sex therapy

Talk to An Experienced Sex Therapist

Sexual relationships--and the difficulties that can arise from them--assume major importance in most people's lives.

Dr. Garamoni specializes in the practice of Sex Therapy. He was trained by Drs. Sandra Leiblum and Raymond Rosen, two leading experts in the field, during his year-long internship in the Sexual Counseling Service at Robert Wood Johnson Medical School. He now draws on 20+ years of experience helping men and woman with sexual dysfunctions and difficulties (see Sexual And Gender Identity Disorders). Dr. Garamoni is a member of The Society for Sex Therapy and Research.

Dr. Garamoni uses short-term treatments to help people with clearly defined problems, such as premature ejaculation, erectile disorder, difficulty reaching orgasm, and painful intercourse.


Dr. Garamoni also helps people deal with less specific and often more complicated problems, such as loss of interest, discrepancies in sexual desire, lack of emotional involvement, unfulfilled expectations, negative feelings, inability to relax, and poor self-image. Much of this work is done in the context of Couples Therapy to help couples fuel passion with enhanced levels of emotional intimacy and commitment to their relationship.

Sometimes the sexual problem in a relationship is caused by a partner’s depression, anxiety, anger, or other issue. In these cases, the sexual problem may be resolved through some form of individual therapy, such as Cognitive Therapy for Depression, Cognitive Therapy for Anxiety, Stress Management, Career Counseling, or even some form of Family Counseling.


Areas of Relationship Satisfaction/Dissatisfaction

 Time Together

Use this scale to rate your satisfaction/dissatisfaction with the area of relating described below:
  • 1

    totally
    unsatisfied

  • 2

    very
    unsatisfied

  • 3

    fairly
    unsatisfied

  • 4

    a little
    unsatisfied

  • 5

    Neutral

  • 6

    a little
    satisfied

  • 7

    fairly
    satisfied

  • 8

    very
    satisfied

  • 9

    totally
    satisfied

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 Problem-Solving Communication

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 Caring & Affection

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 Division of Roles

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 Finances

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 Sex

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 Extended Family

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 Children

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  Alcohol/Drug Use

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 Infidelity

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Premarital Counseling

If you are worried about the future of your relationship, you have plenty of company. A majority of couples are divorcing, and surveys reveal a lot of dissatisfaction in marriages. Fortunately, something can be done about it.

And that’s where Dr. Garamoni can help you -- he specializes in Marriage Counseling--also called Couples Therapy, Relationship Therapy, Marital Therapy, and sometimes Family Therapy.

Dr. Garamoni is an experienced psychologist who can understand seemingly hopeless relationship problems and formulate comprehensive treatment plans to resolve them. He begins by conducting thorough interviews and administering questionnaires to pinpoint sources of satisfaction and dissatisfaction. He works quickly to stop any destructive exchanges, prioritize issues, and foster a renewed sense of intimacy, passion, and commitment.

Over half of Dr. Garamoni’s practice is devoted to couples therapy. Physicians, attorneys, and other professionals refer couples to Dr. Garamoni for help with a very wide range of concerns. These referrals include married couples as well as unmarried couples, including same sex partners. Some couples come for pre-marital counseling to prevent trouble in the future. Some couples seek relationship enhancement. Others are in acute stress following some crisis that threatens their relationship. Many couples have experienced a gradual loss of intimacy, passion, or commitment--they feel stuck and want professional help to restore love to their relationship. Some come specifically for Sex Therapy.

Preserving Love

Couples may come for relationship therapy, but are better served by Family Therapy in which children, parents, or other members of the family are involved. In some cases, one or both partners may need individual therapy to alleviate symptoms and improve the relationship. For example, Cognitive Therapy for Depression, Cognitive Therapy for Anxiety, Stress Management, or Career Counseling may be recommended.

Dr. Garamoni often sees couples struggling with infidelity, an especially difficult crisis in any relationship. Fortunately, many couples are able to feel increased hope after learning that partners often do recover from this traumatic experience and are inspired to do the hard work necessary to save their relationship.

For partners who cannot work through their differences, separation or divorce may be the best choice. In divorce counseling, Dr. Garamoni does his best to help couples separate in constructive ways for themselves and any children involved.


Counseling on Sexual Issues

If you are worried about the future of your relationship, you have plenty of company. A majority of couples are divorcing, and surveys reveal a lot of dissatisfaction in marriages. Fortunately, something can be done about it.

And that’s where Dr. Garamoni can help you -- he specializes in Marriage Counseling--also called Couples Therapy, Relationship Therapy, Marital Therapy, and sometimes Family Therapy.

Dr. Garamoni is an experienced psychologist who can understand seemingly hopeless relationship problems and formulate comprehensive treatment plans to resolve them. He begins by conducting thorough interviews and administering questionnaires to pinpoint sources of satisfaction and dissatisfaction. He works quickly to stop any destructive exchanges, prioritize issues, and foster a renewed sense of intimacy, passion, and commitment.

Over half of Dr. Garamoni’s practice is devoted to couples therapy. Physicians, attorneys, and other professionals refer couples to Dr. Garamoni for help with a very wide range of concerns. These referrals include married couples as well as unmarried couples, including same sex partners. Some couples come for pre-marital counseling to prevent trouble in the future. Some couples seek relationship enhancement. Others are in acute stress following some crisis that threatens their relationship. Many couples have experienced a gradual loss of intimacy, passion, or commitment--they feel stuck and want professional help to restore love to their relationship. Some come specifically for Sex Therapy.

Preserving Love

Couples may come for relationship therapy, but are better served by Family Therapy in which children, parents, or other members of the family are involved. In some cases, one or both partners may need individual therapy to alleviate symptoms and improve the relationship. For example, Cognitive Therapy for Depression, Cognitive Therapy for Anxiety, Stress Management, or Career Counseling may be recommended.

Dr. Garamoni often sees couples struggling with infidelity, an especially difficult crisis in any relationship. Fortunately, many couples are able to feel increased hope after learning that partners often do recover from this traumatic experience and are inspired to do the hard work necessary to save their relationship.

For partners who cannot work through their differences, separation or divorce may be the best choice. In divorce counseling, Dr. Garamoni does his best to help couples separate in constructive ways for themselves and any children involved.


Dr. Garamoni’s Published Research on Sexual Functioning

Dr. Garamoni has made contributions to the scientific understanding of human sexuality. He managed a three year research project that investigated (among other things) sexual functioning in depressed men. Based on this research, he co-authored these peer-reviewed articles:

Nofzinger, E.A., Fasiczka, A.L., Thase, M.E., Reynolds, C.F., Frank, E., Jennings, J.R., Garamoni, G.L., Mattzie, J.V., & Kupfer, D.J. (1993). Are buckling force measurements reliable in nocturnal penile tumescence studies? Sleep, 16, 156‑162.

Nofzinger, E.A., Schwartz, R.M., Reynolds, C.F., Thase, M.E., Jennings, J.R., Frank, E., Fasiczka, A.L., Garamoni, G.L., & Kupfer, D.J. (1993). Correlation of nocturnal penile tumescence and daytime affect intensity in depressed men. Psychiatry Research, 49, 139‑150.

Nofzinger, E.A., Thase, M.E., Reynolds, C.F., Frank, E., Jennings, J.R., Garamoni, G.L., Fasiczka, A.L., & Kupfer, D.J. (1993). Sexual functioning in depressed men: Assessment using self‑report, behavioral and nocturnal penile tumescence measures before and after treatment with cognitive behavioral therapy. Archives of General Psychiatry, 50, 24‑30.

Thase, M.E.; Reynolds, C.F.; Jennings J.R.; Frank E; Garamoni G.L.; Nofzinger E.A.; Fascizka A.L.; & Kupfer D.J. (1992). Diminished nocturnal penile tumescence in depression: a replication study. Biological Psychiatry, 31:11, 1136-1142.