This is an excellent question. It recognises that often there are psychological aspects to erectile issues. Erectile issues often result in psychological and relationship issues, even if the causes are not psychological.
Psychological causes of erection difficulties can include:
- anxiety or stress
- anxiety about sexual performance or sexual identity
- fear of sexual contact (from issues such as pregnancy or HIV/Sexually Transmitted Diseases)
- psychological trauma or abuse
- sexual problems with partner
- sexual boredom
- lack of communication in the relationship or other relationship issues
- grief or the effects of illness of self or family member
Erectile issues can also result in psychological-related problems. These can turn into a cycle where the issues causes another issues, which feeds the original issue.
The psychological impact of erectile issues may include:
- diminished sexual confidence and self-confidence
- lowered sexual esteem and self-esteem
- anxiety (including sexual anxiety)
- relationship issues (including partner communication issues)
- mild depression
- sexual dissatisfaction.
One avenue to treat erection issues is to see a sex (psychosexual) therapist. Through psychosexual therapy you will explore the history of erection difficulties and identify the cause/s of erection difficulties. If there is a possible physiological basis to your erection difficulties you may be referred back to your GP for further investigation as part of your psychosexual therapy. Often erection difficulties have a psychological basis, where a physical basis exists or not.
After your first session, a personalised treatment plan will be developed to assist you in developing healthy erections. As part of your therapy you will be expected to complete “home-work” exercises.
The benefits of sex therapy for erectile issues;
- Understand erections and how they work;
- Develop skills to better manage erections;
- Develop skills to increase erection function; and
- Learn new ways of being sexual.
Good luck and remember a healthy life includes a healthy sex life.Dr Christopher
Sex and Relationship Therapist
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