Couple Counselling
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Couples with marital disharmony or with lifestyle and relational factors causing interruption in normal sexual life.
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Males with previous failed marriages, in a new marriage with initial stress of successful intercourse
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Couples with concomitant female factors like vaginismus which are being treated simultaneously
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Males with ED (Erectile Dysfunction) and PE (Premature Ejaculation) secondary to stressors in life benefit from this therapy
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Couples with inhibited Sexual Desire
This therapy requires sensate focus therapy and graded progression with touch therapy, proceeding to erection then orgasms and finally successful satisfactory intercourse. The therapy requires time and patience on part of the patient and the doctor.
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History taking and Counselling to ask oneself relevant questions
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What does sexual intercourse mean to you ?
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What does the relationship mean to you ?
Sensate Focus (Exercises) – Step by step Approach
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Sensate focusing on Object
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Touch Technique – Non judgmental, Non arousing touching of non genital parts sensing the touch, texture, warmth, smell.
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Consent and Touch – Receiver and giver – Receiver is the boss – demands touching and massaging of body parts as he/she wants followed by role reversal. Giving and Receiving the commands
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Appreciation – One partner appreciates the other and the opposite one acknowledges the same (feelings from the bottom of heart)
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Body Awareness Process
Erectile dysfunction (Therapeutic strategies)
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Step 1 - Erotic pleasure without erection
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Step 2 – Erection without orgasm
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Step 3 – Extravaginal
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Step 4 – intravaginal ex orgasm
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Step 5 – intravaginal & orgasm
Inhibited Sexual Desire
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Sensate focus – non demand
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Sensate focus – Demand
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Orgasm on masturbation
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Explore fantasies
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Share erotic materials
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Non demanding intromission
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Genital sexual intercourse
Continuous contact and follow up after each step is required to define success and to fid causes of failure at each stage. Each couple requires individualized therapy and may require less or more amount of time depending on the complexity and severity of the desire.