Psychology Today | 14.04.2026 00:15
“Tell me your sexual history,” I say. My new 48-year-old client looks at the oriental rug between us. This is our third session, and she’s complained of anxiety, trouble sleeping, and feeling distant from her husband. Gently, I say, “Your sexual experiences are an important part of your life.” Now she glances around my office and brushes imaginary lint off her pants. I wait. Finally, she looks at me and shakes her head, her cheeks developing high color. “I’ve never had an orgasm,” she says. “I’ve faked it with my husband for 20 years.” As her eyes fill with tears, I’m sad for her, yet hopeful, because for the first time, she’s confessed this private heartache to someone who cares.
