I regularly work with gay, lesbian, bisexual and transgender individuals and couples facing LGBT issues. The issues faced by LGBT clients are very similar to those faced by heterosexual individuals and couples. For example, an erection problem or an orgasm challenge can be solved with a good treatment plan. I have had much success doing this work.
I am astute at dealing with a variety of sexual practices and positions for sex. I am also on top of the special needs of LGBT people. The political climate, inhibitions, guilt, concern about what others think, and the coming out process are all dealt with in my sex and relationship therapy.
Lifestyle choices are a major emphasis in my therapy. I am non-judgmental about whether a person or couple is monogamous, in a poly or open relationship or some variation or extension of these sexual lifestyle choices. Sex has a range of motives and meanings. I explore all LGBT issues in my work.
I see gay, bi and lesbian individuals and couples. About a third of my practice is with LGBT clients. I understand and deal with the dynamics of being a top or a bottom, as well as the special needs of lesbian couples, including lesbian “bed death.” My experience and success rate with LGBT couples and individuals is very high as long as the clients follow my suggestions, do the homework and home play, and stick with me through the treatment plan. Most are eager for help and follow the entire treatment plan. I am often told that LGBT clients choose me because I have extensive experience and the best credentials.
Transgender issues are also of concern. I work with pre-op and post-op transsexuals to help in the adjustment to a social and sexual life. I am a good listener, and I offer suggestions. Hormonal issues require special care, and I work with endocrinologists to solve these issues. The team approach often helps transsexual clients achieve their goals. Part of my work focuses on becoming comfortable with changes and transitions with family, friends and new lovers.