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The Trouble with Sex

Latest episodes

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Jan 30, 2025 • 49min

Women, Media & Intimacy Justice

Dr. Tammy has a fascinating and troubling discussion with expert and advocate Jackie Rotman about digital censorship and how the sexual health and pleasure of women, and genders other than male, continue to be discriminated against on social media and other advertising platforms - And why it matters. OUR GUESTJackie Rotman is the Founder and CEO of the Center for Intimacy Justice . CJI fights Meta’s discriminatory censorship of sexual information for women and people of unrepresented genders. In 2022 Jackie led an investigation that was published in The New York Times and 80 other media outlets, revealing that ALL of the 60 womens's health businesses interviewed or surveyed, ads were rejected on Facebook and Instagram. Within months of the investigation Meta changed several of its global advertising policies toward sexual health. Jackie holds an MBA from Stanford Graduate School of Business, an MPA from Harvard Kennedy School, and BA in Public Policy from Stanford. She speaks around the world on topics including digital censorship of sexual and reproductive rights, and other issues at the intersections of sexuality and technology. She regularly briefs US Senators, state Attorneys General, and other technology and human rights leaders on the findings of CIJ’s investigations. Jackie’s 2019 investigative op-ed “Vaginas Deserve Giant Ads, Too,” was published in the New York Times Opinion. She has also written creative nonfiction for Boston Globe Magazine.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 MonogamyInstagram @thetroublewithsex and doctor_tammynelson
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Jan 17, 2025 • 1h 11min

Gabor Maté on Sex, Relationships & Trauma

Amid the devastating LA fires, Dr. Tammy talks with the esteemed Dr. Gabor Maté about how our childhood wounding impacts our families, relationships, and our sex lives.  OUR GUESTGabor Maté is a retired physician who, after 20 years of family practice and palliative care experience, worked for over a decade in Vancouver’s Downtown East Side with patients challenged by drug addiction and mental illness. The bestselling author of five books published in 43 languages, including the award-winning In the Realm of Hungry Ghosts: Close Encounters with Addiction, Gabor is an internationally renowned speaker highly sought after for his expertise on addiction, trauma, childhood development, and the relationship of stress and illness.  For his groundbreaking medical work and writing he has been awarded the Order of Canada, his country’s highest civilian distinction, and the Civic Merit Award from his hometown, Vancouver. His latest book, The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture remains a Canadian best seller and was a 19-week New York Times best seller. To learn more, join his e-news list at www.drgabormate.com. 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 MonogamyInstagram @thetroublewithsex and doctor_tammynelsonInstagram @thetroublewithsex and doctor_tammynelson
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Jan 9, 2025 • 36min

Spirituality, Relationships & Sacred Sex

What happens when a sex therapist and a rabbi fall in love?...  Dr. Tammy talks with Sylvia Rosenfeld and Terry Bookman about how they found love later in life, spiritual connection, and how to move past the shame around sex that some religions teach so you can deepen your relationship and enjoy the sex you deserve at any age. 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.OUR GUESTSSYLVIA ROSENFELD & TERRY BOOKMANSylvia Rosenfeld, LCSW is an Imago trained, AASECT certified Sex Therapist and supervisor and has been a couples and relationship therapist for 40 years. She has trained with Dr. Harville Hendrix as well as the late Dr. Helen Singer Kaplan at the Human Sexuality Program of New York Hospital-Cornell Medical Center. Sylvia also trained with Dr. Pat  Love to present and teach the Hot Monogamy Program.  Sylvia has expanded her practice to include Ketamine Assisted Couples Therapy and retreats, and together, she and Jayne are working with people to help them go deeper both personally and in their relationships. Terry Bookman is a respected and nationally known Jewish leader, author, educator, coach, and the co-founder of Eitzah: The Center for Personal and Community Transformation. Through his teaching, writing, and coaching, Terry has reached thousands of rabbis and community leaders both nationally and internationally. Bookman holds a Doctor of Divinity as well as numerous academic degrees and distinctions. He was voted one of the “Top Pulpit Rabbis in America” by Newsweek Magazine.   Terry Bookman is also the author of three books on Jewish spirituality, three CDs of contemporary Jewish songs and music, as well as the co-author of one on synagogue life—This House We Build. His newest book, Beyond Survival: How Judaism Can Thrive in the 21st Century (May 2019), challenges the current limiting agenda of the Jewish establishment while offering a coherent vision for the future in which Judaism can thrive. 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 MonogamyInstagram @thetroublewithsex and doctor_tammynelson
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Dec 19, 2024 • 36min

Setting Boundaries That Stick

Dr. Tammy talks with Juliane Taylor Shore about how setting boundaries can change your neurobiology to help you rewire your brain to feel safe, connected, and empowered in your relationships.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.OUR GUESTJuliane Taylor Shore is a therapist, author and teacher who creates spaces where people can move into more self-compassion, self-trust, empowerment, and integrity. She is an Associate Instructor with the Coherence Institute, and a core faculty member with Therapy Wisdom. She teaches and speaks to people around the world,  translating new understandings in neurobiology into practices that can support brain change. Juliane is the author of Setting Boundaries that Stick: How Neurobiology Can Help You Rewire Your Brain to Feel Safe, Connected and Empowered. 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 MonogamyInstagram @thetroublewithsex and doctor_tammynelson
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7 snips
Dec 5, 2024 • 51min

Love Every Day

Join Dr. Tammy as she chats with Dr. Alexandra H. Solomon, a renowned licensed clinical psychologist and author, known for her expertise in relationships. They dive into the complexities of becoming an empty nester and how ambition impacts intimacy. Discover the importance of self-awareness in relationships and practical tips from her latest book. They also discuss navigating sexuality, the failures of traditional sex education, and the power of gratitude to deepen connections. It's a journey of love, growth, and understanding!
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Nov 23, 2024 • 51min

Ketamine as a Tool in Couples Therapy

Dr. Tammy talks with relationship therapists and KAP Practitioners, Jayne Gumpel and Sylvia Rosenfeld about Ketamine Assisted Couples Therapy as a tool for couples to help break through barriers, foster connection, and see their issues in a new light.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.OUR GUESTSJayne Gumpel, LCSW is a licensed clinical social worker, a certified Clinician for Imago relationship therapy. She’s a Certified Gestalt therapist, IHRT and PAHART trauma therapist and a Reiki master.  She is a certified MDMA therapist as well as a KAP Practitioner - which stand for Ketamine Assisted Psychotherapy. Her wealth of experience goes well beyond this list.Sylvia Rosenfeld, LCSW is an Imago trained, AASECT certified Sex Therapist and supervisor. She has trained with Dr. Harville Hendrix (also a mentor of mine who we had he and his wife on the show), as well as the late Dr. Helen Singer Kaplan at the Human Sexuality Program of New York Hospital-Cornell Medical Center. Sylvia also trained with Dr. Pat  Love to present and teach the Hot Monogamy Program.  Sylvia has expanded her practice to include Ketamine Assisted Couples Therapy and retreats, and together, she and Jayne are working with people to help them go deeper both personally and in their relationships.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 MonogamyInstagram @thetroublewithsex and doctor_tammynelson
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Nov 8, 2024 • 45min

The Cuddlist & Human Connection Coach

Dr. Tammy talks with Cuddlist and Human Connection Coach Michelle Renee about how cuddle therapy and surrogate partner therapy can help people struggling with intimacy become more comfortable in their bodies, learn to regulate their nervous systems, and begin to enjoy the pleasure and connection they deserve.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.OUR GUESTMichelle Renee, an intimacy guide working in the full range of human connection from platonic nurturing touch to surrogate partner therapy. Through her training with Cuddlist and Cuddle Party, Michelle gained a wealth of consent, communication and boundary education and experience, and in 2018 she expanded her offerings to include surrogate partner therapy, training with Integrative Mind Body Therapies (IMBT). Michelle is the co-chair of AASECT’s Somatic Sexuality Professionals Special Interest Group and a co-founder of Embrace, a professional resource group for surrogate partners and collaborating clinicians. She can also be found at HumanConnectionCoach.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 MonogamyInstagram @thetroublewithsex and doctor_tammynelson
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Oct 24, 2024 • 34min

Attachment Theory & Being Polywise

Dr. Tammy continues the conversations about consensual non-monogamy as she talks with therapist and author Jessica Fern about translating the principles of attachment theory to non-monogamous and open relationships.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.OUR GUESTJessica Fern is an author, psychotherapist and conflict resolution coach. Jessica works with individuals, couples, and people in multiple-partner relationships who no longer want to be limited by their reactive patterns, cultural conditioning, insecure attachment styles, and past traumas.  She is the author of the Polysecure and the co-author of Polywise.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
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Oct 3, 2024 • 22min

Summing It Up: The Monogamy Continuum

As our special series on Open Monogamy comes to a close, Dr. Tammy looks back on the relationships, sex lives and experiences of our brave guests, summarizing where they land on the Monogamy Continuum. Take the Quiz and find out where are you fall!In this special 9- Part series on Open Monogamy,  Dr. Tammy talks with individuals, couples, and a throuple, as they share their relationship stories, where they fall on the Monogamy Continuum, and how they define commitment.  Listen first hand, as average folks open up about their marriages, multiple partners, the difference between cheating and ethical non-monogamy, polyamory, happiness, and designing the sex and love lives that work for them. --Episodes will release every other week through October 3, 2024.WHERE DO YOU FALL ON THE MONOGAMY CONTINUUM?  Listen to the Series and Take the Quiz!Curious About Opening Your Relationship?  Visit the Open Monogamy Toolkit, and Read Dr. Tammy's Book OPEN MONOGAMY!MORE TROUBLE WITH SEX RESOURCES & INFORMATION:BECOME A CERTIFIED  SEX THERAPISTVisit ISTI - Integrative Sex Therapy Institute.  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.IMPROVE YOUR SEX LIFE WITH Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.LEARN MORE about marriage and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson
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Sep 19, 2024 • 46min

Three's Company: Life as a Throuple

Dr. Tammy talks with Rachael, Kasey and Aaron about their life together in a monogamous triad.  Hear why they chose this path, and how they keep their relationship peaceful, balanced and thriving.In this special 9- Part series on Open Monogamy,  Dr. Tammy talks with individuals, couples, and a throuple, as they share their relationship stories, where they fall on the Monogamy Continuum, and how they define commitment.  Listen first hand, as average folks open up about their marriages, multiple partners, the difference between cheating and ethical non-monogamy, polyamory, happiness, and designing the sex and love lives that work for them. --Episodes will release every other week through October 3, 2024.WHERE DO YOU FALL ON THE MONOGAMY CONTINUUM?  Listen to the Series and Take the Quiz!Curious About Opening Your Relationship?  Visit the Open Monogamy Toolkit, andRead Dr. Tammy's Book OPEN MONOGAMY!MORE TROUBLE WITH SEX RESOURCES & INFORMATION:BECOME A CERTIFIED  SEX THERAPISTVisit ISTI - Integrative Sex Therapy Institute.  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.IMPROVE YOUR SEX LIFE WITH Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.LEARN MORE about marriage and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.Instagram @thetroublewithsex and doctor_tammynelson

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