treatment plan

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Treatment Recommendations Susie is exhibiting an increased amount of anxiety regarding beginning a sexual relationship with her fiancé John. She previously has experienced shame for pleasuring herself through fantasy and masturbation. Her last sexual partner encounter was 25 years ago. John has had a mutually pleasurable sex life with his late wife. He currently experiences intermittent erectile dysfunction. To best address the couple’s concerns, treatment will include a multifaceted approach that will integrate a relational form of CBT, Cognitive Family Behavioral Therapy (CBFT) and psychoeducation into a sex therapy approach for anorgasmia. The approach combines “three interrelated treatment strategies: communication exercises, sensate focus exercises, and guided fantasy” (McCabe, 2009, p.221). This blended treatment is designed to reduce Susie’s anxiety, educate the couple about human anatomy and sexuality, provide exercises designed to enter a sexual relationship at an emotionally safe pace, and to introduce acceptable fantasy exercises to enhance Susie’s physiological responses. Therapy should begin with communication exercises designed to increase the intimate communication with in the partner relationship and to help the female experiencing the disruption to “develop and explore” her emotional responses (McCabe, 2009, p.221). The essential steps of this phase are the enhancement of cognitive awareness within the partners and the deepening the female’s emotional safety in the relationship (p. 222). Once the couple is able to discuss their fears and expectations of their sexual relationship, second phase of will include psychoeducation of each gender’s anatomy. The goal of this step is to enhance each partner’s understandin... ... middle of paper ... ...e. Leiblum, S.R., (Ed.) (2007). Principles and practices of sex therapy (4th ed.). New York, NY: Guilford Press. McCabe, M. P., (2009). Anorgasmia in women. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp.211-235). New York, NY: Routledge. Rosen, R.C., (2007). Erectile dysfunction: Integration of medical and psychological approaches. In S.R. Leiblum (Ed), Principles and practices of sex therapy (4th ed.) (pp.277-310). New York, NY: Guilford Press. Verhulst, J., Reynolds, K.R., (2009). Sexual pharmacology: Love potions, pills, and poisons. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp.211-235). New York, NY: Routledge. Weeks, G.R., Gambescia, N., (2009). A systematic approach to sensate focus. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp. 341-361). New York, NY: Routledge.
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