Ask a Cleveland Sex Therapist Archives

Ask a Cleveland Sex Therapist: I Can’t Orgasm With a Partner

The struggle you are experiencing lives at the intersection of anxiety, vulnerability, communication, and cultural messaging about sex, not in some personal failure.

by Matt Lachman LPCC-S, CST February 4, 2026February 4, 2026

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Ask a Cleveland Sex Therapist: Why Do I Feel Turned On By My Partner Cheating?

Whether redefining the relationship you are in, stepping away from patterns that keep leaving you feeling small, or getting support to untangle what you actually want versus what you have been settling for, figuring out what’s going on is work that matters.

by Matt Lachman LPCC-S, CST January 26, 2026January 26, 2026

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Ask a Cleveland Sex Therapist: Why Women Love Gay Male Romance

In stories like Heated Rivalry, women get to see masculinity expressed in flexible ways. Instead of dominance or avoidance, we see men choosing each other, expressing need, and prioritizing connection.

by Matt Lachman LPCC-S, CST January 19, 2026January 19, 2026

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Ask a Cleveland Sex Therapist: When Sex Starts to Feel Annoying

Many people go through seasons where sex simply is not a priority, or where their relationship to desire shifts. Sometimes that pause is exactly what allows people to reconnect with themselves in a more honest and grounded way later on.

by Matt Lachman LPCC-S, CST January 12, 2026January 2, 2026

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Ask a Cleveland Sex Therapist: The Intimacy Rules We Are Following in 2026

Frequency vs. quality, communication, not comparing your sex life to that of others, reigniting passion and more.

by Matt Lachman LPCC-S, CST January 5, 2026December 29, 2025

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Ask a Cleveland Sex Therapist: Reflecting on One Year of Answering Your Questions

Desire changes over time. Communication breaks down. Long term relationships need novelty and care. New relationships bring anxiety and excitement. And sex does not always look the way we think it should.

by Matt Lachman LPCC-S, CST December 29, 2025December 29, 2025

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Ask a Cleveland Sex Therapist: Intimacy Games to Spice Up This Winter

When people in relationships create moments of intentional closeness, they keep their emotional connection strong while also giving the nervous system a sense of safety and relaxation.

by Matt Lachman LPCC-S, CST December 22, 2025December 22, 2025

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Ask a Cleveland Sex Therapist: When Should I Enlist a Sex Therapist?

People often imagine it’s just “talking about sex.” While that’s certainly part of the work, it’s also about exploring intimacy, connection, desire, communication, embodiment, shame, identity, and relational patterns.

by Matt Lachman LPCC-S, CST December 15, 2025December 15, 2025

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Ask a Cleveland Sex Therapist: Is Watching Porn Cheating?

For some couples, porn is neutral or even beneficial. For others, it brings up insecurity and fear. Often this question is really a more vulnerable one about being the only outlet for your partner’s sexuality.

by Matt Lachman LPCC-S, CST December 8, 2025December 8, 2025

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Ask a Cleveland Sex Therapist: The Myth of Sex Addiction

It’s a proposed idea that’s often based more in morality and shame than in neuroscience or psychology. When we understand sexual struggles as symptoms of deeper emotional pain, disconnection, or shame, we open the door to better questions.

by Matt Lachman LPCC-S, CST December 2, 2025December 2, 2025

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Ask a Cleveland Sex Therapist: Why Pain Can Be a Source of Pleasure

Pain and pleasure aren’t opposites. In fact, they share a surprising amount of brain real estate.

by Matt Lachman LPCC-S, CST November 24, 2025November 24, 2025

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Ask a Cleveland Sex Therapist: Our Sex Life Feels Stale After 10 Years of Marriage

It’s not if your sex life fades, it’s when. Instead of waiting for desire to magically return, you have to start building the conditions and curiosity that help it grow.

by Matt Lachman LPCC-S, CST November 17, 2025November 17, 2025