Dr. Sara - general and specialty practice in clinical psychology
Dr. Sara - general and specialty practice in clinical psychology

Chapel Hill NC
and
Cary NC

Infertility, New Parenthood, Sexual Dysfunctions

flowers
I have both a general practice and a specialty practice in clinical psychology.

In my general practice I help individuals and couples overcome anxiety, mood disorders, and other problems to live more full and productive lives.

In my specialty practice I help people deal with a wide range of reproductive health concerns from sex, infertility, and pregnancy, to preparing for childbirth or adoption and parenting.

I am taking new patients, and you are welcome to contact me for an appointment. I hope the articles and links on this web site are helpful for you.

    

Web & Print Resources:

Adoption    Infertility    Parenting    New Parenthood    Pregnancy    Sex Therapy    Additional Resources

Adoption

People come to adoption various ways. Most struggle for years with infertility and different levels of high tech treatment before making the choice to adopt, but some opt for an eclectic family and add to their natural family by reaching out either locally or across the nations. Here are some resources for those exploring the adoption option.

 

Infertility

 

Parenting

 

New Parenthood


If you've recently had a child, I've written the following information to try to help you make sense out of some feelings you may have:
 

Pregnancy

Pregnancy is a very special time in a woman's life and in the lifecycle of a couple as well. Besides a host of physical changes, from the swelling breasts and growing belly to differences in mood and libido, there are also a host of social and emotional changes that accompany this irrevocable passage. In this section I offer my patients several links to helpful websites as well as a list of books that might prove helpful in planning for delivery. I encourage all of my patients to consider hiring a birthing doula for their labor and delivery and a postpartum doula to help with newborn care. Throughout history women have been attended by older, wiser, and more experienced women in the birthing process and in learning to get to know the new baby. Our culture is uniquely isolated and isolating in expecting new moms to figure it out on their own, at best with the help of their own mothers (who typically only gave birth once or twice), but disconnected from the larger community. This disconnection places a tremendous burden on modern moms who are trying to straddle two worlds and usually feeling somewhat cast adrift with an impossible mission: One of the most wonderful aspects about living in a democratic western culture today is the tremendous number of choices that we have. Along with choice comes the daunting responsibility for making sure that the choices we make are fully informed. Personally, I believe that a truly free and informed choice is one that is made largely free from fear. In order to diminish fear and increase the likelihood of truly informed choices, I offer my patients the following links to articles about the emerging, and increasingly popular option of elective C-Section:  

Sex Therapy

Two medical advances have led to an increase in the incidence of hypoactive sexual desire disorder - Selective Serotonin Reuptake Inhibitors (SSRIs) used to treat depression and anxiety and oral contraceptive pills (OCPs) used to prevent acne and pregnancy. While these medications are very important to many people, the undesirable side effects pose a challenge to intimate relationships and may require the skilled intervention of a qualified sex therapist. The American Association of Sex Educators, Counselors, and Therapists or AASECT (see www.aasect.org for more information) has been existence since 1967 as the premier organization that certifies sexual health practitioners, setting the standards for, and credentialing of professionals in sex education, counseling and therapy. Because AASECT maintains the most rigorous standards for ethics, academic preparation and applied skills with a stringent Code of Ethics and clearly defined requirements for training, it is important that you insist on AASECT certification when choosing a sex therapist. Here are several resources dealing with intimacy issues: Few experiences are as devastating in life as the diagnosis of cancer can be, especially when it affects the core of one's identify, self image, body image, gendered self, and intimate sexual life. Here are some resources to help you cope. Resources dealing with the effects of aging on sex.  

Additional Resources

  • ASRM (American Society of Reproductive Medicine)
    ASRM is interested in all aspects of the reproductive life cycle. They provide information on infertility, menopause, contraception, reproductive surgery, endometriosis, and other reproductive disorders.

 

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