Sex Therapy

Talk to An Experienced Sex Therapist

Sexual relationships--and the difficulties that can arise from them--assume major importance in most people's lives.
sex therapy, couples therapy, marriage counseling, sexual dysfunction, sexual disorders, desire, hypoactive, aversion, erectile disorder, erectile dysfunction, ed, arousal disorder, gender identity disorder, orgasmic dysfunction, premature ejaculation, sexual pain, dyspareunia, vaginismus, paraphilia, exhibitionism, fetishism, frotteurism, masochism, sadism, fetishism, voyeurism
Dr. Garamoni specializes in the practice of Sex Therapy. He was trained by Drs. Sandra Leiblum and Raymond Rosen, two leading experts in the field, during his year-long internship in the Sexual Counseling Service at Robert Wood Johnson Medical School. He now draws on 20+ years of experience helping men and woman with sexual dysfunctions and difficulties (see Sexual And Gender Identity Disorders). Dr. Garamoni is a member of The Society for Sex Therapy and Research.

Dr. Garamoni uses short-term treatments to help people with clearly defined problems, such as premature ejaculation, erectile disorder, difficulty reaching orgasm, and painful intercourse.

Dr. Garamoni also helps people deal with less specific and often more complicated problems, such as loss of interest, discrepancies in sexual desire, lack of emotional involvement, unfulfilled expectations, negative feelings, inability to relax, and poor self-image. Much of this work is done in the context of Couples Therapy to help couples fuel passion with enhanced levels of emotional intimacy and commitment to their relationship.

Sometimes the sexual problem in a relationship is caused by a partner’s depression, anxiety, anger, or other issue. In these cases, the sexual problem may be resolved through some form of individual therapy, such as Cognitive Therapy for Depression, Cognitive Therapy for Anxiety, Stress Management, Career Counseling, or even some form of Family Counseling.

Sexual Disorders And Gender Identity Disorders

The following sexual disorders and gender identity disorders are the ones listed in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV):

Sexual Dysfunctions

  • Sexual Desire Disorders (Hypoactive Sexual Desire Disorder, Sexual Aversion Disorder)
  • Sexual Arousal Disorders (Female Sexual Arousal Disorder, Male Erectile Disorder)
  • Orgasmic Disorders (Female Orgasmic Disorder, Male Orgasmic Disorder, Premature Ejaculation)
  • Sexual Pain Disorders (Dyspareunia, Vaginismus)
  • Sexual Dysfunction Due to a General Medical Condition
  • Substance-Induced Sexual Dysfunction
  • Sexual Dysfunction Not Otherwise Specified


  • Exhibitionism
  • Fetishism
  • Frotteurism
  • Pedophilia
  • Sexual Masochism
  • Sexual Sadism
  • Transvestic Fetishism
  • Voyeurism
  • Paraphilia Not Otherwise Specified

Gender Identity Disorders

  • Gender Identity Disorder
  • Gender Identity Disorder Not Otherwise Specified

Sexual Disorder Not Otherwise Specified

Read more about Sexual and Gender Identity Disorders.

Dr. Garamoni’s Published Research on Sexual Functioning

Dr. Garamoni has made contributions to the scientific understanding of human sexuality. He managed a three year research project that investigated (among other things) sexual functioning in depressed men. Based on this research, he co-authored these peer-reviewed articles:

  • Nofzinger, E.A., Fasiczka, A.L., Thase, M.E., Reynolds, C.F., Frank, E., Jennings, J.R., Garamoni, G.L., Mattzie, J.V., & Kupfer, D.J. (1993). Are buckling force measurements reliable in nocturnal penile tumescence studies? Sleep, 16, 156‑162.

  • Nofzinger, E.A., Schwartz, R.M., Reynolds, C.F., Thase, M.E., Jennings, J.R., Frank, E., Fasiczka, A.L., Garamoni, G.L., & Kupfer, D.J. (1993). Correlation of nocturnal penile tumescence and daytime affect intensity in depressed men. Psychiatry Research, 49, 139‑150.

  • Nofzinger, E.A., Thase, M.E., Reynolds, C.F., Frank, E., Jennings, J.R., Garamoni, G.L., Fasiczka, A.L., & Kupfer, D.J. (1993). Sexual functioning in depressed men: Assessment using self‑report, behavioral and nocturnal penile tumescence measures before and after treatment with cognitive behavioral therapy. Archives of General Psychiatry, 50, 24‑30.

  • Thase, M.E.; Reynolds, C.F.; Jennings J.R.; Frank E; Garamoni G.L.; Nofzinger E.A.; Fascizka A.L.; & Kupfer D.J. (1992). Diminished nocturnal penile tumescence in depression: a replication study. Biological Psychiatry, 31:11, 1136-1142.

Dr. Garamoni’s Blogs Related to Sex And Love

Model of Love

The Art of Love: The Conversational Palette

Mutual Understanding in Intimacy

An Example of Non-Verbal Intimacy

How Often Do People Do It? (On YouTube)

Take a guess how often people do it. You might be surprised by how often some people are doing it and how often others are not doing it. I hope you enjoy the strip tease music courtesy of YouTube.

Recommended Articles On Human Sexuality

5 Things You Didn't Know About Your Penis
Medical experts reveal interesting facts that men and women will find educational -- and surprising.

Frequently Asked Sexuality Questions to The Kinsey Institute
A wealth of information (and a bibliography) on:

Age at First Intercourse, BDSM, Contraception, Infidelity, Fantasy, Frequency of Sex, Homosexuality, HIV/AIDS, Internet Pornography, Masturbation, Number of Partners, Orgasm, Penis Size, Pregnancy, Prostitution, Reproductive Health, Sex and Relationships, Sex Practices, Sexual Violence, Sexually Transmitted Infections, Teen Sexual Activity.

Recommended Books: Sex & Sex Therapy

We used to give copies of this book to male patients in the Sexual Counseling Service at Robert Wood Johnson Medical School. This edition is even better than the first. I routinely recommend this book to my clients--female as well as male. The chapter on Myths is alone worth the price of the book. So is the chapter on medications that can have adverse effects on sexual functioning. Bernie Zilbergeld's writing style is very engaging and witty. I highly recommend this book. I will be giving a copy of this to my son in a few years.

This is a classic self-help book written to help with female orgasmic disorder (anorgasmia). More generally, the book is designed to help woman realize their full potential for sexual fulfillment. We used to give copies of this book to female patients in the Sexual Counseling Service at Robert Wood Johnson Medical School. Men should also read it. This new and expanded edition is better than the first. This book is useful resource for patients receiving sex therapy for orgasmic difficulties, but should not be considered a substitute for sex therapy delivered by a qualified sex therapist.

This is an excellent and much-needed book on the subject of erectile dysfunction. Psychologists Metz and McCarthy are experts in the field of sex therapy and authoritatively yet concisely cover the topic of erectile dysfunction in this 170 page paperback. Along the way, they do a good job of clearing up some myths and misinformation. I highly recommend this book to men (and their partners) as a resource to be used during the course of sex therapy for erectile dysfunction. I have serious reservations about using this book as a substitute for sex therapy provided by a qualified sex therapist.

An authoritative book on the subject of premature ejaculation (or what some sex therapists prefer to call "rapid ejaculation"). As sex therapists, the authors do an excellent job of presenting accurate and useful information on the topic of erectile dysfunction. I highly recommend this book to men (and their partners) as a resource to be used during the course of sex therapy for premature ejaculation. I have serious reservations about using this book as a substitute for sex therapy from a qualified sex therapist.

Edited by Dr. Sandra Leiblum, a well-respected international expert (and one of the professors who first taught me sex therapy), this book is now in its fourth edition. Published in 2007, this book provide relatively up-to-date information and broad coverage on the practice of sex therapy. The chapters are authored by leading experts in the field and are well-organized, well-written, and well-edited with the practitioner of sex therapy in mind. I highly recommend Dr. Leiblum's book to health care professionals and serious students of human sexuality. This is definitely not a self-help book.

Call 285-4229 for an appointment

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