Therapy for Sexual Health & Performance Anxiety

Therapy for Sexual Performance Anxiety, Erectile Difficulties & Problematic Porn Use

Our men’s mental health specialist is Suzanne Riley, LPC, one of the few clinicians in Bryn Mawr with advanced training in men’s sexual health, including issues such as erectile dysfunction, sexual performance anxiety, problems with arousal and porn addiction.

At Main Line Counseling Partners in Bryn Mawr, Suzanne applies her advanced training in CBT and her extensive knowlege in the specific challenges to work toward change. She has availability at our office in Bryn Mawr, PA and online. 

Here are some of the challenges your men’s mental health therapist can help you with:

  • Anxiety and stress
  • Depression and low mood
  • Anger and irritability
  • Relationship and intimacy concerns
  • Sexual performance anxiety
  • Erectile dysfunction and arousal concerns
  • Problematic pornography use / porn addiction
  • Self-esteem and confidence
  • Loneliness and social isolation
  • Life transitions and identity
  • Work and career stress
  • Fatherhood and family concerns

When Sex Starts to Feel Like a Test

Will I be able to get an erection? Will I stay hard? What if I can’t orgasm?  What if I orgasm too soon? Is my partner disappointed? Why is this happening again?

The harder you try not to think about these questions, the louder these intrusive thoughts probably become in your mind. Before long, something that used to feel pleasurable and connecting can start to feel like a performance.

Sexual performance anxiety, erectile difficulties, changes in arousal and concerns about pornography are incredibly personal. They can also be difficult to talk about (even, or especially with your partner).

Therapy gives you a confidential, nonjudgmental place to understand what’s happening and begin to try strategies to overcome these challenges.

Therapy for Sexual Performance Anxiety

Sexual performance anxiety is what happens when sex shifts from something you’re experiencing to something you’re monitoring. For many men, it’s a cycle that follows something similar to the following:

  1. You’re in your head worrying somehting won’t go well sexually
  2. You monitor your body’s response
  3. The focus on these thoughts gets in the way of experiencing the natural arousal and pleasure that occurs when you are connected to your body, not your thoughts
  4. Anxiety increases
  5. Arousal becomes harder
  6. The cycle repeats as your fear came true

 

CBT therapy can help you learn how to break this viscious cycle.

Can Therapy Help with Erectile Dysfunction?

Yes, therapy can help with erectile dysfunction, particularly when stress, anxiety, relationship concerns, or performance pressure are contributing to the problem.

Erectile dysfunction can have both physical and psychological causes, and often the two interact. Talk therapy can’t treat an underlying medical condition or directly change the physical mechanisms involved in an erection. That’s why it’s important to talk with a physician or urologist to rule out medical causes and discuss appropriate medical treatment.

What therapy can do is address the emotional and relational factors that can make erectile difficulties worse. For example, one difficult sexual experience can lead to worry about whether it will happen again. 

A therapist who specializes in men’s sexual health can help you understand what may be contributing to the problem, reduce performance anxiety and shame, improve communication with your partner, and help you approach sex with less pressure and more flexibility.

For many men, the most effective approach involves both medical evaluation and psychological support rather than assuming the problem is either “physical” or “all in your head.”

Porn Addiction Therapy Without Shame

You may have found this page by searching for porn addiction therapy. That doesn’t necessarily mean you need to label yourself an addict.

The more useful questions may be:

  • Does pornography feel difficult to control?
  • Is it interfering with your sex life or relationship?
  • Are you using it in ways that don’t align with your values?
  • Have you repeatedly tried to change your behavior without success?
  • Do you find yourself distracted during every day life, thinking about the next time you plan to watch porn?

 

Therapy isn’t about shaming pornography use or sexuality. It’s about helping you understand your own behavior, decide what you want to change, and develop healthier ways of responding to stress, loneliness, sexual urges and difficult emotions.

Perhaps you’ve tried to stop or cut back and haven’t been able to. You don’t have to decide whether the word addiction applies to you before asking for help.

1. Start with a phone call: Men's Mental Health Specialist: Suzanne Riley, LPC.

Schedule a call with our intake coordinator, Jessica Kryzer by clicking “I’m a new client”. She will take your contact info, answer your preliminary questions, and then schedule a free 15-minute consultation with men’s mental health specialist, Suzanne Riley, to decide if her approach and style are a good fit for you.

2. What to expect in your first session:

Most men feel more comfortable than they expect at their first session whether they are coming for help with sexual health, performance anxiety, or more general challenges with stress. Suzanne will learn more about your experiences, concerns, interests, and challenges and begin to work with you to identify specific therapy goals and changes you want to see as a result of your therapy process. 

3. How will the therapy progress?

Your sexual health therapist will work collaboratively with you to work towards your goals in any number of ways. In early sessions you’ll be sharing relevant background information and creating a plan that works best for you. 

As you progress, you will be given direct feedback, strategies and a plan to alleviate your concerns. 

Frequently Asked Questions About Therapy for Men's Sexual Health

No.

Though commonly associated with children’s therapy, the truth is that art therapy helps people of all ages. Main Line Counseling Partners offers art therapy for adults 18 and over.

This has nothing to do with “being good at art.” 

You need not be an “artist” to benefit from expressing yourself. Your artwork will not be judged. Often, the process is just as important, if not more important, than the finished product.

Yes!

You’ll use supplies in your own home, and your therapist can give you suggestions of new tools to try.

Art therapy is a form of psychotherapy that first developed mid-20th century and has been growing and evolving ever since. 

It is a widely researched approach to therapy that has been shown to be effective with ages across the lifespan and a wide array of therapeutic needs, from combat vets with PTSD to traumatic brain injury survivors, older adults with memory loss, to individuals with depression and anxiety.

Research shows that many people start to feel better as soon as they make an appointment with a new therapist. 

Several months from now, you may feel a little more relaxed and confident about your situation. Everyone’s results are different, but many people feel comforted by having a counselor by their side to help them approach their challenges with a fresh new approach. 

Yes, of course!

Traditional “talk therapy” goes hand in hand with art therapy as determined by what you are looking for of the day of your appointment. There may be sessions when you do not make art, and there may be sessions when there is hardly any talking. It is up to you and your art therapist.

That’s okay, it’s not for everyone. We recommend that you start with someone who specializes in both traditional talk therapy and has advanced training in art therapy. This way you can try a session or two, or use a combination of both.

You can schedule a discovery call with Teresa Thompson to see if she’s a good fit.

Some mistakenly believe that art therapists don’t have advanced training, but they actually have more training, not less, than traditional counselors. 

Art therapists are master’s level or Ph.D. clinicians who are first trained in traditional psychology and psychotherapy (psychological theory, human development, approaches, diagnoses, cultural competence, research, etc.) and then go on to receive a specialization in art therapy. 

The American Art Therapy Association must accredit master’s programs for a clinician to practice art therapy and use the designation “art therapist.” In addition to the option to pursue state licensure upon graduation as a counselor, art therapists can pursue credentialing as a board-certified registered art therapist (ATR-BC) through AATA, which requires 1,500 hours of supervised clinical practice with an art therapist and passing a comprehensive national exam on the theory and practice of art therapy. 

Suppose you are seeing an art therapist in Pennsylvania with the LPC and ATR-BC. In that case, they have achieved the highest level of credentialing as both a professional counselor and art therapist. Teresa Thompson, LPC, ATR-BC meets this criteria and she has availability for new clients. 

Teresa Thompson is licensed to practice anywhere in Pennsylvania, so telehealth might be an option for you. You can bring your own supplies to your session and work in tandem. You can also search this directory to find an art therapist near you.

Ready to Get Started?

You don’t have to keep feeling controlled by overwhelming emotions, anxiety, or unhealthy relationship patterns.

Contact Main Line Counseling Partners today to learn whether Art Therapy is right for you.