Whatever we do not change, we are choosing. Humans are not born with a preset purpose; instead, we must define our essence over time. We define who we are through our choices. Often, external forces like family, societal norms, or financial pressure shape our sense of purpose, potentially leading to existential anxiety and inner conflict.

The article emphasizes the concept of choice—that while some events are out of our control, our responses are not. Social media is used as an example: although many recognize its negative emotional effects, they continue to engage with it, often unconsciously. The same principle applies to toxic interactions—choosing to engage in them is still a choice.

The core message is that real freedom lies in recognizing the space between stimulus and response, and using that pause to make intentional choices. This idea extends to sex therapy, where unexamined beliefs around pleasure and sexuality can limit fulfillment. We can either accept these beliefs or challenge them to create a more authentic, satisfying life.

The term ‘sex addiction’ is controversial and not officially recognized in the DSM due to a lack of key addiction criteria like tolerance and withdrawal. Instead, the ICD-11 defines it as compulsive sexual behavior—a loss of control over sexual impulses that causes significant distress or life disruption.

Many cases stem from unresolved trauma, not addiction. Labeling it as such can lead to ineffective treatment with ephemeral results. A more effective approach is trauma-informed therapy within sex therapy that focuses on healing and helping clients find meaning and balance in their lives.

This article debunks common myths about female pleasure, emphasizing that it’s not complicated—just misunderstood due to limited sex education and social stigma. Key points include: most women don’t orgasm from vaginal penetration alone; the clitoris plays a central role in pleasure; sexual desire can be spontaneous or responsive; self-pleasure improves partnered sex; and orgasms are primarily a brain-based experience. Better knowledge leads to healthier, more satisfying sex lives.

Sexual trauma, often from known perpetrators, causes lasting emotional wounds impacting relationships and intimacy. Therapy helps normalize trauma responses like anxiety and flashbacks, teaching coping skills and emotional regulation through mindfulness and trauma-focused techniques. Healing is a gradual process, not a quick fix, and triggers may reoccur. Partners can support survivors by educating themselves on trauma, validating their experience, being mindful of their reactions, seeking personal support, and considering couples therapy. Open communication and consent are vital for rebuilding intimacy, emphasizing patience and understanding for incremental but significant progress.