Wow this brings up all kinds of questions about Don and Howie .

Most surrogates are women,

a few are men,

. Some surrogates work at counseling centers while others have their own office. Some surrogates offer additional services besides surrogacy such as telephone counseling.
The majority of surrogates have professional certification in the fields of psychology or counseling. This allows them to work closely with psychiatrists, psychologists, and other therapists in the best interests of the patient.
Surrogates use a combination of three techniques — talking, listening and demonstration — to help resolve a patient's problems.
Patients frequently present these specific problems:
1. Trouble with intimacy

2. Lack of confidence

3. Communication problems

4. Dating anxiety

5. Sexual inhibitions.

6. Erectile dysfunction

7. Premature ejaculation

8. Diseases that cause painful intercourse.

:
There are people who have experienced a change in lifestyle due to an acquired disability

(accident, paralysis, disease, trauma), and a surrogate can help them explore and develop potential. The causes of dysfunction are numerous and the methods a surrogate might use to help improve function are varied.

Since many problems are psychological rather than physical, communication plays a key role in the therapeutic process between a patient and the surrogate, as well as between the surrogate and the therapist.
Surrogates offer therapeutic exercises to help the patient. These may include relaxation techniques,

, intimate communication,

,teaching social skills, and some sexual touching.
