Episode 468: What’s Beneath Your Sexual Problems Might Surprise You
January 20, 2026 by Justin Lehmiller
When people experience sexual problems, the instinct is often to ask, “What’s wrong with me?” or “How do I fix this?” But what if those struggles are actually meaningful signals or clues that something deeper needs attention? In today’s show, we’re exploring a different way of understanding sexual difficulties: as doorways to unconscious emotional and relational truths.
My guest is Juliane Maxwald, a licensed psychoanalyst, couples therapist, and AASECT-certified sex therapist based in New York City. She has over fifteen years of experience working with individuals and couples. She is the author of the new book Psychoanalytic Sex Therapy: Exploring the Unconscious Life of Sexuality.
Some of the specific topics we explore in this episode include:
- What does it mean to treat sexual symptoms as a form of unconscious communication?
- Why is it important to get curious about the deeper issues behind sexual problems?
- If someone is experiencing “out of control” porn use, what might the deeper issue behind that be?
- What kind of emotional information do sexual fantasies carry?
- What does healing or recovery from a sexual problem actually look like?
To learn more about Juliane’s work, visit her website and find her on Instagram @julianemaxwald. Listeners can receive 20% off her new book, Psychoanalytic Sex Therapy, via this link.
Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology.
***
Thank you to our sponsors!
If you want to make this year less about fixing yourself and more about understanding yourself, check out Beducated. Featuring more than 100 online courses taught by the experts, Beducated brings pleasure-based sex ed directly into your bedroom. Kick off your journey by taking Beducated’s Quiz to get your personalized roadmap to sexual happiness at https://beducate.me/pd2602-lehmiller
Load Boost is a supplement designed to improve the taste, volume, and overall health of your semen. If you want to elevate your sexual performance, check out Load Boost from VB Health. Visit vb.health to learn more and save 10% with code JUSTIN.
Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today.
***
Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram.
Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast!
Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.
Dr. Justin Lehmiller
Founder & Owner of Sex and PsychologyDr. Justin Lehmiller is a social psychologist and Research Fellow at The Kinsey Institute. He runs the Sex and Psychology blog and podcast and is author of the popular book Tell Me What You Want. Dr. Lehmiller is an award-winning educator, and a prolific researcher who has published more than 50 academic works.
Read full bio >
