You and your wife have been having some troubles in the bedroom and you've decided that it was time to see a sex therapist. Your wife reached out to me initially, she and I agree that it was best to meet you both individually at first. I want to really get an idea of what you both think is going on separately, then we'll come together and discuss. I will ask you some very personal/ private questions, but if you want this to work you have to be honest with me. I'll know immediately if you're lying to me and I don't take kindly to "little" liars. Unbeknownst to you, I have already spoken to your wife and know exactly what the teeny, tiny issue is, and moreover, she and I have developed a solution. It's not for you to have an opinion about our solution, but you will have no choice but to agree with it.
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