The following is a list of frequently asked questions and their answers.
Marital Sex Therapy
- What is marital sex therapy?
Sex therapy is counselling to help an individual or couple solve or improve a sexual concern. You will be assigned a series of step-by-step exercises to practice during the week to build knowledge, comfort and ability in the physical and emotional and relational aspects of sex.
- What is a sexual problem?
A sex problem can be a problem with how the mechanics of sex work for you at the present time like lack of orgasm or problems with erection or ejaculation, a past problem like a history of sexual abuse or negative messages about sex from childhood, a couple problem like fighting over how often you have sex or loss of interest on one partner's part. I have listed a brief problem list below:
· Lack of interest in sex
· Inability to have intercourse
· Painful sex or difficult entry
· Problems with orgasm
· Erection difficulty
· Premature ejaculation
· Issues related to rape or childhood sexual abuse
· Sexual performance issues related to the stress of infertility or menopause
· Coping with a chronic sexually transmitted disease or medical condition
· Relationship conflict and lack of emotional intimacy that affect sex
· The impact of anxiety & depression on sexual functioning
· Lack of time and energy for sex
· Problems with sex on the Internet
- What if I don't know what my problem is?
Sometimes people come to counselling to try and define their problems. Often anxiety or depression and loss of self esteem accompany sexual concerns and it is difficult to figure out what's wrong.
- How many visits will it take to solve my problem?
The number of visits required to solve or improve a person's sexual concern is unique to the concerns they present in counselling. Our therapist will ask you questions to develop a thorough understanding of the problem that brought you to treatment.
Based on these findings, we will suggest a personalised treatment plan and discuss it with you.
The therapist's initial intention is to try to do brief sex therapy. Brief sex therapy usually lasts 10-20 visits. Some people require only a visit or two to get what they need out of therapy and some require longer due to the complexity of their concern.
- How long is a counselling session?
A session lasts 50 minutes.
- How often do I come for counselling sessions?
Counselling sessions are usually scheduled once a week or every two weeks.
- Are services confidential?
Your session is totally confidential and will be discussed with someone only with your prior written consent. Confidentiality is only ever broken if a person is a danger to himself/herself or others, or when child, elder, or dependent adult abuse is involved.
- I've never been to a counsellor or talked to anyone about my problem before. How do I start?
Fear and embarrassment often keep people from discussing sexual dysfunction. ACCORD works with individuals and couples in a way that will allow you to comfortably discuss these subjects so we can work on finding solutions. Ask yourself what you have to lose if you give it a try. Find a way to make the first contact.
- Do I come alone or with my partner to the first visit?
This can be discussed at the time you schedule an appointment. It is best that your partner know if you are starting counselling if you hope to include him or her in sessions in the future. Clarify what would be best for you and discuss that with your partner. If your partner won't come to counselling, benefit can also be gained by coming alone and working on the problem from your side.
Marriage and Relationship Counselling
- How Much will Counselling Cost You?
ACCORD is a non-profit organisation, but we do incur overheads in providing our service. To cover some of these cost there is a sliding scale of fees based on income. The cost of each session will be agreed upon at the reception interview. No one is turned away from ACCORD due to lack of money.
- How Often do We/I Attend?
Initial sessions tend to be weekly and last no longer than one hour. Longer breaks occur between sessions as counselling progresses.
- Is the Service Confidential?
ACCORD maintains the highest standards of privacy & confidentiality at all times. Should confidentiality need to be broken this will only happen following a discussion with the client (s). Confidentiality will only be broken to protect a person, including the client, from abuse & danger.
- Does it Matter that We're not Married?
You don't need to be married. Counselling is provided regardless of marital status.