Sex Therapy for Men

Paul R. Nelson is a Licensed Mental Health Counselor (NY), a Licensed Professional Counselor (CT), and an AASECT Certified Sexuality Educator. His practice is men's sexual health: erectile difficulty, ejaculation timing, desire, performance anxiety, shame and body image, compulsive sexual behavior, recovery after prostate treatment, and the way any of those quietly reshape a relationship.

Because licensure is state-based, sessions are available to men located in New York and Connecticut. Both in-person and telehealth sessions are offered.

Sessions run 50 minutes and they are conversations, not procedures. The first one is an assessment in plain language: what is happening, how long, in which situations, with or without a partner, on what medications, and what you want to be different. No questionnaires to score, no rating yourself on a scale, no forms to fill out before you have even spoken to anyone.

From there the work is specific. If the issue is behavioral, you get structured practice and a plan you will actually follow, adjusted when it stalls. If it looks medical, it goes to a physician or urologist and the therapy runs alongside that rather than pretending to substitute for it. If a partner is part of the picture, they can be brought in for a session or two.

The register is direct. Nothing gets euphemized, nothing gets treated as shocking, and nothing you say lands as news. Practical details on scheduling, paperwork, and payment are on What to Expect and Fees & Insurance.

Men who want to work on something specific and are willing to practice between sessions. Men whose erections or timing have changed and who want the psychological side addressed properly rather than medicated and forgotten. Men whose desire dropped off and who have quietly stopped initiating. Men carrying shame about their bodies or their sexual history. Men whose porn or sexual behavior no longer feels like a choice. Men rebuilding function and identity after prostate treatment.

You do not need a diagnosis to start, and you do not need to have it figured out before the first session. Sorting out what it is happens to be the first session's job.

Couples therapy for a marriage in general trouble. Court-mandated evaluation, forensic assessment, or documentation for legal purposes. Prescribing, since that is a physician's role. Crisis care: if you are in immediate danger, call 911, or call or text 988 for the Suicide and Crisis Lifeline.

It is also not for men outside New York and Connecticut, which is a licensure limit rather than a preference. And if what you actually want is a promise that someone else will change, that promise will not be made here.

If you know the concern, read its page in What We Help With. If you would rather read about a technique first, the guides cover ejaculation timing, arousal control, and pelvic floor training in detail.

If you already know you want to work on it, the next step is a message. It is answered by Paul, not a front desk.

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