ADHD and Sex, CBT, Sensate Focus, Countertransference


How does neurodiversity impact relationships and sex? Gain insights into using CBT and sensate focus to treat sexual dysfunction. 3 days of unique courses directed at today’s issues in sex and couples therapy. Expert lecturers, online training. 14 CEs


March 27-29, 2024

Held via live simultaneous webcast; no asynchronous registration allowed.
10 am – 6 pm Eastern/7 am – 3 pm Pacific

– Discounts for Early Registration end Feb 28

Wed – Mar 27

  • Countertransference and Ethical Dilemmas – Tammy Nelson, Ph.D.

Thu – Mar 28

  • Treating Sexual Dysfunctions including CBT and Sensate Focus – Gail Guttman, LCSW, CST-S

Fri – Mar 29

  • ADHD & Sex: Treating Both Partners and Re-Balancing the Relationship – Ari Tuckman, Psy.D.,
  • Mind-body Strategies in Couples Therapy; Nervous System Regulation – Deborah Fox, MSW
Courses are often available at a later date as an eLearn. eCourses and presenters may be adjusted periodically. Please check this page or contact our Administration for the most up-to-date schedule. You must attend the entire course live to receive CE credit, no asynchronous registrations are allowed.


You may register for any combination of individual days.

Mar 27 (Wed) 10 am – 6 pm  ET      Countertransference and Ethical Dilemmas – Tammy Nelson, Ph.D.


Mar 28 (Thu) 10 am – 6 pm ET        Treating Sexual Dysfunctions including CBT and Sensate Focus with Gail Guttman, LCSW, CST-S


Mar 29 (Fri) 10 am – 1 pm  ET      ADHD & Sex: Treating Both Partners and Re-Balancing the Relationship with Ari Tuckman, Psy.D., CST

ADHD doesn’t create unique challenges for couples—it just exacerbates the universal struggles that everyone faces in their relationship and sex life. All couples need to resolve differences in priorities, preferences, and ways of being in order to create a satisfying life together. When ADHD is undiagnosed or not well managed, it can create seemingly insurmountable disagreements where both partners feel right, but neither is happy and the therapist feels just as powerless to change it. Adults with ADHD are over-represented in therapy offices, especially couples/sex therapy, because of the many ways that it can impact relationship functioning. Couples who have additional struggles by day can benefit all the more from the benefits of a good connection at night. To that end, we will cover:

        • A more useful conceptual model of ADHD that guides more effective treatment interventions
        • How to discuss ADHD medication with clients to inform a wise decision
        • How to help couples create a more balanced, respectful, and fair relationship that works for both partners
        • How to help couples have more fun together, in bed and out, including how to help couples navigate desire discrepancy and questions about masturbation and porn.

Most of our time will be spent on practical strategies that clinicians can use with individuals and couples. This will be an engaging presentation that offers nuts and bolts strategies backed by a deep understanding of relationship dynamics, sexual functioning, and ADHD neurology.

Mar 29 (Fri) 2 pm – 6 pm ET      Mind-body Strategies in Couples Therapy; Nervous System Regulation – Deborah Fox, MSW


About the Trainers:
Gail Guttman, LCSW, specializes in the integration of couples and sex therapy. Gail has been a Certified Imago Therapist since 1994 and an AASECT Certified Sex Therapist since 1984. Gail offers consultation and supervision groups. She has been twice recognized by Washingtonian magazine as a “Top Therapist” in sex and couples therapy. Gail is also an AASECT CE Provider, AASECT Certified Sex Therapy Supervisor, and an Imago Clinical Consultant. She is passionate about helping therapists to integrate couples and sex therapy and welcomes different theoretical orientations in order to help each therapist find their own path.

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

Tammy Nelson Ph.D. is a sex and relationship expert, an international speaker, and author of several books including, “Integrative Sex & Couples Therapy,” “Getting the Sex You Want; Shed Your Inhibitions and Reach New Heights of Passion Together,” “The New Monogamy; Redefining Your Relationship After Infidelity,”  and “When You’re the one Who Cheats.” She is a Board Certified Sexologist, an AASECT Certified Sex Therapist, and a Certified Imago Relationship therapist, a TEDx speaker, and the host of the podcast The Trouble with Sex.
Ari Tuckman, PsyD, is a psychologist and Certified Sex Therapist in private practice in West Chester, Pennsylvania. He has written four books and numerous book chapters on adult ADHD and has spoken on the topic across the U.S. and nine countries. His work with adults with ADHD led to an interest in how ADHD impacts relationships, including a couple’s sex life, which led to post-graduate sex therapy training. He firmly believes that working on the honesty, discovery, and respectful communication involved in creating a better sex life will not only improve a relationship but also make an individual a better person. His newest book, ADHD After Dark: Better Sex Life, Better Relationship, is the culmination of this worldview. It helps couples in which one partner has ADHD create a better sex life and relationship, based on his extensive survey research.
Deborah Fox, LICSW, is a clinical social worker with over thirty years of experience in private practice in Washington, DC. She is an AASECT Certified Sex therapist and a Certified Imago Relationship Therapist, providing individual, couple and group psychotherapy, as well as clinical consultation. 

Deborah has lectured on sex therapy concepts and skills at The Washington School of Psychiatry and the Institute of Contemporary Psychotherapy and Psychoanalysis in Washington, DC. She conducts seminars and consultation groups on couples therapy and sex therapy. She is passionate about taking sex therapy and couples therapy to a deeper emotional level and enabling greater intimacy. Visit Deborah at

Integrative Sex Therapy Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. Integrative Sex Therapy Institute maintains responsibility for this program and its content.
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.


Integrative Sex Therapy Institute policies on attendance, refunds, and grievances are available here.

Additional information

Days to Attend:

3-day Series, Weds, Thurs, Fri, Weds/Thurs, Thurs/Fri


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