Advanced therapy for individuals with sexual problems,
sexual dysfunction, sexual desire, sexual arousal,
emotional tension in the pelvis,
suppression or distortion of sexual instincts,
blocked sexual energy, severe cases,
relationship issues, post-surgical pelvic issues,
sexual assault, rape, sexual trauma,
wartime sexuality, combat sexuality,
sexual abuse, sexual addiction, issues of sexual orgasm,
issues of infant sexuality, child sexuality, and teen sexuality,
issues of sexual orientation, sexual disappointment,
sexual adjustment for young adults, sexual tips,
sexual education and sexual counseling for sexual satisfaction,
overcoming depression, anxiety, psychosomatic issues,
lack of communication, grief, relationship stress, loss,
illness, outcasts, bullying, death of a child,
strange sexual experiences,
people always outside the norm,
early onset schizophrenia,
nervous breakdowns and unusual symptoms.

Sex is about the natural energy of being alive!
At some point in their lives,
every person
has issues regarding
sex or other functioning of the pelvis.
These problems are an entirely natural part of life,
although it can take strength and courage to face them.
Dr. MacIlvaine, Ph.D.
Orgone Therapist, AASECT-Certified Sex Therapist, Holistic Orientation.
619-501-0334
(Read about the qualifications for AASECT Certification.)
Sex therapy never includes sexual activities,
nudity, or sexual demonstrations in session.

Dr. MacIlvaine's office is in the lower right of this picture.
(The office is separate from her house, but connected by breezeways.)
It's in the Kensington area of San Diego, California,
near where Freeways 8 and 15 come together.
Call for an appointment today.
If the phone is busy, keep calling.
Dr. MacIlvaine helps people recognize when sexual conflicts
are the result of unresolved emotional issues, such as anxiety or anger.
In such cases , the underlying disturbances become the focus of therapy,
so therapy gets to the root of the problem.
Dr. MacIlvaine uses a holistic approach
based on decades of work with life energy.

Most sexual problems are caused because
individuals unconsciously block and restrict the flow of healthful energy in their bodies. These blocks cause healthy impulses to be distorted,
so peoples' efforts toward love easily go wrong.
Making changes at this level requires a different way of thinking:
functional thinking.
Sexual problems are deeper than psychology.
They involve character structure, physiology, biology, and
the basic energetic principles of how healthy living organisms function freely.

Links
For information on basics of sexuality, pregnancy, abortion, birth control, information for parents, sexual orientation, sexually transmitted diseases, sexual violence, masturbation,
or sex and the law, please click on the individual topics or click here for other topics.
You can also text this sexinfo number.
Here is another good source of information on-line.
And there are Ann Landers' three favorite sex info sites listed in the orange section on the left.
Keep in mind as you read advice online that some sex information is written by people with superficial understanding or distorted attitudes. Even guidance that may be helpful for most people could be harmful for people with other character structures. Individualized help can be better because it's based on your own particular situation.
The most common sexual problems seen today are lack of desire, reliance on internet sex, compulsive or meaningless sex, sex for control, lack of arousal , lack of orgasm, erectile or ejaculation problems in men, sexual avoidance, gender identity issues, and carry-overs from sexual abuse in childhood or emotional neglect. Naturally, there are also problems caused by stress, tiredness, and other environmental or relationship issues. And there's the immense, underlying problem of people not feeling alive: "I don't feel anything."
Here are some screening tests for compulsive sexuality:
Heterosexual Male Sexual Addiction Screening Test: www.sexhelp.com
Homosexual Male Sexual Addiction Screening Test: www.sexhelp.com
Women's Sexual Addiction Screening Test: www.sexhelp.com
Sexaholics Anonymous Test: www.sa.org
Sex Addicts Anoymous: www.sexaa.org
Cybersexual Addiction Test: www.netaddiction.com

I also treat unconsummated marriages, painful sex, troublesome fetishes, sexual addiction, problems from sexual assault, emotional torture, and childhood or teenage sexual issues. I have particular experience with issues resulting from pelvic surgery, birth defects, or mutilating injuries.
Please note: You are at risk for sexual dysfunction if you:
- Have cardiovascular disease
- Use cardiovascular medications
- Have diabetes
- Have hypertension
- Smoke
- Ride bicycles (more than three hours/week)
- Are a man 50 years or older
- Are peri- or post-menopausal
- Have low testosterone or DHEA
- Have used oral/patch contraceptives
- Have been treated for infertility/endometriosis/painful menstruation
- Have lower urinary tract symptoms
- Take anti-depressants
- Have anxiety
- Had prostate/bladder/breast cancer
- Have given birth
- Have had a hysterectomy
(Thank you to Alvarado Hospital, Department of Sexual Medicine for this list.)
It's IMPORTANT to remember, though: Sexual problems arise for genuine, tangible reasons that can be examined and changed.

| Services |
| Sex therapy includes knowledge about sexual functioning, anatomy, expectations, etc., often with homework assignments to try new behaviors. |
| Individual therapy treats a person’s own psychological functioning and provides the best opportunity for dealing with character and emotional armoring. |
| I also provide Child Psychology for children's behavioral issues, especially involving pelvic or sexual concerns. |
I provide equal access to treatment for people of all persuasions, orientations, and ethnic identities. I work with personality disorders if the person is cooperative with treatment. I don’t treat groups -- or provide court-mandated therapy or other coerced treatment.
I do not prescribe medication. However, I coordinate treatment with psychiatrists or other physicians who prescribe antidepressants and anti-anxiety medications.
I take appointments seriously and am available at the appointed time. I ask people to let me know 48 hours in advance in order to cancel or reschedule. I can be somewhat flexible about unforeseen emergencies or illnesses. I ask clients to agree that if they "no-show," they will be responsible for paying for my time.
My fee is $150 per hour. Although I don't accept any insurance, I keep a limited number of slots available for people who need a reduced fee or a sliding scale. Please feel free to inquire. All inquiries are treated confidentially.
Sex therapy never involves sexual activities, nudity, or demonstrations.
(619) 501-0334