Sex Therapy

Sex therapy is a method of treatment used with individuals or couples who have sexual problems and concerns.

It is based on the belief that sexuality is supposed to be a fulfilling and rewarding part of relationships, and that emotional and physical intimacy is a desirable goal.

Sex therapy provides a safe and supportive professional atmosphere in which couples can talk about sexual and relationship issues and learn how to celebrate
their sexuality.

The bio-psycho-social-spiritual approach used in Paraklesis Counselling addresses not only the physiological aspects of sex, but also the psychological and spiritual aspects
within the context of relationship and social environment.

 

Enhancing Intimacy and Sexual Satisfaction

Why wait until it goes wrong? Enhance Intimacy & Sexual Satisfaction now  – overcome barriers and enhance your sex life

 

Therapy for Sexual Dysfunctions

Enhance intimacy and deal with sexual dysfunctions … including pharmacotherapy  and dealing with side-effects of medications

 

Sexual “Addictions” & Compulsions

 Technically there are no sexual addictions, but behavioral addictions and compulsive behaviour can be problematic ...

Sexual Restoration for Survivors of Abuse and Assault

Sexual abuse, rape, assault, and trauma are extreme personal violations - you don’t have to deal with the trauma alone ...

 

READY TO TALK ABOUT CELEBRATING SEXUALITY?

Enhancing Intimacy and Sexual Satisfaction

Why wait until it goes wrong?

Enhance Intimacy & Sexual Satisfaction now!

Coaching for enhancing intimacy levels and therapy for overcoming barriers will enhance your sex life and increase sexual satisfaction.

The brain is still the largest ‘sex-organ’ – therapy can help you overcome psychological and spiritual barriers and will enhance your sex life. Sex therapy and coaching will enable couples to enjoy a satisfying and fun sex life!

Intercourse does not create intimacy – learn how to enhance intimacy and celebrate your sexuality in playful and fulfilling celebration.

Overcome  cultural and religious assumptions underlying your sexual behaviour and experience sexually satisfying and fulfilling lives. Avoid false intimacy, keep perfect or ideal intimacy in perspective, and learn how to deal with the disappointments and letdowns of real intimacy while celebrating your sexuality.

Intimacy and Sexual Education

Helping people become comfortable as sexual beings and overcoming their poor sexual self-image is mostly done by sexual education. Some sexual issues can be caused by a lack of knowledge of one's own body and especially one’s genitalia and reproductive system, or a lack of knowledge of how to experience and share sexual pleasure. Sexual dysfunction is often linked to guilt and shame about one's body, one's sexual feelings and thoughts, and one's own sexual activity. This guilt and shame often have their roots in one's upbringing, family of origin, and social environment (culture, religion, spirituality, etc). Sexual education deals with challenging existing belief systems and sexual worldviews, and re-educating and re-creating new understanding.

Therapy for Sexual Dysfunctions

Enhance intimacy and deal with sexual dysfunctions which are so often misunderstood in relationships.

The cause is typically a mix of physical and psychological factors. In collaboration with your family physician care can be taken to make the correct differential diagnosis and therapy will help you to understand the dysfunction and explore the possible treatment options. This could include pharmacotherapy, dealing with side-effects of medications or medical conditions, and help you with comorbid (co-occurring) issues like depression or anxiety.

Dr Mervin specialises in medication related sexual difficulties,  especially dealing with sexual difficulties while taking antidepressant medications (SSRi’s). He will come alongside you with all your medication related counselling issues. The following is a list of conditions and issues that might require therapy:

Male Sexual Dysfunctions

  • Sexual Desire Disorders
  • Impotence (lack of sexual libido)
  • Male Erectile Disorder
  • Male Orgasmic Disorder
  • Premature ejaculation
  • Retarded ejaculation

 

Female Sexual Dysfunctions

  • Sexual Desire Disorders
  • Sexual Fear & Aversion to sex
  • Female Sexual Arousal Disorder
  • Female Orgasmic Disorder
  • Sexual Pain Disorders (Dyspareunia & Vaginismus)

Problems within Relationships

  • Desire discrepancies
  • Sexual conflicts
  • Power struggles
  • Non-gratifying sexual experiences
  • Pornography
  • Internet Relationships

Special Sexual Difficulties

  • Exhibitionism, Fetishism, Voyeurism etc.
  • Sexual or gender identity
  • Infertility; Sexual problems stemming from medical
    problems or medication
  • Internet Pornography, Internet Sex, Addiction

Sexual “Addictions” & Compulsions

 

 

Technically there are no sexual addictions (or such a disorder), but process or behavioural addictions and compulsive behaviour can be very problematic in relationships - therapy does help and is effective!

The concept "sexual addiction" does not appear in DSM (Diagnostic and Statistical Manual of Mental Disorders) and is not included in the chapter on substance related and addictive disorders.  The only process or behavioural “addiction” included is the gambling disorder.

The controversial debate on whether “sexual addictions” will or should be included in the DSM is ongoing. This does not mean that sexual behaviour cannot be problematic - many family members and spouses will attest to the fact that a loved one has been or is “addicted” to pornography, the internet or cybersex (or is displaying inappropriate or immoral behaviour).

Whether “sexual addictions” and compulsions are included in the diagnostic criteria or not, there are those suffering and who need therapy to overcome and manage it.

Ready to talk? Submit an counselling request without delay!

Process or Behavioural “Addictions”

Cybersex “Addiction”

Compulsive use of internet pornography, adult chat rooms, or adult fantasy role-play sites impacting negatively on real-life intimate relationships, and causing significant psychological and behavioural distress.

Cyber-Relationship “Addiction”

Compulsive use of social networking, chat rooms, and messaging to the point where virtual online friends become more important than real-life relationships with spouse, partner, family and friends,  and causing significant psychological and behavioural distress.

Internet Compulsions

Compulsive online activity such as online gaming, gambling, stock trading, or  compulsive use of online auction sites such as eBay, often resulting in financial and job-related problems, causing relational problems, and severe psychological and behavioural dysfunction.

Gambling Disorder (Included in the DSM-V)

Persistent and recurrent problematic gambling behaviour leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the criteria listed in the DSM over a 12-month period.

Sexual Restoration for Survivors of Abuse and Assault

Sexual abuse, rape, assault, and trauma are extreme personal violations that effects people in different ways. 

You don’t have to deal with the trauma alone …

In addition to dealing with the trauma of abuse or assault, many survivors also have to deal with the sexual trauma and the struggle to restore their sexual identity and functioning.

You don’t have to deal with the trauma alone

Counselling can and will help – submit a counselling appointment

 

(“Brokenness” – Oil painting on canvas – Lindie van der Spuy)