How happy are you with your sex life? In this article, Christina Gesing , a sex therapist and psychotherapist in Berlin, explains who can benefit from sex therapy and what happens when you go to a session. While sex can give intense pleasure, a sense of positive esteem and a feeling of connectedness to a partner, it can also be a source of conflict, stress, resentment, anxiety and shame.
The good news: whether you long for more between the sheets or experience stress when engaging in sex, trained therapists can guide you to explore what feels right for you. Sexual dysfunction comes in many forms. Challenges with getting or keeping an erection, early or premature ejaculation, or difficulties reaching orgasm are common concerns.
Some women also experience pain disorders like vulval or vaginal pain and vaginismus, which may need therapeutic intervention. Having mismatched libidos, wanting to explore BDSM or other kinks, or wanting to have an open relationship or practice polyamory or non-monogamy can be difficult conversations that a therapist can help you navigate. Sexual trauma can affect your body and mind long after the traumatic incident ends. It can decrease sexual desire and even present as chronic pain.
Combining interventions from trauma therapy and sex therapy can help survivors process the trauma and move forward towards pleasure. Struggling with your sexual orientation or realising a different gender identity can be confusing and scary. It might make you question what you previously thought you knew about yourself and might impact existing relationships with family, friends and partners.
Also, German insurances require psychotherapeutic treatment before they cover the costs of gender-affirming surgeries. This can feel invasive, awkward, and uncomfortable at first - a good therapist understands that and will try to make you comfortable. Once the goal is established, they will help you unpack the issue and get to its root. The therapist will often also assign homework, such as reflections and private exercises, to help you explore your body and sexuality and establish trust with your partner.
