WHAT TO DO WHEN MARRIAGE GOES WRONG: SEX THERAPISTS

These are rare creatures in the UK although some of the above groups offer some kind of sex therapy in a limited way. The vast majority of the ‘treatment’ of marital and sexual problems is done by talking and listening and by the partners discussing things they have learned when they go home. All professionals can hope to do is dispel some ignorance, get the couple talking again, help give them insight into their problems, show that they are not alone (millions of others have been down the same path before) and that they, the professionals, care enough to listen and really to try and help. Once they have recognised at least some of these things most couples are ready to work hard between consultations to rebuild their marriages.

A small percentage of couples (or individuals) need more specific physical help with sexual problems. A woman who has never had an orgasm, for example, can, by having the blocking anxieties instilled in childhood removed, have her inherent capacity to do so restored to her; an impotent man or one with premature ejaculation can be helped; and couples with similar problems can be shown how to overcome them. Sex therapy is often highly effective and results can be obtained remarkably quickly for most problems.

None of these helpers can work miracles for a marriage. The couple has to want the treatment or counselling to work and they have to be prepared to put a lot of themselves into it. Results can be quick but rarely are – it usually takes several sessions to make any impact on a problem and progress is then dependent upon the willingness and ability of the partner to change and adapt to the suggestions made by the counsellor. The best time to catch any marital or sex problem is in the early stages.

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