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

December 19, 2025 64 mins

Dr. Tammy talks with relationship therapist, podcaster, and author Rick Miller, about how men communicate, what masculinity means for both queer and straight men,  and why open relationships are an old school concept - if not the norm in the gay world.

OUR GUEST

Rick Miller is a practicing psychotherapist and founder and executive director of Gay Sons And Mothers. Rick co-hosts of the podcast Modern Couples: What Your Therapist Never...

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Dr. Tammy talks with Dr. Kate Truitt about her healing journey after a devastating car accident. Together, they explore fear, intimacy, expectations, and how gentle touch can help create a safe space while igniting connection and intimacy with your partner after a traumatic experience.

OUR GUEST

Dr. Kate Truitt is an esteemed clinical psychologist and neuroscientist - globally recognized for her trauma, stress, and resilience experti...

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November 13, 2025 56 mins

Has stress in your life killed your mojo? Do you feel disconnected from pleasure or your partner? Dr. Tammy sits down with sex therapist and host of the Sexology Podcast, Dr. Nazanin Moali, to discuss how trauma and stress reshape desire, and how to reclaim your sensuality and erotic connection with your partner.

OUR GUEST 

Dr. Nazanin Moali is a Clinical Psychologist, Dr. Nazanin Moali is a sex and relationship expert who helps indi...

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Dr. Tammy shares the trauma of her recent assault with the leading expert on EMDR (Eye Movement Desensitization and Reprocessing) and Resource Tapping, Dr. Laurel Parnell. Together they explore how these therapies can rewire the brain to help heal trauma, restore balance and improve relationships.

OUR GUEST

Laurel Parnell, Ph.D., is a clinical psychologist and Executive Director of the Parnell Institute and co-director of the non-pro...

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October 17, 2025 62 mins

Dr. Tammy has a deeply personal conversation with psychologist and sex therapist Dr. Andreya Jones who shares her story of growing up in a cult-like religious community shaped by Christian purity culture — a movement that’s left lasting impressions on how many women understand their bodies, sexuality, and sense of self.  Andreya offers insight, hope, and a path forward for anyone who’s been burdened by shame and is ready to reclaim...

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October 3, 2025 65 mins

Join Dr. Tammy as she talks with LA based Dominatrix, Ashley Randall, aka Irreverent Femme, about the therapeutic benefits of erotic exploration, and how she uses BDSM, kink and fantasy to help her clients overcome shame, face their fears, and build greater trust, intimacy and pleasure into their relationships.

OUR GUEST

Ashley Randall, aka Irreverent Femme, is an LA based, certified Sex, Intimacy and Kink Coach and Dominatrix based ...

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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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