Growing Beyond Religious Constraints: Exploring Sexuality with Alyssa Howard
Release Date: 04/25/2025
The Hole Shebang
Episode Overview Join Kristen Parise as she sits down with Dr. Ada Tang, a physiotherapist, professor, and researcher at McMaster University who's transforming how we think about exercise for stroke survivors and older adults. From her unexpected journey from clinical practice to groundbreaking research, Ada shares evidence-based insights on how the right exercise can be life-changing medicine for recovery, independence, and healthy aging. What You'll Learn Why aerobic exercise should be a standard part of stroke rehabilitation (just like cardiac rehab) The surprising benefits of...
info_outlineThe Hole Shebang
Episode Summary In this final installment of our three-part financial wellness series, Kristen and Gillian dive deep into retirement planning—but not in the way you'd expect. While we cover the essential numbers (spoiler: Canadians need $1.5-1.7 million for comfortable retirement), this conversation explores the profound connection between financial security and mental wellbeing in your golden years. From understanding why social isolation hits retirees as hard as smoking and obesity, to discovering how whole life insurance can become a tax-free investment vehicle, this episode challenges...
info_outlineThe Hole Shebang
Episode Overview Join Kristen Parise for a compelling conversation with Dr. Sara Reardon, pelvic floor physical therapist and author of the groundbreaking book "Floored." Dr. Reardon challenges the dangerous myths surrounding pelvic health, from the misconception that Kegels are a universal solution to the harmful narrative that pelvic floor dysfunction is just part of aging and motherhood. This episode is a rallying cry for women's health advocacy and a comprehensive guide to understanding your pelvic floor at every life stage. What You'll Learn Why balance, not strengthening or relaxing, is...
info_outlineThe Hole Shebang
Episode Overview Join Kristen Parise as she dives into the often-overlooked world of pediatric pelvic health with Clare Bourne, a London-based pelvic health physiotherapist and author. From bedwetting misconceptions to constipation crises, Clare shares her expertise on helping children and families navigate pelvic floor challenges while breaking down the shame and taboos that often surround these essential bodily functions. What You'll Learn Why potty training should be viewed as a developmental process, not a quick fix The surprising connection between constipation and...
info_outlineThe Hole Shebang
Get ready for a conversation that pulls no punches! In this episode, we dive deep with Dr. Rachel Gelman, a pelvic floor physical therapist and certified sexuality counselor who's making waves in San Francisco's sexual health scene. From painful sex to leaky laughs, Rachel breaks down everything you've wondered about but were afraid to ask. About Dr. Rachel Gelman Dr. Rachel Gelman is a Doctor of Physical Therapy and AASECT-certified sexuality counselor based in San Francisco. She's the owner and founder of Pelvic Wellness & Physical Therapy, where she specializes in treating pelvic...
info_outlineThe Hole Shebang
Summary In this enlightening follow-up conversation, host welcomes back , Senior Wealth Advisor and creator of The Muscle Money Mindset®, for a deep dive into investing and wealth building strategies. Building on their previous discussion about financial wellness, Gillian breaks down complex investment concepts into digestible frameworks that anyone can understand. This episode reveals the powerful connection between personal growth and financial growth, emphasizing that investing isn't just about stocks and bonds—it's about investing in yourself and your community. Gillian shares her...
info_outlineThe Hole Shebang
"The art of receiving is everything. It's not another thing to do. It actually creates more easefulness in your life." — Haley Bowler Episode Summary Bestselling author Haley Bowler shares her journey from physiotherapy to becoming a channel for profound wisdom. She introduces "the art of receiving"—a practice that helps high-achieving women balance feminine and masculine energies. Through personal stories, including her near-death experience, Haley offers practical guidance on accessing "the dimension of openness" where manifestation becomes instantaneous and healing is profound. Key...
info_outlineThe Hole Shebang
"We have to do better for our patients." – Alex Hill Episode Summary In this enlightening conversation, Kristen Parise speaks with Alex Hill, a specialized pelvic health and oncology physiotherapist, about the critical yet often overlooked connection between cancer treatment and pelvic health. Alex shares her journey into this specialized field, the importance of lymphedema management, why exercise during cancer treatment is essential, and how healthcare providers can better serve cancer survivors through improved education and collaborative care. This episode offers valuable insights...
info_outlineThe Hole Shebang
Episode Overview Join Kristen Parise as she sits down with Jessica Caceres, a nurse practitioner with 15 years of experience who's revolutionizing women's hormonal health care. From frustrating dismissals in traditional medicine to pioneering a holistic approach to hormone therapy, Jessica shares her journey and expert insights on navigating the often turbulent waters of perimenopause and menopause. What You'll Learn Why the infamous Women's Health Initiative study created decades of fear—and why much of it was unfounded The critical differences between synthetic and bioidentical hormones...
info_outlineThe Hole Shebang
In this episode of The Hole Shebang, host Kristen Parise welcomes Alyssa Howard, a registered psychotherapist specializing in helping individuals reconnect with their authentic selves. Together, they explore the complex interplay between strict religious upbringings and sexual development, offering practical insights for individuals and couples looking to redefine their relationship with pleasure. About Our Guest Alyssa Howard is a registered psychotherapist who transitioned from an 8.5-year career in education tech to focus on mental health. She works with clients throughout Ontario, both...
info_outlineIn this episode of The Hole Shebang, host Kristen Parise welcomes Alyssa Howard, a registered psychotherapist specializing in helping individuals reconnect with their authentic selves. Together, they explore the complex interplay between strict religious upbringings and sexual development, offering practical insights for individuals and couples looking to redefine their relationship with pleasure.
About Our Guest
Alyssa Howard is a registered psychotherapist who transitioned from an 8.5-year career in education tech to focus on mental health. She works with clients throughout Ontario, both virtually and in-person, specializing in supporting:
- Racialized individuals, particularly Black women
- Members of the queer community
- People navigating the intersection of these identities
- Adults from early adulthood to midlife (approximately ages 18-50)
Alyssa helps clients develop healthy relationships with work, authentic identity, and living according to their true values.
Exciting News
Catch Alyssa Howard at the Pleasure Principle Conference on May 30th, where she'll be diving deeper into the themes discussed in this episode!
Episode Chapters
00:00 - Introduction to Alyssa Howard
Meet Alyssa Howard, a registered psychotherapist who found her calling after transitioning from a career in education technology. Alyssa shares her passion for helping others reconnect with their authentic selves.
02:46 - Navigating Identity and Values
Alyssa discusses her work with racialized individuals and members of the queer community, helping them explore what it means to "live authentically through values" and develop healthy engagement with their careers and identities.
05:50 - The Impact of Strict Upbringings on Sexuality
Exploring how religious and strict backgrounds can create tension between taught beliefs and personal experiences, particularly around sexuality and sensuality. Alyssa notes how these environments often enforce specific "core tenants" around physical modesty and sexual engagement.
09:00 - Understanding Sexual Shame and Guilt
Alyssa reveals how sexual shame develops when sex becomes a taboo topic: "When you don't speak about something... that creates very easily a sense of shame." She explains how this shame can manifest as anxiety, tension, and negative self-talk.
12:01 - Communication and Relationship Dynamics
"Communication is super key" when working through sexual issues as a couple. Alyssa emphasizes the importance of acknowledging discomfort and creating safe spaces to discuss sexuality openly.
14:50 - Education and Exploration in Sexuality
Many clients lack basic knowledge about sexual anatomy. Alyssa shares how she provides fundamental education: "Do you know what we're referencing when we're saying vagina? Do you know that there's actually an external portion, the vulva?" This education builds a foundation for healthier sexual experiences.
18:11 - Therapeutic Techniques for Redefining Sexuality
Alyssa outlines techniques for challenging negative core beliefs about sexuality, helping clients identify self-talk patterns, understand their origins, and develop healthier alternatives.
20:59 - Working with Couples on Shared Beliefs
When working with couples, Alyssa helps them identify individual beliefs, compare them side by side, and determine "what are the beliefs as a unit that we want to carry forward in our relationship."
24:04 - Mindfulness and Somatic Practices
The importance of being present in the moment during sexual experiences. Alyssa explains how mindfulness practices help people "understand what you're experiencing mentally and physically" and respond accordingly to increase pleasure.
27:07 - Practical Steps for Overcoming Sexual Pain
Alyssa discusses how addressing psychological components of sexual pain can complement physical treatments, helping clients recognize anxiety cues and develop strategies to reduce tension.
30:08 - Cultivating Sensuality and Pleasure
For those who never explored sensuality growing up, Alyssa recommends three key approaches:
- Self-compassion and kindness around what you don't know
- Education through books, movies, and other resources
- Personal exploration to discover "what feels good for you"
32:50 - Recommended Resources for Sexual Education
Top book recommendations from Alyssa:
- "Come As You Are" by Emily Nagoski - "Fantastic book, really goes into depth about sex, sexuality, sensuality, the physiology of the body"
- "Sex Talks: Five Conversations That Will Transform Your Love Life" by Vanessa Marin and Xander Marin - An accessible guide to conversations about sexuality
35:59 - Conclusion and Connection
Alyssa shares that her personal theme song is "i" by Kendrick Lamar, which speaks to "resilience and just sort of the durability of the human spirit." Find Alyssa at groundingplacetherapy.ca.
Key Takeaways
- Religious teachings often create mixed messages about sex that can lead to shame, anxiety, and even physical pain during sexual experiences
- Communication is the foundation for healthy sexual relationships, especially for those overcoming restrictive beliefs
- Education about sexual anatomy and physiology is crucial but often lacking for those from strict backgrounds
- Mindfulness helps reconnect mind and body during sexual experiences, leading to greater pleasure and reduced pain
- Self-compassion is essential when exploring sexuality after years of restrictive beliefs
Practical Tips from Alyssa
- For better communication: Schedule dedicated 10-15 minute check-ins about sex with your partner
- For mindfulness: Practice simple breathing exercises - breathe in through your nose, out through your mouth
- For couples: Practice reflective listening where you repeat back not just what your partner said, but the emotions behind it
- For self-exploration: Approach learning about your own pleasure with curiosity rather than judgment
Don't miss Alyssa Howard at the Pleasure Principle Conference on May 30th. For more information about her practice, visit groundingplacetherapy.ca.
The Hole Shebang is a production of Blueberry Therapy Pelvic Health and Pediatrics, providing multidisciplinary care for people with bladder, bowel, or sexual dysfunction.