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    Education

    You Are Not Broken

    Welcome to the podcast that rewrites everything you thought you knew about sex, hormones, and midlife. I help women—and the people who love them—reconnect with their bodies, their minds, and their partners through science, mindset, and a whole lot of humor. Whether you’re navigating perimenopause, rediscovering desire, or just curious what’s possible, this show will remind you: you are not broken. (No medical advice here, just truth bombs and good conversation.)

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    Copyright: © Kelly Casperson, MD

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    Latest Episodes:
    252. Thought Download - 2024 ISSWSH Conference Feb 25, 2024
    Show notes

    Sit down and buckle up. a long podcast but so so so many topics and though provoking ideas from the research and presentation from the just finished ISSWSH conference.

    Dr. Kelly Caspersen shares insights from the International Society for the Study of Women's Sexual Health (ISSWSH) Conference.

    She discusses the importance of lifelong learning and the mission of ISWSH to promote sexuality for all.

    Topics covered include polysexuality, monogamy and polygamy, shockwave therapy for erectile dysfunction and more, supporting sexual wellbeing in people with developmental disabilities and ADHD and, immune dysfunction and vulvar pain, hypoactive sexual desire disorder, and the role of healthcare providers in addressing quality of life.

    This conversation covers a wide range of topics related to sexual health, hormones, and the impact of technology. Some of the key themes include the role of role modeling and accountability in personal fitness, the misconceptions about menopause and desire, the influence of hormones in personal training, the potential use of clitoral ultrasound for evaluating cardiovascular health, the effects of stress on sexual desire, the relationship between diabetes and sexual function, the concerns and considerations of hormone replacement therapy, the impact of coffee on a new menopause medication, the importance of advocacy and education in sexual health, the connection between orgasm and pain, the use of sex tech and its effects on sexual function, the importance of human touch in sexual experiences, and the debunking of myths surrounding semen retention and rough sex.

    Enjoy! Reminder to follow, subscribe and share for more!


    Take Aways

    Lifelong learning is important for staying up-to-date with evolving knowledge about sexual health and hormones.

    Sexuality is a human right and should be appreciated as part of the human experience.

    Definitions and labels in sexuality can vary and it is important to ask individuals how they define themselves.

    The microbiome and immune function play a role in vulvar pain and sexual desire.

    Healthcare providers should prioritize addressing quality of life and understanding the unique needs of their patients. Accountability and role modeling can be powerful tools in personal fitness and wellness.

    Menopause does not always lead to low desire, and the quality of a long-term committed relationship can be a risk factor for low desire.

    Hormones play a significant role in personal training and muscle recovery.

    Clitoral ultrasound may have potential applications in evaluating cardiovascular health in women.

    Stress can have both positive and negative effects on sexual desire and function.

    Diabetes can impact sexual function, and physical activity can help protect against sexual dysfunction in women with diabetes.

    The use of hormone replacement therapy should be carefully considered, and the marketing of hormone-free alternatives can be misleading.

    Coffee may have an impact on the efficacy of certain medications, including new menopausal medications for hot flashes.

    Advocacy and education are crucial in promoting sexual health and debunking myths.

    The brain plays a significant role in sexual pleasure and pain perception.

    Sex tech can enhance sexual experiences but should not and can not replace human connection and touch.

    There is a need for knowledge translation in research to ensure that findings are effectively communicated and applied in clinical practice.

    It is important to prioritize consent and safety in sexual activities, and to debunk myths and misconceptions surrounding rough sex and choking.


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    251. Sex Coaching for Beginners Feb 18, 2024
    Show notes

    Sex Coaching for Beginners In this conversation, Dr. Kelly Casperson interviews Kristine D'Angelo, a sex coach, about her journey into sex coaching and the difference between sex therapy and sex coaching. They discuss common barriers to pleasure, the impact of childhood messages on sexuality, and the importance of redefining sex in heterosexual relationships. Kristine provides tips for women to get into their bodies and invites them to explore sexual content and invite pleasure. They emphasize the importance of communication in relationships and the need to overcome anxiety in conversations about sex. The conversation concludes with a discussion on reconnecting with pleasure in everyday life and improving sex life through communication and understanding. In this conversation, Kristine D'Angelo, a certified sex coach, discusses the importance of exploring sexual fantasies and the challenges people face in sharing them. She also provides insights on finding a sex coach and the benefits of working with one. Kristine shares various platforms where people can connect with her and access her resources. Takeaways Sex coaching focuses on future-focused problem-solving and helping individuals achieve their goals for a more fulfilling sex life. Common barriers to pleasure include being stuck in the headspace, overthinking, and trying to meet unrealistic expectations. Tips for women to get into their bodies Common Barriers to Pleasure Childhood messages and societal norms can create barriers to pleasure and a lack of understanding of one's own sexual needs and desires. Transitioning from a task-oriented mindset to a pleasure-oriented mindset is important for enjoying sexual experiences. Communication and understanding are key to improving sex life and maintaining a strong foundation in a long-term relationship. Many people struggle with sharing their sexual fantasies and may feel shame or avoid the topic altogether. Overcoming anxiety in conversations about sex Finding a sex coach can be done through organizations like the World Association of Sex Coaches (WASC), online searches, or social media platforms. Working with a sex coach can provide support, guidance, and education to enhance sexual well-being and relationships. “Assumptions are the termites in long term relationships” - Kristine D'Angelo IG: sexcoachkristine Podcast: IG So I Married A Sexologist Doyoursexlifeafavor.com Youtube https://worldassociationofsexcoaches.org/ Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Why we need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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    250. The BIO in Biopsychosocial – Medications for Sexual Health Feb 11, 2024
    Show notes

    The BIO in Biopsychosocial – Medications for Sexual Health In this episode, Dr. Mona Gupta and Dr. Melissa Dahir join Dr. Kelly Casperson to discuss the importance of sexual health and the misconceptions surrounding it. They emphasize that sexual health is a bio-psycho-social issue and should be treated as such. The panel also addresses the black box warnings and misconceptions associated with sexual desire drugs, highlighting the benefits and considerations of these medications. They debunk the myth that alcohol is unsafe to consume while taking these drugs and discuss the positive effects of these medications on sleep. The panel also explores the sexual side effects of antidepressants and provides strategies for managing them. They delve into the use of testosterone replacement therapy and its impact on sexual health. Finally, they offer advice on navigating medications and seeking help for sexual health issues. Takeaways Sexual health is a bio-psycho-social issue that should be treated holistically. Addyi – how it works, its influence on sleep, and it’s safety profile, and it works in pre and post menopausal women. Black box warnings and misconceptions surrounding sexual desire drugs should be reevaluated, as these medications can have significant benefits for individuals. Alcohol consumption is not necessarily unsafe while taking sexual desire drugs, and the effects of these medications on sleep can be positive. The sexual side effects with SSRI’s and common psychiatric medications. Antidepressants can have sexual side effects, but there are strategies for managing these issues, such as adjusting the dosage or adding complementary medications. Testosterone replacement therapy can be an effective treatment for sexual health issues, particularly when used in conjunction with other therapies. When seeking help for sexual health issues, it is important to find a provider who is knowledgeable and supportive. Dr. Melissa Dahir, DNP, IF has been the Midwest’s leading healthcare expert in sexual medicine and vulvar pain disorders since 2006. In 2012 the International Society for the Study of Women’s Sexual Health (ISSWSH) named her an ISSWSH Fellow (IF) which is a top distinction in this field. She strongly believes that ongoing research is the key to advancing women’s sexual health.

    https://melissadahir.com/ Dr. Mona Gupta, a renowned psychiatrist with seven practices and growing in North Carolina, is a forward-thinking key opinion leader in psychiatry. Specializing in breaking down patients' problems into manageable components, she facilitates easier tackling. Dr. Gupta, a passionate advocate for women's sexual health, emphasizes its undervalued role in mental health and overall wellbeing.

    Dr.Gupta: https://www.guptapsychiatry.com/

    https://www.facebook.com/GuptaPsych

    https://twitter.com/GuptaPsychiatry

    https://youtube.com/@guptapsychiatrywellness1740?si=Fxud1VWQj1ADCV6

    https://www.tiktok.com/@guptapsychiatry1

    Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership


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    249 - Sex and the Brain - Office Hours with Tabu Feb 04, 2024
    Show notes

    Check out details for my retreat: https://ascendretreats.com/

    In this episode, Dr. Kelly Casperson discusses the connection between the brain and sex, the role of hormones in desire and arousal, and tips for increasing desire and overcoming mental blocks. She also addresses common concerns such as painful intercourse, bladder issues, and changes in sexual sensation after surgery. Dr. Casperson emphasizes the importance of communication, seeking professional help when needed, and understanding that everyone's sexual journey is unique. In this conversation, Dr. Kelly Casperson discusses various topics related to sexual health. She emphasizes the importance of prioritizing sex and the role of dopamine in our desire for pleasure. She addresses challenges with painful sex and low libido, providing recommendations for overcoming these issues. Dr. Casperson also highlights the need to expand the definition of sex beyond penetration and explores ways to achieve orgasm and pleasure. Additionally, she discusses the impact of diet on sexual health and provides guidance on finding a reputable sex therapist.

    Takeaways:
    The Connection Between Sex and the Brain

    The Role of Hormones in Desire and Arousal

    Tips for Increasing Desire and Overcoming Mental Blocks

    Using Erotica and Visuals to Spark Imagination

    Navigating Sexual Frequency and Expectations

    Managing ADHD and Staying Present During Sex

    Using Vibrators and Addressing Painful Intercourse

    Improving Communication and Intimacy in Long-Term Relationships

    Understanding Burning Sensations After Ejaculation

    Addressing Bladder Issues and Prolapse

    Using Vaginal Estrogen for Dryness and Atrophy

    Managing Libido and Pleasure with Various Factors

    Addressing Changes in Sexual Sensation After Hysterectomy

    Exploring the Effectiveness of Libido-Boosting Products

    The Importance of Prioritizing Sex

    Challenges with Painful Sex and Low Libido

    Recommendations for Overcoming Challenges

    Expanding the Definition of Sex

    Achieving Orgasm and Pleasure

    The Impact of Diet on Sexual Health

    Finding a Reputable Sex Therapist

    www.heytabu.com

    Listen to my Tedx Talk: Why we need adult sex ed

    Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

    Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

    www.kellycaspersonmd.com/membership


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    248. Hollywood Ruined Us – Sex Therapist Brooke Bralove Jan 28, 2024
    Show notes

    Hollywood Ruined Us – Sex Therapist Brooke Bralove

    Brooke Bralove, LCSW-C is a Licensed Clinical Social Worker, Psychotherapist, Master Accelerated Resolution Therapy (ART) Practitioner, AASECT Certified Sex Therapist, and Certified Daring Way™ Facilitator. Brooke specializes in treating adults, couples, and groups with anxiety, trauma, and relationship challenges. Brooke’s new passion is Accelerated Resolution Therapy, a brief treatment modality using bilateral eye movements that provides lasting relief and healing to patients with PTSD, trauma, addiction, anxiety, and depression. She has maintained a private practice in Bethesda, Maryland for 20 years.

    Summary

    In this episode, Dr. Kelly Casperson interviews Brooke Bralove, a licensed clinical social worker and certified sex therapist, about her work in treating sexual health issues and trauma. Brooke discusses her evolution into specializing in sexual health and the importance of education and normalizing sexual issues. She explains the benefits of accelerated resolution therapy (ART) in treating trauma and shares success stories. Brooke also addresses the role of vulnerability in intimacy, the spectrum of trauma, and the integration of therapy into medical practice. She provides resources for finding an ART therapist.

    Takeaways

    Education and normalizing sexual issues are crucial in helping individuals and couples address sexual health challenges.

    Accelerated resolution therapy (ART) is a brief treatment modality that uses bilateral eye movements to provide lasting relief and healing for trauma and sexual health issues.

    Vulnerability is essential for intimacy, and therapy can create a safe space for open communication and healing.

    Trauma can manifest in various forms, including sexual trauma, medical trauma, and developmental trauma.

    Finding a therapist who is trauma-informed and trained in specialized therapies like ART can be beneficial for individuals seeking help.

    www.brookebralove.com

    FB: brookebralovepsychotherapy

    IG: @brookebralovepsychotherapy

    Tik Tok: @bbralovepsychotherapy

    Acceleratedresolutiontherapy.com

    Check out details for my retreat: https://ascendretreats.com/

    Listen to my Tedx Talk: Why we need adult sex ed

    Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

    Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

    www.kellycaspersonmd.com/membership

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    247. Sex Symposium: Morning After Review with Dr. Rubin Jan 21, 2024
    Show notes

    Sex Symposium: Launching the First Annual Event

    Today I drink coffee with Dr. Rachel Rubin, fellow urologist and sex med physician and we run through ALL THE THINGS that happend when I co-hosted the first annual sex symposium with Dr. Emily Morse and with The Swell founder Alisa Volkman in New York City.

    Want to stay connected to hear about more upcoming events with me and the future ones with the Swell? Follow me on IG at

    www.instagram.com/kellycaspersonmd

    Check out details for my retreat March 2024: https://ascendretreats.com/

    Listen to my Tedx Talk: Why we need adult sex ed

    Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

    Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

    www.kellycaspersonmd.com/membership


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    246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy Jan 14, 2024
    Show notes

    246. Midlife Transformation: The Power of Education, Empowerment and Hormone Therapy

    In this conversation, Katey Armstrong shares her journey of discovering Dr. Kelly Casperson and the impact of hormone education on her life. She discusses her experience with prolapse and the challenges she faced in accessing hormone treatment in Canada. Katey emphasizes the importance of taking responsibility for one's health and wellness and the need for individualized approaches. She also highlights the positive impact of hormones on her fitness and overall well-being. Katey expresses curiosity about trying testosterone in the future. In this conversation, Katey Armstrong and Dr. Kelly Casperson discuss the use of estrogen and progesterone in hormone therapy. They cover topics such as the application and benefits of estrogen, the routine and benefits of vaginal estrogen, and the use of oral progesterone. They also discuss the timeline for feeling better after starting hormone therapy and the challenges of getting dexa scans. The conversation concludes with a discussion on the long-term benefits of hormone therapy and the importance of personal empowerment in taking control of one's health.

    Takeaways

    Education and self-advocacy are crucial in navigating hormone treatment.

    Individual experiences with hormones can vary, and it is important to find what works best for each person.

    Taking responsibility for one's health and wellness is empowering.

    Hormones can have a positive impact on fitness and overall well-being. Estrogen gel can be applied topically and provides benefits such as improved skin health and reduced hot flashes.

    Vaginal estrogen can be used to improve vaginal dryness and overall comfort.

    Oral progesterone is often taken in the evening to help with sleep.

    It can take several weeks to start feeling better after starting hormone therapy, and it's important to give the body time to adjust.

    Getting dexa scans to assess bone health can be challenging in some areas.

    Estrogen receptors need time to regulate and upregulate in response to hormone therapy.

    Hormone therapy has long-term benefits for conditions such as dementia, heart disease, and bone health.

    It's important to educate oneself and take control of one's health, rather than relying solely on healthcare providers.

    Gratitude and appreciation for the conversation and the opportunity to share experiences and knowledge.

    www.healthyevolution.ca

    www.instagram.com/healthyevolutionbykatey/

    FB https://www.facebook.com/katey.kirkwood.5

    Check out details for my retreat: https://ascendretreats.com/

    Listen to my Tedx Talk: Why we need adult sex ed

    Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

    Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support!

    www.kellycaspersonmd.com/membership


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    245. Changing Women's Healthcare From Inside Medicine Jan 07, 2024
    Show notes

    Changing Women’s Healthcare From Inside Medicine Dr. Sarah Cigna (She/Her) is an Assistant Professor of Obstetrics & Gynecology with The George Washington University. She is the current Director of the SAGA (Sexual Health and Gender Affirmation) Center and Director of the first Sexual Medicine Fellowship in the country for OBGYN physicians. She is active in the International Society for the Study of Women's Sexual Health (ISSWSH); she has served on the education committee for several years and will be taking over as the Education Chair this year. She is a Fellow of ISSWSH and runs a busy sexual medicine outpatient service, teaching medical students, residents, fellow clinicians and patients the wonders of sex medicine! She still enjoys birth work (delivering babies), and benign GYN surgery. She hopes to model the role of sexual medicine specialist in an academic setting for aspiring sex detectives. Dr. Sarah Cigna, an expert in sexual medicine, discusses the importance of sexual health education, challenges in talking about sexual health, the need for comprehensive vulvar examinations, improving access to sexual medicine education, expanding sexual medicine fellowships, addressing side effects of birth control, individualized contraceptive options, improving pain control for IUD placement, and the misconception of testosterone as the desire hormone. The conversation explores the complexity of hormones and desire, emphasizing that there isn't just one hormone responsible for desire and that they all play together. The importance of individualized treatment and its impact on quality of life is discussed, highlighting the life-changing nature of sexual medicine. The significance of referrals and second opinions is emphasized, encouraging healthcare providers to seek help from specialists and patients to seek multiple perspectives. The need for expanding sexual medicine fellowships is addressed, calling for advanced learning opportunities for all healthcare professionals. Takeaways Sexual health education is crucial for healthcare providers to better serve their patients. Comprehensive vulvar examinations are essential for diagnosing and treating sexual health issues. Expanding sexual medicine fellowships can help train more clinicians in this specialized field. Individualized contraceptive options should be offered to patients based on their specific needs and preferences. Improving pain control options for IUD placement can make the procedure more comfortable for patients. Testosterone is not the sole hormone responsible for desire, and other factors, such as estrogen, play a significant role. Hormones and desire are complex, and there isn't just one hormone responsible for desire. Individualized treatment in sexual medicine can greatly improve quality of life. Referrals and second opinions are important in sexual medicine to ensure patients receive the best care. Expanding sexual medicine fellowships is crucial for advancing the field and providing evidence-based care. IG @drsarahcigna @gwsagacenter NYC Sex Symposium www.theswell.com Check out details for my retreat: https://ascendretreats.com/ Listen to my Tedx Talk: Whywe need adult sex ed Take my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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    244. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer. Dec 31, 2023
    Show notes

    242. Happy New Year's and the Nail in the Coffin of Hormones Causing Breast Cancer In this episode, Dr. Kelly Casperson shares updates on the podcast and announces the four-year anniversary. She discusses her plans for the future, including moving the podcast to a new category and manifesting success in the health and fitness industry. Dr. Casperson also announces a retreat and offers live group coaching sessions. She encourages listeners to sign up for the retreat and get a lifetime membership to her monthly membership program. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding physicians and therapists specializing in menopause issues. Finally, she debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy.Takeaways Dr. Casperson is celebrating the four-year anniversary of the podcast and shares her plans for the future. She announces a retreat and offers live group coaching sessions for listeners. Dr. Casperson answers a listener question about painful intercourse and provides recommendations for finding specialized healthcare providers. She debunks the Women's Health Initiative study and emphasizes the safety and benefits of hormone replacement therapy. Bluming AZ, Hodis HN, Langer RD. 'Tis but a scratch: a critical review of the Women's Health Initiative evidence associating menopausal hormone therapy with the risk of breast cancer. Menopause. 2023 Dec 1;30(12):1241-1245. doi: 10.1097/GME.0000000000002267. Epub 2023 Oct 18. PMID: 37847875 Check out details for my retreat: https://ascendretreats.com/ Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK Listen to my Tedx Talk: Why we need adult sex ed Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

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    243. UnF*ck Your Brain: Body Image, Desire, and Coaching with Kara Loewentheil Dec 24, 2023
    Show notes

    243. UnF*ck Your Brain: Body Image, Desire and Coaching with Kara Loewentheil

    Kara Loewentheil, J.D., is a Master Certified Coach, host of the top-rated podcast UnF*ck Your Brain, and creator of the Clutch: A feminist mindset revolution. A graduate of Yale College and Harvard Law School, she did what every Ivy League feminist lawyer should do: Quit a prestigious academic career to become a life coach!

    Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com

    Check out my retreat March 2024! https://ascendretreats.com/

    In this conversation, Kelly Casperson interviews Kara Loewentheil about thoughtwork and its impact on desire and pleasure. They discuss the influence of society on women's thoughts and desires, the historical context of women's desire, and the concept of object of affirmation desire. They also explore body image and self-criticism, the importance of communication in relationships, and the process of changing thoughts and self-criticism. Overall, the conversation highlights the power of thoughtwork in transforming women's relationship with desire and pleasure. In this conversation, Kara Loewentheil discusses the impact of society's expectations on women and how thought work can help break free from sexist thinking. She emphasizes the transformational power of thought work and the importance of commitment and practice. Kara shares her personal experiences and how thought work has changed various aspects of her life. She also highlights the need to embrace the human experience and let go of the fantasy of constant improvement. The conversation concludes with an announcement about Kara's book, 'Take Back Your Brain.'

    Takeaways

    Society plays a significant role in shaping women's thoughts and desires.

    Women are often socialized to see themselves as objects of desire and believe that their desirability is dependent on others.

    Body image and self-criticism can negatively impact women's relationship with desire and pleasure.

    Communication is essential in fostering healthy and fulfilling sexual relationships.

    Changing thoughts and self-criticism is a gradual process that requires patience and self-compassion.

    www.instagram.com/karalowentheil

    https://unfuckyourbrain.com/

    Take Back Your Brain https://amzn.to/3RufcoX

    https://unfuckyourbrain.com/

    Check out details for my retreat: https://ascendretreats.com/

    Did you get my “You Are Not Broken” Book Yet? https://amzn.to/3p18DfK

    Listen to my Tedx Talk: Why we need adult sex ed

    Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed

    Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes.

    www.kellycaspersonmd.com/membership

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