Sexual Dysfunction

Sexual Dysfunction

Sexual Dysfunction and/or Compulsivity

Layers of Treatment

  • Address underlying trauma
  • Disrupt repetition and compulsion
  • Establish secure attachment
  • Maintain emotional regulation
  • Reconstruct erotic template
  • Reengineer lifestyle
  • Enhance genuine intimacy


Sexual Dysfunction is considered a problem when:

  • Sex or thoughts of sex are a primary, continual focus
  • Sex is both necessary and distressing
  • Sex is out of control and the person is acting outside their value system
  • Sex is interfering with establishing a healthy, intimate relationship or marriage
  • Sex has interfered with working, such as browsing Internet pornography while on the job or an inability to concentrate without becoming distracted with thoughts of sex, or the planning to engage in sex or sexual stimuli
  • Sex or thoughts of sex are obsessive or compulsive
  • Individual feels important or inadequate with performance or lacks desire

What Causes Sexual Dysfunction or Sexual Compulsion?

In our decades of experience, we have found that any type of addictive behavior is an indication that one’s life is out of balance. There are multiple reasons that a sexually addictive, sexually dysfunctional behavior shows up:

  • Anger or rage that was suppressed, related to powerlessness experienced in childhood
  • Depression or anxiety is getting effectively relieved by distracting oneself with sex
  • Fears related to relationships and intimacy are not processed
  • Attachment issues are prevalent, where an individual finds that they can neither stay in nor leave a relationship
  • The lacking of the skills required to effectively navigate the world because of social anxiety, obsessive-compulsive perfectionism, bipolar-like mood
    changes, and so on…
  • There are unfinished, unresolved issues from childhood, often caused by some sort of trauma in the family of origin

Sexually Compulsive Behavior

Sexual compulsivity is a disorder of intimacy and is most often a result of a history of complex trauma (multiple overlooked childhood experiences that are difficult to integrate.) In such cases, the therapy focus includes trauma integration. For other clients, the couple needs to change the structure of their marriage to include more passion, fun and creativity. Marital therapy, even when the compulsive issues pre-dated the marriage, is an essential component. The solution to sexual compulsivity is rarely simple, and the individual needs to be committed to an intensive phase of therapy with outpatient follow-up.

Sexual compulsivity (also called sex addiction) has become an epidemic since pornography became easily accessible on the Internet, where it can easily be viewed anonymously 24 hours a day. Tolerance can build, requiring more hours and various types of pornography for satisfaction. As sexually addictive behavior increases, genuine, heartfelt human relationships become less frequent and intimacy is displaced. Online pornography or other outlets used to satisfy sexual compulsivity becomes feared and resented by the addict’s partner (if applicable) who can feel ignored and betrayed.

Treatment Process for Sexual Compulsivity

Treatment begins with a thorough assessment. Sexually addictive behaviors can be widely divergent, so understanding each individual’s proclivity and background is vital. Interventions and treatment plans are based on a complete delineation of the contributing factors.Treatment for sexually compulsive behavior usually begins with abstinence. The individual most often will need to learn how to deal with emotions such as loneliness, sadness and anxiety in more effective ways. Sometimes a major psychiatric disorder underlies the problem. For a subset of clients, sexual arousal patterns may be atypical; the desire is not felt for a person they would find physically attractive and for whom they might feel affection.

Treating the Partner Too…

At Harmony Place Monterey, we work with the individual as well as the partner, as well as the coupleship (as applicable). For out-of-town clients, we offer an Intensive Outpatient Program (IOP) consisting of three hours of daily treatment that includes individual and couples therapy plus group therapy. Participation in a 12-step program is also encouraged between therapeutic sessions. If co-dependency is an issue, special treatment for the identified client or partner is available.

Paraphilia/Gender Confusion

Individuals sometimes develop atypical sexual arousal patterns (paraphilias) that can interfere with healthy intimacy when in a relationship, when part of a couple. Examples include: fetishes, transvestism, preferences for violence or abuse, humiliation or shaming, and so on. In our experience, these paraphilias are often tied to childhood trauma caused by neglect. We also work with issues related to gender confusion and any level of dissatisfaction with one’s sense of self and intrapersonal identity.


There is an epidemic of inhibited sexual desire treatment involves defeated assessment of:

  • History of trauma or neglect
  • Physical causes and general health
  • Intimacy issues and attachment difficulties
  • Relationship difficulties
  • Anger and problem-solvimg skills
  • Communication and capacity to express emotions and control impulses
  • Other psychiatric difficulties

Treatment is closely tied to the origin of the problem.

Confidential Consultation

Contact us for a confidential consultation. We welcome your questions and inquiries. Let us assist you in taking whatever necessary next steps are available to you as well as to your partner, family member, or loved one.

Main menu