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Psychotherapy for erectile dysfunction: now more relevant than ever.

Abstract

The introduction of sildenafil in 1998 dramatically altered the treatment landscape for erectile dysfunction (ED). Although physicians now have a simple, efficacious, and safe treatment for ED, psychosocial barriers interfere with patients making effective use of these interventions. The role of psychotherapy is clearer than ever before in optimizing therapeutic outcome. The four goals of psychotherapy for ED are to identify and work through the resistances to medical intervention that lead to premature discontinuation; to reduce or eliminate performance anxiety; to understand the context in which men make love; and to implement psychoeducation and modification of sexual scripts. This article discusses three factors that make psychotherapy effective as well as outcome studies evaluating psychotherapy. By providing patients with an integrated medical/psychologic treatment, clinicians are likely to increase significantly the effectiveness of their treatment interventions for ED.

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  • Authors+Show Affiliations

    ,

    Case Western Reserve University School of Medicine, Center for Marital and Sexual Health, Beachwood, OH 44122, USA. sxa6@pc.cwru.edu

    Source

    Endocrine 23:2-3 pg 131-4

    MeSH

    Anxiety
    Attitude to Health
    Erectile Dysfunction
    Goals
    Humans
    Male
    Patient Education as Topic
    Psychotherapy

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    15146091

    Citation

    Althof, Stanley E., and Miki Wieder. "Psychotherapy for Erectile Dysfunction: Now More Relevant Than Ever." Endocrine, vol. 23, no. 2-3, 2004, pp. 131-4.
    Althof SE, Wieder M. Psychotherapy for erectile dysfunction: now more relevant than ever. Endocrine. 2004;23(2-3):131-4.
    Althof, S. E., & Wieder, M. (2004). Psychotherapy for erectile dysfunction: now more relevant than ever. Endocrine, 23(2-3), pp. 131-4.
    Althof SE, Wieder M. Psychotherapy for Erectile Dysfunction: Now More Relevant Than Ever. Endocrine. 2004;23(2-3):131-4. PubMed PMID: 15146091.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Psychotherapy for erectile dysfunction: now more relevant than ever. AU - Althof,Stanley E, AU - Wieder,Miki, PY - 2003/09/15/received PY - 2003/11/14/revised PY - 2003/11/14/accepted PY - 2004/5/18/pubmed PY - 2004/8/31/medline PY - 2004/5/18/entrez SP - 131 EP - 4 JF - Endocrine JO - Endocrine VL - 23 IS - 2-3 N2 - The introduction of sildenafil in 1998 dramatically altered the treatment landscape for erectile dysfunction (ED). Although physicians now have a simple, efficacious, and safe treatment for ED, psychosocial barriers interfere with patients making effective use of these interventions. The role of psychotherapy is clearer than ever before in optimizing therapeutic outcome. The four goals of psychotherapy for ED are to identify and work through the resistances to medical intervention that lead to premature discontinuation; to reduce or eliminate performance anxiety; to understand the context in which men make love; and to implement psychoeducation and modification of sexual scripts. This article discusses three factors that make psychotherapy effective as well as outcome studies evaluating psychotherapy. By providing patients with an integrated medical/psychologic treatment, clinicians are likely to increase significantly the effectiveness of their treatment interventions for ED. SN - 1355-008X UR - https://www.unboundmedicine.com/medline/citation/15146091/full_citation L2 - https://dx.doi.org/10.1385/ENDO:23:2-3:131 DB - PRIME DP - Unbound Medicine ER -