How is sex therapy conducted?

Assessment Phase

- Initial Meeting: The therapist usually meets with both partners to establish rapport, and discuss their concerns, expectations and goals for the coming sessions.

- Information Gathering: The therapist may use various tools to gather information, including questionnaires, interviews and physical examinations.

- Diagnosis: The therapist may diagnose a sexual concern.

Intervention

- Behavioral Techniques: The therapist may apply behavioral techniques such as sex-positivity, communication training, intimacy exercises, relaxation and mindfulness techniques.

- Cognitive Behavioral Therapy (CBT): This includes identifying negative sexual beliefs and thoughts and replacing them with rational, positive ones.

- Sensate Focus: Partners touch each other in a non-genital way to focus on sensual pleasure and reduce performance anxiety.

- Communication Training: Partners learn to communicate openly and effectively about their sexual desires and concerns.

- Relationship Therapy: The therapist helps the couple address any underlying relationship issues impacting sexual intimacy.

- Medical Interventions: If there is a medical cause, medication or physical therapy may be recommended.

- Homework: Partners may be given homework assignments to practice at home.

Evaluation and Termination

- Progress Monitoring: The therapist regularly reviews the couple's progress and may adjust the treatment plan as needed.

- Termination: When goals have been achieved, or significant improvement is made, and the couple feels comfortable self-managing, the therapist begins the termination process.

- Follow-up: The therapist may conduct follow-up appointments to assess the couple's long-term progress.

It's crucial for couples to be actively engaged in sex therapy, be honest and open with the therapist, and consistently participate in the recommended interventions and exercises.