sex_autism autism sex compassion mindset change growth satisfaction improvement self-esteem vlogs: Sex & Autism 9: RSD and Sex: Let’s continue our discussion of sex and autism. One of the neat things about sex is that it is universal and yet highly personal: there really aren’t any right or wrong ways to do it, except for what you and your partner like and don’t like. The most wrong things about sex is that our culture really doesn’t talk about it and shames people for enjoying sex differently than they do. Apr-22-2023

Sex & Autism 9: RSD and Sex

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Let’s continue our discussion of sex and autism. One of the neat things about sex is that it is universal and yet highly personal: there really aren’t any right or wrong ways to do it, except for what you and your partner like and don’t like. The most wrong things about sex is that our culture really doesn’t talk about it and shames people for enjoying sex differently than they do.

With that as background, imagine for a moment, your partner says something less flattering about your last sexual encounter. Perhaps you waited too long to do something, or touched them in a “just-not-quite-right” way. Maybe you said something your partner took as slightly off-color. Or the way you looked at them was just a little flat and not as twitterpated as they hoped. The experience wasn’t a bad one for either of you; it could have been just a bit better.

Just about everyone I’ve ever met has at least a few negative lines in their personal narrative— especially concerning their bodies and sex. For many folks, the above scenario wouldn’t shut anyone down. I’m sure some people wouldn’t even think twice about it.

Many of us with autism might have a far different experience.

A decent percentage of people with autism struggle with perceiving and understanding social context and nuances. History has taught them their misperceptions have led to neurotypical people categorizing them as outside of the norm, which may foster or exacerbate feelings of rejection or humiliation.

These experiences may extend to sexual situations, possibly even with an established partner. One of the co-occurring issues with autism can be Rejection Sensitivity Disorder. RSD can instill feelings of their being completely rejected and that they are unable to do anything correctly.

Not all people with autism experience RSD, but those of us who do may struggle more due to these extreme feelings of inadequacy and rejection. A perceived rejection or feelings of failure can feel just as intensely painful as outright rejection, and can leave us feeling lost, unwanted, and completely unsure of where we stand in the relationship. Fear of what will happen next can be another component of the RSD cycle.

Fear is a strong initiator on the limbic system and can move from emotional expression to physical action. I’m talking about fight/flight/freeze responses.

The result of RSD can be as extreme as a complete shut down or withdrawal from the encounter or relationship. A person with autism could feel confused by the rejection from an anticipated experience, and that sex, sexuality, and sexual encounters with another person could be too much to discuss or deal with. RSD may leave them feeling too vulnerable to additional rejection and they could shy away from sharing their wants, needs, desires, or fantasies with their partner.

People with RSD often don’t want to set boundaries because they are terribly afraid of being rejected or abandoned. Boundary setting within the lens of sex and RSD can be difficult enough: our ego and self esteem can be exposed during intimate relations and sexual activities. Saying “no” to a partner who you have allowed into intimate parts of your life may be scarier than living with the physical or emotional pain of a violated boundary. Your partner may not even know they have violated a boundary.

Helping a person with autism and RSD set, maintain, and respect honest and appropriate boundaries can help them begin to foster additional trust in their partner and in the relationship. Make time to discuss sexual wants, needs, desires, fantasies and off-limit actions with your partner in a safe, non-sexual environment. Discuss both sexual brakes and accelerators with a sometimes/always/never framework. Share your desire that they know you accept them as they are.



marriage counseling and sex therapy will improve your relationship

Tommy Underhill TTCD, ASDCS, ASDI Sex, Adult ADHD & Adult Autism

Tommy specializes in working with adults with ADHD and autism through a neurophysiological lens for social, relational, and sex issues. He oversees the long-term and strategic management for Littleton Couple’s Counseling. His entrepreneurship and small business management and operations span more than 30 years. Tommy is the Editor-in-Chief of the International Journal of Psychosexual Therapy. In his spare time, he runs a halfway house for wayward and abused orchids.

https://creativecontinuum.biz


Questions Answered At a Glance

Discover what makes therapy work

What makes sex therapy different from “normal” therapy?

Sex therapy is a type of psychotherapy that focuses specifically on communication, relationships, intimacy, and sex. We often discuss low libido, desire discrepancy, painful intercourse, non-traditional relationships, orgasm difficulties, and sexual preferences.

What is sex therapy?

Sex therapy is a form of talk therapy that helps people deal with sexual problems and improve their sexual health and well-being. It’s important because we’re all sexual beings, and our mental health can affect our sexual desire and pleasure. Sex therapy can help people talk about uncomfortable things about sex, intimacy, and communication, but it’s important to remember that many sexual health problems could be solved if people talked openly about sex and their experiences.

Are you comfortable talking about ethical non-monagomy (ENM)?

Yes. Ethical non-monogamy (ENM) is a relationship style that focuses on honesty, openness, and mutual agreement when it comes to having multiple romantic or sexual partners. Whether you’re just starting to think about this idea or have been curious for a while, ethical non-monogamy can be a really liberating way to love and connect. But it’s important to know that this lifestyle might not be right for everyone. That’s totally okay. The real question is, does ENM fit with your values and emotional needs?

Can you help with struggles with sex and religion?

You might be confused about why feelings about sex are so tough when you believe “God made us as we are.” This struggle and doubt can make you feel even more ashamed and alone from your partner. You might even wonder if you’re going through religious sexual trauma, even though you were never physically abused in the church. This unwanted religious sexual dysfunction can strain your intimate relationships, and it might make the pain, guilt, and shame you’ve been carrying since you were a kid even worse. We can help.

Are our sexual wants normal?

It can be tough to figure out what’s “normal” when it comes to sex, because everyone’s different. Instead of trying to fit in with what others think is “normal,” it’s more important to listen to your own body and mind. Think about what makes you feel good and what you’ve been wanting lately. Comparing yourself to others or to porn can make you feel bad about yourself, but if you’re struggling with your sexual identity, know that you’re not alone.

My partner and I have mismatched desire. Are we normal?

A common concern is the struggle with low libido or decreased arousal. Many people experience fluctuations in their sexual desire—often due to medical conditions, stress, or other underlying factors. If your current arousal levels differ significantly from the past or from your partner, discussing it with one of our certified psychosexual therapists can help alleviate anxiety and provide guidance on how to address the issue.

How do I know when it’s time to talk to someone about my sexual issues?

If you’ve been looking for info about sex therapy and common sexual concerns, you’ve already taken a huge step towards acknowledging your worries. If your concerns keep you up a night, talking to a sex therapist could give you some clarity and help you find solutions.