Is the Botulinum toxin treatment right for me?

In general I try to avoid over-generalizing patient situations because I think each patient is an individual and needs to be treated as such.  I’m much happier to speak with patients (or their referring therapists) on a case by case basis to help them come to the right decision. We get dozens of calls each month …

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Hot Flashes and Hell

Hot flashes have long been the brunt of jokes surrounding menopause. One liners like “Could my hot flashes be causing global warming?’ are often used to make light of hot flashes during the menopausal years. On a more serious note, hot flashes are one the most common complaints sending women to their health care providers …

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Out of the Box

Sigmund Freud was an Austrian neurologist and one of the most influential thinkers in the field of psychology today. Among his contributions to the field is the formulation of what are called ‘defense mechanisms’.  In lay terms, defense mechanisms are internal “security guards” inside of us whose goal is to protect us from experiencing pain and …

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Sexual Assault Awareness Month

Mariska Hargitay also known as Olivia Benson of Law and Order SVU, did not set out to become an advocate for survivors of sexual assault, but after receiving thousands of letters, emails and calls from sexual assault survivors disclosing to her that her character as a police detective on the TV show gave them the …

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Why does tensing your body during sex cause more pain?

Tensing your body during sex can either be a means to generating pleasure or a reaction to experiencing pain. If you’re interested in the pleasure aspect, read our blog on that topic. However, if you’re tensing your body because sex is painful, read on. This is something many women have experienced. Sometimes it is a …

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One Heart, Many Genders

I recently watched the mini-series “When We Rise”. The show follows the true life individual and political histories of various LGBT activists who were instrumental in the US civil rights movement. Going back further in our country’s history, I learned that all Native American societies acknowledged three to five gender roles : Female, male, Two …

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Menopause… the truth is really out there.

As a clinician, I find nothing more frustrating these days than the difficulty women are having finding help for their menopausal/ perimenopausal symptoms. This is not an obscure disease; this is a normal life stage. I have women that have seen 3 or 4 other providers before coming to see me, for what I would …

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Vaginismus: It’s Okay to Feel Angry

I have found something interesting while working with vaginismus patients. Many of them are angry. Most of them don’t seem angry when they first come in. They seem sad, hopeless, confused, and afraid. I most often have the urge to put my arms around them and say “It’ll be okay. I promise you.” But oftentimes …

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