This episode of the Back Table Podcast explores the psychogenic aspects of erectile dysfunction with guest Mark Goldberg, a certified sex therapist. They discuss the differences between physical and psychological causes of erectile dysfunction, the importance of assessing both medical and psychological factors, and the role of mental health in sexual function. They also address common issues such as performance anxiety, premature ejaculation, and anorgasmia, and offer insights into treatment options and techniques for managing these conditions. The episode emphasizes the value of open communication and understanding between partners in navigating sexual dysfunction and maintaining intimacy.
Mark Goldberg is a certified sex therapist with expertise in treating sexual dysfunction, particularly erectile dysfunction and ejaculatory disorders.
Key Takeaways:
*In the initial assessment session, the focus is on normalizing the challenges the patient is going through, establishing rapport, and understanding the individual and relationship background.
*Psychogenic erectile dysfunction is often influenced by mental health factors rather than mental illness. It is important to distinguish between mental health and mental illness and address the psychological aspects of sexual function.
*While immediate relief may be possible through medical interventions, therapy aims to address the underlying psychological factors contributing to erectile dysfunction.
*Factors such as stress, anxiety, and lack of engagement can affect erectile function. Therapy involves understanding triggers, managing stress, and maintaining mental presence during sexual experiences.
*Over-excitation and anxiety can both impact erectile function. Therapy focuses on understanding and managing these factors, such as desensitizing psychological stimulation and finding ways to achieve ejaculatory control.
*Expectations of sexual performance and physicality can contribute to feelings of inadequacy or disappointment. Open communication and understanding between partners are crucial for navigating sexual challenges and maintaining intimacy.
*Therapy aims to provide directional indicators of progress within four to six sessions. Treatment plans and expectations may vary depending on the individual’s age and the complexity of the condition.
*Partners are encouraged to be part of the treatment process if their involvement is beneficial to addressing specific relationship issues related to sexual dysfunction.
*Sexual dysfunction can open the door to deeper intimacy as it prompts couples to communicate and explore other areas of sexual encounters. Therapy can facilitate this adjustment and help couples find new ways to connect and experience pleasure.
