Sex Therapy FAQs

What is Sex Therapy and what can be expected from a session?

  • Sex therapy consists of a bio-pyscho-social approach with a focus on emotions, attachment styles and coping mechanisms.
  • Sitting down with a sex therapist brings about several strategies to help educate clients about their own sexuality and sexual health. This can be somewhat of an achievement for those who need help with sex addiction or couples’ therapy near Charlotte, NC.
  • Couples’ therapy can be used to successfully treat sexual dysfunctions.
  • Moreover, sex therapy can help enhance clients’ sexual relationships.
  • This type of therapy can help teach couples in all kinds of relationships how to be conscious, caring, and connected.
  • Plus, did you know that sexual dysfunction is best treated as a couple’s issue? As they say, teamwork makes the dream work.

What does a Sex Therapist do?

  • First, a sex therapist performs a comprehensive questionnaire on the clients’ sexual history.
  • After careful examination, the therapist determines a diagnosis and the best treatment plan to achieve sexual pleasure.
  • Also known as a marriage therapist, they later inform the client of their diagnosis in relation to their sexual needs. Then, a treatment plan is put into place and they also ask for their input.
  • The therapist then proceeds with the agreed treatment for sexual dysfunction, whether it’s for an individual or as a couple.
  • Types of sexual dysfunctions a sex therapist / marriage counselor often deals with includes erectile dysfunction, getting a female to orgasm successfully, infidelity help, porn addiction, sexual trauma, and much

What are the steps for successful sex therapy treatment?

  • The sex therapist will meet with each partner separately and discuss their sexual history. Couples in relationship therapy will also give a joint sexual history report as part of their first homework assignment. A type of sexual history questionnaire is done to better understand the needs and desires or lack of sexual pleasure, etc.
  • Once the treatment plan is presented by the sex therapist, goals will be set in place.
  • All couples in sex therapy must complete all of the treatment homework which is given at each session.
  • Review all homework assignments and answer any questions or concerns in regard to couples’ therapy.

What is Premature Ejaculation (PE)?

  • Premature ejaculation occurs when a man reaches orgasm but ejaculates too quickly with little to no control.
  • This type of male sexual dysfunction can lead to negative thoughts and feelings, such as, “I’m an inadequate lover,” or “I’m coming too fast!”
  • PE is considered as a sexual dysfunction and the most common type in males.
  • Studies show that 29 percent of males are affected by premature ejaculation (PE).
  • Medication for PE can be the most effective when paired with a psychosexual skills program. This method is beneficial when integrated with the couple’s sexual style of intimacy, pleasure and eroticism.
  • Without treatment of PE in males, it can set unrealistic expectations in the bedroom for both partners.
  • Premature ejaculation (PE) can also lead to feelings of distress, shame and frustration for both partners involved. Thus, leading to secondary symptoms such as anxiety and depression.

What does it mean if my partner is unable to ejaculate?

  • Delayed ejaculation affects about 8.3 percent of men and it’s not commonly recognized by many in the medical field as it is the least studied and least understood of male sexual dysfunctions.
  • The causes can be physical or psychological, or both.
  • If a man takes longer than 30 minutes to ejaculate while performing penetrative sex, it is considered to be (EI) ejaculatory inhibition.
  • EI can also be a source of infertility and blocked sexual pleasure.
  • This type of sexual dysfunction can easily disrupt relationship intimacy.
  • Being unable to climax can increase with age and is often misdiagnosed as an erection problem.
  • Some men are led to believe that they have “run out of sexual energy.”
  • EI is definitely recognized as a couple’s therapy issue.
  • Most men are unaware of EI and other normal changes associated with aging. This includes sexuality and physical changes. Erections may be less firm, and it may take longer to ejaculate. Testosterone levels may also decrease which can affect energy, strength and sexual function.

How can sex therapy help with Erectile Dysfunction (ED)?

  • Sex therapy focuses on the five most common psychological factors associated with Erectile Dysfunction (ED) in males.
  • Can be an important adjunct sex therapy with most cases of ED.
  • One common reason for ED is sexual trauma — statistics show that male victims of adult-child sexual abuse are three times more likely to experience ED.
  • Sex therapy can also help with non-sexual other symptoms related to ED such as: depression, anxiety, feelings of guilt and marital discord.
  • Analyzing a patient’s medical history with prescribed anti-depressants can also help navigate common symptoms of sexual dysfunction.
  • Care must be taken not to exacerbate complaints of ED by prescribing antidepressants.
  • Sensate Focus exercises are used with each dysfunction during our sex therapy

What is Sensate Focus and how can it help with sexual dysfunction?

  • This type of sex therapy technique focuses on sensory perceptions and was introduced by the Masters and Johnson team. This works by refocusing on sensory perceptions and sensuality.
  • With the guide of a sex therapist, couples will take the learnings from each session to their private bedrooms at their leisure. This is a type of relationship therapy homework.
  • In the bedroom, couples in therapy are encouraged to be intimate with touch and embracing the warmth of each other’s skin with some kissing and little to no sexual intercourse.
  • The goal is to minimize the pressure of sexual expectations and to appreciate intimacy.
  • Sensate Focus exercises are used to help treat almost all sexual dysfunctions.

Can my sexless marriage survive?

  • It is important to get help as soon as possible if your marriage is lacking in sexual arousal, desire, and especially if the sex is non-existent.
  • A sexless marriage has a higher chance of survival, the sooner you seek help.
  • Getting back into the groove can be awkward at first, but it’s important to take your time and to respect boundaries. Practicing “mindfulness” or “sensate focus” is key to initiate intimacy and for successful completion of couples therapy.

How can porn addiction be identified?

  • The first step to recovery is admitting there’s a problem or out of control obsession.
  • Porn addiction is not an official diagnosis recognized by the American Psychiatric Association.
  • Individuals addicted to pornography might be experiencing a behavioral addiction that relates to compulsion.
  • Depending on how porn is affecting an individual’s life, a sex therapist might consider individual, group or family counseling. This also includes relationship therapy with the partner or spouse.
  • Signs of that a loved one is having problems with porn: watching it at work or at other inappropriate places; has tried to cut back on porn viewing but can’t help it; disrupting intimate relationships or sexual encounters in real life.

Why do I like to watch Internet Porn?

  • Internet porn is easy to consume because of its endless novelty.
  • Porn videos can escalate quickly, from more kinky material to more shocking scenarios. The novelty of porno never dies with endless clicking online.
  • Some users who have developed a habit of watching internet porn have reported to have zero addictions or substance abuse issues in the past. Meaning, you don’t need to have an addictive personality to develop a damaging porn addiction.
  • Did you know that porn is considered a “super stimulant?” Over time, the developed brain changes caused by porn creates new cravings for more content every day.

Low Desire and Low Libido, What’s Wrong?

  • A frequently asked question by new clients seeking sex therapy is about their non-existent sex drive, also known as a low libido.
  • A few areas to look at includes sleep patterns, stress, age, household changes (having a baby, moving, etc.), medication, depression, low self-esteem, weight changes, and substance abuse. All of these factors could lead to low libido.
  • Desire plays a big part in one’s sex drive. Let’s concentrate on your current desires. Is your partner fulfilling them? Are you comfortable enough to chase those desires?

Is Sexual Dysfunction Due to Psychological or Medical Causes?

  • Your sexual dysfunction could be psychological or caused by a medical issue.
  • Is it all in your head? Psychological causes can range from a variety of experiences. Taking a comprehensive questionnaire on your sexual history is the first step.
  • Your sexual dysfunction could be caused by a medical condition. If this is the case, a therapist can refer you to a medical specialist for further evaluation.