As a sex therapist, Ian works with both individuals and couples on challenges that are common to the “American bedroom” but often lead to lives of quiet desperation. He welcomes all forms of sexual orientation and takes a sex-positive stance. Ian encourages patients to understand, embody and express their desires and identities from a position of “sexual authenticity.” Areas of focus include:
Ian takes a multi-layered, biopsychosocial approach to exploring sexual issues (see below), and his therapeutic style is both psychodynamic and cognitive-behavioral. This means that Ian works from both the inside-out (locating the sources of issues in oneself) and the outside-in (changing behaviors and relational interactions). The sex therapy Ian offers is often short-term and focused on solving problems, but in an atmosphere of empathy, safety and thoughtful reflection. Sex therapy typically includes homework assignments as a way of implementing and measuring change. In some instances, Ian also uses EMDR (Eye Movement Desensitization and Reprocessing) to target sexual problems and the effects of sexual trauma.
Sex therapy sessions are generally scheduled every two weeks. When necessary, Ian will also help with referrals to specialists such as urologists, psychiatrists, endocrinologists and physical therapists. If you are already seeing a psychotherapist for individual or couples therapy, sex therapy can often be structured as an adjunct to your current therapy. To that end, Ian is happy to communicate with your primary therapist on an overall treatment plan that will not conflict with, but rather will enhance, your current therapy.
If you’re grappling with a sex issue and you’re also in a relationship, please consider couples sex therapy even if you and/or your partner feel like it’s your issue to deal with and resolve. As sex researchers Masters and Johnson wrote, “There is no such thing as an uninvolved partner in any relationship in which there is some form of sexual inadequacy.” Sometimes it’s also possible to begin with individual sex therapy and transition to couples sex therapy.
Ian also provides ketamine-assisted psychotherapy to individuals and couples, which often leads to insights, breakthroughs and healing that have previously been elusive. For more on ketamine and couples therapy, please check out this article in Vice.