FrankTalk Therapy

What We Help With

Real problems, real solutions, no shame

Research shows roughly one in three men will deal with a sexual health challenge at some point. You wouldn't know it from the way men are expected to talk about it, which is mostly not at all. That silence is the whole problem. It stalls treatment, corrodes relationships, and makes small issues bigger than they need to be.

The specialties below are where most of the work at FrankTalk Therapy happens. Each page lays out what the concern actually is, how therapy can help, and where to go next. If your situation sits somewhere between them, that's fine. Most situations do.

If you would rather start with the clinician than the concern, read what working with a sexual therapist for men involves, including Paul's credentials, what a first session covers, and where his scope ends.

Erectile Dysfunction (ED)

Untangle the psychological and physiological knot that keeps things from working, and get a plan.

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Premature Ejaculation

Concrete retraining, less performance pressure, and partner work when it's part of the picture.

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Delayed Ejaculation

When you can't finish with a partner. The isolation, the medication piece, and the way out.

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Low Libido & Desire

Look at stress, hormones, medications, and relationship dynamics, then build sexuality with intention.

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Desire Discrepancy in Couples

Mismatched libido, the pursuer-distancer dance, and why 'who's right' is the wrong question.

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Sexual Performance Anxiety

Break the anxiety-avoidance loop and get out of your head so your body can do what it does.

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Sexual Shame & Body Image

Size anxiety, comparison, and the shame that keeps most men from ever asking for help.

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Compulsive Sexual Behavior

Pornography use or sexual behavior that no longer feels optional. Non-judgmental, non-moralizing.

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Intimacy After Infidelity

Rebuilding sexual connection after betrayal, from either side of it.

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Peyronie's Disease Support

Emotional support and coordination with medical treatment for a condition men are told not to talk about.

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Sex After Prostate Cancer

Rebuilding intimacy, identity, and sexual function after surgery, from a therapist who's been there.

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Sexual Health & Aging

Changing function with age, medication side effects, and redefining sex instead of mourning it.

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Sexless Marriage

Individual work with the man about his own desire, avoidance, and function. Not couples counseling.

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Sexual Anhedonia

Orgasm happens but the pleasure does not. What causes it, and why men describe it as feeling broken.

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Post-Orgasmic Illness Syndrome

Flu-like symptoms in the hours or days after ejaculation. Rare, poorly understood, and taken seriously here.

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Anorgasmia in Men

Unable to reach orgasm at all. Lifelong versus acquired, situational versus general, and why that drives the work.

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Sexual Orientation Anxiety

Intrusive doubt about orientation and the shame attached to masculinity. Affirming, always.

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Get Started

Not sure which one fits? Just book a session.

Most men come in with more than one of these tangled together. We sort it out in the first session.

Talk to Paul