Episodios

  • Sex & Psychedelics
    Apr 16 2026

    Psychedelics aren’t just a trend—they’re opening doors to pleasure, healing, and deeper connection. Today, therapist and educator Dee Dee Goldpaugh joins us to explore how these powerful tools are being used to help people heal through connection, and how to experience what's possible in a safe, therapeutic setting.

    GUEST

    Dee Dee Goldpaugh is a licensed psychotherapist, clinical consultant, educator, and author. They serve as the Women, Gender Diversity, and Sexual Minorities Advisor for the Chacruna Institute and are the Clinical Director of Chrysalis Integrative Psychotherapy. Dee Dee is also a member of the ketamine-assisted psychotherapy team at the Woodstock Therapy Center in Woodstock, NY.

    Dee Dee is a frequent presenter at international conferences, including Psychedelic Science, Psychedelic Culture, and the Interdisciplinary Conference on Psychedelic Research (ICPR). Their writing explores psychedelics and sexuality, gender, queer issues, trauma, and spirituality, and has appeared in both popular media and academic publications.

    They are a featured author in Queering Psychedelics: From Oppression to Liberation in Psychedelic Medicine and authored the first academic journal article outlining specific techniques to support sexual trauma survivors during psychedelic integration.

    Dee Dee is also the author of Embrace Pleasure: How Psychedelics Can Heal Our Sexuality. Published by Simon and Schuster/Inner Tradition, in 2025, this is the first book to explore the intersection of sexuality, spirituality, and psychedelic healing.

    RESOURCES MENTIONED IN THE EPISODE

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.


    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    54 m
  • What's True About You
    Mar 27 2026

    Dr. Tammy speaks with psychotherapist and bestselling author Katherine Woodward Thomas about her latest book, What's True About You, and how we can outgrow who we've known ourselves to be for the possibility of who we might become - and what we can create moving forward.

    OUR GUEST

    Katherine Woodward Thomas is a licensed therapist, author, educator, and a recognized pioneer in transformational psychology. She is the New York Times bestselling author of Calling in “The One” and Conscious Uncoupling. Katherine has taught hundreds of thousands in her virtual and in-person programs, and trained thousands of professionals in her methods. Her latest book, What's True About You: 7 Steps to Move Beyond Your Painful Past and Manifest Your Brightest Future is available now.

    RESOURCES MENTIONED IN THE EPISODE

    Love Between Equals by Pepper Schwartz, PhD

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.


    Instagram @thetroublewithsex and doctor_tammynelson

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    56 m
  • The Power of Interoception Informed Therapy
    Mar 12 2026

    Dr. Tammy speaks with psychotherapist and trauma specialist Tracy Jarvis about evidence-based Interoception Therapy, trauma healing, and the mind–body connection. They explore how developing awareness of the body’s emotional signals can support personal growth, emotional regulation, and healthier relationships.

    OUR GUEST

    Tracy Jarvis is a renowned psychotherapist, trainer, and consultant with over 20 years of experience in the fields of psychology and mental health. Specialising in neuroscience and trauma, Tracy combines a rigorous academic foundation with over 25 years of yoga and movement practice, bringing a deeply embodied and neurobiological perspective to her clinical and teaching work.

    Tracy is also the co-developer of the new Psychology and Trauma MSc at University College London. She is the Founder and former Managing Director of PESI UK (previously Psychotherapy Excellence), a not-for-profit organisation and the largest clinical content provider in the UK and Europe. In addition, Tracy is part of the Sensorimotor Psychotherapy Institute training team and has a specialist private practice in PTSD, complex trauma, and trauma-related issues/ diagnosis. She teaches, advises, and consults on trauma and clinical strategy for various organisations worldwide, as well as for TV and film, emphasising the importance of a bi-directional approach to treating psychological trauma.

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.

    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    48 m
  • Passion & Presence
    Feb 23 2026

    Dr. Tammy talks with experiential and sex therapist Maci Daye about how to use mindfulness and the methods of Hakomi Therapy to break away from past experiences and patterns to help avoid reenacting them in our current relationships and sex lives.

    GUEST BIO:

    Maci Daye is a force in the world of mindful somatic therapy. She’s a Licensed Professional Counselor, an AASECT-certified Sex Therapist, and a Certified Hakomi Therapist with over 20 years of clinical experience. Her background spans university counseling, social services, and government work, supported by graduate degrees from Harvard University and Georgia State University, plus advanced Somatic Experiencing training developed by Peter Levine.

    Maci is also a faculty member at the Hakomi Institute and a Mentor Trainer for Hakomi Mallorca, where she trains therapists in the art of mindful somatic psychotherapy. She’s the author of Passion and Presence: A Couple’s Guide to Awakened Intimacy and Mindful Sex and leads transformative couples’ retreats and professional trainings in Mindful Couples Sex Therapy.

    Her mission is simple and powerful: to help individuals and couples live more connected, vibrant lives by claiming their desires and expressing their deepest gifts.

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.


    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    56 m
  • Navigating Neurodiverse Relationships
    Feb 9 2026

    Dr. Tammy talks with therapist and Autism Specialist, Kory Andreas, about what neurodivergence really means, how it shapes our connections, and how broadening our awareness can deepen the bonds with those we love.

    GUEST BIO:

    Kory Andreas is a Clinical Social Worker, Autism Specialist, and late-diagnosed Autistic adult who works exclusively with Neurodivergent adults and couples. After two decades as a School Social Worker, she is now in private practice, offering diagnostic assessments and therapy grounded in the lived experience and “practice-based evidence” of late diagnosed Autistic adults.

    Kory’s work with individuals, couples, as well as training clinicians, dives into the messy, often-overlooked realities of high-masking Autism, especially in women and gender-diverse adults who are frequently misunderstood or missed entirely. Kory’s goal is to better support Neurodivergent clients and help late-diagnosed Autistic adults feel less alone.

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.

    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    52 m
  • Love By Design
    Jan 23 2026

    Dr. Tammy sits down with Dr. Sara Nasserzadeh to discuss the challenges of modern relationships, the difference between sexual chemistry and harmony, desire vs attraction, and her new book - Love by Design: 6 Ingredients to build a lifetime of love.

    GUEST BIO:

    Dr. Sara Nasserzadeh is an award-winning social psychologist, TED Speaker, global thought leader.

    Her mission is nothing less than world peace, built one relationship at a time. She ahs advised governments around the world, UN agencies, leading universities, and Fortune 500 companies, helping people navigate intimacy, leadership, and culture with clarity and compassion.

    She’s the author of the acclaimed book Love by Design: 6 Ingredients to Build a Lifetime of Love. Her work spans more than 40 countries and has been featured on NPR, the BBC, ABC, CNN, CNBC, The New York Times, The Times, and USA Today.

    A true trailblazer, Sara has shaped the field of relational science and earned honors from the British Council, the BBC World Service, Pfizer, and AASECT for her innovation and professional impact.


    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.

    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    54 m
  • Regulating Your Nervous System Through Resilience Informed Therapy
    Jan 12 2026

    Dr. Tammy talks with Dr. Arielle Schwartz about Resilience Informed Therapy, Polyvagal Theory and how connecting to your body can rewire your nervous system to help heal from trauma and deeper connection with ourselves and those we love.

    GUEST BIO

    Renowned speaker, author, and esteemed clinical psychologist, Dr. Arielle Schwartz has been widely recognized for her research and clinical advancements in trauma treatment, which have shaped the landscape of trauma recovery and elevated the standard of care all across therapeutic settings.

    Dr. Schwartz promotes a strength-based, embodied approach to trauma recovery that emphasizes self-driven healing to facilitate post-traumatic growth. Drawing on the principles of EMDR, somatic psychology, mindfulness-based therapies, and relational psychotherapy, she developed Resilience Informed Therapy—an integrative model of care for facilitating recovery from childhood trauma, PTSD, complex-PTSD and Dissociation.

    Dr. Schwartz has been teaching therapeutic yoga since 2008, and she is the author of Therapeutic Yoga for Trauma Recovery, a widely referenced guide to applied Polyvagal Theory for trauma recovery. She has also authored numerous books covering extensive research and guiding techniques in trauma treatment.

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.


    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    43 m
  • Men: Communication, Same-Sex Marriage and the Complexities of Masculinity
    Dec 19 2025

    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 Told You. His TEDx talk, The Mother Factor, grew out of his work with his nonprofit, which shares worldwide narratives of gay men and their mothers to support LGBTQ+ training and awareness. Rick is also the executive producer of the documentary film, “Mom, I Have Something to Tell You”.

    He is a frequent speaker at conferences for a myriad of academic and professional organizations and author of three books. He writes a regular column for Psychology Today.

    FREE OFFER!

    Want to re-ignite your sex life? Start your Erotic Recovery with Dr. Tammy's Six Weeks to Erotic Recovery for Singles e-book. Email drtammy@thetroublewithsex.com, and we will send you your free e-book!

    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.

    INTERESTED IN BECOMING A CERTIFIED SEX THERAPIST?
    Visit ISTI - Integrative Sex Therapy Institute. If you are already a therapist, find out how to receive your AASECT Sex Therapist Certification. Or, elevate your practice in relational psychotherapy by earning the new Certified Sex and Couples Therapist designation (CSCT).​ AASECT and CSCT renewal and re-certification classes are also offered.

    THE TROUBLE WITH SEX
    RESOURCES, REFERENCES & INFO

    IF YOU'RE CONSIDERING OPENING YOUR RELATIONSHIP, CHECK OUT DR. TAMMY'S BOOK -
    OPEN MONOGAMY!

    To read more about how to improve your sex life, check out Dr. Tammy's Getting the Sex You Want: Shed Your Inhibitions and Reach New Heights of Passion Together.

    Learn more about love, marriage, infidelity, monogamy and how to redefine your commitment to each other in Dr. Tammy's TEDX talk - The New Monogamy.

    Instagram @thetroublewithsex and doctor_tammynelson

    Más Menos
    1 h y 5 m