Book Review

Review of Emily Nagoski’s book, Come As You Are

Come As You Are is an intelligent and creative read that is extremely relevant, comprehensive and a necessary contribution to the field of female sexuality. Emily Nagoski’s writing combines humor with a sex-positive tone to address the complexity of sexual desire and arousal for women in a way that is friendly, directive and resourceful.

Nagoski challenges popular societal conceptualizations about sexual arousal and desire while using science to explain why certain ideas are myths and offer alternative interpretations that honor individuals’ realities and experiences. Anecdotes from former clients are woven into the text to demonstrate how many people navigate these concerns throughout their sexual relationships, validating and normalizing the worries of many readers.

Nagoski introduces the framework, “Pleasure Is The Measure” as a guide for readers to understand their own positive sexual experiences and acknowledge the nuances of contexts that can interfere with sexual satisfaction and desire, both individually and relationally. Readers have the opportunity to complete worksheets, which are included throughout the chapters, to increase their understanding of how the content applies to their own experiences. The versatility of Come As You Are makes it a fantastic read for females and couples as well as clinicians working in the field of sexuality.

How Do You Handle Conflict When You Reach Your Boiling Point?

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We all have our limits—those metaphorical boiling points where patience runs thin, and emotions start to overflow. Do you recall those moments in a relationship when it feels like your friend or partner is relentlessly pushing your buttons, turning up the heat beneath you? Maybe it's when your friend won't back down from challenging your political views or insists on your attendance at their bachelor party despite your significant work commitments. Or perhaps it’s your partner, reminding you to put away the dishes, pick up your laundry, or pay bills after you've already had a particularly stressful day at the office.

These moments, often described as frustrating or intense, contribute to an overall sense of stress. If your baseline stress level is already high—say, a 7 out of 10—it doesn’t take much for someone to crank it up to an 8 or 9. So, what happens next?

In my experience clinically, the most common reactions I see are a combination of something in between these scenarios:

  • The feeling many people describe as "I just cannot take it anymore!" comes over and then you explode at your partner, yelling at them and perhaps saying things you do not mean that are hurtful. This fighting continues and creates tension which then becomes distance between you both.

  • The presence of negative self-talk "I can't do anything right" emerges as we draw away from the relationship and blame ourselves, internally sulking and de-sensationalizing. This type of conflict might appear as one or both people become reclusive or initiate the silent treatment.

So maybe you identify your own pattern of dealing with conflict, however similar or different from these examples. Now return to your boiling point, remember what that felt like. What's happening within you right now?

Neurologically, here's what is actually happening in your brain and why it might be hard to communicate clearly...

There are two areas in our brain that are centrally activated during our interactions of conflict - the limbic area or emotional brain, which includes the amygdala, and the prefrontal cortex (PFC). Within the limbic system, our amygdala appears petite, yet it can have a powerful impact as it is responsible for responding to fear and rage. The prefrontal cortex (PFC) orchestrates thoughtful decision-making abilities and is our source of reasoning and good judgement.

When we are in the midst of an argument with a partner or friend, perhaps fearful of what may come of the interaction or we become angered by the threat of feeling attacked, our amygdala reacts and takes charge. Simply put, our emotional brain takes over making it very difficult for us to communicate clearly to our partners and friends. This makes sense because thoughtfulness in this moment would require sufficient PFC functioning. Mona Fishbane, PhD., clinical psychologist and family therapist, describes this limbic area activation as "the low road" of reactivity and the PFC activation as "the high road" of thoughtfulness in her application of neuroscience to her psychotherapy work and in her book, Loving With The Brain in Mind, which is an excellent resource for couples.

So, in order for us to decrease reactivity and increase thoughtfulness during moments of conflict, the PFC must communicate with the amygdala to calm it down (the brain is wired for this process to occur). We can activate this process in our PFC by engaging in calming behaviors - think diaphragmatic/deep breathing, meditation, a short walk, time to recollect, reflection, releasing tears, calming thoughts.

When we engage in calming behaviors during intense moments where our emotional brain has taken over and our PFC has gone off-line, we can actually open the pathway of communication between our PFC and amygdala, bringing our PFC back online. While these processes take time to learn and integrate into our daily lives, they are effective with the right amount of coaching and support. Perhaps you may find psychotherapy to be a useful outlet.

The Power of Choice

Now, let's return to that boiling point one last time. Your blood feels like it's boiling, you're annoyed, and the heat is rising. Maybe you’re teetering on the edge of conflict, or perhaps you're already deep in it, feeling uncomfortable and uncertain. But here’s the good news: you have the power to choose how you’ll respond in this moment.

When conflict arises, and your emotional brain takes over, it can be challenging to think clearly and communicate effectively. However, by engaging in calming behaviors—whether it’s deep breathing, taking a short walk, or simply pausing to reflect—you can help your prefrontal cortex regain control, allowing you to approach the situation with thoughtfulness rather than reactivity.

So, the next time you find yourself at your boiling point, ask yourself: What route will you take? Will you allow the heat to consume you, or will you choose to cool down and navigate the conflict with a clearer mind? The choice is yours, and with practice, you can learn to handle even the most intense situations with grace and composure.

Be Your Own Valentine.

Not feeling the love this Valentine's Day? That's okay. You're not alone.

February's frigid temperatures and scant sunshine have had a history of dampening spirits, requiring us to really dig deep if we want to stay motivated and connect to our loving intentions. Throw in the task of trying to figure out a special way to celebrate Valentine's Day and too often we are left with a pile of stress.  It's a shame that a day focused on love can create such chaos. As you shop for a great gift, plan the perfect evening, or indulge in your favorite chocolates, consider these reflections...

Open your heart and your mind.

If your date doesn't go according to plan, just know that some of the greatest love connections blossom in the moment, spontaneous or random moments that would not be nearly as meaningful if they had been planned. Trade in your blueprint of the perfect evening for possibility. The possibility of what happens in between perfection and paranoia. You might be surprised, perhaps even relieved.

Love isn't in the air, unless we surround ourselves with it.

It's highly unlikely that we will suddenly feel a ton of love unless we choose to create love in our lives. We might have to be extra mindful or bundle up a little tighter to make those opportunities happen in the winter season, but ultimately, love requires our energy and attention.  When we make conscious efforts to treat others in a loving way, we open our hearts to receiving love.

Celebrate efforts and love often.

If you ask people in happy relationships they will likely tell you that love does not just happen on one day of the year- it happens every day if we want it to last. Love requires us to be thoughtful, respectful and kind to our partners all the time as well as having patience and a sense of self-awareness, which cannot be cultivated overnight. Expressing gratitude for the time and energy we've invested into our relationships reminds us of what it truly means to love and embrace love.

Self love = the greatest gift of all.

Cupid may want everyone to feel the romance on February 14th, but if that's not where you're at, that's totally okay. Take this opportunity to treat yourself with extra love and do things that promote love in your life. Maybe it's a bubble bath or a sauna session, seeing a movie, rock climbing, or reading a good book and a homemade meal is just what you need.

However you decide to spend Valentine's Day, choose something that feels completely right to you. Treat yourself if you want, and relax if you don't. Everyday you have the chance to be your own valentine, so what will it include this year?