Open Relationships for Gay Couples: Growth, Not a Fix
October 8, 2026
Couples come to me at every stage of this question. Some are curious about opening up and don’t know how to bring
Sex & Relationship Blog
Writing on desire, sex, and relationships for individuals and couples, from AASECT-certified sex therapist Jon Prezant, LCSW.
Gay Men and Porn: When It Becomes a Problem (And When It Doesn’t)
August 31, 2026
Almost everything written about gay men and porn splits into two camps, and neither one is much use in a therapy room.
Ready for a Relationship? Why That’s the Wrong Question
July 17, 2026
Most people asking whether they’re ready for a relationship are working from a story our culture tells about how relationships are supposed
Couples Therapy and the Growth Edge: Rethinking Low Desire, Erectile Dysfunction, and Sexual Boredom
July 1, 2026
Most couples who come in for couples therapy for sexual issues arrive convinced that something has gone wrong. Desire has faded. Erections
Sexual Performance Anxiety: Why “Just Relax” Never Works
June 10, 2026
If you’re reading this, there’s a decent chance it’s late, you’re alone, and something happened recently that you can’t stop replaying. Maybe
Sex vs Couples Therapy: Which Do Men Actually Need?
April 25, 2026
Something’s off. Maybe it’s been off for a while. You finally said it out loud, or the silence around it got loud
Why So Many Men Can’t Get Hard With a Partner — And Why the Real Problem Isn’t What You Think
March 27, 2026
Every week, men walk into my (virtual) office in New York City with some version of the same story. They can’t get
What Happens in Your First Couples Therapy Session
March 17, 2026
You’ve already done the hard part. You thought about it — probably for a while. You brought it up with your partner,
Is Fighting Normal in Relationships? A Couples Therapist Explains
November 20, 2025
If you and your partner are fighting more than ever, you might be wondering: Is this normal? Should we be fighting this
Couples Therapy NYC: How Existential Work Transforms Conflict
October 11, 2025
Understanding the Deeper Questions Behind Relationship Conflicts When couples enter therapy, they often arrive in crisis, locked in patterns of conflict that