One of the most important topics that I address with clients is the subject of mindfulness. To understand the importance of mindfulness, particularly when it comes to sexuality, let’s first take a look at what it is and what it isn’t. Many people confuse mindfulness with some sort of meditation practice, such as Zen or Vipassana. While it is true that meditation builds and fosters mindfulness, one can practice mindfulness without engaging in any of the meditative traditions. So what is mindfulness? It is defined as “the intentional, accepting and non-judgmental focus of one’s attention on the emotions, thoughts and sensations occurring in the present moment.” This can occur within a meditative practice, or just throughout the day, as one observes oneself while at work, sitting on the train, eating, or engaging in interactions with others. The most important aspect of this kind of self-observation is acceptance and non-judgmentalness. I’ll say this once more, because it bears repeating. Acceptance. Non-judgmentalness.
What does this have to do with sexuality? Everything. Often when we find ourselves struggling with some aspect of our sexuality, what is actually going on is that we are fighting ourselves. What I mean is that sexual performance, sexual desire, sexual arousal, and so on, come naturally. We don’t have to think about it. It just happens. But when we are experiencing sexual difficulties, we may be pressing too hard, putting undue pressure and stress on results, tensing our pelvis and surrounding muscles, or just fighting off the natural emotions that arise. In other words, we are going against the current, and not allowing ourselves the experience of riding the wave of our experience. For a more psychological perspective on this, check out my article entitled Ecstasy Through Surrender.
Let’s take a look at a variety of sexual situations and see how mindfulness would assist in enhancing the experience.
Sexual Dysfunction (ED, rapid ejaculation, delayed ejaculation, vaginismus, dyspareunia, etc): These conditions are hallmarked by anxiety and physical tension. When we are extremely anxious, our body betrays us and doesn’t perform at all, while body tension makes it impossible to enjoy pleasure. Sexual anxiety is often a very specific type of anxiety known as performance anxiety. This is not too dissimilar from the kind of anxiety people experience during public speaking or other social encounters. For more on this, take a look at my article on Social Anxiety and Sexual Dysfunction. Tension is often a byproduct of anxiety, so for the sake of brevity, I will lump them together in this article. One of the chief causes of social anxiety is worrying about the judgment of others. Folks who struggle with this often find themselves thinking about the end result, the humiliation they will experience, the shame, the judgment, and so on, and often find it impossible to stay in the moment due to all of the rumination. Willfully practicing staying in the present and focusing on one’s moment to moment experience trains us to get out of our heads, out of the cycle of rumination, and refocus on our sensations. I often give my clients specific exercises to help them practice this kind of mindfulness.
Sexual Compulsivity: It is well known in the sex addiction community that shame fuels the compulsivity. As I’ve mentioned in previous articles, such as this one entitled Thoughts, Feelings, and Fantasies, I believe that it’s not just core shame from some developmental trauma that fuels it, but also shame that is specific to one’s desire. In other words, feeling ashamed of one’s sexual desires, interests, fetishes, and so on, only makes one feels more obsessive and compulsive about them, rather than the opposite. Said another way, it is impossible to bury one’s sexual interests and desires. Mindfulness practice helps my clients to observe their reactions to themselves in accepting and non-judgmental ways (see above). Also, they learn to catch and become aware of the negative thoughts and emotions that arise that make them feel compelled to act out. As Lance Dodes states in his wonderful book The Sober Truth, addicts often act out when they feel a sense of helplessness (often due being overwhelmed with negative feelings) and then the actual acting out is part of the rage they enact to reestablish a sense of control. Mindfulness practice allows an individual to slow things down, so that their usual way of doing things is no longer automatic, and then they can choose more appropriate and healthy behaviors when they can recognize that they have a choice.
Couples work: Most conflict with couples often boils down to built-up resentment (anger) and the use of ineffective ways of expressing individual needs that folks have learned from a young age. Again, these harmful behaviors are often so automatic that people don’t even notice them or realize that there other ways of interacting. Mindfulness practice allows couples to also slow things down (see above), recognize the negative emotions that create disturbances in their relationship, and make the choice to communicate with each other in ways that build bridges, not tear them down. I often give couples specific homework that helps them to recognize their emotions during times of conflict, and then communicate those emotions in non-destructive ways.
In summation, mindfulness is a very important aspect of mental health that can be learned through steady and committed practice. It allows people to combat anxiety, stay present, access a variety of emotions, tolerate even the most painful emotions, and communicate one’s needs in a productive manner. In my mind, mindfulness practice is like the cliche of eating an apple a day. It is the key to mental health. And great sex.



Prevention: Is Sex Addiction Real?
Romper: Emotional Infidelity
Fatherly: BDSM More Common Than You Think
E! Online: Marrying a Murderer
Who Magazine: What is Bisexuality?
CNN: Why Men May Exaggerate Their Sex Numbers
Women’s Health: 10 Kinky Sex Ideas
NY Post: How Tattoos Can Sabotage Your Love Life
Allure: 8 BDSM Sex Tips to Try If You’re a Total Beginner
Great article in Prevention Magazine about the sex addiction controversy. Check out what I had to say.
Romper approached me again for another quote, this time about emotional infidelity.
Interesting piece in Fatherly about BDSM in which I was interviewed.
https://www.fatherly.com/love-money/bdsm-kinky-sex-not-uncommon/
E! News picked up my an interview I did with Vice a few years ago about hybristophilia, which is the attraction to criminals. Very interesting story.
Who is Australia's version of People Magazine. They wanted to know what bisexuality is and I provided some insight.
Seems like something doesn't add up on sex surveys-- are men exaggerating their number of partners? Check out what I tell CNN.
Women's Health asked me for some kinky ideas to spice up one's sex life.
I was interviewed by the NY Post about all the ways in which I've seen bad tattoos sabotage relationships.
Allure Magazine asked me about tips for BDSM beginners.
I answer questions from Salon.com about the infamous porn site PornHub.
I tell Cosmo about the personality traits of monogamous individuals.
I explain to Refinery29 why it's so important to not fake orgasms in a relationship.
I am interviewed in this fairly nuanced piece on the pros and cons of porn.
I am interviewed by Headspace, one of the best meditation and mindfulness apps available, on how to become more present.
https://www.headspace.com/blog/2017/05/26/enjoy-sex-more/
I am interviewed in this intriguing Business Insider article on how often happy couples have sex.
The Huffington Post in South Africa profiles my work around challenging sex addiction (including my red/yellow/green menu exercise) .
I go deep into the sex toy business with Vice.
I give some insight into this interesting topic.
https://thetab.com/us/2017/03/22/happens-boyfriend-leaves-another-man-63306
I am featured in this outstanding article in UK's Independent on women and virtual reality porn. I thought this was a fairly sharp and nuanced piece.
I give Redbook some pointers on having a 3some for the first time.

Playboy sent a journalist to watch Fifty Shades Darker, and then compared the movie with the results from my recent groundbreaking research on BDSM. Great article, enjoy!
I am featured in this terrific New York Magazine article, discussing some of the finer points brought up in the earlier article in SELF magazine (see listing below).
I am featured in this terrific article in SELF magazine on the nuances of the sex addiction debate.
Complex asked me to weigh in on this provocative topic.

I weigh in in this great advice column in Thrillist by Elle Stanger.
Great episode, check it out.
https://soundcloud.com/futureofsex/04-exploring-sexual-fluidity-bicuriousity-for-women-featuring-skirt-club-and-dr-michael-aaron
I give couples advice on how to deal with differences in preferred sleeping arrangements.
Alternet does a great job of reviewing my book. Check out the link below.
In this episode, we talk about the societal myths of sexuality, including:
I was asked to appear on Australian radio. It was a very fun segment, will post the link when I have it!
I appear on the Stereo-Typed podcast to discuss my new book, fantasies, and our shadow self. Click the audio player below and enjoy!
https://www.spreaker.com/user/crazyheart/stereo-typed-8-dancing-with-your-shadow
I appear on the Boom Doctors Podcast to discuss my new book Modern Sexuality and my work as a sex therapist. Clink the link below to listen in.
http://theboomdoctors.com/2016/09/21/ep-132-michael-aaron-on-his-work-as-a-sex-therapist-his-new-book-modern-sexuality/
I was asked by Nylon Magazine to weigh in on the subject of porn and what it means about the individual consumer. Pretty good non-pathologizing piece, check it out here:
I was interviewed by Vocativ about a new virtual reality series entitled "Virtual Sexology," designed to provide breathing and relaxation exercises in a virtual reality format to help individuals improve sexual functioning. Will something like this prove effective? The jury is out, but check out what I had to say...
I appeared on the nationally broadcasted Fusion Network Hotline show to discuss the GOP platform of porn as a "public health crisis." As part of the discussion I debate Dr. Neil Malamuth on porn and sexual violence. I thought this was a very thorough and productive half hour, which you can watch below:
In this Huffington Post article, I advise couples to use sex menus to spice things up. Check out all the details in the link below.

I appeared on French national tv channel Canal + on the Emission Antoine tv show, discussing the psychology behind financial domination. I will post a video clip of the interview shortly.
I was interviewed on Huffington Post's Love + Sex Podcast, which I'm told is the most downloaded sex and relationship podcast on iTunes. In this episode, I dispel the wild myths about "sex roulette" parties.
I was interviewed for an upcoming online sexuality discussion series, the Sexual Reawakening Summit. It features many top sex therapists from around the country and you can access it by using this link:
In the April edition of my Men's Fitness 'Sex Files' Q&A column, I answer questions about anal sex and porn. Hurry and pick up a copy before it's off the stands!

I was asked by Women's Health Magazine to provide some advise on how to incorporate some new positions to spice up one's sex life. With a bunch of pictures and diagrams, I'm sure you'll find something that will intrigue you.
Looks like Yahoo News picked up the Reuters article on women's fears that their partners expect sexual perfectionism. Check it out.
My latest interview with Reuters, this time about social pressure on women to be perfect sexually. "Our society is filled with sexual myths and misconceptions, mostly stemming from a combination of our culture's puritanical roots, as well as rampant consumerism, which feeds off individual insecurities to sell unnecessary products," Aaron said.
Head out to the newsstands and grab a copy of the Jan 2016 issue of Men's Fitness Magazine to see the premier of the new monthly "Sex Files" column in which I answer readers' sex questions. In this month's issue I answer a question in which a guy is looking to help his girlfriend enjoy more pleasure when she is having sex on top. Check out the screenshot below to see my response:

Love& is a new magazine about relationships and sex. They interviewed me about common things that women may want their guys to improve upon in the bedroom. One of the big ones is touch, as a lot of men are way too rough and don't know how to adjust their touch to what their partner wants. For more on this, and other pointers, check out the article itself below:
Market analysts predict that new virtual reality technology will revolutionize the way we experience media, and will specifically boost the porn industry to unprecedented levels. This detailed article covers a lot of ground, addressing both the technology, business and social ramifications of virtual reality porn. I was asked to give my take on the issue and somehow a 20 minute phone conversation was distilled to a brief paragraph at the end of the piece, but nonetheless, it is still a worthwhile read.
Does Bill Cosby have a fetish for unconscious women? Who knows? He's not a client and I've never met him, so I cannot say for sure, but this provocative piece in the NY Times tries to get to the bottom of his alleged bizarre behavior. The reporter did a great job dealing with some uncomfortable material, so be sure to click the link below to see what I had to say on this issue:
I was recently asked by a reporter from Men's Fitness magazine to discuss reasons why a heterosexual man might refrain from having sex with a willing woman. The questions were basically soft balls, seemingly aimed at a younger, more inexperienced, male audience, but hey, I managed to drop a few decent pointers, relating to finding out if the woman is in a relationship, and if so, what kind of relationship she is in before diving in. If you want to take a look and poke around more, you can go directly to the article below. You are going to have to click to page 3 to see my quotes, btw.
I was recently interviewed for a Men's Health article on sex toys designed for men. They wanted to know my take on these "robotic masturbators" (as they called them) and as always, I tried to take a fair and balanced view of things. I pointed out that they could be used as a way to get better acquainted with one's sexuality (as well as get some much needed relief), but an over-reliance on technology may also limit guys from developing the necessary skills that would help them form romantic relationships.
At any rate, hurry on over to the article here--
Go check out a great, and I mean GREAT, absolutely fascinating article in the May issue of Upscale Magazine, entitled "Secret Lovers," in which I am interviewed regarding the hush hush world of the swinger subculture. The writer does a really good job of trying to understand the psychology of folks who practice consensual non-monogamy and I think the piece is very even-handed, with some practical tips for couples who are curious about dipping their toes in the lifestyle. I'll leave you with a quote from one of the swingers profiled in the piece, which I think gives a good feel for the tone and depth of the article-- "I love to see her with two guys and two girls at once. I enjoy submissive women, and there is no sexier submission than to watch my wife please me by pleasing others." If that sounds interesting, then I suggest you head out and grab a copy. It's well worth the read.
I am featured in the Sex Q&A section of Cosmo's April 2014 issue, in which I get asked about BJs, Plan B, sex in hot tubs, and all kinds of other tittilating reader questions. They did a good job of adding all kinds of humor, including a silly picture of tea bags-- need I say more? It's a can't- miss hoot. Go and check it out at news stands now!
I just recently did an interview for a cool podcast called
Are there any studies that you know of on MBCT for ejaculatory difficulties?
[…] most readers of this blog know, I have long been trumping the importance of mindfulness in helping to resolve a number of sexual difficulties. For most, it’s not easy to put a […]