Stan Tatkin's Approach to Telehealth and Sexuality
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Tatkin describes his couples therapy setup: props, staging intimacy scenes.
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Emphasizes importance of tech setup—camera, lighting, internet—for telehealth.
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Uses cross-questioning and “going down the middle” to explore intimacy and satisfaction.
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Demonstrates the “bedroom scene” exercise: slow, detailed questions to uncover attachment and communication issues.
Martha Kauppi's Perspective on Online Sex Therapy
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Stresses the need to discuss sex/intimacy even via telehealth, especially post-COVID.
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Highlights privacy challenges for LGBTQ and marginalized clients.
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Encourages creative solutions for privacy (e.g., earbuds) and adaptable therapy formats.
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Emphasizes flexibility and safety as key components.
Sean Giammattei's Insights on LGBTQ Couples
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Works with LGBTQ couples, especially those with trans partners.
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Notes privacy and safety challenges—clients may use cars or other private spaces.
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Emphasizes embodiment and touch issues in trans relationships.
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Addresses impact of COVID on queer community support.
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Advocates tackling internalized transphobia and promoting trust and communication.
Undeserving Feelings and Communication
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Panel addresses how to help clients who feel undeserving of love.
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Tatkin: Explore early trauma, dysphoria, and performance pressure in intimacy.
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Kauppi: Focus on consent, safety, and space for honest expression.
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Giammattei: Use curiosity, playfulness (e.g., cards, exercises) to shift beliefs.
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All stress the power of presence and open communication.
Working with Reluctant Partners
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Strategies for when one partner resists therapy.
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Tatkin & Giammattei: Find the partner’s emotional pain and build alliance.
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Kauppi: Create a safe, empowering environment to express needs.
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Patience, empathy, and persistence are essential.
Resources and Therapeutic Exercises
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Kauppi recommends her book on polyamory, with therapist/client worksheets.
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Tatkin & Giammattei suggest “lover’s pose,” sensate touch, consent-focused tools.
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Panel agrees: creativity and playfulness enhance therapeutic connection.
Final Thoughts and Wrap-Up
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Key themes: communication, creativity, safety, presence.
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Importance of addressing difficult topics with empathy and support.