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Dr. Marisol G. Westberg

Psychotherapist

FAQ

On Therapy Practice

Not at all, many issues relating to sex are rooted in individual histories, experiences, and pain points.  

The first 60 min intake session is 350.00 and any sessions thereafter are 250.00.

I don’t bill insurance directly but I can provide you with a receipt which we call a Super Bill.  This receipt will include a procedure code of 90837 or 90847.  You can call your insurance company and ask them how much they will reimburse a 90837 or 90847 procedure code with an out of network provider

I do but those slots are limited and have a waiting list.  

Plan for an hour even though the sessions are 50 minutes.  We may go over sometimes.

I am only offering online sessions via Zoom.

It depends on the issues you are facing.  Treatment will be longer if you need help healing from relational or individual trauma (about a year) and less if you just need to tweak some thoughts and behaviors around sex (about 3 months).

I am well aware of the fact that therapy is expensive, so the assumption is not to have weekly sessions unless you really need it.

Factors like hormonal changes, stress, emotional well-being, and relationship dynamics can all affect her sexual desire; understanding these can help you address the issue together. Read “Wondering why your wife doesn’t have desire?”

On Desire

Many women enjoy sex, particularly when the concept of sex is broadened to encompass a range of intimate activities, from flirting to more physical interactions. A woman’s interest in sex often grows when she feels rested, experiences low conflict and stress in her life, feels excited, and knows she is cared for and supported.

“Why Life Stress Lowers Libido”

The question of why sexual desire is often higher in youth ties back to hormonal surges that can overshadow insecurities or physical discomforts. Additionally, the novelty and excitement from new relationships, frequent partner changes, and less frequent encounters contribute to heightened desire. Younger individuals typically face fewer life pressures, such as cohabitation, work stress, or parenting responsibilities, which can otherwise dampen sexual desire. Ultimately, sexual desire peaks at an age where one feels secure, harmonious, excited, and fulfilled, suggesting that emotional and situational factors play a significant role.

Sexual desire and arousal differ significantly; desire is a mental interest in sex, while arousal is the body’s physical reaction to sexual stimuli. It’s crucial to recognize that physical signs of arousal do not necessarily indicate a genuine desire for sex. This distinction is particularly important in understanding that someone’s body might react to touch without it meaning they consent to or desire that interaction.

If your body is undergoing change of any kind, your sexual desire is up for grabs because for many people their sexual desire is affected by changes in their environment and in their bodies.  The more important issue is that we have to begin to understand this as normal and okay.  Instead we feel slighted and angry because things have changed.

“Why Life Stress Lowers Libido”

Yes, but find a therapist that is an expert in couple’s therapeutic techniques as well as sexuality.

Flibanserin, or Addyi, aims to boost sexual desire in premenopausal women by altering brain chemistry. It’s specifically designed for premenopausal women and has notable side effects like dizziness and nausea. The effectiveness of this medication is debated, particularly considering its modest benefits. Critically, it’s argued that focusing on medication might overlook the broader relational or societal influences on women’s sexual desire, potentially reinforcing stigmas around sexual health issues by framing them as individual problems rather than broader concerns that might not always require medical intervention.

Check out The 11 Myths About Sexual Desire but the answer is yes and no.

Yes, many men’s libido is affected by contextual factors such as stress and conflict.  Also, feeling incompetent sexually seems to be a major cause of low sexual desire in men.  

Yes for some people, but it doesn’t need to stop there.  Sexual desire is affected by many things but that doesn’t mean you won’t ever want sex again.  What’s important is to talk about it and understand what your desire needs to open up.