The Trouble with Sex

Join Dr. Tammy as she talks with LA based Dominatrix, Ashley Randall, aka Irreverent Femme, about the therapeutic benefits of erotic exploration, and how she uses BDSM, kink and fantasy to help her clients overcome shame, face their fears, and build greater trust, intimacy and pleasure into their relationships.OUR GUESTAshley Randall, aka Irreverent Femme, is an LA based, certified Sex, Intimacy and Kink Coach and Dominatrix based in Los Angeles, offering transformative coaching for individuals and partners seeking deeper intimacy, sexual confidence, and authentic connection. Through her practice, Irreverent Love, she helps clients through embracing parts of themselves often considered taboo—creating space where they feel seen, accepted, and sexy. Her work removes shame and stigma, particularly around BDSM, kink, and non-traditional relationship structures, empowering people to lead richer lives, relationships, and sex. She offers experiential coaching that guides individuals and partners through the emotional and practical terrain of emotional and sexual intimacy and also utilizes therapeutic BDSM. Ashley’s approach is deeply personal and focused on connection, allowing clients to explore safely and confidently.DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson

Mary Kay Cocharo, a licensed marriage and family therapist, and Evie Shafner, an experienced clinical psychologist, dive into the dynamics of relationships. They discuss how anxiety and trauma can disrupt intimacy and suggest practical tools like intentional care for the 'space between' partners to nurture connection. The duo highlights the challenges younger generations face with communication and intimacy in a tech-saturated world, and they offer creative ways to enhance date nights and revitalize passion in relationships.

HAPPY END of SUMMER!  We'll be back in September with all new episodes. In the meantime, please enjoy Dr. Tammy's introduction to Open Monogamy, and continue to explore what's important to you and those you choose to love. The idea of monogamy and marriage  are no longer simple concepts. Can you have a loving, trusting relationship while exploring new direction as a couple? In this episode,  Dr. Tammy introduces the concept of Open Monogamy by answering listener questions and talking with a couple first-hand about what open monogamy means to them and how they successfully began redefining  their traditional relationship over ten years ago!DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com. INTERESTED IN BECOMING A CERTIFIED AS A SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOCHECK OUT DR. T'S NEW BOOK - OPEN MONOGAMY!· To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.· Learn more about love, marriage, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy - or her book by the same name. ·  Want more Dr. Tammy?  Read: The New Monogamy, When You're the One Who Cheats.Instagram @thetroublewithsex and doctor_tammynelson

Do you know your sex script? We all have subconscious stories we tell ourselves when it comes to love. In this episode, Dr. Tammy talks with acclaimed therapist and New York Times Best Selling author, Dr. Ian Kerner, about his latest book, and how we can reframe our stories to improve our relationships and our sex lives.DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationships. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED AS A SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.GUEST BIOIan Kerner, PhD, LMFT is a licensed psychotherapist and sexuality counselor who specializes in sex therapy, couples therapy and working with individuals on a range of relational issues. Ian  has recently been featured in The Atlantic, The New York Times, The Economist and on NPR .  He contributes regularly on the topic of sex for CNN Health and lectures frequently, including his TED TALK 2021. His New York Times best-selling author She Comes First (Harper Collins) has been translated into more than a dozen languages, and his latest must read, So Tell Me About the Last Time You Had Sex: Laying Bare and Learning to Repair Our Love Lives is available now!THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!· To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.· Learn more about love, marriage, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy - or her book by the same name. ·  Want more Dr. Tammy?  Read: The New Monogamy, Instagram @thetroublewithsex and doctor_tammynelson

Dr. Tammy and Dr. Ari Tuckman get personal as they dive into the minds of people with Attention Deficit Hyperactivity Disorder, and how couples often struggle, yet can overcome their differences, when ADHD complicates their partnership and intimacy.  DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.GUEST BIO:Ari Tuckman, PsyD, CST is a psychologist, certified sex therapist, international speaker, and author of four books, the most recent of which is ADHD After Dark: Better Sex Life, Better Relationship.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson

Dr. Tammy explores the rise of anxiety in our post-pandemic, politically charged, social media driven world, and its impact on our closest relationships. Learn tools to reconnect with yourself and your partner, communicate better, and find calm amid the chaos.DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson

Dr. Tammy sits down with OB/GYN, Dr. Sheryl Ross to help educate and guide women on what to expect as their bodies change through the decades, and the safe and healthy options to explore during perimenopause, menopause and through the rest of your sexy life. OUR GUEST Dr. Sherry is an OB/GYN, author, and health expert. She has been a fierce advocate for women’s health and reproductive rights for over 25 years. Her books, “She-ology: The Definitive Guide to Women’s Intimate Health. Period”, and “She-ology the She-quel - Let’s Continue the Conversation” are both award winning bestsellers in women’s health.  Dr. Sherry continues the conversation with Sarah Hyland and Ellen’s Digital Network on the Critics’ Choice Real TV Awards nominated series - Lady Parts.Having received the “Top Doctor” and “Patient’s Choice” award, Dr. Sherry was also honored with The John Wayne Cancer Institute Auxiliary Angel Award for her contributions in advancing the narrative of women’s health care. In her pursuit to empower women and men to take charge of their sexual health, Dr. Sherry created Dr. Sherry Sexual Wellness products.  In 2026, Dr Sherry will be launching Oneself, a multigenerational women’s intimate skincare and hormonal wellness brand. Learn more about Dr. Sherry at: https://www.drsherry.com/ Follow her on:Facebook Instagram @drsherryr Twitter @DrSherylRoss DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy. Instagram @thetroublewithsex and doctor_tammynelson

In a captivating discussion, Ruth Cohn, a psychotherapist and expert in trauma and neglect, sheds light on the lasting impacts of childhood neglect on romantic relationships. She shares how emotional development is stunted by a lack of nurturing, affecting intimacy as adults. Ruth introduces mindfulness techniques and trauma processing methods, empowering listeners to heal. By exploring coping mechanisms and fostering open communication, she provides practical tools for nurturing deeper connections in relationships, making it a must-listen for anyone seeking to understand their romantic dynamics.

Dr. Tammy talks with sex therapist and sexual health educator Nikita Fernandes about the stigma, the struggle and the unique challenges sex workers face when it comes to caring for the emotional health of their clients as well as finding resources to care for their own mental health and well being.OUR GUESTNikita Fernandes is a certified sex therapist and psychotherapist based in New York City. As a South Asian immigrant who is queer, neurodivergent, and poly, Nikitia lives at the intersection of various identities. Through her work as a sex therapist, educator and fellow human being, Nikita advocates for sex positivity - empowering people with marginalized identities to cultivate mindful relationships. In her practice, Nikita specializes in working with kinky individuals and polyamorous couples. She has been featured in Cosmopolitan, GQ, and Huff Post.SUPPORT RESOURCES FOR SEX WORKERSBlue Canary Psychotherapy & Sex Therapy - NYRed Canary Song - support for migrant massage therapists & sex workersPineapple Support DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson

Dr. Tammy sits down with relationship, sex and trauma psychotherapist Silva Neves about sex, porn, trauma and the difference between compulsive behaviors and addiction.OUR GUESTSilva Neves is UK based psychotherapist and an award-winning, COSRT-accredited and UKCP-registered psychosexual & relationship psychotherapist, and a trauma therapist. He is a Pink Therapy Clinical Associate, and a member of the editorial board for the leading international journal Sexual and Relationship Therapy. Silva is an international speaker and author of two award winning books: Compulsive Sexual Behaviours, A Psycho-Sexual Treatment Guide for Clinicians, AND Sexology: The Basics.  He is the co-edited two textbooks with Dominic Davies: Erotically Queer and Relationally Queer.Find out more about Silva and follow him at:Website: https://www.silvaneves.co.uk Facebook: Silva Neves – Psychotherapy  X: @SilvaNeves3 Instagram: @silvanevespsychotherapy Threads: @silvanevespsychotherapy Bluesky: @silvaneves.bsky.social DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?Visit ISTI - Integrative Sex Therapy Institute.  If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered. THE TROUBLE WITH SEX RESOURCES, REFERENCES & INFOIF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK - OPEN MONOGAMY!To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson