Marital/Sexual Problem - Treatment

Couple relationship problems that can affect sexual interaction include pervasive hostility, poor communication, lack of trust and altered levels of sexual desire. We at MANN CLINIC psychoeducate our clients about problem area and guide them in overcoming sexual anxiety. Sexual disorders, such as erectile disorder in men, and orgasmic disorder in women, cause much psychological stress, both to the person with the disorder and to his or her partner. These disorders are also a primary reason that couples seek counselling. Although these disorders have been around for quite some time, psychological understanding of sexual disorders is relatively new. As with much of psychology, clinicians used Freud’s theories to explain sexual behaviour. Sexual disorders were seen as pathological in nature and there was little distinction between difficulties in function and sexual perversions.

Sexual disorders

Sexual disorder, then, involves difficulties with desire, arousal and orgasm, and in women also include sexual pain disorders. Another important factor in assessing sexual disorders is the determination of whether such a disorder is purely physical or whether there are psychological factors. There may also be a combination of the two. Such as

  • Male Erectile Disorder
  • Premature Ejaculation
  • Male Orgasmic Disorder (Retarded Ejaculation)
  • Female Orgasmic Disorder
  • Female Sexual Arousal Disorder
  • Dyspareunia
  • Vaginismus
  • Sexual Desire Disorders

Therapies for Sexual Disorders

Any therapeutic intervention for sexual disorders begins with an assessment of what underlies the condition. In the case of a psychological cause, therapy is indicated.

  • Behavior Therapy : The premise of behavior therapy is that sexual problems are the result of prior learning and that they are maintained by ongoing reinforcements and punishments. A key technique is systematic desensitization in which the client is led through exercises to reduce anxiety.

  • Cognitive-Behavioral Therapy : Cognitive behavioral therapy is a therapeutic process that attempts to change feelings and actions by modifying or altering faulty thought patterns or destructive selfverbalizations.Cognitive restructuring is particularly appropriate in situations in which negative attitudes towards sexuality contribute to sexual dysfunction.

  • Couples Therapy : The goal of couple’s therapy is to address interpersonal issues in the relationship. Common interpersonal conflicts include relationship conflicts; extra-marital affairs; current physical, verbal or sexual abuse; sexual libido; desire or practices different from partner; poor sexual communication. In couples therapy, partners focus on resolving relationship issues, resolving conflicts and enhancing the relationship. Communication is also a key aspect of couples counseling. Communication training helps couples learn how to talk to one another, demonstrate empathy, resolve differences with respect for each other's feelings, express anger in a positive way, and demonstrate affection. Couples are also helped to learn to reserve time for activities together.

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