When people experience sexual problems, the instinct is often to ask, “What’s wrong with me?” or “How do I fix this?” But what if those struggles are actually meaningful signals or clues that something deeper needs attention? In today’s show, we’re exploring a different way of understanding sexual difficulties: as doorways to unconscious emotional and relational truths.

My guest is Juliane Maxwald, a licensed psychoanalyst, couples therapist, and AASECT-certified sex therapist based in New York City. She has over fifteen years of experience working with individuals and couples. She is the author of the new book Psychoanalytic Sex Therapy: Exploring the Unconscious Life of Sexuality.

Some of the specific topics we explore in this episode include:

What does it mean to treat sexual symptoms as a form of unconscious communication?
Why is it important to get curious about the deeper issues behind sexual problems?
If someone is experiencing “out of control” porn use, what might the deeper issue behind that be?
What kind of emotional information do sexual fantasies carry?
What does healing or recovery from a sexual problem actually look like?

To learn more about Juliane’s work, visit her website and find her on Instagram @julianemaxwald. Listeners can receive 20% off her new book, Psychoanalytic Sex Therapy, via this link.

Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology.

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Thank you to our sponsors!

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Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram.

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Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

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