RECLAIMING PLEASURE AFTER TRAUMA: UNDERSTANDING AND HEALING YOUR SEXUAL SELF


For many trauma survivors, sexual intimacy can become a confusing, even painful, part of life. Experiences of assault, coercion, neglect, or boundary violations often leave lasting imprints on both the body and the mind. Survivors may describe feeling disconnected from their bodies, struggling with arousal, or feeling numb, anxious, or triggered by touch. Others report guilt or shame around sexual desire, believing they are “broken,” “too sensitive,” or “not sexual anymore.”


These reactions are not uncommon. Trauma, especially when it involves the body or intimacy, can disrupt the brain’s ability to distinguish between safety and threat. As a result, even loving touch may activate the same alarm systems that once protected a person from harm. Many people understandably avoid intimacy altogether, while others may push through discomfort out of fear of rejection or obligation. Both patterns can lead to frustration, loneliness, and confusion in relationships.


What You Need to Know 

From a neurobiological perspective, trauma reshapes how the nervous system processes safety, pleasure, and control. The body learns to prioritize survival, which means shutting down arousal responses that once felt natural and instinctive. When a survivor later attempts sexual intimacy, the body may react with hyperarousal (panic, tension, racing thoughts) or hypoarousal (numbness, disconnection, loss of desire). These are protective responses, not signs of failure.


Healing sexual wellbeing after trauma involves retraining the body to feel safe in the present moment. This doesn’t mean “forgetting” the trauma; it means rebuilding the bridge between mind and body through safety, choice, and awareness. The goal is not to return to the “old self,” but to reclaim agency, curiosity, and pleasure in a new, self-defined way.


Research shows that trauma-informed approaches, such as EMDR, Somatic Experiencing, or Sensate Focus, can help survivors reconnect to their bodies and explore pleasure safely. These methods emphasize gradual exposure, mindful awareness, and communication rather than performance or expectation. Equally important, emotional intimacy, trust, and nonsexual connection often pave the way for comfortable sexual expression later.


Some Ways to Help

1. Prioritize Safety Over Performance

Begin by cultivating an internal sense of safety before engaging in any sexual activity. Grounding techniques, like deep breathing, identifying sensations, or focusing on supportive surroundings, help anchor the body in the present. It’s okay to say “pause” or “stop” anytime you feel discomfort.


2. Redefine Intimacy

Intimacy doesn’t have to mean intercourse. Explore connection through cuddling, shared laughter, or nonsexual touch. Allow curiosity, not obligation, to guide the pace. Many survivors benefit from creating a list of “green light,” “yellow light,” and “red light” activities to clarify comfort zones.


3. Rebuild Body Trust

Gentle practices such as yoga, mindfulness, or self-massage can restore connection to physical sensations in a safe way. Focus on what feels pleasant or neutral, not what’s expected. Over time, this helps the body relearn that pleasure is not dangerous.


4. Communicate and Collaborate

If you’re in a relationship, discuss needs and triggers with your partner openly. You don’t have to disclose the trauma itself, just what helps you feel safe. Establishing a “safe word” or aftercare ritual can build predictability and trust.


5. Work with a Trauma-Informed Therapist

Professional support can make a significant difference. Therapists trained in both trauma and sexuality can help navigate challenges around desire, arousal, and emotional safety. Approaches like EMDR or somatic therapies are particularly effective for integrating body and mind healing.


6. Challenge Shame with Compassion

Remember: experiencing difficulty with sex after trauma is not a personal failing. Your body’s responses make sense, given what it has been through. Healing happens when compassion replaces judgment.


Closing Thought

Reclaiming sexuality after trauma is not about “fixing” yourself; it’s about restoring choice, curiosity, and connection. Healing takes time, safety, and support, but it is absolutely possible. Every small step toward self-awareness and comfort is an act of courage.



Yawen Ning, LCSW

Clinical Social Worker

Lakes Center Mental Health Network

Navigating Changing Seasons & Mental Wellness

As autumn progresses, it’s a key time to focus on mental health care. October is recognized with observances such as Mental Illness Awareness Week and World Mental Health Day.


With shorter daylight hours, cooler weather and shifting routines, many of us feel changes in mood, sleep, or energy. Below are three ways to support your emotional and mental wellness this month:


  • Check in with your mood: Ask yourself how you’re feeling. If you notice ongoing sadness, anxiety, or shifts in sleep/appetite, consider reaching out for support.
  • Stay connected: Spend time with loved ones, join a local group, or go for a walk with a friend – relationships help build resilience.
  • Establish comforting routines: With the seasons shifting, try keeping consistent sleep times, scheduling a daily outdoor moment, and carving out one “self-care appointment” in your calendar.


Read More...

Welcome to Stephanie Molnar


We are thrilled to announce that Stephanie Molnar, LMSW is joining the Lakes Center Family as a clinical Social Worker. She is currently accepting new patients via telehealth. To set up an appointment you can contact Stephanie directly at (224) 423-5365 or SMolnar@lakescenter.com.

Prioritize your Mental Health with your HAS


Reminder! The year is wrapping up quickly, so it's a great time to dedicate some of your Health Savings Account (HSA) funds to your mental well-being.


HSA often covers therapy sessions, mental health screenings, as well as prescriptions. But be sure to verify with your HSA administrator and your health plan to confirm which specific mental health services are qualified expenses.

Planning for your Medicare Prescription Cost in 2026


Medicare Part D

The Medicare Part D cap on out-of-pocket spending has been set to $2,100 for 2026. This means that after you've spent $2,100 on covered Part D medications, you won't pay anything more for the rest of the year.


Here is how it works:

  • Deductible Phase: You'll pay the full cost of your prescriptions until you meet the $615 deductible.
  • Initial Coverage Phase: You'll pay 25% of your drug costs (coinsurance) until your total out-of-pocket spending reaches $2,100.
  • Catastrophic Coverage Phase: Once you've spent $2,100, Medicare will cover 100% of your Part D drug costs for the remainder of the year. This limit will be adjusted for inflation in subsequent years. (Read more here)


Key Exception: This $2,100 limit does not apply to drugs covered under Medicare Part B, such as certain medications administered in hospital outpatient settings (e.g., chemotherapy).


The New Medicare Prescription Payment Plan

The Medicare Prescription Plan (sometimes referred to as M3P) is a free government program that helps you manage Medicare prescription costs (discussed above) by spreading them throughout the year.


Once enrolled, you'll receive a convenient monthly bill from your health plan instead of paying at the pharmacy counter.


Learn more by watching this video.

Lakes Center in Partnership with UWM


Lakes Center is proud to announce a partnership with United Wholesale Mortgage (UWM), the largest mortgage lender in the nation. UWM, which is based in Pontiac MI, aims to enhance employee wellbeing with the help of Lakes Center workshops, training, and sessions.

Mental Health Tip:

Reduce Mood-dips with Daylight and Activity


Shorter days and cooler weather can affect energy and mood. One of the healthiest things you can do is get outside for even 10–15 minutes of daylight, and pair it with gentle movement (walk, stretch, yard work).

Mental Health Tip:

4 Habits to Stay Strong Through the Fall Season


Stay hydrated: Cooler weather doesn’t mean your body needs less fluid.

Choose seasonal produce: Squash, apples, and dark greens help boost immunity and mood.

Maintain your routine: Keep a consistent sleep schedule even with shorter daylight.

Schedule a check-in: Book your wellness / mental-health screenings.

We provide comprehensive psychiatric and psychotherapy services for a vast array of mental health issues, including depression, anxiety, bipolar disorder, psychotic illness, borderline personality disorder, substance abuse/addiction, trauma related issues, relationship difficulties, life transitions, and behavior problems. Call (248) 859-2457 to set up an appointment.
Did you know? SPRAVATO® can have a rapid antidepressant response and is added on to an antidepressant and the rest of your regimen. It is the first new mechanism of action to treat depression that has come out in over 30 years. 
There is hope for treatment-resistant depression. Call (248) 859-2457 to set up an appointment.

Lakes DBT

We provide comprehensive DBT services to provide effective treatment of Borderline Personality Disorder (BPD) and other disorders involving emotion dysregulation, including co-occurring substance use disorders, major depressive disorder, and individuals with history of trauma. At Lakes DBT Center, we believe that with effective evidence-based treatment and a caring and coordinated treatment team, clients can create a life they love.

Discovering Wellness:

A Therapy Group for Depression and Anxiety

Tuesdays, 10:30 am - 12:00 pm

New Groups Starting Every 8 Weeks

Lakes Center, 2300 Haggerty Road, Suite 1170, West Bloomfield, MI 48323


Contact Josephine Salem at JoSalem@lakescenter.com or Catherine DuFresne at CDuFresne@lakescenter.com for the starting date of the next group.


This is an adult outpatient therapy group treating Depression and Anxiety related mental health disorders. Click here for more information!

OCD/ERP Online Support Groups:

Networking for Change and Growth

Tuesdays 12:30 - 1:30 pm and Thursdays 3:00 - 4:00 pm

(Both are Online only)


Contact Terrie Browning at TBrowning@lakescenter.com or (248) 342-9254.

To Sign Up: Call (248) 859-2457 or click here to fill out our Contact Form.


This group is open to people who have OCD, PTSD, Hoarding, Trichotillomania, Excoriation, and Tics. We discuss how ERP works to treat these as well as Generalized Anxiety and Panic Disorders. Since ERP can be difficult to maintain, sharing similar experiences with each other, as well as learning from the leaders will help you stay on the course.

Ashley Rubel, LPC

Licensed Professional Counselor


Ashley is a Licensed Professional Counselor who works from a trauma-informed, client-centered perspective and deeply believes that you are the expert on your own life. She is passionate about fully understanding your point of view and partners with you in the healing process, combining your lived experience with her clinical knowledge to develop a personalized treatment plan. She brings a warm, judgment-free, down-to-earth approach to therapy, offering a safe, compassionate space where clients feel seen, heard, and supported. 


Whether you're navigating a major life transition, seeking support for your child, or working through long-standing patterns, Ashley walks alongside you with empathy, respect.

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Courtney Scheid, LPC

Licensed Professional Counselor


Courtney received a Bachelor’s Degree in Psychology from Northern Arizona University and earned a Master’s of Community Counseling Degree in 2009 from Adams State College. She has experience working with adolescents and adults in community based, academic, and health care settings.


Courtney’s training and experience in the counseling field includes working in the areas of Crisis Intervention, Domestic Violence, interpersonal and relationship issues, working with individuals and groups with Dialectical Behavior Therapy (DBT), substance abuse issues, and equine assisted recreational and therapeutic groups, as well as providing support for Palliative Medicine patients and families. 


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We are located in the Lakes Medical Center

2300 Haggerty Road, Suite 2160 • West Bloomfield, MI 48323

Phone: (248) 859-2457 • Fax: (248) 859-2473 • Billing: (248) 313-9550

info@lakescenter.com www.lakescenter.com

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