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  • Expectations​ of the Self or Partner

  • Body shame or concerns about measuring up.

  • Worry about sexual ability or pleasing

  • Difficulty in arousal or lubrication

  • Premature, Early or Delayed Ejaculation

Cognitive and Emotional factors can significantly affect our sex lives and lead to chronic issues for both men and women.

Treatment for Sexual Performance Anxiety 

Sex is supposed to be pleasurable. However, it's tough to enjoy sex if you're constantly worried about your performance, feeling pressured to perform, or anxious instead of being present to your partner and the experience itself. Sexual performance anxiety is the state of being anxious before, during, and/or after sex. Individuals may become overly preoccupied with sex, their partner, or how they judge themselves or sex. This anxiety can range from worrying about our own physical abilities to worrying about meeting our expectations. Some individuals will carry concerns about revealing their bodies to others or worry that their parts may not “measure up.” Body related anxieties can include feelings of shame and affect an individual’s comfort and self-esteem. Others may feel that their inexperience in the bedroom may cause others to perceive them negatively or that their performance will fall below their expectations. Individuals may fear that they may be letting their partners down or feel overly concerned about what sex should include or entail. Some may worry that the physical sensations or lack thereof, may influence their ability to orgasm or attain a pleasurable sexual experience.

When sexual performance anxiety does not get treated it can escalate to a number of other side effects for both men and women.

Challenges to sex, including how their bodies may physiologically perform are often rooted in our emotional and cognitive factors.

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  • What is different about Love Discovery Institute?
    Unlike most clinics and therapists that focus on symptom relief, our therapists deliver specialized treatments which aim to ameliorate our concerns at the heart of the problem. Through this process, we gain insight, identify patterns, and improve our understanding of our psychological defenses which may affect our life and our relationships. This also promotes long-term change and keeps us from the cyclical problems that can otherwise consume our world. Through the process of our highly-focused therapies, our therapists will generally help individuals explore their past, show them how it lives in the present, and outline a plan to move forward in healthier, more authentic, and more loving ways.
  • What type of therapies do you offer?
    Whether you are seeking individual or couples therapy, we believe that at our core, we are relational beings. We experience life around others and integrate healing and connection through this very lens. Although we offer a wide spectrum of modalities including humanistic, integrative, psychodynamic, analytic, existential, narrative, and various cognitive behavioral therapies, we've adopted these orientations around the relational space. In addition, within these frameworks, we incorporate a number of tools or interventions that help support healing, promote growth, and redefine our narratives. Finding a therapist does not have be hard. Our we proudly offer our services throughout Miami-Dade including Miami, Coral Gables, Brickell, Doral, Pinecrest, and Miami Beach. We also offer Telehealth mental health services throughout Florida.
  • Do you take insurance?
    Yes. We are in-network with the following insurance providers: • United (Oscar, Optum) • Aetna (Oxford) If you have coverage with other insurance providers, you may still have significant coverage. If you carry a PPO insurance plan, you may qualify for up to 75% of your sessions to be reimbursed by your insurance company. If your therapist does not take coverage, it may be because they may focus specialized treatments. Insurance provides quality access to medication management or generalized treatments, but once a certain level of care is desired, insurance companies may not cover it. To help explain this, you may find that your nearby service-center can manage your car's oil change, but if you have an electrical problem, you'll need to take your vehicle to specialist or the vehicle's dealership. Similarly, you may go to the local salon chain, but you may not go there if you are attending a wedding. Depending on the situation, therapy may require a more experienced level of care. Saving a marriage or dealing with an infidelity requires an extremely delicate touch. It is critical that matters like these are best addressed with the help of an expert. Other reasons why some may choose to self-pay or use their out-of-network policy: • Insurance companies often want the clinical notes about your sessions. We strongly believe that thoughts, emotions, behaviors, and your personal disclosures should be kept solely between you and your therapist. If you don't want third-parties knowing business, you may want to self-pay or opt to use your out-of network coverage. • Insurance companies attempt to pay as little as possible for your care. Every session is essentially an expense against their revenue generated by your premium. Unfortunately, this forces providers to take on a broad variety of cases and discourages therapists from specialize in any one area. In order to make ends meet, therapist also have to take on extremely high caseloads which affects their ability to effectively treat, conceptualize cases, continue their education, or even manage their own self-care. This ultimately can have a huge impact on your care. • Insurance companies direct the terms of your care. They are notorious for shortening or limiting treatment. They may force a therapeutic alteration which can force you to switch therapist even after you've developed a strong therapeutic relationship with them. When you need them most, you may find that after a certain number of sessions, your insurance company may decide what is best for you. • Some treatments are limited or are simply not covered by insurance policies. For example, sex therapy is generally not covered. Although sex is deeply intertwined into our emotional and psychological functioning, insurance companies may only cover the medical aspect.
  • How can therapy help?
    Therapy is for everyone! Having a neutral, but supportive figure in your life helps you identify your blindsides and attain more love and equanimity. An experienced therapist can help you process your emotions, review your past, outline your future, and develop strong and effective skills to address any challenges you may face. Just like a coach helps an athlete optimize their game, a therapist can help you optimize your life. • Improve relationships and interpersonal communication. • Learn about your family dynamics and see how they affect your current relationships. • Identify unhealthy patterns and behaviors in your life. • Learn new tools to solve everyday or longstanding problems. • Process and heal from difficult emotions and/or events. • Grow into a more grounded and authentic being. • Raise your emotional IQ and improve your influence and connection. • Learn how to manage life transitions. • Find more purpose and love in your life.
  • How long does therapy take?
    Therapy is a process and can vary in time and scope. Like beginning a new workout or dietary regimen, results are highly unlikely after a couple of sessions. It will take time to see results. Your openness, level of commitment, and work in-between your sessions will help you accelerate your progress. If this is your first time, give yourself at least 3 months of weekly sessions to get your feet wet. Some individuals find relief, support, or stabilize a critical event that may have occurred within their relationship. Therapeutically, this only scratches the surface but allows for a strong foundation to begin to take place. Therapies lasting over 3 months really begin to go more in-depth. By this time, the therapeutic relationship fosters trust and the necessary content for individuals to step into a new realm. If you've been doing your work, you'll be building on concepts and putting things into place. Depending on your particular situation, changes may vary. Some situations such as infidelities, those on the brink of a separation, or those who have experienced a traumatic events tend to need at least this much time to begin seeing change. Many individuals enter and remain in therapy for many months or even years. They keep their therapist in their pocket and continue to embrace personal healing or growth. Individuals extending therapy for longer periods fine-tune their life experience and can become masters of their world. Mileage does vary, but significant changes should be expected.
  • Are my sessions confidential?
    Your sessions are completely confidential and are maintained between you and your therapist. We know how sensitive our thoughts and behaviors can be and believe that all conversations and feelings are welcomed. Although there are some limits to confidentiality, such as potential harm to self or others, abuse of children or vulnerable populations, we encourage everyone to talk about what is going on in their life. Don't worry, we've heard it all.
  • How do I get started?
    You can simply click on the appointments tab to see the price and availability of each provider. Select a slot and we'll email you our intake forms which can all be filled online. This process generally only take 5-10 minutes to complete. This will also give you access to our online portal where you can access your records and billing documents. All of your information are kept on a HIPPA-secured platform which uses multi-layered encryption designed to keep your information safe. Alternatively, you may also call us at 305-605-LOVE and speak to someone in the office. We can help make recommendations or help you come to an informed decision.

Over time, sexual performance anxiety can decrease the way an individual feels in their dating life or in their relationship. They may also prefer to withdraw from sex, masturbate on their own, or simply create distance between them and their partner. Fearing that physical or emotional closeness may lead to uncomfortable situations, a couple’s intimate connection can greatly suffer. The stress surrounding either sex or the expectations, can also cause significant problems at a physical level. This can lead to hormonal changes and the narrowing of blood vessels which can affect the body's ability to respond, which in turn may create even more anxiety causing a continuous cycle of stress, anxiety, and sexual worry.

 

Start your sexual intimacy healing journey and make an appointment with one of our psychotherapists today. Still unsure about how we can help? Call us at 305-605-LOVE for a free consultation. We are here to support you.

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