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Sexual Issues

Sexual Issues

Sexual Functioning Difficulties

In men, sexual functioning difficulties can present as:

  • Delayed Ejaculation: Delayed, infrequent or absence of ejaculation.
  • Erectile Difficulties: Difficulties in obtaining an erection during sexual activity, maintaining an erection until the completion of sexual activity and a marked decrease in erectile rigidity.
  • Hypoactive Sexual Desire: Reduced or absent sexual/erotic thoughts or fantasises and desire for sexual activity.
  • Early Ejaculation: Ejaculation occurring during sexual activity, with a partner, within approximately 1 minute following penetration and before the person wishes it.

In women, sexual functioning difficulties can present as:

  • Difficulties Surrounding Orgasm: Delayed, infrequent or absence of orgasm and reduced intensity of orgasmic sensations.
  • Hypoactive Arousal: Lack of, or significantly reduced, sexual interest or arousal.
  • Genital-Pelvic Pain/Penetration Difficulties: 1) Difficulties or discomfort having intercourse, 2) Gential-pelvic pain, 3) Fear of pain or vaginal penetration and 4) Tension of the pelvic floor muscles.

Prior to beginning any psychological intervention for difficulties in sexual functioning, best efforts are made to rule out any underlying organic or physical causes. These include, but are not limited to, drug and alcohol use, nervous system damage, side-effects of medications, hormonal imbalances, etc.

Once it has been determined that there is an underlying psychological cause that is contributing to your sexual difficulties, Dr. Giancola will employ Applied Behavioural Analysis and Therapy (ABAT) as well as Cognitive-Behavioural Therapy (CBT) techniques to resolve the problem. Many people suffer needlessly in silence with such difficulties because of the awkwardness or embarrassment related to talking about their sexual issues. However, there are a multitude of well-established and highly effective psychological treatments using approaches such as ABAT and CBT to treat and thus greatly improve sexual functioning. Dr. Giancola spent a great deal of time training and working in one of the leading treatment centers in the United States focusing on sexual functioning difficulties and he has had a great deal of success in helping his clients.


Fetishes-Compulsions/Paraphilias

Fetishes-Compulsions, also known as Paraphilias, can present as:

  • Voyeurism: Recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviours.
  • Exhibitionism: Recurrent and intense sexual arousal from the exposure of one’s genitals to an unsuspecting person, as manifested by fantasies, urges or behaviours.
  • Frotteurism: Recurrent and intense sexual arousal from touching or rubbing against a nonconsenting person, as manifested by fantasies, urges or behaviours.
  • Sexual Masochism: Recurrent and intense sexual arousal from the act of being humiliated, beaten, bound, or otherwise made to suffer as manifested by fantasies, urges or behaviours.
  • Fetishism: Recurrent and intense sexual arousal from either the use of non-living objects or a highly specific focus on non-genital body part(s), as manifested by fantasies, urges or behaviours.

Unfortunately, there is much social discomfort, awkwardness and embarrassment for most clients as well as some therapists in talking about such issues. As a result, it is not widely known that the origins of such fetishes are quite straight forward and generally easy to treat. Dr. Giancola employs scientifically proven and well-established Applied Behavioural Analysis and Therapy (ABAT) as well as Cognitive-Behavioural Therapy (CBT) techniques to help resolve sexual fetishes. Dr. Giancola spent a great deal of time training and working in one of the leading treatment centers in the United States focusing on sexual fetishes/paraphilias and he has had a great deal of success in helping his clients.


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