| This treatment cannot be standardised because the source of the anxiety differs from patient to patient and couple to couple. Similarly ways to deal with these anxieties vary from counsellor to counsellor. In general, psychosexual treatments range from simple sex education through improved partner communication to cognitive and behavioral therapy. The counsellor must identify the source of the anxiety and select appropriate therapy. Most modern therapy is behavioural based and strives to reduce performance anxiety via programmed relearning of a couple's sexual behaviour and practices. This obviously requires a cooperative couple, which may or may not be available. Long-term results with this type of therapy have shown significant Erectile Dysfunction recurrence rates. However, many couples benefit from this approach, which can also be combined with physical therapies to make the results more long lasting. |
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