The Trouble with Sex

The Trouble with Sex

Relationship & Sex Therapist Dr. Tammy Nelson gets up close and personal with leading, sex-positive experts and influencers to examine hot topics and answer your questions about pleasure, sexuality, relationships and the most forbidden aspects of the human experience.

Episodes

September 19, 2025 47 mins

Dr. Tammy sits down with relationship therapists Mary Kay Cocharo and Evie Shafner to discuss how reactivity and anxiety kills connection and libido, and to how cultivate the space between you and your partner - because that space is where your relationship and family lives and thrives.

OUR GUESTS

Mary Kay Cocharo

Former Employment Recruiter turned Marriage and Family Therapist, Mary Kay Cocharo specializes working with couples and fa...

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HAPPY END of SUMMER!  We'll be back in September with all new episodes. In the meantime, please enjoy Dr. Tammy's introduction to Open Monogamy, and continue to explore what's important to you and those you choose to love. 

The idea of monogamy and marriage  are no longer simple concepts. Can you have a loving, trusting relationship while exploring new direction as a couple? In this episode,  Dr. Tammy introduces the ...

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Do you know your sex script? We all have subconscious stories we tell ourselves when it comes to love. In this episode, Dr. Tammy talks with acclaimed therapist and New York Times Best Selling author, Dr. Ian Kerner, about his latest book, and how we can reframe our stories to improve our relationships and our sex lives.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationships. Send your questions to dr...

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Dr. Tammy and Dr. Ari Tuckman get personal as they dive into the minds of people with Attention Deficit Hyperactivity Disorder, and how couples often struggle, yet can overcome their differences, when ADHD complicates their partnership and intimacy.
 
 DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.

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Dr. Tammy explores the rise of anxiety in our post-pandemic, politically charged, social media driven world, and its impact on our closest relationships. Learn tools to reconnect with yourself and your partner, communicate better, and find calm amid the chaos.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.

INTER...

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Dr. Tammy sits down with OB/GYN, Dr. Sheryl Ross to help educate and guide women on what to expect as their bodies change through the decades, and the safe and healthy options to explore during perimenopause, menopause and through the rest of your sexy life. 

OUR GUEST

 Dr. Sherry is an OB/GYN, author, and health expert. She has been a fierce advocate for women’s health and reproductive rights for over 25 years. Her books, “She-ology...

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Dr. Tammy sits down with relationship, sex and trauma therapist, Ruth Cohn, to discuss how the trauma of neglect can effect our relationships, and how we can build tools to help ourselves and loved ones heal and develop a more resilient path forward.

OUR GUEST

Ruth Cohn, MFT, is a psychotherapist living and practicing in the San Francisco Bay area. She specializes in working with survivors of trauma and neglect, their intimate partne...

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May 9, 2025 53 mins

Dr. Tammy talks with sex therapist and sexual health educator Nikita Fernandes about the stigma, the struggle and the unique challenges sex workers face when it comes to caring for the emotional health of their clients as well as finding resources to care for their own mental health and well being.

OUR GUEST

Nikita Fernandes is a certified sex therapist and psychotherapist based in New York City. As a South Asian immigrant who is que...

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April 24, 2025 58 mins

Dr. Tammy sits down with relationship, sex and trauma psychotherapist Silva Neves about sex, porn, trauma and the difference between compulsive behaviors and addiction.

OUR GUEST

Silva Neves is UK based psychotherapist and an award-winning, COSRT-accredited and UKCP-registered psychosexual & relationship psychotherapist, and a trauma therapist. He is a Pink Therapy Clinical Associate, and a member of the editorial board for the l...

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Dr. Tammy talks with Skirt Club founder Genevieve LeJeune about how women all over the world have found a community to explore female sexuality and pleasure - helping to empower them in all aspects of their lives.

OUR GUEST

Genevieve LeJeune is the founder of Skirt Club, a private members club for bi-curious & bisexual women. With more than 25,000 members globally, Genevieve is going to share how she believes women are more inter...

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Narcissism has been a huge buzzword the last several years. Join Dr. Tammy as she talks with expert psychologist, Dr. Ramani Durvasula, about what narcissism really is, how to deal with being in a relationship with a narcissist, when to leave, and how to heal.

OUR GUEST

Dr. Ramani Durvaslua is a licensed clinical psychologist in Los Angeles, a Professor Emerita of Psychology at California State University, Los Angeles. She is also th...

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Dr. Tammy and Dr. Marty Klein explore the controversy around the concept of sex addiction as they dive into pornography, relationships, expectations and the complexity of human sexuality.

GUEST BIO
Dr. Marty Klein is a Licensed Marriage & Family Therapist and Certified Sex Therapist. He is a dedicated educator, international lecturer, media and courtroom expert, and author of seven books as well as  over 100 published articl...

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February 14, 2025 37 mins

Dr. Tammy talks with therapist and author, Kate Loree about building conscious, compassionate open relationships, and healing yourself in the process.

OUR GUEST

Kate Loree, LMFT, is a sex-positive licensed marriage and family therapist with a specialty in non-monogamous, kink, LGBTQ, and sex worker communities and the author of Open Deeply: A Guide to Building Conscious, Compassionate Open Relationships.

In addition to her master’s in...

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January 30, 2025 48 mins

Dr. Tammy has a fascinating and troubling discussion with expert and advocate Jackie Rotman about digital censorship and how the sexual health and pleasure of women, and genders other than male, continue to be discriminated against on social media and other advertising platforms - And why it matters.

OUR GUEST

Jackie Rotman is the Founder and CEO of the Center for Intimacy Justice . CJI fights Meta’s discriminato...

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January 17, 2025 70 mins

Amid the devastating LA fires, Dr. Tammy talks with the esteemed Dr. Gabor Maté about how our childhood wounding impacts our families, relationships, and our sex lives. 

OUR GUEST
Gabor Maté is a retired physician who, after 20 years of family practice and palliative care experience, worked for over a decade in Vancouver’s Downtown East Side with patients challenged by drug addiction and mental illness. The bestsellin...

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January 9, 2025 35 mins

What happens when a sex therapist and a rabbi fall in love?...  Dr. Tammy talks with Sylvia Rosenfeld and Terry Bookman about how they found love later in life, spiritual connection, and how to move past the shame around sex that some religions teach so you can deepen your relationship and enjoy the sex you deserve at any age. 

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble...

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December 19, 2024 36 mins

Dr. Tammy talks with Juliane Taylor Shore about how setting boundaries can change your neurobiology to help you rewire your brain to feel safe, connected, and empowered in your relationships.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.

OUR GUEST
Juliane Taylor Shore is a therapist, author and te...

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December 5, 2024 51 mins

Dr. Tammy sits down with the brilliant Dr. Alexandra H. Solomon to talk about becoming an empty nester, the intersection between ambition and intimacy, relationship superpowers, sex, and her latest book Love Every Day: 365 Relational Self-Awareness Practices to Help Your Relationship Heal, Grow, and Thrive.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your ...

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November 23, 2024 50 mins

Dr. Tammy talks with relationship therapists and KAP Practitioners, Jayne Gumpel and Sylvia Rosenfeld about Ketamine Assisted Couples Therapy as a tool for couples to help break through barriers, foster connection, and see their issues in a new light.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex. Send your questions to drtammy@thetroublewithsex.com.

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November 8, 2024 45 mins

Dr. Tammy talks with Cuddlist and Human Connection Coach Michelle Renee about how cuddle therapy and surrogate partner therapy can help people struggling with intimacy become more comfortable in their bodies, learn to regulate their nervous systems, and begin to enjoy the pleasure and connection they deserve.

DR. TAMMY WANTS TO ANSWER YOUR QUESTIONS about Sex, Love & Relationship and help you with your Trouble with Sex...

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