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The Trouble with Sex

The Trouble with Sex

Written by: The Trouble With Sex
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Relationship & Sex Therapist Dr. Tammy Nelson gets up close and personal with leading, sex-positive experts and influencers to examine hot topics and answer your questions about pleasure, sexuality, relationships and the most forbidden aspects of the human experience.

© 2026 The Trouble with Sex
Hygiene & Healthy Living Relationships Self-Help Social Sciences Success
Episodes
  • 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

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    56 mins
  • 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

    Show More Show Less
    52 mins
  • 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

    Show More Show Less
    54 mins
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