I'm really struggling to understand if I need an OCD therapist or Sex therapist. I have an OCD therapist currently but my problem is avoidance of sex, feeling inadequate, anxiety about performance, and it seems ERP aimed at my psychological ED is making things worse. if there is an OCD advocate that reads this could u advise me.

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A sex therapist sounds like it could really be helpful!!

Ive been to one and they can only help so much. They dont specialize in OCD and dont really understand the condition. Eventually she referred me out to and ocd specialist. I had the same issues as u. Performance anxiety, inadequacy, not feeling like "a man" etc

@js94. did u find the OCD specialist could help in that area? it's so confusing to me. she tells me I'm too much in my head and its logical that sexual problems happen when u aren't present in the moment and able to let go, yet ERP is about exposing yourself to your anxieties. it doesnt make sense to me.

she wants me to constantly think of sexual dysfunction and ED. how am I supposed to get in the mood to feel good about sex if I'm constantly focused on dysfunction

I just resign myself to avoiding sex. it's a compulsion in itself

Yes u two will work on it together as in any other ERP, exposing urself to the fears and anxieties. We have too much in our heads its difficult to enjoy the present.

I'm on session 8 with this OCD therapist and I am doubting if shes a good fit for me.

Why do u think that?

I guess because I get conflicting messages from her like "you're too much in your head and its causing sex dysfunction" but then shes telling me to not avoid thinking about sex dysfunction and to let those thoughts happen. my libido is already low - that kills any desire to try and have sex

I saw on Psychology Today that Bethann Detwiler does OCD treatment and sex therapy. I’ve never been to her but my therapist is in the same practice as her.

Where is she located

Her Main Office is inside Spring Run Presbyterian Church (6601 Woodlake Village Parkway | Midlothian, Virginia, 23112).Her Satellite Office is located at Sycamore Presbyterian Church (510 Coalfield Rd | Midlothian, Virginia, 23114). The counselor’s usually meet in the church but they are not a part of the church. Due to the virus, she’s doing video chat counseling sessions. If you email her, she shoud explain how. Here’s the link to her contact info http://www.wellspringrva.com/contact

@alex1. so what's troubling is if ERP is to not do compulsion when experiencing obsession, it would mean not avoiding sex, but sex is barely possible because of my ED, so I'm supposed to put myself in a disappointing and humiliating situation and not feel bad about myself? I carry that around with me all day. depressing

I can clearly see how ERP can work for othgger types of OCD, but for this problem it seems to worsen it. I've visited a sex therapist before and they wanted me to not focus on the ED.

I'm done with ERP therapy. another failed sexual attempt because I have no sex drive because I'm supposed to think of ED all day.

hi alex1. I have my next appointment tomorrow with her. I'll explain the situation. my partner understands and tries to help but doesnt really understand. shes understanding. I have an appointment with psychiatrist next week when we discuss meds. I'll tell him. my sex drive sucks and that's a known killer.

I'm not sure shes as experienced as I thought. she never went over a hierarchy. we just went right to impotence and she said sit with the anxiety

I’m sorry to hear you did not have a good experience. Did she specialize in ERP? I know how exhausting it is, add on top of that having a therapist that doesn’t understand you. If you try therapy again, ask the therapist if they specialize in ERP therapy. Also, it may help you, your partner and your relationship to have her sit in on a therapy session to understand how your brain works. I know when I did that, it helped my partner understand much better than me explaining. The therapist is a better explainer than me! But your partner would have to be ok with that, I’m sure some people would get freaked out by it or find it overwhelming. I wish you the best of luck!

thanks. I'll consider having her sit in a session. the therapist said shes experienced. its exhausting to figure out what the real problem is. is it meds? is it bad ERP? is it psychological? os it my age (50)? is it I've been in this relationship for 28 years? honestly I'm not really freaked out by giving up sex. I'm so uninterested. my wife thinks it's the luvox I started - on month two. I'm on other meds too so I'm not sure if that's the real culprit