Sex & Intimacy

Nobody searches “mismatched sex drive” out loud. You type it quietly, usually after the other person is asleep. I know, because I read the search data, and because people tell me so in my office about a month after they’ve done it.

So here’s the quiet version. These articles answer the questions people are embarrassed to ask: why one of you wants sex more than the other and why that’s probably not what you think it is, what performance anxiety does to a body and how to interrupt it, how to talk about what you want without a script that sounds like a brochure, and what happens in sex therapy (you keep your clothes on; it’s talking).

There’s also a piece on what “certified sex therapist” means and why the training matters. Short version: anyone can put “sex” on a website. Certification takes years.

I’m Jill Frame, a Licensed Marriage and Family Therapist and one of seven AASECT Certified Sex Therapists in Indianapolis. If you want to bring these questions to a person who won’t flinch, here’s how sex therapy works with me.

Couple lying apart in bed while experiencing emotional distance related to erectile dysfunction and performance anxiety

Erectile Dysfunction and Performance Anxiety: When Sex Therapy Helps

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Sex therapy in Indianapolis Erectile Dysfunction + Performance Anxiety: When Sex Therapy Helps When an erection becomes something you monitor, manage, or worry about, sex can start feeling less like an experience and more like a pop quiz you did not study for. Schedule a free consultation When therapy helps CommonTreatableNothing to be ashamed of […]

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Couple relaxing playfully on a sofa while learning about responsive desire versus spontaneous desire

Responsive Desire vs. Spontaneous Desire: Why “Not Yet” Does Not Mean “Not Attracted to You”

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Sex therapy in Indianapolis Responsive Desire vs. Spontaneous Desire Why “not yet” does not mean “not attracted to you”—and why your desire may be working perfectly normally, thank you very much. Understand the difference Explore sex therapy One partner says, “I want to have sex.” The other says, “I’m not in the mood.” And within

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Woman lying awake beside her sleeping partner while experiencing emotional and sexual disconnection

Sexless Marriage: When Is It Actually a Problem?

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Sex Therapy • Couples Therapy • Indianapolis Sexless Marriage: When Is It Actually a Problem? Your marriage is not a punch card—and there is no magical number that separates a healthy couple from a doomed one. What actually helps The short answer A sexless marriage becomes a problem when the sexual relationship—or the inability to

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Couple experiencing subtle emotional disconnection related to mismatched sex drives

Mismatched Sex Drives: Understanding Desire Discrepancy

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SEX THERAPY • DESIRE • RELATIONSHIPS Mismatched Sex Drives: Understanding Desire Discrepancy When one partner wants sex more often, the problem is rarely just a number. Let’s talk about responsive desire, sexual brakes, and the painful little cycle that can make both partners feel unwanted. Different desire does not mean a broken relationship. One of

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ASSECT Sex Therapy Badge

What Is a Certified Sex Therapist—and Does the Training Really Matter?

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Home Blog Sex & Intimacy Certified sex therapists Certified sex therapy in Indianapolis + online in Indiana and Florida What Is a Certified Sex Therapist—and Does the Training Really Matter? By Jill Frame, LMFT, CST · AASECT Certified Sex Therapist Not every therapist who is willing to talk about sex has specialized training in it.

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Indiana Fever basketball game at Gainbridge Fieldhouse in Indianapolis

What Is Eroticized Rage? When Anger and Sex Become Entangled

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SEX, ANGER & THE CULTURE AROUND US What Is Eroticized Rage? When anger and sexuality become entangled—and what the Indiana Fever incident can teach us about the difference between erotic intensity and sexualized hostility. Let’s begin with a sentence I did not expect to write as an Indianapolis sex therapist: we need to talk about

What Is Eroticized Rage? When Anger and Sex Become Entangled Read More »