Category / Counselling and psychotherapy

by Therapy place uk

When the sex goes bad, make the talking good

Blog200Couple1 July 2015

Sadly, lots of people don’t feel very satisfied with what happens in their sex lives, and there are many reasons why it can go wrong. Sexual difficulties for men such as premature or delayed ejaculation (when they orgasm too quickly or, conversely, take too long to get there for the couple’s satisfaction) or issues for women like vaginismus (where they might not be able to let their partner enter, or find penetration painful) are common experiences for couples. When a couple suffers the issues rather than talking about them to try to work out the root of the difficulty, things can tend to get worse. Many common sexual issues can have organic, health-based origins or can be related to the use of some types of prescription drugs. Other difficulties can be psychological at their roots. Age and general health also often contribute to an individual or couple experiencing difficulties.

Additionally, sex can break down because relationships become stale or are challenged by life events. Over time, negative issues in sex lives build up because talking about your sex life often seems too difficult and challenging. Talking about your own intimate and personal experience, especially with the partner you share your life with, is a different type of talk for most people. No one really teaches us how to discuss a part of our lives that can make us, and our partner, feel unusually vulnerable. Add to this difficulties around intimacy for one partner due to, for example, a loss of trust based on infidelity, cheating, flirting or perhaps use or overuse of pornography, and you might begin to see why sexual activities fall into a rut or ‘just cool off’; rejection and blame are often quick to follow, and the sex cools further. No one dares to talk about the root issues – be they physical, emotional, psychological, cultural or even spiritual – that can affect what is or isn’t going on in the bedroom. And yet, that is where therapy can begin.

While you might perceive that talking to a therapist (a total stranger) about your sexual issues will be anxiety provoking (quite normal), or could be even worse than suffering in silence or living with the proverbial elephant in the room, the majority of people who talk to me as a couple or as individuals generally find it easier than they thought. I’ll always do my best to make clients feel comfortable: there are no ‘off-limits’ topics of discussion; you’ll always be treated with professional respect; and I’ll do my very best to facilitate the least stressful way of working with you. Therapy really can become ‘good talk’.

by Therapy place uk

Finding a good therapist

Blogfind2002 June 2015

I remember reading Canadian educationalist Allen Tough’s pioneering thoughts in the area of self-directed growth in adults and being inspired at the way most adult learning occurred in informal settings and ways. You could say that adults learn on a need-to-know basis. When you need to get a new car you read magazines, check the Internet, ask around your friends and family for their views, and if you are lucky enough to know a professional in the area you are ‘researching’ then you tend to ask them.

I’m tempted to say that the above pretty much all holds true for finding a therapist as well. But if I think back 20 years or so when I needed therapeutic help myself, I can all too easily remember how difficult it was to talk to people about such issues. Back in the early 90s society was still too wary of therapeutic help. It was also the pre-Internet world when counsellors and psychotherapists were more difficult to find. So, should you just rely on the Internet? Is it good enough to simply look someone up on a website and then hand over your emotional wellbeing to them?

If I were looking for a therapist today here’s what would be on my checklist before I started any sessions with them:
Are they registered and accredited by a respected professional organisation such as the BACP, UKCP or BPS?
Will they talk to you on the phone, by Skype or email before you book a session?
Are they experienced in working with the issues you want to work with? (This is particularly important in areas like sexual difficulties, as few general trainings offer enough input in this area.)
Is the therapist used to working with people in short-, medium- and/or long-term encounters? This might be very helpful in matching your needs with the therapist’s skill set.
Has your prospective therapist had their own therapy? (It might seem odd but not all models of therapy require therapists to undertake their own therapy, while some will simply have done the minimum required by a training course. I’d find it odd to have therapy with someone who hadn’t been in the chair themselves.)

Above all, don’t be persuaded that someone is a good therapist because they have a lot of letters after their name. Studies show that once core requirements of education and training have been met, the effectiveness of the therapist is not dictated by their qualifications.

To my mind, all therapists should be looking to make a good match to the people they are going to work with. Again, studies support the view that it is the quality of the relationship that really helps therapy work. So, it follows that I always offer a no-obligation initial session.

Finally, go with your gut feeling and, if it doesn’t feel right in the room, shop around.