Treating Sexual Desire Problems – Effective Mental Health Interventions – Viviana Coles

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Treating Sexual Desire Problems by Effective Mental Health Interventions – Viviana Coles,
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Viviana Coles
5 Hours 16 Minutes
Audio and Video
Jan 10, 2018


Many therapists have minimal, if any, training on sexual issues that clients are struggling with, and some clients may feel shame or embarrassment even bringing these issues up in therapy. Whether your clientele includes individuals, couples, or both populations, sexual issues are a prevalent concern for many clients. How can a therapist who is not a sex therapist open the door to talk about sexual desire issues?

Discover how to assess for low sexual desire in individuals and desire discrepancy in relationships. Participants will explore the most common treatment methods for problematic sexual desire discrepancy and how to educate clients on human sexual response cycles. Dr. Viviana Coles will share some of the evidence-based treatment methods from the Texas Sex Therapy Institute’s certification program and how clinicians can apply this methodology to their own clients.  Participants will leave able to confidently treat clients experiencing problematic sexual issues to help them to experience a healthier and more fulfilling sex life.




  • DSM-5®
    • Female Sexual Interest-Arousal Disorder
    • Male Hypoactive Sexual Desire Disorder
  • DSM-IV-TR®
  • Turn-ons
  • Brain chemistry and functioning


  • Quadriphasic Sexual Response Cycle 
    • Excitement
    • Plateau
    • Orgasm
    • Resolution
  • Triphasic Sexual Response Cycle 
    • Desire
    • Arousal
    • Orgasm
  • Circular Sexual Response Cycle 
    • Desire
    • Excitement
    • Plateau
    • Orgasm
    • Resolution
    • Seduction, Sensations, Surrender, Reflections


  • Questionnaire
  • Screening tools 
    • Arizona Sexual Experience Scale (ASEX)
    • Changes in Sexual Functioning Questionnaire (CSFQ)
  • Client Interview


  • Psychological
    • Early childhood
    • Adolescence
    • Early adulthood
    • Sexual trauma
    • Physical distrust
    • Sexual Aversion Disorder
  • Relational
    • Former relationship
    • Current partner
  • Physiological
    • Medical
    • Substance-Induced
    • Stress-related


  • Couple 1
  • Couple 2
  • Couple 3


  • Physiological 
    • Medical
    • Healthy living
  • Psychological 
  • Target clinical audience
  • Issues that may come up during treatment
  • Frustration/Pressure
  • Guilt/Shame
  • Backsliding


Viviana Coles, dmft, lmft-s, cst Related seminars and products: 1

Viviana Coles, DMFT, LMFT-S, CST, is President and Lead Psychotherapist at Texas Relationship Therapy, PLLC in Houston, and also President and Lead Instructor at the Texas Sex Therapy Institute, a Sex Therapy Certification program for mental health professionals. Dr. Coles holds a Bachelor’s Degree in Psychology from Southwestern University in Georgetown, TX and Master’s and Doctoral Degrees in Marriage and Family Therapy from Nova Southeastern University in Fort Lauderdale, FL.

Since 2003, Dr. Coles has exclusively focused on her work with couples and individuals experiencing emotional and physical intimacy issues. She has built a thriving private practice providing relationship therapy, sex therapy, and premarital counseling. When not in session, Dr. Coles enjoys spending quality time with her husband and two children and traveling with family and friends.

Speaker Disclosures:

Financial: Viviana Coles maintains a private practice. She has an employment relationship with Texas Sex Therapy Institute. Dr. Coles receives a speaking honorarium from PESI, Inc.

Non-financial: Viviana Coles has no relevant non-financial relationship to disclose.

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