As a sex positive sex therapist, Peter believes the goal is for all clients to express pride and confidence not only about their sexuality and sexual identity but also who they are in context of nonsexual relationships.
Although he has experience in working with a wide range of sexual dysfunctions, Peter’s expert focus is in atypical sexual expressions and emerging definitions of healthy sexuality. His professional counseling and psychotherapy services are unique and different than most practicing therapists in the Washington, DC metro area in that it incorporates various mainstream clinical best practices like Cognitive-Behavioral Therapy, with depth psychological approaches to understanding conscious and unconscious forces contributing to long held and frustrating patterns.
At its detriment, modern training and practice of sex therapy primarily focuses on behavioral changes, which are minimally impactful and do not address unresolved core psychological issues. Often times, these unresolved issues present themselves as sexual dysfunctions, psychiatric illness, maladaptive behaviors or substance abuse/dependence.
Core psychological issues involve, in part, male and feminine energy; sexual and non-sexual power dynamics; as well as the “shadow” aspect of the unconscious self, which drives uncontrollable desires and ineffective redundant behaviors. It is because of this and other limitations; traditional sex therapy results in short lived success, increased frustration and the eroding of hope each time the individual or couple returns for additional treatment.
Like professional consultations, educational seminars and trainings, psychotherapy and sex therapy sessions are dynamic and tailored to the client’s specific needs and goals.
General counseling services focus on the treatment of a broad number diagnosis and challenges that include, but are not limited to the following:
Substance Abuse & Dependence (Dual-diagnosis, co-occurring disorders)
Ambivalence with commitment
Finding & connecting with an intimate (sexual or nonsexual) partner
Establishing & maintaining boundaries with your partner & his/her in-laws
Bipolar & Mood Related Disorders
Grief, death and dying related issues
Specialty counseling services focus on the treatment of a wide range of topics associated with couple or partnered relationships and human sexuality.
Capital Counseling Services, LLC provides a wide range of services to address men’s health needs.
Many men seeking therapy for poor sexual performance, relationship concerns, lack of romantic affiliation, infidelity, sexual addiction or unresolved/unidentified sexual/emotional trauma. Others are confused about their sexual, gender identity or orientation.
Most often, shame, guilt and embarrassment have prevented men from seeking therapy or couples counseling until sexual secrets are discovered. Men tend to hyper-focus on work as a distraction from resolving problematic issues related to men’s health.
Frequently, it is the spouse who encourages a man to begin therapy and, typically, as a last resort before a divorce or separation. One performance issues that may be addressed is an inability to obtain or consistently maintain an erection sufficient for satisfying sexual activity. Premature ejaculation may also be a singular or co-occurring problem as well. Some men experience erectile dysfunction because of prostate cancer surgery, psychological (relationship) or physical trauma, or insufficient endocrine functioning (low or fluctuating hormone levels).
Others experience a lack of sexual desire for their partner or complete lack of or declined interest in any sexual activity. Many male clients who come for treatment have questions regarding sexual orientation, gender variant behavior, alternative or non-mainstream (atypical) sexual interests or arousal patterns. These concerns may occur with or without a partner.
Sexual compulsive behaviors, both thoughts and feelings (sex addiction) are other major concerns for men and their partner. Additionally, Peter has worked extensively with many men with these concerns as well as those who have been victims of sexual assault or physical and psychological trauma (PTSD), either as a child or an adult. Other areas of specialty focus include the assessment and treatment of an ongoing lack of healthy emotional attachment with a partner or generalized anger which connecting with others. Treatment with Peter Chirinos addresses how trauma impacts their sexuality, masculinity and relationships. All of these concerns are treatable. Therapy moves men beyond the shame, guilt and humiliation that imprison their lives.