Working with Body and Sexual Shame

East Bay Sex Therapy, Berkeley east Bay couples counseling

East Bay Women's Therapy

Our San Francisco Bay Area's Women's Psychotherapy Program can help you work through body image issues, east disorders, body and sexual shame. Our trauma and sex therapists can help you heal from sexual abuse, cultural body shaming and other related issues.

Sadly, 8 of 10 women in America struggle with body shame. Much of it comes from our societal beliefs. The truth is that with the right adjustment in mental and emotional reframing, you can release body and sexual shame, no matter where it comes from. The result is a feeling of self-confidence and self-appreciation that strengthen your ability to connect with others.

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Learning how to playful, loving and gentle with one's inner child is a vital part of healing attachment wounds.  Providing loving care for your physical child (if you have one) also provides opportunities to develop secure attachment for your child as well as to heal your own woundings from your childhood.  However, its critical to nurture your own needs as well.  Self-care comes in as many unique forms as there are unique individuals on the planet.  It is essential to your physical and mental health to get to know yourself and how you need to be cared for...& it can be fun too! 

Our San Francisco Bay Area Attachment-based couples & sex therapists can help you heal attachment wounds and cultivate a healthy self-care protocol in your life. 

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To Open or Not To Open? 

poly San francisco relationship and sex therapy

To Open or Not To Open? 

That is the question friends.




Last week at a party, my friend introduced his other partner.  Yes, he’s identifies as gay and open.  This was the first time I was meeting his second of two partners (Clint and Ruben, the names have been changed to protect the innocent). 

Another friend perked up after the second partner left, “So how does this all work exactly?”

“Well”, our open friend smiled and sighed, “I’m dating both of them at the same time.  It lets me take my time, compare notes and never get bored!” he laughed.

“So you’re poly now?” Short for polyamorous, my friend asked. 

Noooo… I’m open… I mean – I guess technically I could qualify as poly right now, but I prefer an open relationship long term.”


                        My curious friend then shot off a bunch of additional questions because he was completely fascinated and confused.  Rightfully so, in San Francisco folks throw around these terms assuming we all understand.  But many don’t and, without educating themselves, they’re throwing themselves and their partner into open relationships and getting into deep trouble.


                        I know, I’ve gotten countless calls from men inquiring about therapy to help their open relationships feel good again.  I usually ask them,

“When did you both consent to be open?” 

“Uhmmm…” Is a typical response. 

“What agreements have you made together about how your open relationship works?” 

“Agreements?” Strike two. 

“How’s your communication and ability to repair after conflicts?”

“Not so good at the moment.  We get pretty heated and stuck.”  Yikes!


            This guy and his partner are not ready to be in an open relationship.  They might not even know what an open relationship is, yet, they’re in one!  I tell my clients that an open relationship is a romantic relationship and agreement between two people, where it’s permitted to have intimate, romantic or sexual relations with others.

            What does that look like?  It’s different for everyone. For most, this looks like having one primary partner, while casually dating or engaging sexually with others.  While many are intrigued by the idea of having their cake and eating it too, most do not have the slightest idea what goes into a successful open relationship.  Believe it or not, the elements that make up a fantastic open relationship are the same for a monogamous relationship.


There are, what I call, the Fab Five.  These are the main ingredients to making a delicious partnership with relations on the side.  They are Agreements, Boundaries, Communication, Negotiation and Security.  Even though these are necessary for any satisfying relationships, all partners in an open relationship must put forth energy and time into all of these.   



are quintessential for open relationships because they set the parameters for everyone involved.  Here’s a classic example: You and your honey go to party.  Someone else you’ve been dating or sleeping with shows up.  Who do you go home with?  It’s not gonna go well if you make a spontaneous choice at the end of the night.  Agreements that are set ahead of time help make these types of situations easier, emotionally safer and clear for everyone involved. 



are rules, limits or beliefs about how someone wants to interact or have others to interact with them.   We need these to feel protected with others and they can build a standard of consent between you and your partner.  Think about a time when someone did something that left you feeling very uncomfortable.  There may have been a boundary crossing.  Being able to share your boundaries or when they are crossed helps others to relate to you in more comfortable ways. 



that is clear, kind and responsible is key to healthy relationships.  Expressing boundaries and making agreements are important, as mentioned above, and even more vital is letting your partner know your desires and needs.  Withholding what’s in your heart or mind usually leads to disconnection or explosions down the line.  Having space to talk openly and vulnerably can lead to the next important element, which entails a communicating and working through each other’s differences.



occurs when you’re ready to mutually discuss and compromise with a partner.  It’s an important skill in any mature relationship.  How open are you to trying something you’re not comfortable with?  How willing are you to understand your partner’s perspective and deal with all the triggers that come up?  It takes hard work and patience, but the payoff is enjoying a relationship that’s satisfying for multiple parties.  If you’re game, you’ll learn to develop the agreements and boundaries that are necessary to get both of you on the same page, thriving and leading you to the final ingredient:   



in a relationship supports you in going the distance.  You must feel secure with yourself and with your relationship if it’s to work, especially in open relationships, where you’re putting each other in more risky scenarios.  Security involves a sense of safety and trust.  It helps you have faith and take risks.  With security, you can be more honest than you would normally.  Security allows each partner to explore themselves and relationships with or without their primary partner.   Security is so vital, it may require hard choices.  For example, if you open your relationship and are enjoying it, but your partner is becoming insecure and scared…would you be willing to close it if that’s what’s needed to for them to regain wellbeing and confidence?


On the flip side, just because you know what generates a fabulous open relationship doesn’t mean you’ll want one. Open relationships can be very challenging.  They can trigger our most basic attachment needs.  Attachment needs are universal and are expressed towards our caregivers when we are babies.  Some attachment needs are love, closeness, affection, care, reliability, engagement, and accessibility.  Sound familiar? When we don’t receive these growing up, we become wounded.  As adults, we look for them in our relationships.  When their met, we feel amazing, and when not, we are emotionally tortured. 

We’ve grown up with messages and values from family, friends and society about what is “okay” and “not okay” relationally.  It’s natural that many of us soaked those in.  Now as an adult, you’ll need to ask yourself: What type of relationship do I want?  You may just be learning about different types or be well versed in open, poly and other paradigms. The point is, it’s a choice.  To decide, you must ask yourself:


What are my values or goals for a relationship?

Could I emotionally handle the person I’m in love with seeing other people on the side?

How willing am I to work at the Fab Five with a partner?


Open relationships are not for everybody, especially those who do not have the elements listed above.  The most vital are security and trust.  If you do not have this foundation, forget about opening or enjoying your relationship. So whether you’ve decided to have a monogamous or closed relationship, go slow! This way both partners can become aware of their emotions and needs, while working through conflicts and developing a firm foundation. 

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How to stop trying to fixing your patner’s feelings and deepen connection through empathic listening. San Francisco Bay Area Couples Counselors & Sex Therapists offer insight into the art of empathy.

 Tired of repeatedly having the same argument or type of conflict? Do you and your partner try to change each other’s feelings or points of views? Our SF Bay Area Couples Therapists can help. 

At the root of connection and intimacy in partnerships Is empathy. Empathy is a powerful way of holding mindful space with and for another person, without trying to problem solve, fix or change anything: It is the ability to deeply witness and feel moved by another person’s experience, so much so that it stirs in the witness similar feelings. Empathy is the very foundation of human connection, love and respect. 

Take a moment to reflect on a time when you were listened to and really truly heard... without being offered platitudes (“Hey everything happens for a reason!” Or “Snap out of it!”), advice or dismissing statements. How did it feel to be seen as you were in that moment and experience? What did it feel like in your body as you felt understood, witnessed and heard?

One of our deepest needs as humans is to feel seen, accepted and understood; true understanding is not possible without empathy. As the iconic Humanistic psychologist Dr. Carl Rogers stated, “When someone really hears you without passing judgment on you, without trying to take responsibility for you, without trying to mold you, it feels damn good!” And indeed this is often what people most desire when upset or in pain (or even when experiencing joy)! Typically people don’t want someone to fix or change their feelings, as much as be a shared witness who gets it. We want to know we are not alone and in being understood we feel validated and supported and close to the listener. 

San Francisco Couples Therapy and Empathy, SF sex and intimacy therapy, secure relationship therapy

We Speak Relationship.

Our Premier San Francisco Bay Area Couples Counseling, Intimacy & Sex Therapy Centers have carefully selected a highly specialized, talented and diverse team of relationship experts, couples and sex therapists; we can help you have the connection and intimacy you seek in your relationship.  

Empathy is the willingness to deeply feel with your partner and to understand and accept their inner subjective experience as valid and real. It’s an opportunity to see your partner’s private inner world. What an honor to be witness! What trust and respect given by the vulnerable partner sharing their feelings!  

This critical skill is part of Secure Functioning (creating a secure and safe and even sacred space of trust between the partners) and is vital to reaching resolution in difficult conversations and especially during times of conflict and turmoil. Not surprisingly, it is during conflict  when empathy is most difficult and the most important intimacy building skill to master. To empathize with your partner when their hurt feelings are a result of something you said or did without defending yourself requires skill and practice.  Putting yourself in your parter’s shoes, allowing yourself to soften to their hurt even when you feel angry or hurt or want to be “right” is the benefit of empathy. 

Empathy softens us into authentic connection, vulnerability and genuine intimacy. It heals attachment wounds and generates emotional safety and intelligence. 

Unfortunately, many people are not taught empathy and find themselves caught in painful and destructive repeating patterns called negative cycles. Our highly trained San Francisco Bay Area Couples & Marriage Counselors, Sex & Intimacy Therapists and Relationship Experts have helped thousands of couples and individuals deepen their capacity for empathy and intimacy, while simultaneously reducing the negative relationship patterns through highly effective couples therapy modalities rooted in the latest research in neuroscience and attachment theory.

Couples & Partners that have mastered empathy through relationship therapy often indicate “it’s like a light switch has been turned on in our relationship” and their cycles of negatively and conflict drastically reduced. They also learned how to stop the escalation and quickly and effectively repair.

 San Francisco Intimacy and Sex Therapy Center’s couples Counselors are trained to assist partners to:

  •  Identify their problematic beliefs, feelings, interpretations and behaviors that create the negative cycle
  • Help them to identify their underlying attachment needs,
  • Learn how to effectively express their feelings and
  • Share empathy with one another. 
  • Cultivate and maintain security and emotional intimacy (secure-functioning attachment).

When partners stop defending their positions and polarizing one another, they can choose to seek mutual understanding of  one another other. Defensiveness invites defensiveness, whereas vulnerability invites vulnerability. When partners choose empathy over being “right”  they become a team against the conflict and deepen security and closeness. 

Schedule a free 15 minute phone consultation with one of our SF Bay Area Relationship Counselors today!  

(510) 982-6401


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