The Institute for Sexual Self Realization~ I.S.S.R.
Creating dynamic pathways to sexual wellness and pleasure... 
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Case Management

These are the I.S.S.R. professional training programs available in Case Management/Supervision now:

"Case Management/Supervision --Individual or Group"
(by request)

This is not a drop-in group; all participants must agree to attend all 6 sessions (with the exception of health or other type of crisis). There is no make-up for any missed sessions. CEs and a Certificate of Completion will be issued at the completion of all 6 sessions. Fee: $150 per session or $800 for full 6 sessions ($100 DISCOUNT OFF included). Ala carte payments accepted of $150 per session.

In each session, various models for clinical sexological assessment and treatment will be discussed on a case by case basis, such as the use of sensate focus, PLISSIT, MEBES, traditional sex therapy, Cognitive-Behavioral, REBT, Gestalt, NLP, psychodynamic and non-traditional approaches for designing and managing effective treatment plans for clients according to their specific case needs. After initial training in the variety of assessment tools and treatment modalities, Dr. Britton will begin by presenting cases from Dr. Britton's own practice as a springboard for learning and discussion. Participants in the group are expected to bring in their own cases to deconstruct, debrief, analyze and resolve with dynamic treatment plans in effect. Instruction will include lecture, group discussion, use of media, specific case presentations on DVD, role-plays and guided imagery work as needed.


To enroll: Click here


These are the 46 clinical sexological concerns, that are discussed in Dr. Britton's landmark book, The Art of Sex Coaching, that form the foundation for all case management work at I.S.S.R.

The range of 46 sexually related concerns

Men
Low or no sexual desire (LD) Early ejaculation (EE)
Delayed ejaculation (DE) Sexual inhibition (SI)
Social/dating skills deficit (SDSD) Desire for enhanced pleasure (EP)
Sexual addiction/sexual compulsivity Erectile dysfunction (ED
Sexual trauma (ST)
Body dysphoria issues (BI)

Women
Low or no sexual desire (LD) Pre-orgasmic primary (alone)
Pre-orgasmic secondary (partner)
Dyspareunia (painful sex)
Vaginismus Sexual inhibitions (SI)
Body dysphoria issues (BI) Social/dating skills deficit (SDSD)
Desire for enhanced pleasure (EP) Sexual trauma (ST)

Couples
Sexless relationship Aversion to touch/misplaced touch communication
Conflicts about desire/uneven desire (UD) Conflicting values about monogamy/affairs
Performance skills deficit (PSD) Body image issues (BI)
Communication style conflicts (CS) Negotiation skills deficit (NSD)

Gay/Lesbian/Bisexual/Transgendered
Questioning sexual orientation and identity
Wanting to meet a GLB partner
Attempting to overcome issues related to homophobia, social stigma, or personal shame
Coping with pressures from a partner to engage in sex with another person(s)
Having the same concerns as other men/women

Transgendered
Impact of gender identity conflict/confusion on family and lovers Concerns about dating-in old/new gender
Performance issues —Orgasm, etc. Body changes and issues, such as passing
Emotional turmoil with new orientation identity Mental confusion; how to move into new gender lifestyle
Social isolation; needing social skills to reveal new identity

Pregnancy and Special Medical/Clinical
Trying to conceive (TTC)
Pregnancy prevention


Pregnancy, postpartum and sex
Medical/health issues
Effects of medications

Non-Vanilla Sex
Kink, fetish and BDSM
Swinging/group sex
Polyamory interests
Erotic indulgences, such as porn or compulsive sex play or all kinds



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