I have psychogenic erection problems. I've already been to a sexologist, but he just told me to think less during sex, because "the more in my head, the less in my pants" and he gave me some medication. When I take them it's 90% okay. I also went to a psychotherapist who clearly stated that I have neurosis and that I have such problems due to anxiety. I wonder if an ordinary psychologist can help me get over my anxiety so that I can lead a normal sex life without pills? Or maybe look for a sexologist-psychologist?
A visit to a psychologist, preferably a psychotherapist, can help you in resolving anxiety and neurosis in a range other than sexological. However, such therapy can have a positive effect on your sex life. If you notice nervousness and anxiety in various everyday life situations and social situations, I would recommend that you work on these fears first, because solving these problems may facilitate solving sexual problems in the future. It also happens that people after completing psychotherapy in the field of various social anxieties no longer need sex therapy, because their sexual he alth also improves. I would suggest undergoing short-term cognitive behavioral therapy. I recommend this method because the therapy is short and focused on solving a specific problem. Moreover, this method is also used in the treatment of sexual disorders. It teaches you techniques to reduce tension and anxiety that you can use in most situations, including after treatment. Only after completing such therapy, I propose to start therapy with a sexologist psychologist (of course only when erection problems continue to appear). Only a sexologist-psychologist is adequately prepared to conduct therapy of sexual disorders. Probably, when intercourse is to take place, the Lord develops many fears related to it, which become stronger with subsequent unsuccessful attempts. There is a so-called vicious circle - problems with erection caused you anxiety, which increased with subsequent unsuccessful attempts, now the fear that "I will fail again" causes further tensions. In cognitive behavioral therapy, it is recognized that before certain feelings appear in a given situation, they are preceded by thoughts thatthey evoke. In your case, the situation will be sexual intercourse. This rapprochement is immediately assessed - a number of judging thoughts appear in your head - for example, "If there is a sexual intercourse, I will definitely not have an erection", "If there is no erection, it means that I am not good for anything", earlier they could these are thoughts like: "If you come into contact, I will surely turn out to be a bad lover" and so on … These thoughts affect your well-being - emotions, body physiological reactions and behavior. The dominant emotion will be fear. The body's reactions include lack of erection, but also sweating, shaking hands, dry mouth, tension of all vomits. Behavior is giving up intercourse. Therapeutic work focuses on analyzing automatic thoughts and on the beliefs that are usually hidden behind those thoughts. As I wrote above, I think that you should start working with the treatment of non-sexuality related anxiety disorders (if any), and then, knowing the methods used in this therapy, focus on erection problems.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Magdalena Krzak (Bogdaniuk)
Psychologist, psychotherapist, clinical sexologist and forensic sexologist. He has a Clinical Sexologist Certificate, awarded by the Polish Society of Sexology, after completing full specialization in clinical sexology in Warsaw, and a Court Sexologist Certificate. He deals with the treatment of sexual disorders in women and men. He works both individually and with couples. She conducts psychotherapy for victims of sexual violence. He conducts diagnostics and psychological support for transsexual people.
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