Chronic Sexual Dysfunction: Assessment, Intervention, and Realistic Expectations

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Abstract
This article describes critical sex therapy strategies and techniques to address chronic sexual dysfunction, especially inhibited sexual desire and the nonsexual marriage. Special attention should be given to ongoing assessment so the couple remains motivated and focused on specific change steps. The therapist should be active and work harder with chronic couples. The therapist is optimistic about change, is active (not authoritarian) in making suggestions about sexual scenarios and techniques, acknowledges and reinforces new learning, processes anxieties and failures, redesigns sexual exercises to increase comfort but still sets realistic expectations and goals, and keeps the couple motivated and focused.

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