The Desire Dilemma: The Science of Sex
11 Thursdays Weekly
September 7- November 16, 2023; 10:30am-12:00pm ET 

16.5 CEs | Live On Zoom

Facilitator: Miranda Hughes, LMFT, CST
Program Dates11 meetings; September 7, 14, 21, 28, October 5, 12, 19, 26, November 2, 9, and 16, 2023 

Cost of Program: Free for NEAFAST Members; $80 for nonmembers. Become an NEAFAST Member!
Cost of 16.5 CEs:
$165 for NEAFAST members; $200 for nonmembers

The Desire Dilemma- The Science of Sex is a weekly 3 month, 16.5 CE peer consultation group addressing sexual desire discrepancy or mismatch in working with couples. The group will include psychoeducation and small group breakout activities, as well as clinical consultation. We will use Emily Nagoski’s Come as You Are as our guiding text to explore tools to implement with individuals or couples looking to address desire and intimacy. Each group will explore one chapter of the text and 1-2 case consultations from group members. 

Learning Objective 1: Participants will learn how to define responsive and spontaneous desire and the differences between them. 
Learning Objective 2: Participants will gain an understanding of the dual control model and understand the role of accelerators and breaks in desire.
Learning Objective 3: Participants will learn to identify the impact of stress trauma, and arousal non-concordance in mismatched desire.
10:30-10:45: Review of previous topic and introduction to current topic
10:45–11:00: Discussion of elements of desire, including how desire gets created, sociocultural impacts of desire, and how desire gets expressed by an individual
11:00-11:15: Discussion of how desire gets communicated in relationships, and the challenges around desire discrepancy
11:15-11:30 Introduction and discussion of case study/case consultation
11:30-11:45: Continuation of discussion of case study/case consultation
11:45-12:00: Review, discussion of gains made

Sign Up for the peer group Here!

Miranda Hughes is Licensed Marriage and Family Therapist in Connecticut and Massachusetts and a Certified Sex Therapist. She received her Master’s degree from the University of Saint Joseph in West Hartford, CT where she later became adjunct faculty teaching both the Counseling Families and Sex Therapy course for the MFT and Clinical Mental Health Counseling departments until moving to Massachusetts in 2022. Miranda is also a graduate of the Institute for Sexuality Education and Enlightenment where she completed all educational requirements for her AASECT certification. Miranda is currently a supervisor in training with AASECT. Miranda sees clients in her private practice virtually and in her office in Salem, MA. She specializes in working with clients in the queer, kink, and polyamorous/CNM communities.

This activity is pending certification by the New England Association for Family and Systemic Therapy (NEAFAST) on behalf of the Massachusetts Board of Registration of Allied Mental Health & Human Services Professions for LMFT professional continuing education.

This activity can be retroactively approved for CEs for Massachusetts LMHCs. Learn more at

This activity is pending certification by the National Association of Social Workers Massachusetts Chapter on behalf of the Massachusetts Board of Registration of Allied Mental Health & Human Services Professions for LICSW professional continuing education.

Please note: It is the participant’s responsibility to check with their individual state boards to verify CE requirements for their state.

Cancellation Policy: Please email us at [email protected] if you are unable to make it. We will give a full reimbursement for cancels prior to August 7, 2023.