Product Detail

Integrative Sex & Couples Therapy
Audio CD
$219.99 USD
Now Available For Preorder
This item is expected to ship 4-6 weeks after the event on February 25, 2020.
Product Details
Audio CD - 4+ hours   Instructions
Multi-disc audio recording with electronic manual and instructions.
2/25/2020 - Available Now for Pre-Order
CE Available:
Yes, See CE credit tab for complete continuing education details
Product Code:
  1. Perform a clinical assessment to determine the cause of pleasure denial to inform the clinician’s choice of treatment interventions.
  2. Analyze the effects of separation, betrayal, trust and identity issues on eroticism in clients’ sexual partnerships as it relates to clinical practice.
  3. Utilize clinical interventions, such as pleasure mapping and desire awareness, to treat desire issues such as pleasure resistance, pleasure avoidance and pleasure rejection.
  4. Explore the phases of treatment for erotic recovery and develop a treatment plan for women, both individually and in couple’s treatment, for sexless marriage and desire issues.
  5. Create an attachment versus individualization plan as a treatment intervention to aid clients in developing relational skills and strengthening sexual intimacy and wellness.
  6. Explain the clinical implications of the stages of integration and the four areas of sexuality that have meaning for women around the narrative of eroticism.

Sexuality: The New Model of What’s Normal

  • Challenges of sex therapy & couples therapy
  • How the treatment of women has changed
  • What are you afraid clients will bring up?
  • Target multiple levels of sexuality
  • Cultural definitions of sexual pathology & wellness
  • Model of sexual wellness

Address Sexual & Relational Needs

  • Why we choose partners with different needs
  • Clusters of needs & their treatment implications
  • The different types of erotic needs
  • How relationship phases affect erotic needs
  • Strategies to address countertransference

Desire Discrepancies: Interventions for the Most Common Issue Couples Face

  • The cycle of arousal & its clinical impact
  • The prerequisite of arousal
  • Address relational avoidance
  • How to renew & rekindle desire

Pleasure Disorders & Their Treatment

  • Pleasure vs. performance
  • Types of pleasure denial
  • Empower women to have pleasure
  • Interventions for pleasure denial

Integration: A Treatment Model

The Relationship Trauma Triangle

  • Why the current therapy model isn’t working
  • How to avoid being drawn into conflicts
  • Separation, betrayal, trust & identity
  • The integration model

Interventions for Each Phase of Treatment

  • Elicit sexual narratives
  • Teach a focus on appreciation
  • Integrate the four areas of sexual meaning
  • Build upon pleasure & connection

The Crisis Phase of Treatment

  • Assess for relationship & individual risk
  • Delay the “stay or go” decision
  • Teach relationship skills
  • Tools for clients to deal with intense affect
  • Focus on decreasing fatigue & pressure

Strategies for the Insight Phase

  • Explore the “how did we get here?”
  • Address attachment issues
  • Create an attachment vs. individuation plan
  • Exercises for couples
  • Appreciate & expand on what’s working

The Vision Phase of Treatment

  • Erotic recovery
  • Focus on fantasy & pleasure
  • 6 weeks of sex dates protocol
  • Create a new monogamy agreement
  • Limitations of the research & potential risks


Tammy Nelson, Ph.D., is an internationally acclaimed psychotherapist, Board Certified Sexologist, Certified Sex Therapist and Certified Imago Relationship Therapist. She has been a therapist for almost 30 years and is the executive director of the Integrative Sex Therapy Institute. She started the institute to develop courses for psychotherapists as the need grew for certified, integrated postgraduate sex and couple’s therapists in a growing field of mental health consumers who need more complex interventions for their relationship needs.

Dr. Tammy is a TEDx speaker, Psychotherapy Networker Symposium speaker and the author of several books, including Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together (Quiver, 2008) and the best-selling The New Monogamy: Redefining Your Relationship After Infidelity (New Harbinger, 2013), as well as When You’re the One Who Cheats: Ten Things You Need to Know (RL Publishing Corp., 2019) and the upcoming Integrative Sex and Couples Therapy (PESI, 2020).

She has been a featured expert in New York Times Magazine, Washington Post, Wall Street Journal, CNN, Rolling Stone magazine, TIME Magazine, Redbook, Glamour, The Sun, and The London Times. She is the host of a popular podcast on iTunes, “The Trouble with Sex”, and writes for the Huffington Post, YourTango, ThriveGlobal and She can be followed on her blog,

Speaker Disclosures:

Financial: Tammy Nelson is in private practice. She receives royalties as an author for FairWinds Press and New Harbinger Press.

Non-financial: Tammy Nelson has no relevant non-financial relationship to disclose.
Continuing Education Credits

CE Information Coming Soon
Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements.

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

  • Psychologists
  • Social Workers
  • Counselors
  • Marriage and Family Therapists
  • Sex Educators and Therapists
  • Addiction Professionals
  • Nurses