Madeleine Castellanos

Madeleine Castellanos, MD

Are you having the most satisfying sex that you can possibly have? Do you feel joyfully connected to your partner? Has your desire and joy endured and grown over the course of your relationship?

Dr. Castellanos is a psychiatrist specializing in sexuality and sexual relationships. For over 20 years she has helped couples and individuals increase their passion, satisfaction, and desire. Additionally, she has been running classes and seminars on sexuality, eroticism, connection, and sexual desire. She is the author of several books, including her Amazon bestseller, Wanting To Want: What Kills Your Sex Life and How to Keep It Alive.

Dr. Castellanos specializes in helping people learn about their sexuality in order to create physical and emotional balance in their sex lives, leading to greater satisfaction and powerful energy exchanges. Through working with Dr. Castellanos, people have transformed their relationships into the passionate and mind-blowing experiences that they are truly capable of. Find out how Dr. Castellanos can help you.

Sex Therapy

You deserve a passionate and exciting sex life. Whether it’s a sexual issue affecting one or both partners, biological or hormonal issues or whether it’s a relationship issue affecting a couple’s sex life, Dr. Castellanos, board certified psychiatrist and certified sex therapist, can guide you back to an intensely satisfying relationship.  DrC address important areas of a great sex life including communication, trust, eroticism, and excitement to help couples regain their zest back.

Sex therapy isn’t just for couples.  Any issue, psychological or physical, that reduces pleasurable sexual activity deserves to be investigated and resolved.  Issues such as loss of desire, pain with sex, erectile dysfunction, premature ejaculation, or difficulty with orgasm are examples of areas DrC has resolved with couples and individuals over the last 20 years using a talk-therapy model.  Isn’t it time to address any sexual concerns and have the sexual life you desire?

Couples Therapy

An extraordinary relationship comes when you have the trust and closeness allowing you to truly be yourself with your partner.  Couples who find themselves arguing all the time, feeling like they are not valued by their partner, or feel that they have to defend themselves constantly, would greatly benefit from coming to couples therapy.

Dr. Castellanos helps couples identify the negative patterns they replay with each other that keep them disconnected and in conflict.  DrC will guide you how to move out of these patterns and instead, treat each other with love, kindness, and respect.  An investment in the quality of your relationship is an investment in your own personal happiness, as well as, in your family and future.

Individual Therapy

Anyone seeking true personal growth or striving to live life to its fullest, understands that individual therapy can be a necessary tool in that process.  Whether it is anxiety or depression, lack of motivation, repeating unhealthy patterns, or negative feelings, Dr. Castellanos can help you move forward and out of those things that keep you stuck.

Dr. Castellanos also understands that there may be biological, hormonal, and lifestyle issues keeping you from being the most vital, successful, and happy that you can be.  Explore what is holding you back from your best life, from having deeply fulfilling relationships, or from achieving happiness and let DrC help you turn that around.

Hormone Therapy

Not only do hormones affect our sex lives, they affect overall health and mood as well.  When hormones are out of balance or deficient, all areas of the body suffer – metabolism, cognition, mood, weight balance, sexual desire and energy.  Dr. Castellanos can help brig your hormones and health back into balance.

There are many stages of life in which hormones can be unbalanced.

For women, menopause impacts estrogen and progesterone, which can have devastating consequences for skin, heart, bones, brain, mood, and sexual functioning.  For men, large decreases in testosterone can impact muscle mass, desire, performance, and increase anxiety.  Supplementation with bio-identical hormones can reverse these impacts and improve sexual function for both women and men.

FAQs

Dr. Castellanos provides sex therapy for couples and also for individuals looking to work through some sexual difficulty, sexual dysfunction, or just to improve their sex lives.  She also takes clients on for couples therapy and individual therapy.  With a functional medicine approach, Dr. Castellanos provides hormone supplementation to both men and women looking to optimize their hormone status or correct some of the imbalances that may occur throughout life. Functional medicine consultation can also help address long-term health with a focus on nutrition and lifestyle.

Sex therapy is based on the talk therapy model.  There are a multitude of factors which can interfere with good sexual functioning – biological, psychological, emotional.  A thorough history is obtained which includes any medical, personal, and relationship information, and a treatment plan is devised for the individual or couple. Although all the therapy in the office is talk therapy, the person or couple may be given exercises or techniques to practice at home either alone or with their partner. Each therapy is tailored to the particular needs of the individual and may include classical sex therapy, relationship counseling, focus on techniques, or psychotherapy.

What goes into a sexual difficulty for one person may be very different than for another.  Therefore, it is impossible to give a time frame for sex therapy. Some couples or individuals are satisfied with a handful of visits, while others prefer or require months of treatment. How much the individual is able to work on the issues between sessions also helps determine the duration of treatment.

Basic hormone levels (Testosterone, Estrogen, Progesterone, Cortisol, and DHEA) can be easily tested with a saliva kit for the person to collect at home, or with a blood test at a lab local to them. Other profiles such as thyroid, SHBG, or markers of inflammation or increased clotting must be measured in blood. Lab orders are provided for testing for those individuals receiving hormone therapy.

I do not participate with any insurance companies, so clients pay at the time of the session. Whenever possible, I can provide an invoice so that you may request reimbursement from your insurance company if you have out-of-network benefits for mental hygiene.

Book Dr. C to Speak at your Event

Dr. Castellanos has been featured on several news and talk shows speaking about topics of relationships, sexuality, as well as functional medicine related to overall health.  She provides continuing education for health providers, has given lectures to both professional and public audiences from 20-10,000 people, and she also participates in retreats for couples speaking about relationships, eroticism, and long-term desire.

If you are interested in having Dr. Castellanos speak at your function, give a class, or give an interview related to sexuality, relationships, attraction, eroticism, or desire, please click here to send her a request.

Wanting to Want

Book:  Wanting To Want

The reasons for lack of sexual desire and pleasure can be complicated. In her fabulous book, Dr. Castellanos breaks down the most common dynamics that can suppress pleasure and squash desire. Learn what might be interfering in your life and relationship, preventing maximum arousal and sexual pleasure. Each chapter includes clear and helpful exercises to eliminate barriers that keep you from the full expression of your sexual self.

Readers share the following learnings:

  • How anxiety can diminish or even eliminate your pleasure
  • How to reduce thoughts and ideas blocking your full sexual expression
  • How to nurture your sexual self and cultivate sexual power
  • How to overcome negative feelings that can damage desire and your relationship

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