Sex Therapy FAQs

What is Sex Therapy? What Can You Expect from a Session?

  • A bio-pyscho-social approach with a focus on emotions, and attachment styles and coping patterns
  • A therapy that endeavors to educate clients about sexuality
  • A therapy that can be used to treat sexual dysfunctions and/or to enhance clients’ sexual relationship
  • Teaching couples to be conscious, caring, and connected
  • Sexual dysfunction is best treated as a couples issue

What does a Sex Therapist do?

  • Takes an extensive sex history Determines diagnosis and treatment plan
  • Informs the client of diagnosis and treatment plan and ask for clients’ input
  • Begins agreed treatment

Sex Therapy Sequence of Treatment

  • Meet with couple to obtain a joint history Homework: fill out sexual history questionnaire
  • Meet with each partner separately to go over their sexual history questionnaire
  • Treatment plan presented and goals are set
  • Begin Treatment Homework given each session
  • Review how the previous homework assignment went

Premature Ejaculation (PE)

  • Most common, with 29 percent of males being affected
  • Premature Ejaculation is enmeshed with NEGATIVE thoughts and feelings
    “I’m an inadequate lover”
  • The more negative, the more severe the distress Shame and frustration of either or both partners
  • Medication is the most effective when used with psychosexual skills program while being integrated into the couples sexual style of intimacy, pleasuring, and eroticism
  • Deficits common in psychosexual skills
  • Unrealistic expectations

Ejaculatory Inhibition (EI)

  • Affects 8.3 percent of men
  • Not commonly recognized
  • Can be source of infertility, blocked sexual pleasure
  • Significantly disrupt relationship intimacy
  • Most common type, secondary intermittent pattern
  • Increases with age Often misdiagnosed as an erection problem
  • They simply “run out of sexual energy”
  • Couples therapy issue
  • Men who are unaware of normal changes with aging

Erectile Dysfunction (ED)

  • Therapy focuses on the five most common psychological factors associated with ED
  • Can be an important adjunct therapy with most cases of ED
  • Sexual Trauma — male victims of adult-child sexual contact are three times more likely to experience ED
  • Depression Anxiety Guilt Martial Discord
  • Medication
  • Care must be taken not to exacerbate complaints of ED by prescribing antidepressants
  • Sensate Focus exercises are used with each dysfunction