Discussion Sexual problems can arise when couples have different expectations, assumptions, levels of desire, and preferred sexual behaviors. Sexual problems also can be caused by poor physical or psychological health, substance abuse, fear of failure, communication problems, and general relationship dissatisfaction. Generally speaking, sexual problems can be best conceptualized as due to a mismatch between two individuals, rather than a problem that resides specifically within one individual. When sexual problems cause a great deal of distress and interfere with the quality of their relationship, couples may seek the help of a sex therapist. Sex therapy is a relatively new field.
Sex therapists employ a variety of techniques to understand and treat sexual problems.
General techniques may include cognitive-behavior therapy, in which couples learn to change the ways that they think and behave that contribute to sexual problems, and couples therapy, in which couples learn to change the way they communicate to promote intimacy and minimize conflict. It is never ethical for a sex therapist to engage in sexual activities with clients. Learning about different sexual difficulties can help you identify situations in which you or someone you know could benefit from professional assistance. In reading about the sexual disorders, be careful not to over-interpret any occasional sexual difficulties you or your partner may have experienced. Unless such situations occur on a consistent basis and cause significant distress, there is no need for alarm.