guess that as you re-evaluate some of the expectations you have in your sex life, you will likely feel less shame and experience more connection and pleasure from sex.

If you and your spouse would like to create more meaningful and more pleasurable sexual experience, make an appointment today.

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How To Teach Your Children Self Love

Check out the video below to see Samantha Castleton, LCSW speak about How to Teach Your Children Self Love.

https://www1.newsdataservice.com/Player?ClipId=,S,201802,E715C7A5-F601-4DDB-AB1B-309BA8E9283B&ReqServer=NDS7%5CNDS7&QueryName=Primary%20Childrens%20Hospital&Offset=2798&rai=91629e11-4f88-11d7-80a6-00b0d020616e&ran=UtahNewsClips&roi=91629e11-4f88-11d7-80a6-00b0d020616e&ron=UtahNewsClips&run=&rut=0&E=12gl(7yf(VJf(2IYH7JS(79R(7zc(h&Time=12gS(74f(74fb74f(7xlb74f(74f(74f(i&Related=PV_1&pbp=Y

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Shifting How Women Think About Their Appearance & Body: Deseret News

Shifting How Women Think About Their Appearance & Body: Deseret News

If you are a woman, you’ve likely had insecurities about how you look. The topic of women’s issues with body image and their appearance is one that’s been studied by therapists for years. Whether it’s eating disorders, media messaging, puberty, or weight loss, there’s a lot to discuss and think about when it comes to how women and girls think about themselves. What’s more is that Pew Research indicates that even today, women are still valued more for their looks than for their minds. Clearly, we have some work to do.

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Is Loneliness An Epidemic?

In 1949, Hank Williams composed the song, “I’m So Lonesome I Could Cry.” The single reached # 4 on the Country charts that year, and many great legends followed to record the song as well; Glen Campbell, Johnny Cash, and Elvis Presley just to name a few.

As you read and ponder the lyrics below; what memories and emotions come to mind?

Hear that lonesome whippoorwill
He sounds too blue to fly
The midnight train is whining low
I’m so lonesome I could cry

I’ve never seen a night so long
When time goes crawling by
The moon just went behind the clouds
To hide its face and cry

Did you ever see a robin weep
When leaves began to die?
Like me, he’s lost the will to live
I’m so lonesome I could cry

The silence of a falling star
Lights up the purple sky
And as I wonder where you are
I’m so lonesome I could cry.

A recent article in Harvard Business Review entitled, “Work and the Loneliness Epidemic,” reports that there is good reason to be concerned about social connection in our current world. We live in the most technologically connected age in the history of civilization, yet the rates of loneliness have doubled since the 1980’s. Loneliness is a growing health epidemic. Another article (this one in Psychology Today) expresses it this way: “Even though our need to connect is innate, some of us always go home alone. You could have people around you throughout the day or even be in a lifelong marriage and still experience a deep, pervasive loneliness. Unsurprisingly, isolation can have a serious detrimental effect on one’s mental and physical health.”

What is Loneliness?

Loneliness has been described as a social pain and an unmet longing to connect, physically and emotionally with someone else. It has been linked to depression, anxiety, paranoia, panic attacks, sleep problems, tiredness, lack of motivation, cognitive decline, heart disease, and even suicide. People who are lonely often share certain characteristics. These include having experienced trauma and loss during their lifetime and having spent their childhood years being cared for by individuals who have harsh, critical and negative parenting skills. In children, a lack of social connection is directly linked to several forms of antisocial and self-destructive behavior.

How is Loneliness Treated?

Doctors are recommending that individuals who experience loneliness be evaluated for possible symptoms of depression and anxiety; as well as receiving treatment from a mental health professional if warranted. Don’t allow loneliness to impair your physical and emotional health or affect your rate of mortality. Our therapists here at Wasatch Family Therapy are available to treat loneliness and improve your quality of life.

Sue Hodges LCSW

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