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Sex Therapy

Dr. Pasahow is a certified sex therapist who has been working with couples for more than 40 years. 

Over the years, Dr. Pasahow has seen it all. With her history and expertise, she can help you through your challenges.

Dr. Carole Pasahow by a shelf

Why Dr. Pasahow?

What truly sets me apart from other sex therapists is my extensive experience partnering directly with medical teams to help patients overcome sexual dysfunction.
I collaborate with doctors to untangle the complex ways medications, physical conditions, and emotional factors can affect sexual enjoyment and function. This unique role has given me a perspective that goes beyond addressing symptoms in isolation. I understand how the whole picture fits together. For my patients, this means faster, more accurate diagnoses, more effective treatment plans, and—most importantly—renewed confidence and pleasure in their intimate lives.

Why work with Dr. Pasahow?

With a wide variety of creative techniques drawn from evidence-based research, Dr. Pasahow’s approach is effective and at the same time, fun and exciting.

Her unique approach combines cutting-edge research in neuroscience with an understanding of emotional arousal behavior and our  biological need to bond with others.

What Patients Say

The greatest reward of my work is witnessing the positive changes in my patients’ lives.

Working with Dr. Pasahow changed the way we think about our relationship.

It’s not easy to talk about one’s private life and intimate details. Dr Pasahow always made us feel comfortable at each session and that is key. We would have never gotten as far as we did in our relationship without her. We are forever grateful for helping us build our relationship stronger and achieve our life goals! 
Á. & A. 

I consider Dr. Pasahow to be a gift from the heavens!​

Without Dr. Pasahow’s expertise and nonjudgmental, unwavering support, I would’ve never been able to get past the unbelievably difficult, painful and deeply confusing time during a very turbulent time in my marriage. Dr. Pasahow gave me the direction and tools to find pleasure and fun in my life, which had been missing for a long time.
P.D.

All testimonials are shared with permission and represent genuine experiences. Your confidentiality is my highest priority, and our sessions remain completely private and protected under therapist-patient privilege.

Dr. Carole Pasahow by desk

Working with Dr. Pasahow

In our collaboration you’ll participate in hands-on skills, experiential exercises and mindful techniques aimed at transforming your relationship with sex. 

Together, we’ll address fears, alleviate pressure, and cultivate enjoyable, imaginative and connected experiences.  

No matter what your gender, relationship status, or sexual orientation, I’m dedicated to creating a supportive space where you can deepen your intimate connections.

Common Concerns

My customized approach to addressing the specific dynamics in a couple’s sexual relationship includes:

Relationship Challenges

  • Talking with your kids or teens about sex in a healthy, age-appropriate way
  • Working through mismatched sexual desire or fantasies with your partner
  • Healing after infidelity or broken relationship agreements
  • Feeling safe and open again after painful or confusing sexual experiences

Body & Physical Concerns

  • Managing arousal problems and distracting thoughts during sexual contact eg, erectile challenges in men and lacking sufficient lubrication in women
  • Managing pain or discomfort during sex, including burning or tension
  • Improving orgasm difficulties, such as trouble climaxing or early/delayed ejaculation
  • Feeling more confident about your genitals and body
  • Addressing pelvic floor issues that affect your comfort or sexual enjoyment

Emotional & Identity Struggles

  • Exploring your gender identity in a safe and affirming space
  • Releasing religious shame or guilt about sexuality
  • Gaining control over compulsive sexual behaviors, including pornography, sexting, or online activity

Life Transitions

  • Reconnecting with your sexual self and partner after cancer treatment or childbirth
  • Starting dating again after losing a long-term partner, and work through fear, guilt, or grief
  • Feeling more secure approaching intimacy with someone new, especially after a long time or a difficult past relationship

What to Expect

In Our Work Together

Session Structure

  • Individual sessions last approximately 60 minutes.
  • Couples sessions typically run 90 to 120 minutes.
  • This timing applies across all therapeutic modalities I use.

A Safe and Supportive Space

I offer a welcoming, non-judgmental environment where you can feel safe, understood, cared for, and accepted. My goal is to meet you where you are and support your growth with warmth and professionalism.

Mind–Body Approaches to Healing

I use a blend of somatic and mindful experiential practices to help you better understand your internal experience—and your partner’s, in couples therapy.

I also incorporate:

  • EMDR (Eye Movement Desensitization and Reprocessing)
  • Clinical Hypnotherapy

These evidence-based tools support trauma resolution, deeper insight, and emotional regulation.

Working with Couples

For couples, I incorporate the PACT model (Psychobiological Approach to Couple Therapy), which is grounded in:

  • Neuroscience
  • Attachment theory
  • Arousal regulation

This approach helps couples work through even the most complex challenges, including sexual disconnection, domestic conflict, or separation, with greater awareness and connection.

I also draw on the Hakomi practice of loving presence, which helps partners relate with open-hearted curiosity and compassion, leading to deeper intimacy and emotional attunement.

Exploring Human Sexuality

Together, we’ll explore the rich and often complex terrain of human sexual expression. Topics may include:
  • What healthy sexuality looks like
  • Navigating erotic differences between partners
  • Working through infidelity, porn use, or compulsive behaviors
  • Talking about masturbation, monogamy, fantasies, and sexual meaning
  • Understanding the role of attachment and emotional connection in your intimate life
Dr. Carole Pasahow

Curious if we're a good fit?

Reach out to schedule a free 15-minute consultation.

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