Patricia Rich introduces the concept of self-led sexuality — approaching sexuality from curiosity, compassion, and connection rather than fear or conditioning. She explains how understanding our internal “parts” can help individuals navigate conflicting desires, deepen consent, and create greater safety within themselves and their relationships. Explore the complexities of sexuality, emphasizing the importance of self-led sexuality and the integration of Internal Family Systems (IFS) in sexual therapy. The conversation also examines the broader cultural forces that influence sexuality, including capitalism, gender expectations, and the silence many therapists themselves experience around sexual topics. Grounded in both clinical insight and humanity, this episode offers a refreshing framework for understanding sexuality as a space for healing, embodiment, and authentic connection.
“Listening to our desires doesn’t mean we have to act on them all. Simply acknowledging the parts of ourselves who hold those desires and validating their longings can bring inner connection and vitality.” – Patricia Rich, LCSW CST-S
01:51 The challenges of discussing sexuality
07:53 Integrating IFS into sexual therapy
13:39 The positive intentions of our parts
22:17 Self-led sexuality: Leading from within
28:01 Therapists’ relationship with sexuality
35:51 The six S’s of sexual self-energy
40:28 Creating Safety in Sexual Conversations
45:03 Exploring sensuality and its barriers
01:01:10 Exploring exiled parts and performance pressure
01:05:07 The concept of internal consent
01:11:36 Cultural influences on sexuality and self-perception
About our Guest – Patricia Rich, LCSW, CST-S (She/Her)
Patricia Rich, LCSW, CST-S (she/her) is an IFS Institute Certified Level 3 IFS Therapist and Approved Consultant and an AASECT Certified Sex Therapist and Supervisor. She has developed a unique integrative model for Self-Led Sexuality to help people findmore ease, joy, and confidence in the bedroom and beyond. She has originated IFS- informed concepts such as Internal Consent and The Six S’s of Sexual Self-Energy. Patty has presented at the IFS Annual Conference, taught a module for the IFS Institute Online Continuity program, led workshops internationally, and authored a chapter in Altogether Us: Integrating the IFS Model with Key Modalities, Communities and Trends. She offers training and consultation to professionals and loves helping people to BeHold and Lead their Internal Sexual Systems (BLISS)TM. She hosts “Self-Led in Bed: An IFS & Sexuality Podcast” and lives in the Philadelphia area where she also has a private practice. You can get her free guide to The Six S’s and learn more about her offerings at www.patriciarich.com or follow her on Instagram @patriciarichconsulting.
Self-Led in Bed: An IFS & Sexuality Podcast – Patricia’s podcast
Patricia’s website – Information & resources
IFS Integration: A Comprehensive Guide to Applying Internal Family Systems Across Modalities, Populations, and Clinical Presentations – Check out Patricia’s chapter in this book
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