Erectile Dysfunction (ED)
Untangle the psychological and physiological knot that keeps things from working, and get a plan.
Learn MoreResearch 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.
Untangle the psychological and physiological knot that keeps things from working, and get a plan.
Learn MoreConcrete retraining, less performance pressure, and partner work when it's part of the picture.
Learn MoreWhen you can't finish with a partner. The isolation, the medication piece, and the way out.
Learn MoreLook at stress, hormones, medications, and relationship dynamics, then build sexuality with intention.
Learn MoreMismatched libido, the pursuer-distancer dance, and why 'who's right' is the wrong question.
Learn MoreBreak the anxiety-avoidance loop and get out of your head so your body can do what it does.
Learn MoreSize anxiety, comparison, and the shame that keeps most men from ever asking for help.
Learn MorePornography use or sexual behavior that no longer feels optional. Non-judgmental, non-moralizing.
Learn MoreRebuilding sexual connection after betrayal, from either side of it.
Learn MoreEmotional support and coordination with medical treatment for a condition men are told not to talk about.
Learn MoreRebuilding intimacy, identity, and sexual function after surgery, from a therapist who's been there.
Learn MoreChanging function with age, medication side effects, and redefining sex instead of mourning it.
Learn MoreIndividual work with the man about his own desire, avoidance, and function. Not couples counseling.
Learn MoreOrgasm happens but the pleasure does not. What causes it, and why men describe it as feeling broken.
Learn MoreFlu-like symptoms in the hours or days after ejaculation. Rare, poorly understood, and taken seriously here.
Learn MoreUnable to reach orgasm at all. Lifelong versus acquired, situational versus general, and why that drives the work.
Learn MoreIntrusive doubt about orientation and the shame attached to masculinity. Affirming, always.
Learn MoreGet Started
Most men come in with more than one of these tangled together. We sort it out in the first session.
Talk to Paul