--- title: "What We Help With | FrankTalk Therapy" url: https://franktalktherapy.com/specialties description: "The specialty areas Paul Nelson, LMHC, CSE works with: ED, ejaculation concerns, low libido, performance anxiety, Peyronie's, and prostate recovery." lang: en --- # What We Help With ## Real problems, real solutions, no shame Research shows roughly one in three men will deal with a sexual health challenge at some point. You wouldn't know it from the way men are expected to talk about it, which is mostly not at all. That silence is the whole problem. It stalls treatment, corrodes relationships, and makes small issues bigger than they need to be. The specialties below are where most of the work at FrankTalk Therapy happens. Each page lays out what the concern actually is, how therapy can help, and where to go next. If your situation sits somewhere between them, that's fine. Most situations do. If you would rather start with the clinician than the concern, read what working with a sexual therapist for men (https://franktalktherapy.com/sexual-therapist-for-men) involves, including Paul's credentials, what a first session covers, and where his scope ends. ### Erectile Dysfunction (ED) Untangle the psychological and physiological knot that keeps things from working, and get a plan. Learn More (https://franktalktherapy.com/specialties/erectile-dysfunction) ### Premature Ejaculation Concrete retraining, less performance pressure, and partner work when it's part of the picture. Learn More (https://franktalktherapy.com/specialties/premature-ejaculation) ### Delayed Ejaculation When you can't finish with a partner. The isolation, the medication piece, and the way out. Learn More (https://franktalktherapy.com/specialties/delayed-ejaculation) ### Low Libido & Desire Look at stress, hormones, medications, and relationship dynamics, then build sexuality with intention. Learn More (https://franktalktherapy.com/specialties/low-libido) ### Desire Discrepancy in Couples Mismatched libido, the pursuer-distancer dance, and why 'who's right' is the wrong question. Learn More (https://franktalktherapy.com/specialties/desire-discrepancy) ### Sexual Performance Anxiety Break the anxiety-avoidance loop and get out of your head so your body can do what it does. Learn More (https://franktalktherapy.com/specialties/performance-anxiety) ### Sexual Shame & Body Image Size anxiety, comparison, and the shame that keeps most men from ever asking for help. Learn More (https://franktalktherapy.com/specialties/sexual-shame-and-body-image) ### Compulsive Sexual Behavior Pornography use or sexual behavior that no longer feels optional. Non-judgmental, non-moralizing. Learn More (https://franktalktherapy.com/specialties/compulsive-sexual-behavior) ### Intimacy After Infidelity Rebuilding sexual connection after betrayal, from either side of it. Learn More (https://franktalktherapy.com/specialties/intimacy-after-infidelity) ### Peyronie's Disease Support Emotional support and coordination with medical treatment for a condition men are told not to talk about. Learn More (https://franktalktherapy.com/specialties/peyronies-disease) ### Sex After Prostate Cancer Rebuilding intimacy, identity, and sexual function after surgery, from a therapist who's been there. Learn More (https://franktalktherapy.com/specialties/prostate-cancer-recovery) ### Sexual Health & Aging Changing function with age, medication side effects, and redefining sex instead of mourning it. Learn More (https://franktalktherapy.com/specialties/sexual-health-and-aging) ### Sexless Marriage Individual work with the man about his own desire, avoidance, and function. Not couples counseling. Learn More (https://franktalktherapy.com/specialties/sexless-marriage) ### Sexual Anhedonia Orgasm happens but the pleasure does not. What causes it, and why men describe it as feeling broken. Learn More (https://franktalktherapy.com/specialties/sexual-anhedonia) ### Post-Orgasmic Illness Syndrome Flu-like symptoms in the hours or days after ejaculation. Rare, poorly understood, and taken seriously here. Learn More (https://franktalktherapy.com/specialties/post-orgasmic-illness-syndrome) ### Anorgasmia in Men Unable to reach orgasm at all. Lifelong versus acquired, situational versus general, and why that drives the work. Learn More (https://franktalktherapy.com/specialties/anorgasmia) ### Sexual Orientation Anxiety Intrusive doubt about orientation and the shame attached to masculinity. Affirming, always. Learn More (https://franktalktherapy.com/specialties/sexual-orientation-anxiety) Get Started ## Not sure which one fits? Just book a session. Most men come in with more than one of these tangled together. We sort it out in the first session. 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