What are psycho-sexual issues...and how can therapy help?

Whilst sex and intimacy can be a significant part of many people’s lives, seeking therapy for concerns or questions related to psychosexual issues that affect us or our relationships often slip our minds. We grow up in communities that often see talking about our experiences with sex as taboo or awkward, so it’s understandable to feel shy or uncomfortable when wanting to bring this up with your therapist but as therapists, we understand that wanting to create enjoyable sexual experiences are a normal healthy part of being human. 

Psychosexual conditions are sexual issues or conditions that are psychological in origin rather than just physiological. Mental health conditions such as anxiety, depression, chronic stress and trauma can contribute to this. How severe or intense these issues may present themselves can vary and some are temporary or minor, whilst types of psychosexual issues are more ongoing or long-term. 


Some examples of psychosexual issues include:

  • Sexual pain (ie. vaginismus or vulvodynia) or painful intercourse

  • Difficulty orgasming 

  • Erectile Dysfunction

  • Mismatched libidos within couples

  • Lack of sexual desire


However, it’s important to note that coming to therapy to navigate psychosexual-related topics can also include:

  • Exploring kink and fetishes

  • Non-monogamy and polyamory

  • Gender and sexuality

  • Body Image and Self-Esteem

  • Coping with an STI or STD diagnosis

  • Negotiating Boundaries and Learning to practice consent

How can therapy help with psychosexual concerns?

Coming to therapy to talk about psychosexual issues can help you navigate these experiences with someone who aims to create a warm and non-judgemental space. If questions or statements like “I want a more intimate relationship”, “I find it difficult to feel turned on but my partner gets turned on so quickly”, or “Sex is painful and difficult, how can I change this?”, and “I think my illness or medication is affecting my sex life” resonate with you; speaking to a practitioner that can help you unpack/explain these issues, can be beneficial. Making sense of the unknown can create a healthy sense of control in our lives, which can allow for adaptive interpersonal relationships.

Everyone has the right to want to pursue and experience a safe, sex-positive and pleasurable sex life. We have a number of mental health practitioners who could support you in unpacking concerns and uncertainties within your interpersonal space. Contact our practice to learn more about supports available to you. 

Written by Natasha Lama (Masters of Counselling Intern)

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