Sexuality Counseling, Integrative Coaching & Monogamy Issues


Special Event: Join ISTI for these independent certification courses and therapeutic approaches to working with relationships. Courses include case consultations.


Just Announced – Webcast Option Now Available!


July 16-18, 2020

Held in person at: The Chicago School of Psychology – Washington, DC

Held via: Live Simultaneous Webcast


– Discounts for Early Registration end June 1st –

Thu – July 16

  • Desire from a Dozen Angles: Understanding and Treating Desire Concerns in Individuals and Couples in a Multidisciplinary Setting — Dan Rosen and Pebble Kranz, MD
  • Open Monogamy – Creating and Negotiating Relationship Agreements with Dr. Tammy Nelson

Fri – July 17

  • Healing from Affairs with Gail Guttman, LCSW
  • ADV Course: New Approaches for Patients with Multiple, Complicated, and Co-Morbid Sexual Issues with Stephen Snyder, MD

Sat – July 18

  • The Affective Balance Therapy Toolbox for Working with Couples: Training in Body/Mind-based Approaches for Treating Sexual Dysfunctions with Nan Wise, PsyD

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


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

Jul 16 (Thu) 9 am – 12 pm – Desire from a Dozen Angles: Understanding and Treating Desire Concerns in Individuals and Couples in a Multidisciplinary Setting — Dan Rosen and Pebble Kranz, MD

Desire concerns are a common reason that individuals and couples present for sex and relationship therapy. These concerns include self perception of low or high desire, partner perceptions of low or high desire, desire discrepancy, and concerns about sexual frequency. Desire problems become evident in couples presenting for other concerns. Clients present for treatment with predispositions for certain approaches to problems– some want nothing to do with medical treatment and others aren’t psychologically minded in a way that makes them receptive to therapy. It is helpful to have a wide variety of tools at one’s disposal for addressing this important and difficult issue in individuals and couples. We will review neuroendocrine, psychological, relational, and contextual etiologies of desire concerns as well as a variety of approaches to treatment, the risks and benefits of being an eclectic therapist, and the value of collaboration across disciplines.

Jul 18 (Fri) 9 am – 12 pm; 1 pm – 5 pm – The Affective Balance Therapy Toolbox for Working with Couples: Training in Body/Mind-based Approaches for Treating Sexual Dysfunctions — Nan Wise, PhD

Traditional approaches to treating sexual dysfunctions do not address how imbalances in the wired in core visceral emotions can sabotage couples’ ability to regulate moods and hinder their capacity to implement changes to create their desired outcomes. This training will help clinicians add body/mind tools to their bag of tricks which will empower couples to enhance their sexual potential.

Included in your tuition: eWorkbook for 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 the 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


Daniel Rosen, LCSW-R, AASECT Certified Sex Therapist (CST) has been in practice for over 25 years working with a variety of populations. He completed training with the Optimal Sexual Experiences Research Team of the University of Ottawa in November 2019 and has been active in the Rochester Area Group Psychotherapy Society, the Center for Group Studies, and is a sex therapy supervisor in training. He has an independent private practice including group, individual and couples counseling as well as providing treatment services for the Rochester Center for Sexual Wellness.

Pebble Kranz, MD, Fellow of the European Committee on Sexual Medicine (FECSM) is is a family physician and sexual medicine specialist. She is the medical director of the Rochester Center for Sexual Wellness and runs a sexual medicine clinic in the University of Rochester Medical Center’s Gynecologic Oncology Department. She has clinical appointments in the departments of family medicine and obstetrics and gynecology at the University of Rochester.  At the Rochester Center for Sexual Wellness, she provides medical evaluations and treatments for sexual function concerns in people of all genders.

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


Dr. Nan Wise is a licensed psychotherapist, certified sex therapist, board certified clinical hypnotherapist, and certified relationship specialist with over three decades of experience. Dr. Wise received her Ph.D. in cognitive neuroscience at Rutgers-Newark where she completed her dissertation project, “Genital stimulation, imagery, and orgasm in women: an fMRI analysis” in August of 2012. Her research has attempted to address gaps in the scientific literature regarding the neural basis of human sexuality, and has as a result, garnered international attention. Her work has been featured on ABC News Nightline, Discovery Channel, National, NY Times, The Atlantic, Playboy and Science Daily. She is currently a researcher and professor at Rutgers University.

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 21 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:

SAR + Fri/Sat, SAR 2-day, Thurs, Fri, Sat, Thurs/Fri, Fri/Sat, Thu/Fri/Sat