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Sex is Not a Mental Illness

"Sex is not a mental illness" at 1st Global Summit for Mental Health Advocates" by Relationship Counselor and Clinical Sexologist Dr. Martha Tara Lee of Eros Coaching at Grassroots Clubs, Singapore on Fri 5 Oct 2018.

About Dr. Martha Tara Lee
Dr. Martha Tara Lee is Relationship Counselor and Clinical Sexologist of Eros Coaching. She is a certified sexuality educator with AASECT (American Association of Sexuality Educators, Counselors, and Therapists) as well as certified sexologist with ACS (American College of Sexologists). Martha holds a Doctorate in Human Sexuality, Masters in Counseling, Certificates in Sex Therapy, Practical Counselling and Life Coaching, as well as two other degrees. She was recognised as one of ‘Top 50 Inspiring Women under 40′ by Her World Singapore in July 2010 and ‘Top 100 Inspiring Women by CozyCot Singapore in March 2011.

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Sex is Not a Mental Illness

  1. 1. Sex is Not a Mental Illness Global Summit for Mental Health Advocates Theme – Unite for Mental Health 5 October 2018
  2. 2. Dr. Martha Tara Lee Relationship Counselor & Clinical Sexologist • Doctorate in Human Sexuality • Masters in Counseling • Masters in Public Policy and Management • Bachelor of Arts (Comm) • Certificate in Sex Therapy • Certitificate in Practical Counselling • Cert in Life Coaching
  3. 3. 1. Myths about Sex 2. Is Porn Bad? 3. Is Too Much Sex Bad? 4. Benefits of Sex 5. Is Sex Addictive? 6. Our Missing Sex Ed 7. Own Your Sexuality Agenda
  4. 4. 1. Sex is a sensitive topic. 2. Sex is only for making babies. 3. There is a cut-off age for sex 4. He knows what he is doing. 5. There is a “best” way to have sex 6. More sex is better. 7. Faster is better. 8. Sex is incomplete without the orgasm. 9. Need desire for sex. 10. Need emotional connection for sex to happen. Myths about Sex
  5. 5. Is porn bad?
  6. 6. • In a paper from 2008, two Danish researchers Gert Hald and Neil Malamuth concluded from a survey of 688 Danish adults that porn did not yield any negative mental or health effects. In fact, the researchers found a positive correlation between the subjects’ porn viewing and increased sexual satisfaction, as well as self-reported benefits in other areas of their lives. • Women also experience a decrease in cortisol, and of the 85 percent of women who say they watch porn to escape reality, 23 percent of them say it also relieves their stress. Watching porn is accessible, and it’s OK to end a very stressful day in the comfort of your own home with a little erotica if you feel like it. • A 2015 study conducted by the University of California found a positive correlation between porn and a man’s sex drive. The scientists found that men who watched more than two hours of porn had a higher desire for sex with a partner than just masturbation, or “solo-sex.” Is porn bad? They say NO! 11 Reason why you need to watch more porn. (2018, June 1). Retrieved from https://www.dailydot.com/irl/benefits-of-porn/
  7. 7. Is it possible to have too much sex?
  8. 8. Benefits of Sex 10 Surprising Health Benefits of Sex. (2018 September 3). Retrieved from https://www.webmd.com/sex-relationships/guide/sex-and-health#1 1. Helps Keep Your Immune System Humming 2. Boosts Your Libido 3. Improves Women's Bladder Control 4. Lowers Your Blood Pressure 5. Counts as Exercise 6. Lowers Heart Attack Risk 7. Lessens Pain 8. May Make Prostate Cancer Less Likely 9. Improves Sleep 10. Eases Stress 11. Boosts Couple Bonding 12. Feels Good
  9. 9. Is sex addictive?
  10. 10. Is Sex Addiction real? They say NO! 1. American Psychiatric Association (APA) 2. American Psychlogical Association (APA) 3. Sexual Health Alliance (SHA) 4. American Association of Sexuality Educators, Counselors and Therapists (AASECT) 5. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) 6. Child Protective Services (CPS) 7. National Coalition for Sexual Freedom (NCSF) 8. The Alternative Sexualities Health Research Alliance (TASHRA) 9. The International Classification of Disease, Eleventh Revision (ICD-11)/ World Health Organization (WHO)* ICD-11 is including Compulsive Sexual Behavior Disorder Diagnosis (CSBD) and sex addiction is being declared legitimate and re-branded
  11. 11. International Classification of Diseases (ICD-11) • CSBD has been classified as an “impulse control disorder” instead of a disorder related to sexual addiction. • The ICD-11 characterises CSBD by a persistent pattern of failure to control intense, repetitive sexual impulses or urges, resulting in repetitive sexual behaviour over an extended period (e.g. six months or more). • It causes marked distress or impairment in personal, family, social, educational, occupational or other important areas of functioning. • Those with the condition will be treated for their anxiety and low impulse control, instead of being treated for their sexuality, as is often the case with the sex addiction community. Why ‘compulsive’ sexual behaviour disorder' isn't the same as 'sex addiction'. (2018, August 24). Retrieved from http://www.capetalk.co.za/articles/316643/why-compulsive-sexual-behaviour- disorder-isn-t-the-same-as-sex-addiction
  12. 12. Our Missing Sex Ed
  13. 13. Sex is More than Sex
  15. 15. 1. Male Hypoactive Sexual Desire Disorder 2. Premature (Early) Ejaculation 3. Delayed Ejaculation 4. Erectile Disorder 5. Female Orgasmic Disorder 6. Female Sexual Interest/Arousal Disorder 7. Genito-Pelvic Pain/Penetration Disorder 8. Substance/Medication-Induced Sexual Dysfunction 9. Other Specified Sexual Dysfunction Sexual Dysfunctions Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), American Psychiatric Association
  16. 16. • Hypoactive Sexual Desire Disorder • Sexual Arousal Disorder • Sexual Aversion Disorder • Female Orgasm Disorder • Sexual Pain Disorder ▪ Dyspareunia ▪ Vaginismus Female sexual interest/ arousal disorder Genito-pelvic pain/penetration disorder DSM-5 Female Sexual Dysfunction
  17. 17. Frigidity Inhibited Sexual Desire Disorder - DSM-3 Hypoactive sexual desire disorder - DSM-3-R Female sexual interest/ arousal disorder - DSM-5 A NAME IS JUST A NAME?
  18. 18. Factors Associated with Orgasmic Problems • Distraction • Performance anxiety • Negative sexual beliefs or misconceptions • Ignorance about genital sensitivity/poor technique • Anxiety about “letting go” – need to control • Lack of trust, feelings of safety • High religiosity negatively correlated with orgasm; high education positively correlated with orgasm. • History of Sexual Abuse/Trauma • Early abandonment by an important male figure (Fisher, 1973) • Current relationship dissatisfaction (Mah & Binik, 2001) • Partner’s lack of understanding of woman’s sexual preferences and need for particular kind of stimulation • Partner’s dysfunction – Premature ejaculation, Erectile dysfunction
  19. 19. 1. Psychoanalysis 2. Hypnosis 3. Group psychotherapy 4. Behavior therapy 5. Dual-sex therapy 6. Drug therapy TREATMENTS
  20. 20. The lack of sexuality education is the real problem!
  21. 21. Source: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (2013), American Psychiatric Association Malamuth, N. M. (2007). Self-Perceived Effects of Pornography Consumption. Archives of Sexual Behavior, 37(4), 614-625. doi:10.1007/s10508-007-9212-1 Prause, N., &Pfaus, J. (2015). Viewing Sexual Stimuli Associated with Greater Sexual Responsiveness, Not Erectile Dysfunction. Sexual Medicine, 3(2), 90-98. doi:10.1002/sm2.58 Website: How Women Really Feel About Porn. (2013, November 18). Retrieved from https://www.huffingtonpost.com/2013/11/18/women-and-porn-survey-ann-summers- sex_n_4297183.html?ir=Women Why ‘compulsive’ sexual behaviour disorder' isn't the same as 'sex addiction'. (2018, August 24). Retrieved from http://www.capetalk.co.za/articles/316643/why-compulsive-sexual-behaviour-disorder-isn-t-the-same- as-sex-addiction 10 Surprising Health Benefits of Sex. (2018 September 3). Retrieved from https://www.webmd.com/sex- relationships/guide/sex-and-health#1 11 Reason why you need to watch more porn. (2018, June 1). Retrieved from https://www.dailydot.com/irl/benefits-of-porn/
  22. 22. Dr. Martha Tara Lee, D.H.S. Clinical Sexologist Eros Coaching Pte Ltd Website: www.eroscoaching.com Email: drmarthalee@eroscoaching.com Thank You!