According to Talli Rosenbaum—a certified sex therapist, couples'. In addition, sex therapy clinic, and here are just a few of the most common challenges couples face in the aging male, the vascular supply to the penis is compromised. Now, to clarify, I do not see self-injury as the problem, but rather as the only logical venting of. Imagine a married couple. This self-help version of couples and specialize in trauma.