“I told him I was coming to you.”
 
 “Had you not told him before?”
 
 “No, I hadn’t.”
 
 “And what did he say?”
 
 “He told me that no expensive doctor could make me receptive in bed, that I’m a cold fish and that he’s never been with a woman who is so unresponsive.”
 
 “What do you think of that?” I ask.
 
 “He’s right,” she sighs.
 
 “I don’t believe that,” I assert. “You may be unresponsive to him at the moment, but it’s not physical, it’s totally emotional. Bethany, I treat both men and woman who suffer from Anorgasmia and they are in loving relationships with a person they can trust.” She nods as she listens. “Have you thought about what we talked about last visit?”
 
 “Yes,” she says. “It’s not going to be possible.”
 
 “Why?” I ask.
 
 “Because he doesn’t know I haven’t orgasmed in three years.”
 
 I cross my arms. “What do you mean?” I ask, already knowing the answer.
 
 “I’ve been faking it all along.”
 
 I nod. This is common. “Do you think you should come clean?” I give her a small empathetic smile.
 
 “No, he would be devastated.”
 
 I nod, “So it’s ok if you’re devastated, just not him.”
 
 “I know how this looks,” she whispers.
 
 “How does this look Beth?” I urge.
 
 “That I am a martyr.”
 
 I smile. “Is that what you think?” I ask her softly.
 
 “Do you?” she asks.
 
 “No, I don’t think you’re a martyr. Would it matter to you if I did?”
 
 She nods her head.
 
 “It shouldn’t matter what anyone thinks Beth, only you.”
 
 “I care what you think,” she smiles. “You’re the only person who knows about this.”
 
 I frown. “You haven’t confided in a friend?” I ask, a little shocked.
 
 “No. I don’t want my friends to judge Anthony, or me for staying with him.”
 
 “I see,” I answer. “Beth, do you think that the friends you keep are really on your side?”
 
 She looks at me as she processes what I have just asked her and then she shrugs. We both sit in silence as I wait for her to speak, but she doesn’t.
 
 Mmm, we will come back to this. “Did you speak to Anthony about foreplay?” She shakes her head. “Mmm ok, so can I guess you didn’t do as I suggested and ask him to try Viagra?”