I'm a female and luckily my T is a female about the same age. The first couple of times that we talked about sex, I couldn't even look at her as I was so embarrassed! I just kept talking as I really needed to get some things out.
My T has never batted an eye over anything that I've said and I've talked about sex and some very intimate details and she was fine. However, sometimes I wince when I think about the stuff that I've shared especially the level of detail on a couple of things. I told her that I felt that I over-shared and she said that she didn't think that I over-shared but that I might have shared some things before I was ready to which is why I was so uncomfortable afterwards. I had to share some of these things though so that I could let go of them and stop obsessing about them.
Someone asked how i brought sex up.... I was telling her how I kept "fantasizing" about my ex and then she said something in response and used the word, "masturbation" and then I felt like I could say anything since she said the hardest word in the world to me! Subsequent conversations have been easier, but I'm still embarrassed but not as much.
Another thing that you could say, is that "I need to share on a subject that I find very hard to talk about" and then when asked which subject, you can say, "Sex" and then your therapist can help you from there.
GOOD LUCK!
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