Sex Therapy book

I’ve no idea where this snippet came from, perhaps this book, which I’ve written about in another post

Sexual problems are not necessarily a reflection of a relationship’s quality. They may, however, affect this if the couple are unable to manage any resulting anxiety, shame or distress. Thus, the ‘problem’ may have been easily fixed, but its consequences remain. Accordingly, couples seeking sex therapy have often already been down a medical or couple coun-selling route by the time they present. Usually, neither has offered a complete solution, though they may both have provided some help. Sex therapy is able to offer a biopsychosocial approach by bringing together all the influences on the problem and formulating a way forward. Some sex therapists have a medical qualification, as well as training in sex and relationship therapy, and are able to offer a comprehensive approach. It’s an advantage if they’re able to examine their patients, order investigations, refer and prescribe. However, sex therapists can suggest their clients request medical interventions, such as a vaginal examination, blood tests for hormone levels or specialist referral. Indeed, it could be considered unethical for a therapist to withhold such advice if this may be helpful. Moreover, a non-medical sex therapist may be more likely to see couples rather than just the individual who identifies with a problem. This helps the therapist to recognise and resolve any issues partners have too, and also to appreciate how they each trigger the other’s anxiety and how their relationship dynamic serves to maintain their problems.