EPISODE · Nov 3, 2025 · 50 MIN
Dr. Bird and the Bees: Sex, Desire, and Mental Health
from Spill Your Guts · host guts.
Sexual health is often left out of mental health conversations, yet it profoundly shapes our quality of life and relationships. In this episode, Dr. Liz Bird — clinical psychologist, sex therapist, and owner of Evergreen Therapy — joins us to explore the overlap between sexual and mental health, with a focus on sexual desire.Dr. Bird introduces the dual control model, the idea that everyone has a unique “gas and brake” system for sexual response, and how understanding your own pedals can transform your sexual experience. We break down myths about “sex drive,” unpack the difference between spontaneous and responsive desire, and discuss why “low desire” may not actually be about desire at all. Whether you’re in a long-term relationship, dating, or navigating sexuality on your own, this conversation sheds light on the complex and individualized nature of desire — and how to approach it with curiosity, compassion, and guts.Resources Mentioned in the Episode:Dr. Liz Bird’s blog on sexual health: https://www.evergreenseattle.com/blog-sex-relationships-mental-health Emily Nagoski’s books and podcast: Come As You Are (book and podcast) and Come TogetherSexual Inhibition and Sexual Excitation Scale (SIS/SES) – a research tool measuring “gas and brake” factorsguts’ earlier episode on mindfulness for practical tips you can apply to sexual wellbeing: https://www.gutsnonprofit.org/podcast/mindfulness Music Credit: Nathan Byrne with Reel Byrne MediaTo support guts’ work, visit our website: www.gutsnonprofit.org Note: The information in this podcast is for educational and informational purposes only and is not medical/therapeutic advice. Such information is not intended nor otherwise implied to be mental health advice or a substitute for mental health advice, diagnosis, or treatment from a mental health or medical professional. If you become distressed and need support, call 988 to access the free 24/7 Crisis Hotline, call 911, or visit your nearest emergency room.
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Dr. Bird and the Bees: Sex, Desire, and Mental Health
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