Couples Therapy, Sex Therapy, Sex Ed and Substance Abuse


ISTI is proud to present in-depth, full-day presentations on couples therapy, integrating your treatment team for male/female complaints and working with clients from trauma backgrounds.



Nov 4-7, 2020

Held via: Live Simultaneous Webcast (9 am – 5 pm EST)

– Discounts for Early Registration end Sep 18th –

Wed – Nov 4

  • Reproductive Justice and Sexual Health; Sexuality Counseling and Systemic Change – Dr. Tammy Nelson with Joanne Bagshaw and Guests

Thu – Nov 5

  • Hidden Secrets of Male Sexual Problems – Barry McCarthy, PhD

Fri – Nov 6

  • Introduction to the Integration of Couples and Sex Therapy with Gail Guttman, LCSW

Sat – Nov 7

  • Substance Abuse and Opioid Dependence and Sex Therapy with Tammy Nelson
  • Sex Therapy Skills: Techniques and Interventions with Hani Miletski, MSW, PhD

**Courses and presenters may be adjusted periodically. Please check this page or contact for most up-to-date schedule.

In this 4 day training you can fulfill these requirements:

AASECT Sex Ed Core Knowledge Areas covered:
Wed : A, C, D, E, F, N, O, P
Thu : A, C, D, E, F, H, I, M, N, O
Fri : B, C, E, G, H, I, M, O
Sat : B, C, E, G, H, I, M, N
AASECT Core Sex Therapy training Areas covered:
Wed : C, E
Thu : B, C, E
Fri : A, B, C, E, D
Sat : A, B, C, D
CSCT Categories covered:
Wed : Cat 1CD
Thu : Cat 1 ACD, Cat 2 A
Fri : Cat 2 ABCD, Cat 3 ABC
Sat : Cat 1A

You may register for any combination of individual days. Student discounts available, email

Nov 4 (Wed) 9 am – 5 pm EST – Reproductive Justice and Sexual Health; Sexuality Counseling and Systemic Change – Dr. Tammy Nelson with Guests

9 am – 12 pm – Tammy Nelson and Guest Speakers (1hr each) Wendy Ramirez, Planned Parenthood Keystone and Mary Ziegler, author of Abortion and the Law in America, Roe v Wade to the Present

1 pm – 5 pm – Joanne Bagshaw and Guest Speaker (1 hr) ED Naral Pro-Choice Maryland

Sex therapists, counselors, and educators need to know more than the basics of reproductive health and treatment, especially in our current culture with its restrictions on women’s issues and the complications with respect to BIPOC and mothers who lack adequate access to care. We know that women of color are more likely to experience complications and/or die in childbirth in the U.S., regardless of socio-economic factors. With the added stressors of racism and sexism, we are all called to understand the systemic injustice in reproductive sexual health and rise to a better solution.

Nov 5 (Thu) 9 am – 5 pm EST – Hidden Secrets of Male Sexual Problems – Barry McCarthy, PhD

Young males learn that sex is easy, totally predictable, in his control, and autonomous. The male-female double standard and perfect intercourse performance model sets him up for sexual dysfunction and avoidance with aging. Couples frequently stop being sexual because the male has lost confidence with erections and intercourse. This workshop will explore premature ejaculation, erectile dysfunction, ejaculatory inhibition, and low sexual desire.

We will introduce a new model of masculinity focused on the Good Enough Sex (GES) model. We will also explore the use and misuse of porn, variant arousal, and male sexual secrets. A key to healthy male and couple sexuality with aging is for a male to view his partner as his intimate and erotic friend and learn to value variable and flexible sexual function.

Nov 6 (Fri) 9 am – 5 pm EST – Introduction to the Integration of Couples and Sex Therapy with Gail Guttman, LCSWD

The integration of couples’ therapy and sex therapy is no easy task. Couples therapy is a deepening process for both couples and individuals. Sex therapy at its core is cognitive-behavior therapy. Many couples’ therapists are taught little about sex therapy. They often learn that repairing the attachment wound and creating reconnection will solve the sexual problem.

Through this presentation, we will explore an overview of the integration of couples and sex therapy. Many components of knowledge are necessary to explore this topic, such as psychodynamic theory, relational and medical issues. An understanding of the importance of sexual knowledge in order to educate our clients about healthy, positive sexual attitudes is crucial. A summary of basic skills will be presented and practiced, including Sensate Focus. Most importantly, we will look at our own attitudes about addressing sexuality and discuss ways to bring up the topic of sexuality with our individuals and couples.

Nov 7 (Sat) 9 am – 12 pm EST – Substance Abuse and Opioid Dependence and Sex Therapy with Tammy Nelson

Research shows that long-term use of alcohol and opioids are associated with sexual dysfunction across almost all domains of sexual functioning. Because of this and the lack of general information and follow up, sexual dysfunction is one of the primary reasons that patients with substance abuse relapse and have poor compliance rates in treatment. Contemporary treatment models should include a systemic evaluation and follow up with sex therapists and sexuality counselors to intervene using a PLISSIT model combined with harm reduction to educate and offer options for those experiencing sexual issues while recovering from substance abuse. This class will examine the dilemma of prioritizing sexual health in the substance abuse field, and the use of a sexual health treatment plan for ongoing relapse prevention and more positive treatment outcomes.

Nov 7 (Sat) 1 pm – 5 pm EST – Sex Therapy Skills: Techniques and Interventions with Hani Miletski, MSW, PhD

This workshop is for beginner sex therapists and sexuality counselors and is an overview of some of the most common sexual issues we may encounter at our practices: sexual desire, sexual arousal, and orgasm issues. This workshop will be mostly didactic – although discussions and questions are most welcome — and will cover assessment, diagnosis, and treatment of Female Sexual Interest / Arousal Disorder (F52.22), Male Hypoactive Sexual Desire Disorder (HSDD) F52.0, Erectile Disorder (ED) F52.21, Female Orgasmic Disorder (F52.31), Female Ejaculation, Premature (Early) Ejaculation (PE) F52.4, and Delayed Ejaculation (DE) F52.32. We will also cover the anatomy and physiology of the genitals.

Included in your tuition: eWorkbook for the module, complied by Tammy Nelson, Ph.D. with additional reading material and resources.

About the Trainers:

Gail Guttman, LCSW, specializes in the integration of couples and sex therapy. With more than 30 years of experience, Gail Guttman is a couples’ therapist with a specialty in sex therapy. She offers a unique opportunity for clients to address their sexual concerns within the context of their relationship. Gail’s passion includes developing the theory and practice of integrating couples and sex therapy. She helps psychotherapists become more competent and confident in these areas. In her practice, she conducts ongoing consultation/supervision groups in which cases and theory are discussed, and an important support network for therapists is created. Gail conducts training workshops and seminars at professional associations and conferences and is a regular presenter at the Integrative Sex Therapy Institute for the last several years. She is an AASECT Certified Sex Therapist, Sex Therapy Supervisor and CE Provider. Gail is a Maryland Social Work Supervisor. Gail has presented on the subject of couples and sex therapy at the Integrative Sex Therapy Institute, Greater Washington Society for Clinical Social Workers, previous Imago therapy conferences, the University of Maryland and other professional organizations. She can be found at


Barry McCarthy, Ph.D. is a professor of psychology at American University, a diplomate in clinical psychology, a certified sex therapist, and a certified couple therapist. He has published more than 110 professional articles, 29 book chapters, and 14 books. Barry has presented more than 450 professional workshops in the United States and internationally. In 2016 he received the Masters and Johnson award for lifetime contributions to the sexuality field.


Hani Miletski, Ph.D., MSW, Hani Miletski is a sex and relationship therapist in private practice in Bethesda, Maryland with over 26 years of clinical experience. She is certified as a Diplomate of Sex Therapy and as a Sex Therapy Supervisor by the American Association of Sexuality Educators, Counselors, and Therapists (AASECT). Dr. Miletski has trained and supervised therapists and professionals in the field of human sexuality throughout the world, and has presented at various national and international conferences. She has authored a variety of professional articles and book chapters, including two books: Understanding Bestiality & Zoophilia and Mother-Son Incest: The Unthinkable Broken Taboo Persists. Dr. Miletski is a licensed clinical social worker and has a Doctorate in Human Sexuality from the Institute for the Advanced Study of Human Sexuality.


i-bXvBL69-MDr. Tammy Nelson is a sex and relationship expert, an international speaker, and author of several books including, “Getting the Sex You Want; Shed Your Inhibitions and Reach New Heights of Passion Together”  and her new book “The New Monogamy; Redefining Your Relationship After Infidelity.” She is a Board Certified Sexologist, an AASECT Certified Sex Therapist, and a Certified Imago Relationship therapist.  She has been a featured expert in Glamour Magazine, Cosmopolitan, Redbook, MSNBC, Healthy Life Magazine, Shape, Men’s Health, Men’s Health UK, Woman’s Day, Women’s Health, Twist Magazine, New York Times, Washington Post, and a source in Time Magazine. She writes for the Huffington Post and  YourTango and gives workshops and Intensives for couples and trains therapists around the world on issues relating to sex and relationships.   She can be found at


All lectures will be taught by top experts recognized in the field of human sexuality both nationally and worldwide. Other faculty may be announced at a later time.

**This program meets the educational requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for 28 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact or go to  Please contact your local certifying organization for detailed information on courses they accept for CEs.

** You will receive a refund less $50 deposit for your registration if you cancel within one week of the course. If you cancel with 24 hours notice for any reason, you will receive a refund less $100 deposit. If you cancel with less than 24 hours notice, you forfeit your tuition but may use your payment at any other time, for any other course.

Additional information

Days to Attend:

4-day Series, Weds, Thurs, Fri, Sat, Weds/Thurs, Thurs/Fri, Fri/Sat, Weds/Thurs/Fri, Thu/Fri/Sat