Couple therapy with cognitive behavioural techniques for persistent sexual arousal syndrome

Abstract

A case is described of persistent sexual arousal in a woman of 52, whose frequent masturbation caused severe distress and disruption to her relationship. Based on a psychological formulation, a combination of cognitive behavioural techniques was used in a couple therapy format, aimed at anxiety management, response prevention and addressing couple disharmony. Long-term conjoint therapy enabled the patient to resist the urge to masturbate and led to symptom reduction, with an improved sexual and emotional relationship between the partners. It is suggested that psychological therapies are a valid and useful treatment option for PSAS.

Keywords:

• cognitive therapy
• couples therapy
• persistent sexual arousal
• female sexual arousal disorder