Common presenting concerns include: ^ Individual Counseling ^ Couples & Relationship Counseling ^ Sex Therapy ^ Pre-marital Counseling ^ Communication Problems ^ Divorce / Seperation / Break-up Transitions ^ Infidelity / Affairs / Trust ^ OCSB - A Strength-Based Approach for Treating "Sex Addiction" ^ Problematic sexual behaviors ^ Sexually Compulsive Behavior ^ Mismatched Sexual Desire in Partners ^ Libido Concerns ^ No Sex / Low Sex Relationships ^ Sexual Performance Concerns ^ Orgasm Difficulties ^ Fetishes / Kink ^ BDSM ^ Cross-dressing ^ Open Relationship ^ Polyamory ^ Alternative Forms of Sexual Expression ^ Gender Identity and Care Issues ^ Gay and Lesbian Issues ^ Queer Concerns ^ Questioning Concerns ^ Intersex Conditions ^ Transgender Care ^ Painful Intercourse ^ Erectile Difficulties ^ Premature Ejaculation