Silva Neves Online Specialist Psychotherapy for Central London,
Mayfair W1

Individual Therapy. Romance

Individual Therapy

The most common male sexual problems are:
  • Unreliable erections (also called erectile dysfunction): when it is difficult to develop or maintain an erection during sexual activity.
  • Rapid ejaculation: when unwanted ejaculation occurs before penetration or soon after penetration.
  • Delayed ejaculation: when ejaculation is wanted but does not occur after a prolonged time of sexual activity.
  • Male anorgasmia: when wanted orgasm does not occur. This may be linked to delayed ejaculation.
  • Loss of sexual desire: when there is no desire to be sexual with a partner or self.

The most common female sexual problems are:
  • Vaginismus: when penetration is not possible.
  • Dyspareunia: when penetration is painful.
  • Female anorgasmia: when orgasms do not occur.
  • Loss of sexual desire: when there is no desire to be sexual with a partner or with self.

'Courage is simply the willingness to be afraid and act anyway' Dr Robert Anthony

Individual Therapy. fatmirror

Body Image

In our modern age of selfies, Instagram and dating apps, many men and women struggle with their body image. People might become highly preoccupied with going to the gym excessively or starting extreme diets.

Feeling bad about your body contribute to sexual problems.

You may have a problem with your body image if:
  • Frequent preoccupation with body image and body shape to the extent of controlling your life.
  • Feeling distressed, unhappy or depressed when you look at your body.
  • Excessive exercise.
  • Always on a diet, juicing, detoxing, etc.
  • Problems with relationships: avoiding social occasions because you think you look bad.

    You may have body image distress if you feel bad about your appearance:
  • At social gathering where you know a few people
  • When you look at yourself in the mirror
  • When you are with attractive people
  • When someone looks at parts of your appearance that you dislike
  • When you try on new clothes
  • When you exercise
  • After you have eaten a full meal
  • When you wear revealing clothes
  • When you get on the scale to weigh
  • When you think someone has rejected you
  • When in a sexual situation
  • When you are in a bad mood
  • When you think of how you looked when you were younger
  • When you see yourself in a photo or on video
  • When you think you have gained weight
  • When you think about what you wished you looked like
  • When you recall hurtful things people have said about your appearance
  • When you are with people who talk about weight or dieting

    Problem with your body image can cause serious difficulties with starting, maintaining or managing a romantic and sexual relationship. It may also be difficult to maintain good friendships. If you feel preoccupied often by the way you look, do not hesitate to make an appointment to discuss it.

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